Updated/Latest Maternity and Women’s Health Care 12th Edition Lowdermilk Test Bank Comprehensive Examination Questions and Answers Study Guide for Maternal Nursing Women’s Health Obstetric Care Reproductive Health Pregnancy Labor Delivery Postpartum Newbo

Maternity & Women’s Health Care 12th Edition Lowdermilk
Tes Bank{CHAPTER 1 TO 36 WELL EXPLAINEDJ




ANSWERS}




Chapter 01: 21s Century Maternity and Women’s Health Nursing J




Lowdermilk: Maternity & Women’s Health Care, 11th Edition


MULTIPLE CHOICE

1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant, J J J J J J J J J J J J J




which factor is the most important for the nurse to consider?
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a. African-American race J




b. Cigarette smoking J




c. Poor nutritional status J J




d. Limited maternal education J J




ANS: A J




For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race
J J J J J J J J J J J J J J J




is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
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mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
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Poor nutrition is an important factor in potential infant mortality rates, but it is notthe most
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important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
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important 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. J J J J J J




DIF: Cognitive Level: Understand REF: p. 6 J J J J J




TOP: Nursing Process: Assessment
J J J




MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
J J J J J J J J




2. What is the primary role of practicing nurses in the research process?
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a. Designing research studies J J




b. Collecting data for other researchers J J J J




c. Identifying researchable problems J J




d. Seeking funding to support research studies J J J J J




ANS: C J




When problems are identified, research can be properly conducted. Research of health care
J J J J J J J J J J J J J




issues leads to evidence-based practice guidelines. Designing research studies is only one factor
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of the research process. Data collection is another factor of research. Financial supportis
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necessary to conduct research, but it is not the primary role of the nurse in the research process.
J J J J J J J J J J J J J J J J J




DIF: Cognitive Level: Understand REF: p. 14 J J JJJ J TOP: Nursing Process: N/A J J J J




MSC: Client Needs: Safe and Effective Care Environment
J J J J J J J




3. A 23-year-old African-American woman is pregnant with her first child. Based on the
J J J J J J J J J J J J J




statistics for infant mortality, which plan is most important for the nurse to implement?
J J J J J J J J J J J J J




a. Perform a nutrition assessment. J J J

,Maternity & Women’s Health Care 12th Edition Lowdermilk
Tes Bank{CHAPTER 1 TO 36 WELL EXPLAINED
J




ANSWERS}
b. Refer the woman to a social worker.
J J J J J J




c. Advise the woman to see an obstetrician, not a midwife.
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d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D
J

, Maternity & Women’s Health Care 12th Edition Lowdermilk
Tes Bank{CHAPTER 1 TO 36 WELL EXPLAINED J




ANSWERS}
Consistent prenatal care is the best method of preventing or controlling risk factors associatedwith infant
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mortality. Nutritional status is an important modifiable risk factor, but it is not themost important action a
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nurse should take in this situation. The client may need assistance from a social worker at some time during
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her pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at
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this time. If the woman has identifiable high-risk problems, then her health care may need to be provided
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by a physician. However, it cannot be assumed that all African-American women have high-risk issues. In
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addition, advising the woman to see an obstetrician is not the most important aspect on whichthe nurse
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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
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receive.

DIF: Cognitive Level: Understand REF: p. 6 J J JJJ J TOP: Nursing Process: Planning J J J J




MSC: Client Needs: Health Promotion and Maintenance
J J J J J J




4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of
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a 21-year-old Hispanic client with limited English proficiency. Which action isthe most
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important for the nurse to perform? J J J J J




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. J J J J J J J




c. Provide the client with handouts. J J J J




d. Assess whether the client understands the discussion. J J J J J J




ANS: D J




Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
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evaluating whether the client understands the discussion. Speaking slowly and clearly and
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focusing on what is important will increase understanding. Most client education materials are
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written at a level too high for the average adult and may not be useful for a client with limited
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English proficiency. J




