Test Bank for Maternity and Women-s Health Care 11th Edition Lowdermilk Chapters 1-37 Complete Guide

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Chapter 01: 21st Century Mater k k k k




nity and Women’s Health Nursin
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g Lowdermilk: Maternity & Wo
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men’s Health Care, 12th Edition
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MULTIPLEkCHOICEk
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1.kInkevaluatingktheklevelkofkakpregnantkwoman’skriskkofkhavingkaklow-birth-
weightk(LBW)kinfant,kwhichkfactorkiskthekmostkimportantkforktheknursektokconsider?ka.kAf
rican-Americankracek
b. Cigaretteksmokingk
c. Poorknutritionalkstatusk
d. Limitedkmaternalkeducationk
ANS:kAk
ThekrisekinkthekoverallkLBWkrateskwerekduektokincreaseskinkLBWkbirthsktoknon-
Hispanickblackkwomenk(13.35%)kandkHispanickwomenk(7.21%);knon-
Hispanickblackkinfantskarekalmostktwicekasklikelykasknon-
HispanickwhitekinfantsktokbekofkLBWkandktokdiekinkthekfirstkyearkofklife..kRacekiskaknonmodifiab
lekriskkfactor.kCigaretteksmokingkiskankimportantkfactorkinkpotentialkinfantkmortalitykrates,kbutki
tkisknotkthekmostkimportant.kAdditionally,ksmokingkiskakmodifiablekriskkfactor.kPoorknutritionkisk
ankimportantkfactorkinkpotentialkinfantkmortalitykrates,kbutkitkisknotkthekmostkimportant.kAdditio
nally,knutritionalkstatuskiskakmodifiablekriskkfactor.kMaternalkeducationkiskankimportantkfactorki
nkpotentialkinfantkmortalitykrates,kbutkitkisknotkthekmostkimportant.kAdditionally,kmaternalkeduc
ationkiskakmodifiablekriskkfactor.k
k

PTS:k 1k DIF:k CognitivekLevel:kUnderstandk
TOP:kNursingkProcess:kAssessmentk

MSC:kkClientkNeeds:kHealtNhUPrRoSmIotNioGnkTanBd.MCaOinMtenance,kAntepartu
mkCarek
2.kAk23-year-oldkAfrican-
Americankwomankiskpregnantkwithkherkfirstkchild.kBasedkonkcurrentkstatisticskforkinfantkmortali
ty,kwhichkinterventionkiskmostkimportantkforktheknursektokincludekinkthekclient’skplankofkcare?k
a. Performkaknutritionkassessment.k
b. Referkthekwomanktokaksocialkworker.k
c. Advisekthekwomanktokseekankobstetrician,knotkakmidwife.k
d. Explainktokthekwomankthekimportancekofkkeepingkherkprenatalkcarekappointments.k




k PRIMEXAM.COMk

, MaternitykandkWomen'skHealthkCarek12thkEditionkLowdermilkkTestkBankk
ANS:kDk
Consistentkprenatalkcarekiskthekbestkmethodkofkpreventingkorkcontrollingkriskkfactorskassociated
kwithkinfantkmortality.kNutritionalkstatuskiskankimportantkmodifiablekriskkfactor,kbutkitkisknotkthe

kmostkimportantkactionkaknursekshouldktakekinkthisksituation.kThekclientkmaykneedkassistancekfro

mkaksocialkworkerkatksomektimekduringkherkpregnancy,kbutkakreferralktokaksocialkworkerkisknotkth
ekmostkimportantkaspectktheknursekshouldkaddresskatkthisktime.kIfkthekwomankhaskidentifiablekhi
gh-
riskkproblems,kthenkherkhealthkcarekmaykneedktokbekprovidedkbykakphysician.kHowever,kitkcann
otkbekassumedkthatkallkAfrican-Americankwomenkhavekhigh-
riskkissues.kInkaddition,kadvisingkthekwomanktokseekankobstetriciankisknotkthekmostkimportantkas
pectkonkwhichktheknursekshouldkfocuskatkthisktime,kandkitkisknotkappropriatekforkaknursektokadvis
ekorkmanagekthektypekofkcarekakclientkisktokreceive.k
k

PTS:k 1k DIF:k CognitivekLevel:kUnderstandk
TOP:kNursingkProcess:kPlanningk
MSC:kClientkNeeds:kHealthkPromotionkandkMaintenancek
k

