Test Bank For Maternity and Women's Health Care 13th Edition Lowdermilk | Complete Guide A+

Maternity and Women's Health Care 13th Edition
Lowdermilk TEST BANK

,Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermil
V V V V V V V V V

k: Maternity & Women’s Health Care, 12th Edition
V V V V V V V




MULTIPLEVCHOICE

1. InVevaluatingVtheVlevelVofVaVpregnantVwoman’sVriskVofVhavingVaVlow-birth-
weightV(LBW)Vinfant,VwhichVfactorVisVtheVmostVimportantVforVtheVnurseVtoVconsider?
a. African-AmericanVrace
b. CigaretteVsmoking
c. PoorVnutritionalVstatus
d. LimitedVmaternalVeducation
ANS:V A
TheVriseVinVtheVoverallVLBWVratesVwereVdueVtoVincreasesVinVLBWVbirthsVtoVnon-
HispanicVblackVwomenV(13.35%)VandVHispanicVwomenV(7.21%);Vnon-
HispanicVblackVinfantsVareValmostVtwiceVasVlikelyVasVnon-
HispanicVwhiteVinfantsVtoVbeVofVLBWVandVtoVdieVinVtheVfirstVyearVofVlife..VRaceVisVaVnonmod
ifiableVriskVfactor.VCigaretteVsmokingVisVanVimportantVfactorVinVpotentialVinfantVmortalityVrat
es,VbutVitVisVnotVtheVmostVimportant.VAdditionally,VsmokingVisVaVmodifiableVriskVfactor.VPoo
rVnutritionVisVanVimportantVfactorVinVpotentialVinfantVmortalityVrates,VbutVitVisVnotVtheVmostVi
mportant.VAdditionally,VnutritionalVstatusVisVaVmodifiableVriskVfactor.VMaternalVeducationVis
VanVimportantVfactorVinVpotentialVinfantVmortalityVrates,VbutVitVisVnotVtheVmostVimportant.VAd

ditionally,VmaternalVeducationVisVaVmodifiableVriskVfactor.

PTS: 1 DIF:
CognitiveVLevel:VUnderstandVTOP:
NursingVProcess:VAssessment
MSC:V V ClientV Needs:V HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,V AntepartumV Care
2. AV23-year-oldVAfrican-
AmericanVwomanVisVpregnantVwithVherVfirstVchild.VBasedVonVcurrentVstatisticsVforVinfantVm
ortality,VwhichVinterventionVisVmostVimportantVforVtheVnurseVtoVincludeVinVtheVclient’sVplan
VofVcare?

a. PerformVaVnutritionVassessment.
b. ReferVtheVwomanVtoVaVsocialVworker.
c. AdviseVtheVwomanVtoVseeVanVobstetrician,VnotVaVmidwife.
d. ExplainVtoVtheVwomanVtheVimportanceVofVkeepingVherVprenatalVcareVappointments.
ANS:V D
ConsistentVprenatalVcareVisVtheVbestVmethodVofVpreventingVorVcontrollingVriskVfactorsVassoci
atedVwithVinfantVmortality.VNutritionalVstatusVisVanVimportantVmodifiableVriskVfactor,VbutVitVis
VnotVtheVmostVimportantVactionVaVnurseVshouldVtakeVinVthisVsituation.VTheVclientVmayVneedVa

ssistanceVfromVaVsocialVworkerVatVsomeVtimeVduringVherVpregnancy,VbutVaVreferralVtoVaVsocia
lVworkerVisVnotVtheVmostVimportantVaspectVtheVnurseVshouldVaddressVatVthisVtime.VIfVtheVwo
manVhasVidentifiableVhigh-
riskVproblems,VthenVherVhealthVcareVmayVneedVtoVbeVprovidedVbyVaVphysician.VHowever,VitVc
annotVbeVassumedVthatVallVAfrican-AmericanVwomenVhaveVhigh-
riskVissues.VInVaddition,VadvisingVtheVwomanVtoVseeVanVobstetricianVisVnotVtheVmostVimporta
ntVaspectVonVwhichVtheVnurseVshouldVfocusVatVthisVtime,VandVitVisVnotVappropriateVforVaVnurs
eVtoVadviseVorVmanageVtheVtypeVofVcareVaVclientVisVtoVreceive.

