Test Bank For Maternity and Women’s Health Care, 11th Edition (Lowdermilk, 2016), All Chapters (1-37) | A+ ULTIMATE GUIDE

, MaternitynandnWomen'snHealthnCaren11thnEditionnLowdermilknTestnBank


Chapter 01: 21st Century Maternity and Women’s Health NursingLowder
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milk: Maternity & Women’s Health Care, 11th Edition
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MULTIPLEnCHOICE

1. Innevaluatingnthenlevelnofnanpregnantnwoman’snrisknofnhavingnanlow-birth-
weightn(LBW)ninfant,nwhichnfactornisnthenmostnimportantnfornthennursentonconsider?
a. African-Americannrace
b. Cigarettensmoking
c. Poornnutritionalnstatus
d. Limitednmaternalneducation
ANS:n A
FornAfrican-
Americannbirths,nthenincidencenofnLBWninfantsnisntwicenthatnofnCaucasiannbirths.nRacenisnannon
modifiablenrisknfactor.nCigarettensmokingnisnannimportantnfactorninnpotentialninfantnmortalitynrat
es,nbutnitnisnnotnthenmostnimportant.nAdditionally,nsmokingnisnanmodifiablenrisknfactor.nPoornnutr
itionnisnannimportantnfactorninnpotentialninfantnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nA
dditionally,nnutritionalnstatusnisnanmodifiablenrisknfactor.nMaternalneducationnisnannimportantnfac
torninnpotentialninfantnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nmaternalned
ucationnisnanmodifiablenrisknfactor.

DIF: CognitivenLevel:nUnderstand
REF:np.n6nTOP:n NursingnProcess:nAssessment
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance,nAntepartumnCare

2. Whatnisnthenprimarynrolenofnpracticingnnursesnin the researchnprocess?
a. DesigningnresearchnstudiesN URnSnNInTG B.C OM
b. Collectingndatanfornothernresearchers
c. Identifyingnresearchablenproblems
d. Seekingnfundingntonsupportnresearchnstudies
ANS:n C
Whennproblemsnarenidentified,nresearchncannbenproperlynconducted.nResearchnofnhealthncarenis
suesnleadsntonevidence-
basednpracticenguidelines.nDesigningnresearchnstudiesnisnonlynonenfactornofnthenresearchnproces
s.nDatancollectionnisnanothernfactornofnresearch.nFinancialnsupportnisnnecessaryntonconductnresear
ch,nbutnitnisnnotnthenprimarynrolenofnthennurseninnthenresearchnprocess.

DIF: CognitivenLevel:nUnderstand REF:nnn p.n14
TOP:n NursingnProcess:nN/AnMSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment

3. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonnthenstatisticsnforninfantnmorta
lity,nwhichnplannisnmostnimportantnfornthennursentonimplement?
a. Performnannutritionnassessment.
b. Refernthenwomanntonansocialnworker.
c. Advisenthenwomanntonseenannobstetrician,nnotnanmidwife.
d. Explainntonthenwomannthenimportancenofnkeepingnhernprenatalncarenappointments.
ANS:n D




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Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsnassociatedn
withninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfactor,nbutnitnisnnotnthenm
ostnimportantnactionnannursenshouldntakeninnthisnsituation.nThenclientnmaynneednassistancenfromna
nsocialnworkernatnsomentimenduringnhernpregnancy,nbutnanreferralntonansocialnworkernisnnotnthenmo

stnimportantnaspectnthennursenshouldnaddressnatnthisntime.nIfnthenwomannhasnidentifiablenhigh-
risknproblems,nthennhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowever,nitncannot
nbenassumednthatnallnAfrican-Americannwomennhavenhigh-

risknissues.nInnaddition,nadvisingnthenwomanntonseenannobstetriciannisnnotnthenmostnimportantnasp
ectnonnwhichnthennursenshouldnfocusnatnthisntime,nandnitnisnnotnappropriatenfornannursentonadvisenor
nmanagenthentypenofncarenanclientnisntonreceive.




DIF: CognitivenLevel:nUnderstand REF:nnn p.n6
TOP:n NursingnProcess:nPlanningnMSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance

4. Duringnanprenatalnintakeninterview,nthennursenisninnthenprocessnofnobtainingnanninitialnassessmen
tnofnan21-year-
oldnHispanicnclientnwithnlimitednEnglishnproficiency.nWhichnactionnisnthenmostnimportantnfornthe
nnursentonperform?