3. Duringkakprenatalkintakekinterview,ktheknursekiskinkthekprocesskofkobtainingkankinitialkassess
mentkofkak21-year-
oldkHispanickclientkwithklimitedkEnglishkproficiency.kWhichkinterventionkiskthekmostkimpor
tantkforktheknursektokimplement?k
a. Usekmaternitykjargonktokenablekthekclientktokbecomekfamiliarkwithkthesekterms.k
b. Speakkquicklykandkefficientlyktokexpeditekthekvisit.k
c. Providekthekclientkwithkhandouts.k
d. Assesskwhetherkthekclientkunderstandskthekdiscussion.k
ANS:kDk
Nurseskcontributektokhealthkliteracykbykusingksimple,kcommonkwords,kavoidingkjargon,kandkev
aluatingkwhetherkthekclientkunderstandskthekdiscussion.kSpeakingkslowlykandkclearlykandkfocus
ingkonkwhatkiskimportantkwillkincreasekunderstanding.kMostkclientkeducationkmaterialskarekwrit
tenkatkaklevelktookhighkforkthekaveragekadultkandkmayknotkbekusefulkforkakclientkwithklimitedkEng
lishkproficiency.k
k

PTS:k 1k DIF:k CognitivekLevel:kApplyk
TOP:kNursingkProcess:kImplementationk
MSC:kClientkNeeds:kHealthkPromotionkandkMaintenancek
k

4. Theknurseskworkingkatkaknewlykestablishedkbirthingkcenterkhavekbegunktokcomparektheirkper
formancekinkprovidingkmaternal-
newbornkcarekagainstkclinicalkstandards.kThiskcomparisonkprocesskiskmostkcommonlykknow
nkaskwhat?ka.kBestkpracticesknetworkk
b. Clinicalkbenchmarkingk
c. OutEvidencecomes-based-

orientedkkpracticepracNtikUceR SkI NkG TkB. COkM k
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d.




k PRIMEXAM.COMk

, MaternitykandkWomen'skHealthkCarek12thkEditionkLowdermilkkTestkBankk
ANS:kCk
Outcomes-
orientedkpracticekmeasureskthekeffectivenesskofkthekinterventionskandkqualitykofkcarekagainstkb
enchmarkskorkstandards.kThektermkbestkpracticekrefersktokakprogramkorkservicekthatkhaskbeenkre
cognizedkforkitskexcellence.kClinicalkbenchmarkingkiskakprocesskusedktokcomparekone’skownkpe
rformancekagainstkthekperformancekofkthekbestkinkankareakofkservice.kThektermkevidence-
basedkpracticekrefersktokthekprovisionkofkcarekbasedkonkevidencekgainedkthroughkresearchkandk
clinicalktrials.k
k

PTS:k 1k DIF:k CognitivekLevel:kUnderstandk
TOP:kNursingkProcess:kEvaluationk
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironmentk
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5. Whichkstatementkbestkexemplifieskcontemporarykmaternityknursing?k
a. Usekofkmidwiveskforkallkvaginalkdeliveriesk
b. Family-centeredkcarek
c. Free-standingkbirthkclinicsk
d. Physician-drivenkcarek
ANS:kBk
Contemporarykmaternityknursingkfocuseskonkthekfamily’skneedskandkdesires.kFathers,kpartners,
kgrandparents,kandksiblingskmaykbekpresentkforkthekbirthkandkparticipatekinkactivitiesksuchkaskcu

ttingkthekbaby’skumbilicalkcord.kBothkmidwiveskandkphysicianskperformkvaginalkdeliveries.kFr
ee-
standingkclinicskarekankexamplekofkalternativekbirthkoptions.kContemporarykmaternityknursingk
iskdrivenkbykthekrelationshipkbetweenknurseskandktheirkclients.k
k

PTS:k 1k DIF:k CognitivekLevel:kUnderstandk
TOP:kNursingkProcess:kPlanningk
MSC:kClientkNeeds:kHealthkPromotionkandkMaintenancek
k

6. Ak38-year-oldkHispanickwomankvaginallykdeliveredkak9-pound,k6-
ouncekbabykgirlkafterkbeingkinklaborkfork43khours.kThekbabykdiedk3kdaysklaterkfromksepsis.kOnkw
hatkgroundskcouldkthekwomankhavekaklegitimateklegalkcasekforknegligence?k
a. Inexperiencedkmaternityknursekwaskassignedktokcarekforkthekclient.k
b. Clientkwaskpastkherkduekdatekbyk3kdays.k
c. Standardkofkcarekwasknotkmet.k
d. Clientkrefusedkelectronickfetalkmonitoring.k
ANS:kCk
Notkmeetingkthekstandardkofkcarekiskaklegitimatekfactorkforkakcasekofknegligence.kAnkinexperien
cedkmaternityknursekwouldkneedktokdisplaykcompetencykbeforekbeingkassignedktokcarekforkclien
tskonkhiskorkherkown.kThiskclientkmaykhavekbeenkpastkherkduekdate;khowever,kaktermkpregnancyk
oftenkgoeskbeyondk40kweekskofkgestation.kAlthoughkfetalkmonitoringkiskthekstandardkofkcare,kth
ekclientkhaskthekrightktokrefusektreatment.kThiskrefusalkisknotkakcasekforknegligence,kbutkinforme
dkconsentkshouldkbekproperlykobtained,kandkthekclientkshouldkhaveksignedkankagainstkmedicalka
dvicekformkwhenkrefusingkanyktreatmentkthatkiskwithinkthekstandardkofkcare.k
NURSINGTB.COM k




