All cases for Lowdermilk Maternity and Women's Health Care, 13th Edition

Maternity and Women's Health Care 12th
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Maternityg &g Women’sg Healthg Careg 12thg Editiong Lowdermilkg Testg Bank


Chapterg1:g21stgCenturygMaternitygandgWomen’sgHealthgNursing

MULTIPLEgCHOICE

1. Ingevaluatinggtheglevelgofgagpregnantgwomansgriskgofghavinggaglow-birth-
weightg(LBW)ginfant,gwhichgfactorgisgthegmostgimportantgforgthegnursegtogconsider?

a. African-Americangrace
b. Cigarettegsmoking
c. Poorgnutritionalgstatus
d. Limitedgmaternalgeducation


ANS:gA

ForgAfrican-
Americangbirths,gthegincidencegofgLBWginfantsgisgtwicegthatgofgCaucasiangbirths.gRacegisgagnon
modifiablegriskgfactor.gCigarettegsmokinggisgangimportantgfactorgingpotentialginfantgmortalitygrat
es,gbutgitgisgnotgthegmostgimportant.gAdditionally,gsmokinggisgagmodifiablegriskgfactor.gPoorgnutri
tiongisgangimportantgfactorgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgimportant.gA
dditionally,gnutritionalgstatusgisgagmodifiablegriskgfactor.gMaternalgeducationgisgangimportantgfact
orgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgimportant.gAdditionally,gmaternalged
ucationgisgagmodifiablegriskgfactor.

DIF:gCognitivegLevel:gUnderstandgREF:gIM:

TOP:gNursinggProcess:gAssessment

MSC:gClientgNeeds:gHealthgPromotiongandgMaintenance,gAntepartumgCare

2. Whatgisgthegprimarygrolegofgpracticinggnursesgingthegresearchgprocess?

a. Designinggresearchgstudies
b. Collectinggdatagforgothergresearchers

,Maternity and Women's Health Care 12th
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c. Identifyinggresearchablegproblems

,Maternity and Women's Health Care 12th
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d. Seekinggfundinggtogsupportgresearchgstudie


sgANS:gC

Whengproblemsgaregidentified,gresearchgcangbegproperlygconducted.gResearchgofghealthgcaregiss
uesgleadsgtogevidence-
basedgpracticegguidelines.gDesigninggresearchgstudiesgisgonlygonegfactorgofgthegresearchgprocess.
Datagcollectiongisganothergfactorgofgresearch.gFinancialgsupportgisgnecessarygtogconductgresearc
g

h,gbutgitgisgnotgthegprimarygrolegofgthegnursegingthegresearchgprocess.

DIF:gCognitivegLevel:gUnderstandgREF:gim:g14gTOP:gNursinggProcess:gN/AgM

SC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment

3. Ag23-year-oldgAfrican-
Americangwomangisgpregnantgwithghergfirstgchild.gBasedgongthegstatisticsgforginfantgmort
ality,gwhichgplangisgmostgimportantgforgthegnursegtogimplement?

a. Performgagnutritiongassessment.
b. Refergthegwomangtogagsocialgworker.
c. Advisegthegwomangtogseegangobstetrician,gnotgagmidwife.
d. Explaingtogthegwomangthegimportancegofgkeepingghergprenatalgcaregappointments.


ANS:gD

Consistentgprenatalgcaregisgthegbestgmethodgofgpreventinggorgcontrollinggriskgfactorsgassociatedg
withginfantgmortality.gNutritionalgstatusgisgangimportantgmodifiablegriskgfactor,gbutgitgisgnotgtheg
mostgimportantgactiongagnursegshouldgtakegingthisgsituation.gThegclientgmaygneedgassistancegfrom
a socialgworkergatgsomegtimegduringghergpregnancy,gbutgagreferralgtogagsocialgworkergisgnotgtheg
g g

mostgimportantgaspectgthegnursegshouldgaddressgatgthisgtime.gIfgthegwomanghasgidentifiableghigh-
riskgproblems,gthengherghealthgcaregmaygneedgtogbegprovidedgbygagphysician.gHowever,gitgcannot
begassumedgthatgallgAfrican-Americangwomenghaveghigh-
g

riskgissues.gIngaddition,gadvisinggthegwomangtogseegangobstetriciangisgnotgthegmostgimportantgasp
ectgongwhichgthegnursegshouldgfocusgatgthisgtime,gandgitgisgnotgappropriategforgagnursegtogadviseg
orgmanagegthegtypegofgcaregagclientgisgtogreceive.

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DIF:gCognitivegLevel:gUnderstandgREF:gIM:gTOP:gNursinggProcess:gPlanning