Test Bank for Lowdermilk Maternity & Women’s Health Care, 10th Edition All Chapters Complete

MaternitypandpWomen'spHealthpCarep12thpEditionpLowdermilkpTestpBankp


Chapter 01: 21st Century Mater p p p p




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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MULTIPLEpCHOICEp
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1.pInpevaluatingptheplevelpofpappregnantpwoman’spriskpofphavingpaplow-birth-
weightp(LBW)pinfant,pwhichpfactorpispthepmostpimportantpforpthepnurseptopconsider?pa.pAf
rican-Americanpracep
b. Cigarettepsmokingp
c. Poorpnutritionalpstatusp
d. Limitedpmaternalpeducationp
ANS:pAp
TheprisepinpthepoverallpLBWpratespwerepdueptopincreasespinpLBWpbirthsptopnon-
Hispanicpblackpwomenp(13.35%)pandpHispanicpwomenp(7.21%);pnon-
Hispanicpblackpinfantsparepalmostptwicepasplikelypaspnon-
HispanicpwhitepinfantsptopbepofpLBWpandptopdiepinpthepfirstpyearpofplife..pRacepispapnonmodifiab
lepriskpfactor.pCigarettepsmokingpispanpimportantpfactorpinppotentialpinfantpmortalityprates,pbutpi
tpispnotpthepmostpimportant.pAdditionally,psmokingpispapmodifiablepriskpfactor.pPoorpnutritionpisp
anpimportantpfactorpinppotentialpinfantpmortalityprates,pbutpitpispnotpthepmostpimportant.pAdditio
nally,pnutritionalpstatuspispapmodifiablepriskpfactor.pMaternalpeducationpispanpimportantpfactorpi
nppotentialpinfantpmortalityprates,pbutpitpispnotpthepmostpimportant.pAdditionally,pmaternalpeduc
ationpispapmodifiablepriskpfactor.p
p

PTS:p 1p DIF:p CognitivepLevel:pUnderstandp
TOP:pNursingpProcess:pAssessmentp

MSC:ppClientpNeeds:pHealtNhUPrRoSmIotNioGnpTanBd.MCaOinMtenance,pAntepartu
mpCarep
2.pAp23-year-oldpAfrican-
Americanpwomanpisppregnantpwithpherpfirstpchild.pBasedponpcurrentpstatisticspforpinfantpmortali
ty,pwhichpinterventionpispmostpimportantpforpthepnurseptopincludepinpthepclient’spplanpofpcare?p
a. Performpapnutritionpassessment.p
b. Referpthepwomanptopapsocialpworker.p
c. Advisepthepwomanptopseepanpobstetrician,pnotpapmidwife.p
d. Explainptopthepwomanpthepimportancepofpkeepingpherpprenatalpcarepappointments.p




p PRIMEXAM.COMp

, MaternitypandpWomen'spHealthpCarep12thpEditionpLowdermilkpTestpBankp
ANS:pDp
Consistentpprenatalpcarepispthepbestpmethodpofppreventingporpcontrollingpriskpfactorspassociated
pwithpinfantpmortality.pNutritionalpstatuspispanpimportantpmodifiablepriskpfactor,pbutpitpispnotpthe

pmostpimportantpactionpapnursepshouldptakepinpthispsituation.pThepclientpmaypneedpassistancepfro

mpapsocialpworkerpatpsomeptimepduringpherppregnancy,pbutpapreferralptopapsocialpworkerpispnotpth
epmostpimportantpaspectpthepnursepshouldpaddresspatpthisptime.pIfpthepwomanphaspidentifiablephi
gh-
riskpproblems,pthenpherphealthpcarepmaypneedptopbepprovidedpbypapphysician.pHowever,pitpcann
otpbepassumedpthatpallpAfrican-Americanpwomenphavephigh-
riskpissues.pInpaddition,padvisingpthepwomanptopseepanpobstetricianpispnotpthepmostpimportantpas
pectponpwhichpthepnursepshouldpfocuspatpthisptime,pandpitpispnotpappropriatepforpapnurseptopadvis
eporpmanageptheptypepofpcarepapclientpisptopreceive.p
p

PTS:p 1p DIF:p CognitivepLevel:pUnderstandp
TOP:pNursingpProcess:pPlanningp
MSC:pClientpNeeds:pHealthpPromotionpandpMaintenancep
p

