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21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s Health Care, 13th Edition questions and answers A+Graded
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Comprehensive Test Bank for Maternity & Women’s Health Care, 13th ... file:///C:/Users/HP/Downloads/Comprehensive%20Test%20Bank%2
Comprehensive Test Bank for Maternity & Women’s Health
Care, 13th Edition by Lowdermilk
Quick PDF Download Newest Edition
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Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
infant,which factor is the most important for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal
education
ANSWER: A
For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race is
a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant mortality
rates, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor
nutrition is an important factor in potential infant mortality rates, but it is notthe most important.
Additionally, nutritional status is a modifiable risk factor. Maternal education is an important
factor in potential infant mortality rates, but it is not the most important. Additionally, maternal
education is a modifiable risk factor.
DIF: Cognitive Level: Understand REF: p.
6TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
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2. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research
studies
ANSWER: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one factor of
the research process. Data collection is another factor of research. Financial supportis necessary
to conduct research, but it is not the primary role of the nurse in the research process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process:
N/AMSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care
appointments.
ANSWER: D
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Consistent prenatal care is the best method of preventing or controlling risk factors
associatedwith infant mortality. Nutritional status is an important modifiable risk factor, but it is
not themost important action a nurse should take in this situation. The client may need assistance
from a social worker at some time during her pregnancy, but a referral to a social worker is not
the most important aspect the nurse should address at this time. If the woman has identifiable
high-risk problems, then her health care may need to be provided by a physician. However, it
cannot be assumed that all African-American women have high-risk issues. In addition, advising
the woman to see an obstetrician is not the most important aspect on which the nurse should
focus at this time, and it is not appropriate for a nurse to advise or manage the type of care a
client is to receive.
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process:
PlanningMSC: Client Needs: Health Promotion and Maintenance
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment
of a 21-year-old Hispanic client with limited English proficiency. Which action isthe most
important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these
terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion.
ANSWER: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
evaluating whether the client understands the discussion. Speaking slowly and clearly and focusing
on what is important will increase understanding. Most client education materials arewritten at a
level too high for the average adult and may not be useful for a client with limitedEnglish
proficiency.
DIF: Cognitive Level: Apply REF: p. 5 TOP: Nursing Process:
EvaluationMSC: Client Needs: Health Promotion and Maintenance
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