100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s Health Care, 13th Edition questions and answers A+Graded $17.99   Add to cart

Exam (elaborations)

21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s Health Care, 13th Edition questions and answers A+Graded

 1 view  0 purchase
  • Course
  • Maternity and Women\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\'s Health
  • Institution
  • Maternity And Women\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\'s Health

21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s Health Care, 13th Edition questions and answers A+Graded

Preview 4 out of 369  pages

  • November 9, 2024
  • 369
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:
  • Maternity and Women's Health
  • Maternity and Women's Health
avatar-seller
Profkarl
Maternity and Women's Health Care 13th Edition Lowdermilk Test
1i 1i 1i 1i 1i 1i 1i 1i

, Maternity and Women's Health Care 13th Edition Lowdermilk Test 1i 1i 1i 1i 1i 1i 1i 1i




Chapter 01: 21st Century Maternity and Women’s Health Nursing
1i 1i 1i 1i 1i 1i 1i 1i i
1


Lowdermilk: Maternity & Women’s Health Care, 13th Edition
1i 1i 1i 1i 1i 1i 1i




MULTIPLE CHOICE 1i




1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


weight (LBW)infant, which factor is the most important for the nurse to consider?
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


a. African-American race 1i


b. Cigarette smoking 1i


c. Poor nutritional status 1i 1i


d. Limited maternal education 1i 1i




ANS: A 1 i


The rise in the overall LBW rates were due to increases in LBW births to non-
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


Hispanic black women (13.35%) and Hispanic women (7.21%); non-
1i 1i 1i 1i 1i 1i 1i 1i


Hispanic black infants are almost twice as likely as non-
1i 1i 1i 1i 1i 1i 1i 1i 1i


Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifi
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


able risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, b
1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i 1i 1i 1i


ut it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutri
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


tion is an important factor in potential infant mortality rates, but it is not the most importan
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


t. Additionally, nutritional status is a modifiable risk factor. Maternal education is an impor
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


tant factor in potential infant mortality rates, but it is not the most important. Additionally,
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


maternal education is a modifiable risk factor.
1i 1i 1i 1i 1i 1i




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 1i 1i i
1


Nursing Process: Assessment 1i 1i



MSC: Client Needs: HealtN
hUPrRoS
1i1i1imI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care 1i 1i 1i 1i




2. A 23-year-old African-
1i 1i


American woman is pregnant with her first child. Based on currentstatistics for infant mor
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i 1i 1i


tality, which intervention is most important for the nurse to includein the client’s plan of c
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i 1i 1i 1i 1i


are?
a. Perform a nutrition assessment. 1i 1i 1i


b. Refer the woman to a social worker. 1i 1i 1i 1i 1i 1i


c. Advise the woman to see an obstetrician, not a midwife. 1i 1i 1i 1i 1i 1i 1i 1i 1i


d. Explain to the woman the importance of keeping her prenatal care appointments.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i




ANS: D 1 i


Consistent prenatal care is the best method of preventing or controlling risk factors associat
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


ed with infant mortality. Nutritional status is an important modifiable risk factor, butit is not t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


he most important action a nurse should take in this situation. The client may needassistanc
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1


e from a social worker at some time during her pregnancy, but a referral to a socialworker i
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


s not the most important aspect the nurse should address at this time. If the woman has ide
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


ntifiable high- 1i


risk problems, then her health care may need to be provided by a physician. However, it ca
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


nnot be assumed that all African-American women have high-
1i 1i 1i 1i 1i 1i 1i 1i


riskissues. In addition, advising the woman to see an obstetrician is not the most important
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


advise or manage the type of care a client is to receive.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 1i 1i i
1


Nursing Process: Planning 1i 1i

, Maternity and Women's Health Care 13th Edition Lowdermilk Test 1i 1i 1i 1i 1i 1i 1i 1i




MSC: Client Needs: Health Promotion and Maintenance
1i 1i 1i 1i 1i 1i




3. The nurses working at a newly established birthing center have begun to compare their
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1


performance in providing maternal- 1i 1i 1i


newborn care against clinical standards. This comparison process is most commonly
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


known as what? 1i 1i


a. Best practices network 1i 1i


b. Clinical benchmarking 1i


c. Outcomes-oriented pracNtiU
ceRS 1i


d. Evidence-based practice 1i



ANS: C 1 i


Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1


benchmarks or standards. The term best practice refers to a program or servicethat has been
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i 1i 1i


recognized for its excellence. Clinical benchmarking is a process used to compare one’s o
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


wn performance against the performance of the best in an area of service. The term evidenc
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


e-
based practice refers to the provision of care based on evidence gainedthrough research an
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i 1i