DIF: Cognitive Level: Apply REF: p. 5 J J JJJ J TOP: Nursing Process: Evaluation J J J J




MSC: Client Needs: Health Promotion and Maintenance
J J J J J J




5. The nurses working at a newly established birthing center have begun to compare their
J J J J J J J J J J J J J J




performance in providing maternal-newborn care against clinical standards. This comparison J J J J J J J J J J




process is most commonly known as what? J J J J J J




a. Best practices network J J




b. Clinical benchmarking J




c. Outcomes-oriented practice J




d. Evidence-based practice J




ANS: C J




Outcomes-oriented practice measures the effectiveness of the interventions and qualityof care J J J J J J J J J J J J




against benchmarks or standards. The term best practice refers to a program or service that has
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been recognized for its excellence. Clinical benchmarking is a process used to compare one’s own
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performance against the performance of the best in an area of service. The term evidence-based J J J J J J J J J J J J J J J




practice refers to the provision of care based on evidence gained through research and clinical
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trials.

DIF: Cognitive Level: Understand REF: p. 11 J J JJJ J TOP: Nursing Process: Evaluation J J J J




MSC: Client Needs: Safe and Effective Care Environment
J J J J J J J

, Maternity & Women’s Health Care 12th Edition Lowdermilk
Tes Bank{CHAPTER 1 TO 36 WELL EXPLAINED J




ANSWERS}
6. Which statement best exemplifies contemporary maternity nursing?
J J J J J J




a. Use of midwives for all vaginal deliveries J J J J J J




b. Family-centered care J




c. Free-standing birth clinics J J




d. Physician-driven care J




ANS: B J




Contemporarymaternity nursing focuses on the family’s needs and desires. Fathers, partners, J J J J J J J J J J J J




grandparents, and siblings may be present for the birth and participate in activities such as cutting J J J J J J J J J J J J J J J J




the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries. Free-
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standing clinics are an example of alternative birth options. Contemporary maternity nursing is
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driven by the relationship between nurses and their clients.
J J J J J J J J




DIF: Cognitive Level: Understand REF: pp. 8-9 J J JJJ J TOP: Nursing Process: Planning J J J J




MSC: Client Needs: Health Promotion and Maintenance
J J J J J J




7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after beingin
J J J J J J J J J J J J J J




labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
J J J J J J J J J J J J J J J J J J




have a legitimate legal case for negligence?
J J J J J J




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




b. Client was past her due date by 3 days. J J J J J J J J




c. Standard of care was not met. J J J J J




d. Client refused electronic fetal monitoring. J J J J




ANS: C J




Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced
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maternity nurse would need to display competency before being assigned to care for clients on his
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or her own. This client may have been past her due date; however, a term pregnancy often goes
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beyond 40 weeks of gestation. Although fetal monitoring is the standard of care, the client has the
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right to refuse treatment. This refusal is not a case for negligence, but informed consent should be
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properly obtained, and the client should have signed an against medical advice form when
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refusing any treatment that is within the standardof care. J J J J J J J J J




DIF: Cognitive Level: Analyze REF: p. 13 J J J J J




TOP: Nursing Process: Implementation
J J J




MSC: Client Needs: Safe and Effective Care Environment
J J J J J J J




8. When the nurse is unsure how to perform a client care procedure that is high risk and low
J J J J J J J J J J J J J J J J J J




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




a. Ask another nurse. J J




b. Discuss the procedure with the client’s physician. J J J J J J




c. Look up the procedure in a nursing textbook. J J J J J J J




d. Consult the agency procedure manual, and follow the guidelines for the procedure. J J J J J J J J J J J




ANS: D J




Following the agency’s policies and procedures manual is always best when seeking information J J J J J J J J J J J J J




on correct client procedures. These policies should reflect the current standards ofcare and the
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individual state’s guidelines. Each nurse is responsible for his or her own practice. Relying on
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another nurse may not always be a safe practice. Each nurse is obligated to follow the standards of
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care for safe client care delivery. Physicians are responsible for theirown client care activity.
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