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NursingLowdermilk: Maternity & Women’s Health
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Care, 11th Edition Complete Chapters With Ratio
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nales
Chaptergh01:gh21stghCenturyghMaternityghandghWomen’sghHealthghNurs
ingghLowdermilk:ghMaternitygh&ghWomen’sghHealthghCare,gh11thghEd
ition
MULTIPLEghCHOICE
1. Inghevaluatingghtheghlevelghofghaghpregnantghwoman’sghriskghofghhavingghaghlow-birth-
weightgh(LBW)ghinfant,ghwhichghfactorghisghtheghmostghimportantghforghtheghnurseghtoghconsider?
a. African-Americanghrace
b. Cigaretteghsmoking
c. Poorghnutritionalghstatus
d. Limitedghmaternalgheducation
ANS:g h A
ForghAfrican-
Americanghbirths,ghtheghincidenceghofghLBWghinfantsghisghtwiceghthatghofghCaucasianghbirths.ghRac
eghisghaghnonmodifiableghriskghfactor.ghCigaretteghsmokingghisghanghimportantghfactorghinghpotential
ghinfantghmortalityghrates,ghbutghitghisghnotghtheghmostghimportant.ghAdditionally,ghsmokingghisghagh
modifiableghriskghfactor.ghPoorghnutritionghisghanghimportantghfactorghinghpotentialghinfantghmortalit
yghrates,ghbutghitghisghnotghtheghmostghimportant.ghAdditionally,ghnutritionalghstatusghisghaghmodifiabl
eghriskghfactor.ghMaternalgheducationghisghanghimportantghfactorghinghpotentialghinfantghmortalityghr
ates,ghbutghitghisghnotghtheghmostghimportant.ghAdditionally,ghmaternalgheducationghisghaghmodifiabl
eghriskghfactor.
DIF: CognitiveghLevel:ghUnderstand
REF:ghp.gh6ghTOP:g h NursingghProcess:ghAssess
ment
MSC:g h ClientghNeeds:ghHealthghPromotionghandghMaintenance,ghAntepartumghCare
2. Whatghisghtheghprimaryghroleghofghpracticingghnursesghinghtheghresearchghprocess?
a. Designingghresearchghstudies
b. Collectingghdataghforghotherghresearchers
c. Identifyingghresearchableghproblems
d. Seekingghfundingghtoghsupportghresearchghstudies
ANS:g h C
Whenghproblemsghareghidentified,ghresearchghcanghbeghproperlyghconducted.ghResearchghofghhealth
ghcareghissuesghleadsghtoghevidence-
basedghpracticeghguidelines.ghDesigningghresearchghstudiesghisghonlyghoneghfactorghofghtheghresearc
hghprocess.ghDataghcollectionghisghanotherghfactorghofghresearch.ghFinancialghsupportghisghnecessaryg
htoghconductghresearch,ghbutghitghisghnotghtheghprimaryghroleghofghtheghnurseghinghtheghresearchghproce
ss.
DIF: CognitiveghLevel:ghUnderstand REF:g h p.gh14
TOP:g h NursingghProcess:ghN/AghMSC:g h ClientghNeeds:ghSafeghandghEffectiveghCareghEnvi
ronment
,3. Agh23-year-oldghAfrican-
Americanghwomanghisghpregnantghwithghherghfirstghchild.ghBasedghonghtheghstatisticsghforghin
fantghmortality,ghwhichghplanghisghmostghimportantghforghtheghnurseghtoghimplement?
,a. Performghaghnutritionghassessment.
b. Referghtheghwomanghtoghaghsocialghworker.
c. Adviseghtheghwomanghtoghseeghanghobstetrician,ghnotghaghmidwife.
d. Explainghtoghtheghwomanghtheghimportanceghofghkeepingghherghprenatalghcareghappointments.
