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Maternity and Women's Health Care (Maternity & Women's Health Care) 13th Edition TEST BANK

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  • 28 janvier 2024
  • 363
  • 2023/2024
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  • maternity and womens health care maternity wom

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MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Bank
Maternityand
Women'sHealth
Care13th
Edition
LowdermilkTest
Bank MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Bank
Chapter01:21stCenturyMaternityandWomen’sHealthNursing
Lowdermilk:Maternity&Women’sHealthCare,12thEdition
MULTIPLECHOICE
1.Inevaluatingthelevelofapregnantwoman’sriskofhavingalow-birth-weight(LBW)
infant,whichfactoristhemostimportantforthenursetoconsider?
a.African-Americanrace
b.Cigarettesmoking
c.Poornutritionalstatus
d.Limitedmaternaleducation
ANS:A
TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-Hispanic
blackwomen(13.35%)andHispanicwomen(7.21%);non-Hispanicblackinfantsare
almosttwiceaslikelyasnon-HispanicwhiteinfantstobeofLBWandtodieinthefirst
yearoflife..Raceisanonmodifiableriskfactor.Cigarettesmokingisanimportantfactorin
potentialinfantmortalityrates,butitisnotthemostimportant.Additionally,smokingisa
modifiableriskfactor.Poornutritionisanimportantfactorinpotentialinfantmortality
rates,butitisnotthemostimportant.Additionally,nutritionalstatusisamodifiablerisk
factor.Maternaleducationisanimportantfactorinpotentialinfantmortalityrates,butitis
notthemostimportant.Additionally,maternaleducationisamodifiableriskfactor.
PTS:1 DIF:CognitiveLevel:Understand
TOP:NursingProcess:Assessment
MSC:ClientNeeds:HealtNhUPrRoSmIotNioGnTanBd.MCaOinMtenance,AntepartumCare
2.A23-year-oldAfrican-Americanwomanispregnantwithherfirstchild.Basedoncurrent
statisticsforinfantmortality,whichinterventionismostimportantforthenursetoinclude
intheclient’splanofcare?
a.Performanutritionassessment.
b.Referthewomantoasocialworker.
c.Advisethewomantoseeanobstetrician,notamidwife.
d.Explaintothewomantheimportanceofkeepingherprenatalcareappointments.
ANS:D
Consistentprenatalcareisthebestmethodofpreventingorcontrollingriskfactors
associatedwithinfantmortality.Nutritionalstatusisanimportantmodifiableriskfactor,but
itisnotthemostimportantactionanurseshouldtakeinthissituation.Theclientmayneed
assistancefromasocialworkeratsometimeduringherpregnancy,butareferraltoasocial
workerisnotthemostimportantaspectthenurseshouldaddressatthistime.Ifthewoman
hasidentifiablehigh-riskproblems,thenherhealthcaremayneedtobeprovidedbya
physician.However,itcannotbeassumedthatallAfrican-Americanwomenhavehigh-risk
issues.Inaddition,advisingthewomantoseeanobstetricianisnotthemostimportant
aspectonwhichthenurseshouldfocusatthistime,anditisnotappropriateforanurseto
adviseormanagethetypeofcareaclientistoreceive.
PTS:1 DIF:CognitiveLevel:Understand
TOP:NursingProcess:Planning MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Bank
MSC:ClientNeeds:HealthPromotionandMaintenance
3.Thenursesworkingatanewlyestablishedbirthingcenterhavebeguntocomparetheir
performanceinprovidingmaternal-newborncareagainstclinicalstandards.This
comparisonprocessismostcommonlyknownaswhat?
a.Bestpracticesnetwork
b.Clinicalbenchmarking
c.Outcomes-orientedpracNtiUceRS
d.Evidence-basedpractice
ANS:C
Outcomes-orientedpracticemeasurestheeffectivenessoftheinterventionsandqualityof
careagainstbenchmarksorstandards.Thetermbestpracticereferstoaprogramorservice
thathasbeenrecognizedforitsexcellence.Clinicalbenchmarkingisaprocessusedto
compareone’sownperformanceagainsttheperformanceofthebestinanareaofservice.
Thetermevidence-basedpracticereferstotheprovisionofcarebasedonevidencegained
throughresearchandclinicaltrials.
PTS:1 DIF:CognitiveLevel:Understand
