Maternity & Women-s Health Care, Lowdermilk

MATERNITY AND WOMEN’S HEALTH CARE 11t
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o EDITION LOWDERMILK TEST BANK 100% CO
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RRECT QUESTIONS AND ANSWERS.
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Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowder
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milk: Maternity & Women’s Health Care, 11th Edition
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MULTIPLEoCHOICE

1. Inoevaluatingotheoleveloofoaopregnantowoman’soriskoofohavingoaolow-birth-
weighto(LBW)oinfant,owhichofactoroisotheomostoimportantoforotheonurseotooconsider?
a. African-Americano race
b. Cigaretteosmoking
c. Pooronutritionalostatus
d. Limitedomaternaloeducation

ANS:o A
ForoAfrican-
Americanobirths,otheoincidenceoofoLBWoinfantsoisotwiceothatoofoCaucasianobirths.oRaceoisoaonon
modifiableoriskofactor.oCigaretteosmokingoisoanoimportantofactoroinopotentialoinfantomortalityorat
es,obutoitoisonototheomostoimportant.oAdditionally,osmokingoisoaomodifiableoriskofactor.oPooronutr
itionoisoanoimportantofactoroinopotentialoinfantomortalityorates,obutoitoisonototheomostoimportant.oA
dditionally,onutritionalostatusoisoaomodifiableoriskofactor.oMaternaloeducationoisoanoimportantofa
ctoroinopotentialoinfantomortalityorates,obutoitoisonototheomostoimportant.oAdditionally,omaternalo
educationoisoaomodifiableoriskofactor.

DIF: CognitiveoLevel:oUnderstand
REF:o p.o6oTOP:o NursingoProcess:oAssessment
MSC:o ClientoNeeds:oHealthoPromotionoandoMaintenance,oAntepartumoCare

2. Whatoisotheoprimaryoroleoofop ract icin g onu rs e s oino the oresearchoprocess?
a. DesigningoresearchoN R UoI
studies SoNoG T B .C OM
b. Collectingodataoforootheroresearchers
c. Identifyingoresearchableoproblems
d. Seekingofundingotoosupportoresearchostudies
ANS:o C
Whenoproblemsoareoidentified,oresearchocanobeoproperlyoconducted.oResearchoofohealthocareoiss
uesoleadsotooevidence-
basedopracticeoguidelines.oDesigningoresearchostudiesoisoonlyooneofactoroofotheoresearchoprocess
.oDataocollectionoisoanotherofactorooforesearch.oFinancialosupportoisonecessaryotooconductoresearc
h,obutoitoisonototheoprimaryoroleoofotheonurseoinotheoresearchoprocess.

DIF: CognitiveoLevel:oUnderstand REF:o p.o14
TOP:o NursingoProcess:oN/AoMSC:o ClientoNeeds:oSafeoandoEffectiveoCareoEnvironment

3. Ao23-year-oldoAfrican-
Americanowomanoisopregnantowithoherofirstochild.oBasedoonotheostatisticsoforoinfantomorta
lity,owhichoplanoisomostoimportantoforotheonurseotooimplement?
a. Performoaonutritionoassessment.
b. Referotheowomanotooaosocialoworker.
c. Adviseotheowomanotooseeoanoobstetrician,onotoaomidwife.
d. Explainotootheowomanotheoimportanceoofokeepingoheroprenatalocareoappointments.

ANS:o D




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Consistentoprenatalocareoisotheobestomethodoofopreventingoorocontrollingoriskofactorsoassociatedo
withoinfantomortality.oNutritionalostatusoisoanoimportantomodifiableoriskofactor,obutoitoisonototheo
mostoimportantoactionoaonurseoshouldotakeoinothisosituation.oTheoclientomayoneedoassistanceofro
moaosocialoworkeroatosomeotimeoduringoheropregnancy,obutoaoreferralotooaosocialoworkeroisonototh
eomostoimportantoaspectotheonurseoshouldoaddressoatothisotime.oIfotheowomanohasoidentifiableohig
h-
riskoproblems,othenoherohealthocareomayoneedotoobeoprovidedobyoaophysician.oHowever,oitocanno
tobeoassumedothatoalloAfrican-Americanowomenohaveohigh-
riskoissues.oInoaddition,oadvisingotheowomanotooseeoanoobstetricianoisonototheomostoimportantoasp
ectoonowhichotheonurseoshouldofocusoatothisotime,oandoitoisonotoappropriateoforoaonurseotooadviseoo
romanageotheotypeoofocareoaoclientoisotooreceive.