3. Duringpapprenatalpintakepinterview,pthepnursepispinpthepprocesspofpobtainingpanpinitialpassess
mentpofpap21-year-
oldpHispanicpclientpwithplimitedpEnglishpproficiency.pWhichpinterventionpispthepmostpimpor
tantpforpthepnurseptopimplement?p
a. Usepmaternitypjargonptopenablepthepclientptopbecomepfamiliarpwithpthesepterms.p
b. Speakpquicklypandpefficientlyptopexpeditepthepvisit.p
c. Providepthepclientpwithphandouts.p
d. Assesspwhetherpthepclientpunderstandspthepdiscussion.p
ANS:pDp
Nursespcontributeptophealthpliteracypbypusingpsimple,pcommonpwords,pavoidingpjargon,pandpev
aluatingpwhetherpthepclientpunderstandspthepdiscussion.pSpeakingpslowlypandpclearlypandpfocus
ingponpwhatpispimportantpwillpincreasepunderstanding.pMostpclientpeducationpmaterialsparepwrit
tenpatpaplevelptoophighpforpthepaveragepadultpandpmaypnotpbepusefulpforpapclientpwithplimitedpEng
lishpproficiency.p
p

PTS:p 1p DIF:p CognitivepLevel:pApplyp
TOP:pNursingpProcess:pImplementationp
MSC:pClientpNeeds:pHealthpPromotionpandpMaintenancep
p

4. Thepnursespworkingpatpapnewlypestablishedpbirthingpcenterphavepbegunptopcompareptheirpper
formancepinpprovidingpmaternal-
newbornpcarepagainstpclinicalpstandards.pThispcomparisonpprocesspispmostpcommonlypknow
npaspwhat?pa.pBestppracticespnetworkp
b. Clinicalpbenchmarkingp
c. OutEvidencecomes-based-

orientedpppracticepracNtipUceR SpI NpG TpB. COpM p
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d.




p PRIMEXAM.COMp

, MaternitypandpWomen'spHealthpCarep12thpEditionpLowdermilkpTestpBankp
ANS:pCp
Outcomes-
orientedppracticepmeasurespthepeffectivenesspofpthepinterventionspandpqualitypofpcarepagainstpb
enchmarksporpstandards.pTheptermpbestppracticeprefersptopapprogramporpservicepthatphaspbeenpre
cognizedpforpitspexcellence.pClinicalpbenchmarkingpispapprocesspusedptopcomparepone’spownppe
rformancepagainstpthepperformancepofpthepbestpinpanpareapofpservice.pTheptermpevidence-
basedppracticeprefersptopthepprovisionpofpcarepbasedponpevidencepgainedpthroughpresearchpandp
clinicalptrials.p
p

PTS:p 1p DIF:p CognitivepLevel:pUnderstandp
TOP:pNursingpProcess:pEvaluationp
MSC:pClientpNeeds:pSafepandpEffectivepCarepEnvironmentp
p

5. Whichpstatementpbestpexemplifiespcontemporarypmaternitypnursing?p
a. Usepofpmidwivespforpallpvaginalpdeliveriesp
b. Family-centeredpcarep
c. Free-standingpbirthpclinicsp
d. Physician-drivenpcarep
ANS:pBp
Contemporarypmaternitypnursingpfocusesponpthepfamily’spneedspandpdesires.pFathers,ppartners,
pgrandparents,pandpsiblingspmaypbeppresentpforpthepbirthpandpparticipatepinpactivitiespsuchpaspcu

ttingpthepbaby’spumbilicalpcord.pBothpmidwivespandpphysicianspperformpvaginalpdeliveries.pFr
ee-
standingpclinicsparepanpexamplepofpalternativepbirthpoptions.pContemporarypmaternitypnursingp
ispdrivenpbyptheprelationshippbetweenpnursespandptheirpclients.p
p

PTS:p 1p DIF:p CognitivepLevel:pUnderstandp
TOP:pNursingpProcess:pPlanningp
MSC:pClientpNeeds:pHealthpPromotionpandpMaintenancep
p

6. Ap38-year-oldpHispanicpwomanpvaginallypdeliveredpap9-pound,p6-
ouncepbabypgirlpafterpbeingpinplaborpforp43phours.pThepbabypdiedp3pdaysplaterpfrompsepsis.pOnpw
hatpgroundspcouldpthepwomanphavepaplegitimateplegalpcasepforpnegligence?p
a. Inexperiencedpmaternitypnursepwaspassignedptopcarepforpthepclient.p
b. Clientpwasppastpherpduepdatepbyp3pdays.p
c. Standardpofpcarepwaspnotpmet.p
d. Clientprefusedpelectronicpfetalpmonitoring.p
ANS:pCp
Notpmeetingpthepstandardpofpcarepispaplegitimatepfactorpforpapcasepofpnegligence.pAnpinexperien
cedpmaternitypnursepwouldpneedptopdisplaypcompetencypbeforepbeingpassignedptopcarepforpclien
tsponphisporpherpown.pThispclientpmayphavepbeenppastpherpduepdate;phowever,paptermppregnancyp
oftenpgoespbeyondp40pweekspofpgestation.pAlthoughpfetalpmonitoringpispthepstandardpofpcare,pth
epclientphasptheprightptoprefuseptreatment.pThisprefusalpispnotpapcasepforpnegligence,pbutpinforme
dpconsentpshouldpbepproperlypobtained,pandpthepclientpshouldphavepsignedpanpagainstpmedicalpa
dvicepformpwhenprefusingpanyptreatmentpthatpispwithinpthepstandardpofpcare.p
NURSINGTB.COM p