PTS: 1 DIF:
CognitiveVLevel:VUnderstandVTOP:
NursingVProcess:VPlanning

, MSC:V ClientVNeeds:VHealthVPromotionVandVMaintenance

3. TheVnursesVworkingVatVaVnewlyVestablishedVbirthingVcenterVhaveVbegunVtoVcompareVthe
irVperformanceVinVprovidingVmaternal-
newbornVcareVagainstVclinicalVstandards.VThisVcomparisonVprocessVisVmostVcommonlyV
knownVasVwhat?
a. BestVpracticesVnetwork
b. ClinicalVbenchmarking
c. Outcomes-orientedVpracNtiUceR S
d. Evidence-basedVpractice
ANS:V C
Outcomes-
orientedVpracticeVmeasuresVtheVeffectivenessVofVtheVinterventionsVandVqualityVofVcareVagains
tVbenchmarksVorVstandards.VTheVtermVbestVpracticeVrefersVtoVaVprogramVorVserviceVthatVhasVb
eenVrecognizedVforVitsVexcellence.VClinicalVbenchmarkingVisVaVprocessVusedVtoVcompareVone
’sVownVperformanceVagainstVtheVperformanceVofVtheVbestVinVanVareaVofVservice.VTheVtermVev
idence-
basedVpracticeVrefersVtoVtheVprovisionVofVcareVbasedVonVevidenceVgainedVthroughVresearchVa
ndVclinicalVtrials.

PTS: 1 DIF:
CognitiveVLevel:VUnderstandVTOP:
NursingVProcess:VEvaluation
MSC:V ClientVNeeds:VSafeVandVEffectiveVCareVEnvironment

4. DuringVaVprenatalVintakeVinterview,VtheVnurseVisVinVtheVprocessVofVobtainingVanViniti
alVassessmentVofVaV21-year-
oldVHispanicVclientVwithVlimitedVEnglishVproficiency.VWhichVinterventionVisVtheVmo
stVimportantVforVtheVnurseVtoVimplement?
a. UseVmaternityVjargonVtoVenableVtheVclientVtoVbecomeVfamiliarVwithVtheseVterms.
b. SpeakVquicklyVandVefficientlyVtoVexpediteVtheVvisit.
c. ProvideVtheVclientVwithVhandouts.
d. AssessVwhetherVtheVclientVunderstandsVtheVdiscussion.
ANS:V D
NursesVcontributeVtoVhealthVliteracyVbyVusingVsimple,VcommonVwords,VavoidingVjargon,Van
dVevaluatingVwhetherVtheVclientVunderstandsVtheVdiscussion.VSpeakingVslowlyVandVclearlyV
andVfocusingVonVwhatVisVimportantVwillVincreaseVunderstanding.VMostVclientVeducationVmat
erialsVareVwrittenVatVaVlevelVtooVhighVforVtheVaverageVadultVandVmayVnotVbeVusefulVforVaVcli
entVwithVlimitedVEnglishVproficiency.

PTS: 1 DIF:
CognitiveVLevel:VApplyVTOP:
NursingVProcess:VImplementation
MSC:V ClientVNeeds:VHealthVPromotionVandVMaintenance


5. WhichVstatementVbestVexemplifiesVcontemporaryVmaternityVnursing?
a. UseVofVmidwivesVforVallVvaginalVdeliveries
b. Family-centeredVcare
c. Free-standingVbirthVclinics
d. Physician-
drivenVcareVANS:V B

, ContemporaryVmaternityVnursingVfocusesVonVtheVfamily’sVneedsVandVdesires.VFathers,Vpartn
ers,Vgrandparents,VandVsiblingsVmayVbeVpresentVforVtheVbirthVandVparticipateVinVactivitiesVsuc
hVasVcuttingVtheVbaby’sVumbilicalVcord.VBothVmidwivesVandVphysiciansVperformVvaginalVdel
iveries.VFree-
standingVclinicsVareVanVexampleVofValternativeVbirthVoptions.VContemporaryVmaternityVnursi
ngVisVdrivenVbyVtheVrelationshipVbetweenVnursesVandVtheirVclients.