d clinical trials.
1i 1i




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 1i 1i i
1


Nursing Process: Evaluation 1i 1i


MSC: Client Needs: Safe and Effective Care Environment
1i 1i 1i 1i 1i 1i 1i




4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


assessment of a 21-year-
1i 1i 1i 1i


old Hispanic client with limited English proficiency. Whichintervention is the most
1i 1i 1i 1i 1i 1i 1i i
1 1i 1i 1i 1i


important for the nurse to implement? 1i 1i 1i 1i 1i


a. Use maternity jargon to enable the client to become familiar with these terms.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


b. Speak quickly and efficiently to expedite the visit.
1i 1i 1i 1i 1i 1i 1i


c. Provide the client with handouts. 1i 1i 1i 1i


d. Assess whether the client understands the discussion.
1i 1i 1i 1i 1i 1i




ANS: D 1 i


Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


devaluating whether the client understands the discussion. Speaking slowly and clearly an
i
1 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


dfocusing on what is important will increase understanding. Most client education material
i
1 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


sare written at a level too high for the average adult and may not be useful for a client wit
i
1 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


hlimited English proficiency.
i
1 1i 1i




PTS: 1 DIF:
Cognitive Level: ApplyTOP: 1i 1i i
1


Nursing Process: Implementation 1i 1i


MSC: Client Needs: Health Promotion and Maintenance
1i 1i 1i 1i 1i 1i




5. Which statement best exemplifies contemporary maternity nursing?
1i 1i 1i 1i 1i 1i


a. Use of midwives for all vaginal deliveries
1i 1i 1i 1i 1i 1i


b. Family-centered care 1i


c. Free-standing birth clinics 1i 1i


d. Physician-
driven careANS: B 1i 1i 1 i

, Maternity and Women's Health Care 13th Edition Lowdermilk Test 1i 1i 1i 1i 1i 1i 1i 1i




Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partne
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


rs, grandparents, and siblings may be present for the birth and participate in activitiessuch as
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i 1


cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliverie
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


s. Free- 1i


standing clinics are an example of alternative birth options. Contemporarymaternity nursin
1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i


g is driven by the relationship between nurses and their clients.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 1i 1i i
1


Nursing Process: Planning 1i 1i


MSC: Client Needs: Health Promotion and Maintenance
1i 1i 1i 1i 1i 1i




6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
1i 1i 1i 1i 1i 1i 1i 1i


ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. O
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


n what grounds could the woman have a legitimate legal case for negligence?
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


a. Inexperienced maternity nurse was assigned to care for the client. 1i 1i 1i 1i 1i 1i 1i 1i 1i


b. Client was past her due date by 3 days. 1i 1i 1i 1i 1i 1i 1i 1i


c. Standard of care was not met. 1i 1i 1i 1i 1i


d. Client refused electronic fetal monitoring. 1i 1i 1i 1i




ANS: C 1 i


Not meeting the standard of care is a legitimate factor for a case of negligence. An inexpe
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


rienced maternity nurse would need to display competency before being assigned tocare fo
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i


r clients on his or her own. This client may have been past her due date; however, aterm p
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i


regnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestanda
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1


rd of care, the client has the right to refuse treatment. This refusal is not a case for neglige
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


nce, but informed consent should be properly obtained, and the client should have signed
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


an against medical advice form when refusing any treatment that is within the standard of
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


care.
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: 1i 1i i
1


Nursing Process: Implementation 1i 1i


MSC: Client Needs: Safe and Effective Care Environment
1i 1i 1i 1i 1i 1i 1i




7. When the nurse is unsure how to perform a client care procedure that is high risk and low
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1


volume, his or her best action in this situation would be what?
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


a. Ask another nurse. 1i 1i


b. Discuss the procedure with the client’s physician. 1i 1i 1i 1i 1i 1i


c. Look up the procedure in a nursing textbook. 1i 1i 1i 1i 1i 1i 1i


d. First consult the agency procedure manual 1i 1i 1i 1i 1i




ANS: D 1 i


Following the agency’s policies and procedures manual is always best when seeking infor
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


mation on correct client procedures. These policies should reflect the current standardsof ca
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i i
1 1i


re and the individual state’s guidelines. Each nurse is responsible for his or her own practic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


e. Relying on another nurse may not always be a safe practice. Each nurse is obligated to f
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


ollow the standards of care for safe client care delivery. Physicians are responsible for their
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


own client care activity. Nurses may follow safe orders from physicians, but they are also
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


responsible for the activities that they, as nurses, are to carry out. Information provided in a
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


nursing textbook is basic information for general knowledge.Furthermore, the information i
1i 1i 1i 1i 1i 1i 1i i
1 1i 1i 1i


n a textbook may not reflect the current standard of care or the individual state or hospital p
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


olicies.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Profkarl. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

80364 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$17.99
  • (0)
  Add to cart