p PRIMEXAM.COMp

, MaternitypandpWomen'spHealthpCarep12thpEditionpLowdermilkpTestpBankp
PTS:p 1p DIF:p CognitivepLevel:pAnalyzep
TOP:pNursingpProcess:pImplementationp
MSC:pClientpNeeds:pSafepandpEffectivepCarepEnvironmentp
p

7.pWhenpthepnursepispunsurephowptopperformpapclientpcarepprocedurepthatpisphighpriskpandplowpv
olume,phisporpherpbestpactionpinpthispsituationpwouldpbepwhat?pa.pAskpanotherpnurse.p
b. Discusspthepprocedurepwithpthepclient’spphysician.p
c. Lookpuppthepprocedurepinpapnursingptextbook.p
d. Firstpconsultpthepagencypprocedurepmanualp
ANS:pDp
Followingpthepagency’sppoliciespandpprocedurespmanualpispalwayspbestpwhenpseekingpinformat
ionponpcorrectpclientpprocedures.pTheseppoliciespshouldpreflectpthepcurrentpstandardspofpcarepan
dpthepindividualpstate’spguidelines.pEachpnursepispresponsiblepforphisporpherpownppractice.pRelyi
ngponpanotherpnursepmaypnotpalwayspbepapsafeppractice.pEachpnursepispobligatedptopfollowpthepst
andardspofpcarepforpsafepclientpcarepdelivery.pPhysiciansparepresponsiblepforptheirpownpclientpca
repactivity.pNursespmaypfollowpsafeporderspfrompphysicians,pbutptheyparepalsopresponsiblepforpt
hepactivitiespthatpthey,paspnurses,pareptopcarrypout.pInformationpprovidedpinpapnursingptextbookpi
spbasicpinformationpforpgeneralpknowledge.pFurthermore,pthepinformationpinpaptextbookpmaypn
otpreflectpthepcurrentpstandardpofpcareporpthepindividualpstateporphospitalppolicies.p
p


PTS:p 1p DIF:p CognitivepLevel:pUnderstandp
TOP:pNursingpProcess:pImplementationp MSC:pClientpNeeds:pPhysiologicpIntegrityp
p

8. ApnursepcaringpforpappregnantpclientpshouldpbepawarepthatpthepU.S.pbirthpratepshowspwhatptrend
?p
a. Birthsptopunmarriedpwomenparepmoreplikelyptophaveplesspfavorablepoutcomes.p
b. Birthpratespforpwomenp40ptop44pyearspofpageparepdeclining.p
c. Cigarettepsmokingpamongppregnantpwomenpcontinuesptopincrease.p
d. RatespofppregnancypandpabortionpamongpteenagerspareplowerpinpthepUnitedpStatespthanpinpa
nypotherpindustrializedpcountry.p
ANS:pAp
LBWpinfantspandppretermpbirthsparepmoreplikelypbecausepofptheplargepnumberpofpteenagerspinpt
hepunmarriedpgroup.pBirthpratespforpwomenpinptheirpearlyp40spcontinueptopincrease.pFewerppreg
nantpwomenpsmoke.pTeenppregnancypandpabortionpratesparephigherpinpthepUnitedpStatespthanpinp
anypotherpindustrialpcountry.p
p

PTS:p 1p DIF:p CognitivepLevel:pUnderstandp
TOP:pNursingpProcess:pAssessmentp MSC:pClientpNeeds:pPsychosocialpIntegrityp
p

9. Aprecentlypgraduatedpnursepispattemptingptopunderstandpthepreasonpforpincreasingphealthpcareps
pendingpinpthepUnitedpStates.pWhichpinformationpgatheredpfrompresearchpbestpexplainsptheprat
ionalepforpthesephigherpcostspcomparedpwithpotherpdevelopedpcountries?pa.pHigherpratepofpobes
itypamongppregnantpwomenp
b. Limitedpaccessptoptechnologyp

c. IncreasedpusepofphealthNcaUreR sSerI viNcGe sTpaBl o.ngCwOi Mthplowerppricesp
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d. Homogeneitypofptheppopulationp




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