C Lowdermilk-Maternity and Women-s health care questions and ansers

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MULTIPLEqCHOICE

1. Inqevaluatingqtheqlevelqofqaqpregnantqwoman’sqriskqofqhavingqaqlow-birth-
weightq(LBW)qinfant,qwhichqfactorqisqtheqmostqimportantqforqtheqnurseqtoqconsider?
a. African-Americanqrace
b. Cigaretteqsmoking
c. Poorqnutritionalqstatus
d. Limitedqmaternalqeducation

ANS:q A
ForqAfrican-
Americanqbirths,qtheqincidenceqofqLBWqinfantsqisqtwiceqthatqofqCaucasianqbirths.qRaceqisqaqnon
modifiableqriskqfactor.qCigaretteqsmokingqisqanqimportantqfactorqinqpotentialqinfantqmortalityqrat
es,qbutqitqisqnotqtheqmostqimportant.qAdditionally,qsmokingqisqaqmodifiableqriskqfactor.qPoorqnutr
itionqisqanqimportantqfactorqinqpotentialqinfantqmortalityqrates,qbutqitqisqnotqtheqmostqimportant.qA
dditionally,qnutritionalqstatusqisqaqmodifiableqriskqfactor.qMaternalqeducationqisqanqimportantqfac
torqinqpotentialqinfantqmortalityqrates,qbutqitqisqnotqtheqmostqimportant.qAdditionally,qmaternalqed
ucationqisqaqmodifiableqriskqfactor.

DIF: CognitiveqLevel:qUnderstand
REF:qp.q6qTOP:q NursingqProcess:qAssessment
MSC:q ClientqNeeds:qHealthqPromotionqandqMaintenance,qAntepartumqCare

2. Whatqisqtheqprimaryqroleqofqpracticingqnursesqinqtheqresearchqprocess?
a. Designingqresearchqstudies
b. Collectingqdataqforqotherqresearchers
c. Identifyingqresearchableqproblems
d. Seekingqfundingqtoqsupportqresearchqstudies
ANS:q C
Whenqproblemsqareqidentified,qresearchqcanqbeqproperlyqconducted.qResearchqofqhealthqcareqis
suesqleadsqtoqevidence-
basedqpracticeqguidelines.qDesigningqresearchqstudiesqisqonlyqoneqfactorqofqtheqresearchqproces
s.qDataqcollectionqisqanotherqfactorqofqresearch.qFinancialqsupportqisqnecessaryqtoqconductqresear
ch,qbutqitqisqnotqtheqprimaryqroleqofqtheqnurseqinqtheqresearchqprocess.

DIF: CognitiveqLevel:qUnderstand REF:qqqp.q14
TOP:q NursingqProcess:qN/AqMSC:q ClientqNeeds:qSafeqandqEffectiveqCareqEnvironment

3. Aq23-year-oldqAfrican-
Americanqwomanqisqpregnantqwithqherqfirstqchild.qBasedqonqtheqstatisticsqforqinfantqmort
ality,qwhichqplanqisqmostqimportantqforqtheqnurseqtoqimplement?
a. Performqaqnutritionqassessment.
b. Referqtheqwomanqtoqaqsocialqworker.
c. Adviseqtheqwomanqtoqseeqanqobstetrician,qnotqaqmidwife.

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d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS:q D

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Consistent prenatal care is the
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with infant mortality. Nutritional status is an important modifiable risk factor, but it is not them
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ostqimportantqactionqaqnurseqshouldqtakeqinqthisqsituation.qTheqclientqmayqneedqassistanceqfromqa
qsocialqworkerqatqsomeqtimeqduringqherqpregnancy, qbutqaqreferralqtoqaqsocialqworkerqisqnotqtheqm

ostqimportantqaspectqtheqnurseqshouldqaddressqatqthisqtime.qIfqtheqwomanqhasqidentifiableqhigh-
riskqproblems,qthenqherqhealthqcareqmayqneedqtoqbeqprovidedqbyqaqphysician.qHowever,qitqcannot
qbeqassumedqthatqallqAfrican-Americanqwomenqhaveqhigh-

riskqissues.qInqaddition,qadvisingqtheqwomanqtoqseeqanqobstetricianqisqnotqtheqmostqimportantqasp
ectqonqwhichqtheqnurseqshouldqfocusqatqthisqtime,qandqitqisqnotqappropriateqforqaqnurseqtoqadviseqor
qmanageqtheqtypeqofqcareqaqclientqisqtoqreceive.




DIF: CognitiveqLevel:qUnderstand REF:qqqp.q6
TOP:q NursingqProcess:qPlanningqMSC:q ClientqNeeds:qHealthqPromotionqandqMaintenance

4. Duringqaqprenatalqintakeqinterview,qtheqnurseqisqinqtheqprocessqofqobtainingqanqinitialqassessmen
tqofqaq21-year-
oldqHispanicqclientqwithqlimitedqEnglishqproficiency.qWhichqactionqisqtheqmostqimportantqforqth
eqnurseqtoqperform?
a. Useqmaternityqjargonqtoqenableqtheqclientqtoqbecomeqfamiliarqwithqtheseqterms.
b. Speakqquicklyqandqefficientlyqtoqexpediteqtheqvisit.
c. Provideqtheqclientqwithqhandouts.
d. Assessqwhetherqtheqclientqunderstandsqtheqdiscussion.
ANS:q D
Nursesqcontributeqtoqhealthqliteracyqbyqusingqsimple,qcommonqwords,qavoidingqjargon,qandqeval
uatingqwhetherqtheqclientqunderstandsqtheqdiscussion.qSpeakingqslowlyqandqclearlyqandqfocusing
qonqwhatqisqimportantqwillqincreasequnderstanding.qMostqclientqeducationqmaterialsqareqwrittenqatq

aqlevelqtooqhighqforqtheqaverageqadultqandqmayqnotqbequsefulqforqaqclientqwithqlimitedqEnglishqprof
iciency.

DIF: CognitiveqLevel:qApply REF:qqqp.q5
TOP:q NursingqProcess:qEvaluationqMSC:q ClientqNeeds:qHealthqPromotionqandqMaintenance

5. Theqnursesqworkingqatqaqnewlyqestablishedqbirthingqcenterqhaveqbegunqtoqcompareqtheirqperfor
manceqinqprovidingqmaternal-
newbornqcareqagainstqclinicalqstandards.qThisqcomparisonqprocessqisqmostqcommonlyqknownqas
qwhat?

a. Bestqpracticesqnetwork
b. Clinicalqbenchmarking
c. Outcomes-orientedqpractice
d. Evidence-basedqpractice
ANS:q C
Outcomes-
orientedqpracticeqmeasuresqtheqeffectivenessqofqtheqinterventionsqandqqualityqofqcareqagainstqbenc
hmarksqorqstandards.qTheqtermqbestqpracticeqrefersqtoqaqprogramqorqserviceqthatqhasqbeenqrecogn
izedqforqitsqexcellence.qClinicalqbenchmarkingqisqaqprocessqusedqtoqcompareqone’sqownqperform
anceqagainstqtheqperformanceqofqtheqbestqinqanqareaqofqservice.qTheqtermqevidence-
basedqpracticeqrefersqtoqtheqprovisionqofqcareqbasedqonqevidenceqgainedqthroughqresearchqandqcli
nicalqtrials.

DIF: CognitiveqLevel:qUnderstand REF:qqqp.q11 TOP:q NursingqProcess:qEvaluation

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