TOP:NursingProcess:Evaluation
MSC:ClientNeeds:SafeandEffectiveCareEnvironment
4.Duringaprenatalintakeinterview,thenurseisintheprocessofobtaininganinitial
assessmentofa21-year-oldHispanicclientwithlimitedEnglishproficiency.Which
interventionisthemostimportantforthenursetoimplement?
a.Usematernityjargontoenabletheclienttobecomefamiliarwiththeseterms.
b.Speakquicklyandefficientlytoexpeditethevisit.
c.Providetheclientwithhandouts.
d.Assesswhethertheclientunderstandsthediscussion.
ANS:D
Nursescontributetohealthliteracybyusingsimple,commonwords,avoidingjargon,and
evaluatingwhethertheclientunderstandsthediscussion.Speakingslowlyandclearlyand
focusingonwhatisimportantwillincreaseunderstanding.Mostclienteducationmaterials
arewrittenataleveltoohighfortheaverageadultandmaynotbeusefulforaclientwith
limitedEnglishproficiency.
PTS:1 DIF:CognitiveLevel:Apply
TOP:NursingProcess:Implementation
MSC:ClientNeeds:HealthPromotionandMaintenance
5.Whichstatementbestexemplifiescontemporarymaternitynursing?
a.Useofmidwivesforallvaginaldeliveries
b.Family-centeredcare
c.Free-standingbirthclinics
d.Physician-drivencare
ANS:B MaternityandWomen'sHealthCare13thEditionLowdermilkTest
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Contemporarymaternitynursingfocusesonthefamily’sneedsanddesires.Fathers,
partners,grandparents,andsiblingsmaybepresentforthebirthandparticipateinactivities
suchascuttingthebaby’sumbilicalcord.Bothmidwivesandphysiciansperformvaginal
deliveries.Free-standingclinicsareanexampleofalternativebirthoptions.Contemporary
maternitynursingisdrivenbytherelationshipbetweennursesandtheirclients.
PTS:1 DIF:CognitiveLevel:Understand
TOP:NursingProcess:Planning
MSC:ClientNeeds:HealthPromotionandMaintenance
6.A38-year-oldHispanicwomanvaginallydelivereda9-pound,6-ouncebabygirlafterbeing
inlaborfor43hours.Thebabydied3dayslaterfromsepsis.Onwhatgroundscouldthe
womanhavealegitimatelegalcasefornegligence?
a.Inexperiencedmaternitynursewasassignedtocarefortheclient.
b.Clientwaspastherduedateby3days.
c.Standardofcarewasnotmet.
d.Clientrefusedelectronicfetalmonitoring.
ANS:C
Notmeetingthestandardofcareisalegitimatefactorforacaseofnegligence.An
inexperiencedmaternitynursewouldneedtodisplaycompetencybeforebeingassignedto
careforclientsonhisorherown.Thisclientmayhavebeenpastherduedate;however,a
termpregnancyoftengoesbeyond40weeksofgestation.Althoughfetalmonitoringisthe
standardofcare,theclienthastherighttorefusetreatment.Thisrefusalisnotacasefor
negligence,butinformedconsentshouldbeproperlyobtained,andtheclientshouldhave
signedanagainstmedicaladviceformwhenrefusinganytreatmentthatiswithinthe
standardofcare.
PTS:1 DIF:CognitiveLevel:Analyze
TOP:NursingProcess:Implementation
MSC:ClientNeeds:SafeandEffectiveCareEnvironment
7.Whenthenurseisunsurehowtoperformaclientcareprocedurethatishighriskandlow
volume,hisorherbestactioninthissituationwouldbewhat?
a.Askanothernurse.
b.Discusstheprocedurewiththeclient’sphysician.
c.Lookuptheprocedureinanursingtextbook.
d.Firstconsulttheagencyproceduremanual
ANS:D
Followingtheagency’spoliciesandproceduresmanualisalwaysbestwhenseeking
informationoncorrectclientprocedures.Thesepoliciesshouldreflectthecurrentstandards
ofcareandtheindividualstate’sguidelines.Eachnurseisresponsibleforhisorherown
practice.Relyingonanothernursemaynotalwaysbeasafepractice.Eachnurseis
obligatedtofollowthestandardsofcareforsafeclientcaredelivery.Physiciansare
responsiblefortheirownclientcareactivity.Nursesmayfollowsafeordersfrom
physicians,buttheyarealsoresponsiblefortheactivitiesthatthey,asnurses,aretocarry
out.Informationprovidedinanursingtextbookisbasicinformationforgeneralknowledge.
Furthermore,theinformationinatextbookmaynotreflectthecurrentstandardofcareor
theindividualstateorhospitalpolicies.

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