DIF: CognitiveoLevel:oUnderstand REF:o p.o6
TOP:o NursingoProcess:oPlanningoMSC:o ClientoNeeds:oHealthoPromotionoandoMaintenance

4. Duringoaoprenatalointakeointerview,otheonurseoisoinotheoprocessoofoobtainingoanoinitialoassessmen
toofoao21-year-
oldoHispanicoclientowitholimitedoEnglishoproficiency.oWhichoactionoisotheomostoimportantoforoth
eonurseotooperform?
a. Useomaternityojargonotooenableotheoclientotoobecomeofamiliarowithotheseoterms.
b. Speakoquicklyoandoefficientlyotooexpediteotheovisit.
c. Provideotheoclientowithohandouts.
d. Assessowhetherotheoclientounderstandsotheodiscussion.
ANS:o D
Nursesocontributeotoohealtholiteracyobyousingosimple,ocommonowords,oavoidingojargon,oandoeval
uatingowhetherotheoclientounderstandsotheodiscussion.oSpeakingoslowlyoandoclearlyoandofocusing
oonowhatoisoimportant owilloincreaseounderstanding. oMostoclient oeducationomaterialsoareowrittenoatoa

olevelotooohighof o r t h e a v e r a g e oadultoa n d o m a y onotobeousefuloforoaoclientowitholimited
N R I G B. C M
Englishoproficiency. UoSoNoT O
DIF: CognitiveoLevel:oApply REF:o p.o5
TOP:o NursingoProcess:oEvaluationoMSC:o ClientoNeeds:oHealthoPromotionoandoMaintenance

5. Theonursesoworkingoatoaonewlyoestablishedobirthingocenterohaveobegunotoocompareotheiroperfor
manceoinoprovidingomaternal-
newbornocareoagainstoclinicalostandards.oThisocomparisonoprocessoisomostocommonlyoknownoa
sowhat?
a. Bestopracticesonetwork
b. Clinicalobenchmarking
c. Outcomes-orientedopractice
d. Evidence-basedopractice
ANS:o C
Outcomes-
orientedopracticeomeasuresotheoeffectivenessoofotheointerventionsoandoqualityoofocareoagainstoben
chmarksoorostandards.oTheotermobestopracticeorefersotooaoprogramooroserviceothatohasobeenorecog
nizedoforoitsoexcellence.oClinicalobenchmarkingoisoaoprocessousedotoocompareoone’soownoperfor
manceoagainstotheoperformanceoofotheobestoinoanoareaoofoservice.oTheotermoevidence-
basedopracticeorefersotootheoprovisionoofocareobasedoonoevidenceogainedothroughoresearchoandocl
inicalotrials.

DIF: CognitiveoLevel:oUnderstand REF:o p.o11
TOP:o NursingoProcess:oEvaluationoMSC:o ClientoNeeds:oSafeoandoEffectiveoCareoEnvironment


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6. Whichostatementobestoexemplifiesocontemporaryomaternityonursing?
a. Useoofomidwivesoforoallovaginalodeliveries
b. Family-centeredocare
c. Free-standingobirthoclinics
d. Physician-drivenocare
ANS:o B
Contemporaryomaternityonursingofocusesoonotheofamily’soneedsoandodesires.oFathers,opartners,o
grandparents,oandosiblingsomayobeopresentoforotheobirthoandoparticipateoinoactivitiesosuchoasocutt
ingotheobaby’soumbilicalocord.oBothomidwivesoandophysiciansoperformovaginalodeliveries.oFree
-
standingoclinicsoareoanoexampleoofoalternativeobirthooptions.oContemporaryomaternityonursingoi
sodrivenobyotheorelationshipobetweenonursesoandotheiroclients.

DIF: CognitiveoLevel:oUnderstand REF:o pp.o8-9
TOP:o NursingoProcess:oPlanningoMSC:o ClientoNeeds:oHealthoPromotionoandoMaintenance

7. Ao38-year-oldoHispanicowomanovaginallyodeliveredoao9-pound,o6-
ounceobabyogirloafterobeingoinolaboroforo43ohours.oTheobabyodiedo3odaysolaterofromosepsis.oOno
whatogroundsocouldotheowomanohaveoaolegitimateolegalocaseoforonegligence?
a. Inexperiencedomaternityonurseowasoassignedotoocareoforotheoclient.
b. Clientowasopastoherodueodateobyo3odays.
c. Standardoofocareowasonotomet.
d. Clientorefusedoelectronicofetalomonitoring.
ANS:o C
Notomeetingotheostandardoofocareoisoaolegitimateofactoroforoaocaseoofonegligence.oAnoinexperienc
edomaternityonurseowouldoneedotoodisplayocompetencyobeforeobeingoassignedoto
careoforoclientsoonohisooroherooNwUnR ShIisNcGlieTnBtom.aCyOhMaveobeenopastoherodueodate;ohowever,oaoterm
.oT
opregnancyooftenogoes obeyondo40oweeksoofogestation.oAlthoughofetalomonitoringoisothe

standardoofocare,otheoclientohasotheorightotoorefuseotreatment.oThisorefusaloisonotoaocaseoforoneglig
ence,obutoinformedoconsentoshouldobeoproperlyoobtained,oandotheoclientoshouldohaveosignedoanoa
gainstomedicaloadviceoformowhenorefusingoanyotreatmentothatoisowithinotheostandardoofocare.

DIF: CognitiveoLevel:oAnalyze
REF:o p.o13oTOP:o NursingoProcess:oImplementat
ion
MSC:o ClientoNeeds:oSafeoandoEffectiveoCareoEnvironment

8. Whenotheonurseoisounsureohowotooperformoaoclientocareoprocedureothatoisohighoriskoandolowov
olume,ohisooroherobestoactionoinothisosituationowouldobeowhat?
a. Askoanotheronurse.
b. Discussotheoprocedureowithotheoclient’sophysician.
c. Lookoupotheoprocedureoinoaonursingotextbook.
d. Consultotheoagencyoprocedureomanual,oandofollowotheoguidelinesoforotheoprocedure.

ANS:o D




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