PTS: 1 DIF:
CognitiveVLevel:VUnderstandVTOP:
NursingVProcess:VPlanning
MSC:V ClientVNeeds:VHealthVPromotionVandVMaintenance

6. AV38-year-oldVHispanicVwomanVvaginallyVdeliveredVaV9-pound,V6-
ounceVbabyVgirlVafterVbeingVinVlaborVforV43Vhours.VTheVbabyVdiedV3VdaysVlaterVfromVsepsis.V
OnVwhatVgroundsVcouldVtheVwomanVhaveVaVlegitimateVlegalVcaseVforVnegligence?
a. InexperiencedVmaternityVnurseVwasVassignedVtoVcareVforVtheVclient.
b. ClientVwasVpastVherVdueVdateVbyV3Vdays.
c. StandardVofVcareVwasVnotVmet.
d. ClientVrefusedVelectronicVfetalVmonitoring.
ANS:V C
NotVmeetingVtheVstandardVofVcareVisVaVlegitimateVfactorVforVaVcaseVofVnegligence.VAnVinexpe
riencedVmaternityVnurseVwouldVneedVtoVdisplayVcompetencyVbeforeVbeingVassignedVtoVcareVf
orVclientsVonVhisVorVherVown.VThisVclientVmayVhaveVbeenVpastVherVdueVdate;Vhowever,VaVterm
VpregnancyVoftenVgoesVbeyondV40VweeksVofVgestation.VAlthoughVfetalVmonitoringVisVtheVstan

dardVofVcare,VtheVclientVhasVtheVrightVtoVrefuseVtreatment.VThisVrefusalVisVnotVaVcaseVforVnegl
igence,VbutVinformedVconsentVshouldVbeVproperlyVobtained,VandVtheVclientVshouldVhaveVsign
edVanVagainstVmedicalVadviceVformVwhenVrefusingVanyVtreatmentVthatVisVwithinVtheVstandard
VofVcare.


PTS: 1 DIF:
CognitiveVLevel:VAnalyzeVTOP:
NursingVProcess:VImplementation
MSC:V ClientVNeeds:VSafeVandVEffectiveVCareVEnvironment

7. WhenVtheVnurseVisVunsureVhowVtoVperformVaVclientVcareVprocedureVthatVisVhighVriskVandVlo
wVvolume,VhisVorVherVbestVactionVinVthisVsituationVwouldVbeVwhat?
a. AskVanotherVnurse.
b. DiscussVtheVprocedureVwithVtheVclient’sVphysician.
c. LookVupVtheVprocedureVinVaVnursingVtextbook.
d. FirstVconsultVtheVagencyVprocedureVmanual
ANS:V D
FollowingVtheVagency’sVpoliciesVandVproceduresVmanualVisValwaysVbestVwhenVseekingVinfor
mationVonVcorrectVclientVprocedures.VTheseVpoliciesVshouldVreflectVtheVcurrentVstandardsVofV
careVandVtheVindividualVstate’sVguidelines.VEachVnurseVisVresponsibleVforVhisVorVherVownVpra
ctice.VRelyingVonVanotherVnurseVmayVnotValwaysVbeVaVsafeVpractice.VEachVnurseVisVobligated
VtoVfollowVtheVstandardsVofVcareVforVsafeVclientVcareVdelivery.VPhysiciansVareVresponsibleVfo

rVtheirVownVclientVcareVactivity.VNursesVmayVfollowVsafeVordersVfromVphysicians,VbutVtheyVa
reValsoVresponsibleVforVtheVactivitiesVthatVthey,VasVnurses,VareVtoVcarryVout.VInformationVprov
idedVinVaVnursingVtextbookVisVbasicVinformationVforVgeneralVknowledge.VFurthermore,VtheVin
formationVinVaVtextbookVmayVnotVreflectVtheVcurrentVstandardVofVcareVorVtheVindividualVstate
VorVhospitalVpolicies.