k PRIMEXAM.COMk

, MaternitykandkWomen'skHealthkCarek12thkEditionkLowdermilkkTestkBankk
PTS:k 1k DIF:k CognitivekLevel:kAnalyzek
TOP:kNursingkProcess:kImplementationk
MSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironmentk
k

7.kWhenktheknursekiskunsurekhowktokperformkakclientkcarekprocedurekthatkiskhighkriskkandklowkvo
lume,khiskorkherkbestkactionkinkthisksituationkwouldkbekwhat?ka.kAskkanotherknurse.k
b. Discusskthekprocedurekwithkthekclient’skphysician.k
c. Lookkupkthekprocedurekinkaknursingktextbook.k
d. Firstkconsultkthekagencykprocedurekmanualk
ANS:kDk
Followingkthekagency’skpolicieskandkprocedureskmanualkiskalwayskbestkwhenkseekingkinformat
ionkonkcorrectkclientkprocedures.kThesekpolicieskshouldkreflectkthekcurrentkstandardskofkcarekan
dkthekindividualkstate’skguidelines.kEachknursekiskresponsiblekforkhiskorkherkownkpractice.kRelyi
ngkonkanotherknursekmayknotkalwayskbekaksafekpractice.kEachknursekiskobligatedktokfollowkthekst
andardskofkcarekforksafekclientkcarekdelivery.kPhysicianskarekresponsiblekforktheirkownkclientkca
rekactivity.kNurseskmaykfollowksafekorderskfromkphysicians,kbutktheykarekalsokresponsiblekforkt
hekactivitieskthatkthey,kasknurses,karektokcarrykout.kInformationkprovidedkinkaknursingktextbookki
skbasickinformationkforkgeneralkknowledge.kFurthermore,kthekinformationkinkaktextbookkmaykn
otkreflectkthekcurrentkstandardkofkcarekorkthekindividualkstatekorkhospitalkpolicies.k
k


PTS:k 1k DIF:k CognitivekLevel:kUnderstandk
TOP:kNursingkProcess:kImplementationk MSC:kClientkNeeds:kPhysiologickIntegrityk
k

8. AknursekcaringkforkakpregnantkclientkshouldkbekawarekthatkthekU.S.kbirthkratekshowskwhatktrend
?k
a. Birthsktokunmarriedkwomenkarekmoreklikelyktokhaveklesskfavorablekoutcomes.k
b. Birthkrateskforkwomenk40ktok44kyearskofkagekarekdeclining.k
c. Cigaretteksmokingkamongkpregnantkwomenkcontinuesktokincrease.k
d. RateskofkpregnancykandkabortionkamongkteenagerskareklowerkinkthekUnitedkStateskthankinka
nykotherkindustrializedkcountry.k
ANS:kAk
LBWkinfantskandkpretermkbirthskarekmoreklikelykbecausekofktheklargeknumberkofkteenagerskinkt
hekunmarriedkgroup.kBirthkrateskforkwomenkinktheirkearlyk40skcontinuektokincrease.kFewerkpreg
nantkwomenksmoke.kTeenkpregnancykandkabortionkrateskarekhigherkinkthekUnitedkStateskthankink
anykotherkindustrialkcountry.k
k

PTS:k 1k DIF:k CognitivekLevel:kUnderstandk
TOP:kNursingkProcess:kAssessmentk MSC:kClientkNeeds:kPsychosocialkIntegrityk
k

9. Akrecentlykgraduatedknursekiskattemptingktokunderstandkthekreasonkforkincreasingkhealthkcareks
pendingkinkthekUnitedkStates.kWhichkinformationkgatheredkfromkresearchkbestkexplainskthekrat
ionalekforkthesekhigherkcostskcomparedkwithkotherkdevelopedkcountries?ka.kHigherkratekofkobes
itykamongkpregnantkwomenk
b. Limitedkaccessktoktechnologyk

c. IncreasedkusekofkhealthNcaUreR sSerI viNcGe sTkaBl o.ngCwOi Mthklowerkpricesk
k k k k k




d. Homogeneitykofkthekpopulationk




k PRIMEXAM.COMk