m m m m m m m m
st Bank Best Maternity Guide.
m m m m
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Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowd
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ermilk: Maternity & Women’s Health Care, 11th Edition
m m m m m m m
MULTIPLEmCHOICE
1. Inmevaluatingmthemlevelmofmampregnantmwoman’smriskmofmhavingmamlow-birth-
weightm(LBW)minfant,mwhichmfactormismthemmostmimportantmformthemnursemtomconsider?
a. African-Americanmrace
b. Cigarettemsmoking
c. Poormnutritionalmstatus
d. Limitedmmaternalmeducation
ANS:m A
FormAfrican-
Americanmbirths,mthemincidencemofmLBWminfantsmismtwicemthatmofmCaucasianmbirths.mRacemismam
nonmodifiablemriskmfactor.mCigarettemsmokingmismanmimportantmfactorminmpotentialminfantmmort
alitymrates,mbutmitmismnotmthemmostmimportant.mAdditionally,msmokingmismammodifiablemriskmfact
or.mPoormnutritionmismanmimportantmfactorminmpotentialminfantmmortalitymrates,mbutmitmismnotmthem
mostmimportant.mAdditionally,mnutritionalmstatusmismammodifiablemriskmfactor.mMaternalmeducati
onmismanmimportantmfactorminmpotentialminfantmmortalitymrates,mbutmitmismnotmthemmostmimportant.
mAdditionally,mmaternalmeducationmismammodifiablemriskmfactor.
DIF: CognitivemLevel:mUnderstand
REF:mp.m6mTOP:m NursingmProcess:mAssessment
MSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance,mAntepartummCare
2. Whatmismthemprimarymrolemofmpracticingmnursesmin the researchmprocess?
a. DesigningmresearchmstudiesNUmSRmNImT G B.CO M
b. Collectingmdatamformothermresearchers
c. Identifyingmresearchablemproblems
d. Seekingmfundingmtomsupportmresearchmstudies
ANS:m C
Whenmproblemsmaremidentified,mresearchmcanmbemproperlymconducted.mResearchmofmhealthmcar
emissuesmleadsmtomevidence-
basedmpracticemguidelines.mDesigningmresearchmstudiesmismonlymonemfactormofmthemresearchmpro
cess.mDatamcollectionmismanothermfactormofmresearch.mFinancialmsupportmismnecessarymtomconduc
tmresearch,mbutmitmismnotmthemprimarymrolemofmthemnurseminmthemresearchmprocess.
DIF: CognitivemLevel:mUnderstand REF:mmmp.m14
TOP:m NursingmProcess:mN/AmMSC:m ClientmNeeds:mSafemandmEffectivemCaremEnvironme
nt
3. Am23-year-oldmAfrican-
Americanmwomanmismpregnantmwithmhermfirstmchild.mBasedmonmthemstatisticsmforminfantm
mortality,mwhichmplanmismmostmimportantmformthemnursemtomimplement?
a. Performmamnutritionmassessment.
b. Refermthemwomanmtomamsocialmworker.
c. Advisemthemwomanmtomseemanmobstetrician,mnotmammidwife.
d. Explainmtomthemwomanmthemimportancemofmkeepingmhermprenatalmcaremappointments.
ANS:m D
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, MaternitymandmWomen'smHealthmCarem11thmEditionmLowdermilkmTestmBa
nk
Consistentmprenatalmcaremismthembestmmethodmofmpreventingmormcontrollingmriskmfactorsmassociat
edmwithminfantmmortality.mNutritionalmstatusmismanmimportantmmodifiablemriskmfactor,mbutmitmismn
otmthemmostmimportantmactionmamnursemshouldmtakeminmthismsituation.mThemclientmmaymneedmassis
tancemfrommamsocialmworkermatmsomemtimemduringmhermpregnancy,mbutmamreferralmtomamsocialmwo
rkermismnotmthemmostmimportantmaspectmthemnursemshouldmaddressmatmthismtime.mIfmthemwomanmh
asmidentifiablemhigh-
riskmproblems,mthenmhermhealthmcaremmaymneedmtombemprovidedmbymamphysician.mHowever,mitmca
nnotmbemassumedmthatmallmAfrican-Americanmwomenmhavemhigh-
riskmissues.mInmaddition,madvisingmthemwomanmtomseemanmobstetricianmismnotmthemmostmimportan
tmaspectmonmwhichmthemnursemshouldmfocusmatmthismtime,mandmitmismnotmappropriatemformamnursemt
omadvisemormmanagemthemtypemofmcaremamclientmismtomreceive.
DIF: CognitivemLevel:mUnderstand REF:mmmp.m6
TOP:m NursingmProcess:mPlanningmMSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
4. Duringmamprenatalmintakeminterview,mthemnursemisminmthemprocessmofmobtainingmanminitialmassess
mentmofmam21-year-
oldmHispanicmclientmwithmlimitedmEnglishmproficiency.mWhichmactionmismthemmostmimportantmfo
rmthemnursemtomperform?
a. Usemmaternitymjargonmtomenablemthemclientmtombecomemfamiliarmwithmthesemterms.
b. Speakmquicklymandmefficientlymtomexpeditemthemvisit.
c. Providemthemclientmwithmhandouts.
d. Assessmwhethermthemclientmunderstandsmthemdiscussion.
ANS:m D
Nursesmcontributemtomhealthmliteracymbymusingmsimple,mcommonmwords,mavoidingmjargon,mandme
valuatingmwhethermthemclientmunderstandsmthemdiscussion.mSpeakingmslowlymandmclearlymandmfo
cusingmonmwhatmismimportantmwillmincreasemunderstanding.mMostmclientmeducationmmaterialsmare
writtenmatmamlevelmtoomhighmforNtheRaveIragG
m emadB
ul.
tmC
andM
maymnotmbemusefulmformamclientmwithmlimit
ed
Englishmproficiency. USNT
m m m O
DIF: CognitivemLevel:mApply REF:mmmp.m5
TOP:m NursingmProcess:mEvaluationmMSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
5. Themnursesmworkingmatmamnewlymestablishedmbirthingmcentermhavembegunmtomcomparemtheirmpe
rformanceminmprovidingmmaternal-
newbornmcaremagainstmclinicalmstandards.mThismcomparisonmprocessmismmostmcommonlymknow
nmasmwhat?
a. Bestmpracticesmnetwork
b. Clinicalmbenchmarking
c. Outcomes-orientedmpractice
d. Evidence-basedmpractice
ANS:m C
Outcomes-
orientedmpracticemmeasuresmthemeffectivenessmofmtheminterventionsmandmqualitymofmcaremagainstm
benchmarksmormstandards.mThemtermmbestmpracticemrefersmtomamprogrammormservicemthatmhasmbee
nmrecognizedmformitsmexcellence.mClinicalmbenchmarkingmismamprocessmusedmtomcomparemone’smo
wnmperformancemagainstmthemperformancemofmthembestminmanmareamofmservice.mThemtermmevidenc
e-
basedmpracticemrefersmtomthemprovisionmofmcarembasedmonmevidencemgainedmthroughmresearchman
dmclinicalmtrials.
DIF: CognitivemLevel:mUnderstand REF:mmmp.m11
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, MaternitymandmWomen'smHealthmCarem11thmEditionmLowdermilkmTestmBa
nk
TOP:m NursingmProcess:mEvaluationmMSC:m ClientmNeeds:mSafemandmEffectivemCaremEnvironme
nt
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