ANS:gh D
, Consistentghprenatalghcareghisghtheghbestghmethodghofghpreventingghorghcontrollingghriskghfactorsghass
ociatedghwithghinfantghmortality.ghNutritionalghstatusghisghanghimportantghmodifiableghriskghfactor,gh
butghitghisghnotghtheghmostghimportantghactionghaghnurseghshouldghtakeghinghthisghsituation.ghTheghclien
tghmayghneedghassistanceghfromghaghsocialghworkerghatghsomeghtimeghduringghherghpregnancy,ghbutgha
ghreferralghtoghaghsocialghworkerghisghnotghtheghmostghimportantghaspectghtheghnurseghshouldghaddress
ghatghthisghtime.ghIfghtheghwomanghhasghidentifiableghhigh-
riskghproblems,ghthenghherghhealthghcareghmayghneedghtoghbeghprovidedghbyghaghphysician.ghHoweve
r,ghitghcannotghbeghassumedghthatghallghAfrican-Americanghwomenghhaveghhigh-
riskghissues.ghInghaddition,ghadvisingghtheghwomanghtoghseeghanghobstetricianghisghnotghtheghmostghimp
ortantghaspectghonghwhichghtheghnurseghshouldghfocusghatghthisghtime,ghandghitghisghnotghappropriateghf
orghaghnurseghtoghadviseghorghmanageghtheghtypeghofghcareghaghclientghisghtoghreceive.
DIF: CognitiveghLevel:ghUnderstand REF:g h p.gh6
TOP:g h NursingghProcess:ghPlanningghMSC:g h ClientghNeeds:ghHealthghPromotionghandghMainte
nance
4. Duringghaghprenatalghintakeghinterview,ghtheghnurseghisghinghtheghprocessghofghobtainingghanghinitialg
assessmentghofghagh21-year-
h
oldghHispanicghclientghwithghlimitedghEnglishghproficiency.ghWhichghactionghisghtheghmostghimporta
ntghforghtheghnurseghtoghperform?
a. Useghmaternityghjargonghtoghenableghtheghclientghtoghbecomeghfamiliarghwithghtheseghterms.
b. Speakghquicklyghandghefficientlyghtoghexpediteghtheghvisit.
c. Provideghtheghclientghwithghhandouts.
d. Assessghwhetherghtheghclientghunderstandsghtheghdiscussion.
ANS:gh D
Nursesghcontributeghtoghhealthghliteracyghbyghusingghsimple,ghcommonghwords,ghavoidingghjargon,g
handghevaluatingghwhetherghtheghclientghunderstandsghtheghdiscussion.ghSpeakingghslowlyghandghcle
arlyghandghfocusingghonghwhatghisghimportantghwillghincreaseghunderstanding.ghMostghclientgheducati
onghmaterialsghareghwrittenghatghaghlevelghtooghhighghforghtheghaverageghadultghandghmayghnotghbeghuse
fulghforghaghclientghwithghlimitedghEnglishghproficiency.
DIF: CognitiveghLevel:ghApply REF:g h p.gh5
TOP:g h NursingghProcess:ghEvaluationghMSC:g h ClientghNeeds:ghHealthghPromotionghandghMainte
nance
5. Theghnursesghworkingghatghaghnewlyghestablishedghbirthingghcenterghhaveghbegunghtoghcompareghth
eirghperformanceghinghprovidingghmaternal-
newbornghcareghagainstghclinicalghstandards.ghThisghcomparisonghprocessghisghmostghcommonlyghk
nownghasghwhat?
a. Bestghpracticesghnetwork
b. Clinicalghbenchmarking
c. Outcomes-orientedghpractice
d. Evidence-basedghpractice
ANS:gh C
Outcomes-
orientedghpracticeghmeasuresghthegheffectivenessghofghtheghinterventionsghandghqualityghofghcareghagai
nstghbenchmarksghorghstandards.ghTheghtermghbestghpracticeghrefersghtoghaghprogramghorghserviceghth