a. Usenmaternitynjargonntonenablenthenclientntonbecomenfamiliarnwithnthesenterms.
b. Speaknquicklynandnefficientlyntonexpeditenthenvisit.
c. Providenthenclientnwithnhandouts.
d. Assessnwhethernthenclientnunderstandsnthendiscussion.
ANS:n D
Nursesncontributentonhealthnliteracynbynusingnsimple,ncommonnwords,navoidingnjargon,nandneval
uatingnwhethernthenclientnunderstandsnthendiscussion.nSpeakingnslowlynandnclearlynandnfocusingn
onnwhatnisnimportantnwillnincreasenunderstanding.nMostnclientneducationnmaterialsnarenwrittennatn
anlevelntoonhighnforNtheRaveIragG
enadB
ul.
tnC
andM
maynnotnbenusefulnfornanclientnwithnlimited
Englishnproficiency. UnSnNnT O
DIF: CognitivenLevel:nApply REF:nnn p.n5
TOP:n NursingnProcess:nEvaluationnMSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance

5. Thennursesnworkingnatnannewlynestablishednbirthingncenternhavenbegunntoncomparentheirnperfor
manceninnprovidingnmaternal-
newbornncarenagainstnclinicalnstandards.nThisncomparisonnprocessnisnmostncommonlynknownnas
nwhat?

a. Bestnpracticesnnetwork
b. Clinicalnbenchmarking
c. Outcomes-orientednpractice
d. Evidence-basednpractice
ANS:n C
Outcomes-
orientednpracticenmeasuresntheneffectivenessnofntheninterventionsnandnqualitynofncarenagainstnben
chmarksnornstandards.nThentermnbestnpracticenrefersntonanprogramnornservicenthatnhasnbeennrecog
nizednfornitsnexcellence.nClinicalnbenchmarkingnisnanprocessnusedntoncomparenone’snownnperfor
mancenagainstnthenperformancenofnthenbestninnannareanofnservice.nThentermnevidence-
basednpracticenrefersntonthenprovisionnofncarenbasednonnevidencengainednthroughnresearchnandncli
nicalntrials.

DIF: CognitivenLevel:nUnderstand REF:nnn p.n11
TOP:n NursingnProcess:nEvaluationnMSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment



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6. Whichnstatementnbestnexemplifiesncontemporarynmaternitynnursing?
a. Usenofnmidwivesnfornallnvaginalndeliveries
b. Family-centeredncare
c. Free-standingnbirthnclinics
d. Physician-drivenncare
ANS:n B
Contemporarynmaternitynnursingnfocusesnonnthenfamily’snneedsnandndesires.nFathers,npartners,ng
randparents,nandnsiblingsnmaynbenpresentnfornthenbirthnandnparticipateninnactivitiesnsuchnasncutti
ngnthenbaby’snumbilicalncord.nBothnmidwivesnandnphysiciansnperformnvaginalndeliveries.nFree-
standingnclinicsnarenannexamplenofnalternativenbirthnoptions.nContemporarynmaternitynnursingni
sndrivennbynthenrelationshipnbetweennnursesnandntheirnclients.

DIF: CognitivenLevel:nUnderstand REF:nnn pp.n8-9
TOP:n NursingnProcess:nPlanningnMSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance

7. An38-year-oldnHispanicnwomannvaginallyndeliverednan9-pound,n6-
ouncenbabyngirlnafternbeingninnlabornforn43nhours.nThenbabyndiedn3ndaysnlaternfromnsepsis.nOnnw
hatngroundsncouldnthenwomannhavenanlegitimatenlegalncasenfornnegligence?
a. Inexperiencednmaternityn nursenwasnassignedntoncarenfornthenclient.
b. Clientnwasnpastnhernduendatenbyn3ndays.
c. Standardnofncarenwasnnotnmet.
d. Clientnrefusednelectronicnfetalnmonitoring.
ANS:n C
Notnmeetingnthenstandardnofncarenisnanlegitimatenfactornfornancasenofnnegligence.nAnninexperi
encednmaternitynnursenwouldnneedntondisplayncompetencynbeforenbeingnassignedntoncarenfornc
lientsnonnhisnornhernN
owUnR ShIisNcGlieTnBtnm
.nT .C
ayOhM
avenbeennpastnhernduendate;nhowever,na
termnpregnancynoftenngoesnbeyondn40nweeksnofngestation.nAlthoughnfetalnmonitoringnisnthe
standardnofncare,nthenclientnhasnthenrightntonrefusentreatment.nThisnrefusalnisnnotnancasenfornneglige
nce,nbutninformednconsentnshouldnbenproperlynobtained,nandnthenclientnshouldnhavensignednannag
ainstnmedicalnadvicenformnwhennrefusingnanyntreatmentnthatnisnwithinnthenstandardnofncare.

DIF: CognitivenLevel:nAnalyze
REF:np.n13nTOP:n NursingnProcess:nImplementatio
n
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment

8. Whennthennursenisnunsurenhowntonperformnanclientncarenprocedurenthatnisnhighnrisknandnlownv
olume,nhisnornhernbestnactionninnthisnsituationnwouldnbenwhat?
a. Asknanothernnurse.
b. Discussnthenprocedurenwithnthenclient’snphysician.
c. Looknupnthenprocedureninnannursingntextbook.
d. Consultnthenagencynprocedurenmanual,nandnfollownthenguidelinesnfornthenprocedure.
ANS:n D




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