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Test Bank For Maternity and Women's Health Care 13th Edition Lowdermilk Questions With 100%Verified Answers
Test Bank For Maternity and Women's Health Care 13th Edition Lowdermilk Questions With 100%Verified Answers
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Maternity and Women's Health Care 13th Edition Lowdermilk Testgi gi gi gi gi gi gi gi
Test Bank
For Maternity and Women's Health
Care 13th Edition Lowdermilk
, Maternity and Women's Health Care 13th Edition Lowdermilk TestChap gi gi gi gi gi gi gi gi i
g
Bank
ter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mat
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ernity & Women’s Health Care, 12th Edition
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MULTIPLE CHOICE gi
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
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weight (LBW)infant, which factor is the most important for the nurse to consider?
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a. African-American race gi
b. Cigarette smoking gi
c. Poor nutritional status gi gi
d. Limited maternal education gi gi
ANS: A g i
The rise in the overall LBW rates were due to increases in LBW births to non-
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Hispanic black women (13.35%) and Hispanic women (7.21%); non-
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Hispanic black infants are almost twice as likely as non-
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Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifi
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able risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, b
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g gi gi gi gi
ut it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutri
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tion is an important factor in potential infant mortality rates, but it is not the most importan
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t. Additionally, nutritional status is a modifiable risk factor. Maternal education is an impor
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tant factor in potential infant mortality rates, but it is not the most important. Additionally,
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maternal education is a modifiable risk factor.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: gi gi i
g
Nursing Process: Assessment gi gi
MSC: Client Needs: HealtN
hUPrRoS
gig i mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care gi gi gi gi
2. A 23-year-old African-
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American woman is pregnant with her first child. Based on currentstatistics for infant mor
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tality, which intervention is most important for the nurse to includein the client’s plan of c
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g gi gi gi gi gi
are?
a. Perform a nutrition assessment. gi gi gi
b. Refer the woman to a social worker. gi gi gi gi gi gi
c. Advise the woman to see an obstetrician, not a midwife. gi gi gi gi gi gi gi gi gi
d. Explain to the woman the importance of keeping her prenatal care appointments.
gi gi gi gi gi gi gi gi gi gi gi
ANS: D g i
Consistent prenatal care is the best method of preventing or controlling risk factors associat
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ed with infant mortality. Nutritional status is an important modifiable risk factor, butit is not t
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g gi gi gi
he most important action a nurse should take in this situation. The client may need assistanc
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e from a social worker at some time during her pregnancy, but a referral to a socialworker i
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s not the most important aspect the nurse should address at this time. If the woman has iden
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tifiable high- gi
risk problems, then her health care may need to be provided by a physician. However, it ca
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nnot be assumed that all African-American women have high-
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riskissues. In addition, advising the woman to see an obstetrician is not the most important
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aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to a
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dvise or manage the type of care a client is to receive.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: gi gi i
g
Nursing Process: Planning gi gi
, Maternity and Women's Health Care 13th Edition Lowdermilk Test gi gi gi gi gi gi gi gi
MSC: Client Needs: Health Promotion and Maintenance
gi gi gi gi gi gi
3. The nurses working at a newly established birthing center have begun to compare their
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performance in providing maternal- gi gi gi
newborn care against clinical standards. This comparison process is most commonly k
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nown as what? gi gi
a. Best practices network gi gi
b. Clinical benchmarking gi
c. Outcomes-oriented pracNtiUceRS gi
d. Evidence-based practice gi
ANS: C g i
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
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benchmarks or standards. The term best practice refers to a program or servicethat has been
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recognized for its excellence. Clinical benchmarking is a process used to compare one’s o
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wn performance against the performance of the best in an area of service. The term evidenc
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e-
based practice refers to the provision of care based on evidence gained through research an
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d clinical trials.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: gi gi i
g
Nursing Process: Evaluation gi gi
MSC: Client Needs: Safe and Effective Care Environment
gi gi gi gi gi gi gi
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
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g
assessment of a 21-year- gi gi gi
old Hispanic client with limited English proficiency. Whichintervention is the most
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important for the nurse to implement? gi gi gi gi gi
a. Use maternity jargon to enable the client to become familiar with these terms.
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b. Speak quickly and efficiently to expedite the visit.
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c. Provide the client with handouts. gi gi gi gi
d. Assess whether the client understands the discussion.
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ANS: D g i
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
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devaluating whether the client understands the discussion. Speaking slowly and clearly an
i
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dfocusing on what is important will increase understanding. Most client education material
i
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sare written at a level too high for the average adult and may not be useful for a client wit
i
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hlimited English proficiency.
i
g gi gi
PTS: 1 DIF:
Cognitive Level: ApplyTOP: gi gi i
g
Nursing Process: Implementation gi gi
MSC: Client Needs: Health Promotion and Maintenance
gi gi gi gi gi gi
5. Which statement best exemplifies contemporary maternity nursing?
gi gi gi gi gi gi
a. Use of midwives for all vaginal deliveries
gi gi gi gi gi gi
b. Family-centered care gi
c. Free-standing birth clinics gi gi
d. Physician-
driven careANS: B gi gi g i
, Maternity and Women's Health Care 13th Edition Lowdermilk Test gi gi gi gi gi gi gi gi
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partne
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rs, grandparents, and siblings may be present for the birth and participate in activitiessuch a
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g gi
s cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveri
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es. Free- gi
standing clinics are an example of alternative birth options. Contemporary maternity nursin
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g is driven by the relationship between nurses and their clients.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: gi gi i
g
Nursing Process: Planning gi gi
MSC: Client Needs: Health Promotion and Maintenance
gi gi gi gi gi gi
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
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ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
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what grounds could the woman have a legitimate legal case for negligence?
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a. Inexperienced maternity nurse was assigned to care for the client. gi gi gi gi gi gi gi gi gi
b. Client was past her due date by 3 days. gi gi gi gi gi gi gi gi
c. Standard of care was not met. gi gi gi gi gi
d. Client refused electronic fetal monitoring. gi gi gi gi
ANS: C g i
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexpe
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rienced maternity nurse would need to display competency before being assigned tocare fo
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r clients on his or her own. This client may have been past her due date; however, aterm p
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g gi
regnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestand
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g
ard of care, the client has the right to refuse treatment. This refusal is not a case for neglig
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ence, but informed consent should be properly obtained, and the client should have signed
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an against medical advice form when refusing any treatment that is within the standard of
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care.
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PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: gi gi i
g
Nursing Process: Implementation gi gi
MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high risk and low
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g
volume, his or her best action in this situation would be what?
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a. Ask another nurse. gi gi
b. Discuss the procedure with the client’s physician. gi gi gi gi gi gi
c. Look up the procedure in a nursing textbook. gi gi gi gi gi gi gi
d. First consult the agency procedure manual gi gi gi gi gi
ANS: D g i
Following the agency’s policies and procedures manual is always best when seeking infor
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mation on correct client procedures. These policies should reflect the current standardsof c
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are and the individual state’s guidelines. Each nurse is responsible for his or her own practi
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ce. Relying on another nurse may not always be a safe practice. Each nurse is obligated to f
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ollow the standards of care for safe client care delivery. Physicians are responsible for their
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own client care activity. Nurses may follow safe orders from physicians, but they are also
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responsible for the activities that they, as nurses, are to carry out. Information provided in a
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nursing textbook is basic information for general knowledge.Furthermore, the information i
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n a textbook may not reflect the current standard of care or the individual state or hospital p
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olicies.
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