Complete Test Bank - Maternity & Women’s Health Care, 13th Ed.
By Lowdermilk, Cashion, Alden, Olshansky.
All Chapters | 100% Verified Answers with Rationales | Latest Lowdermilk Edition
Expert Corner
, Chapter 01: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant, which
factor is the most important for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
Answer: A
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black women (13.35%)
and Hispanic women (7.21%); non-Hispanic black infants are almost twice as likely as non-Hispanic white
infants to be of LBW and to die in the first year of life.. Race is a nonmodifiable risk factor. Cigarette smoking
is an important factor in potential infant mortality rates, but it is not the most important. Additionally, smoking
is a modifiable risk factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not
the most important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
important factor in potential infant mortality rates, but it is not the most important. Additionally, maternal
education is a modifiable risk factor.
PTS: 1 DIF: Cognitive Level: Understand TOP: Nursing Process: Assessment
MSC: Client Needs: HealtNhUPrRoSmIotNioGn TanBd.MCaOinMtenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on current statistics for
infant mortality, which intervention is most important for the nurse to include in the client’s plan of care?
Expert Corner
, a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
Answer: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
mortality. Nutritional status is an important modifiable risk factor, but it is not the most important action a nurse
should take in this situation. The client may need assistance from a social worker at some time during her
pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at this
time. If the woman has identifiable high-risk problems, then her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have high-risk issues. In addition,
advising the woman to see an obstetrician is not the most important aspect on which the nurse should focus at
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to receive.
PTS: 1 DIF: Cognitive Level: Understand TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
3. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-
year-old Hispanic client with limited English proficiency. Which intervention is the most important for the
nurse to implement?
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
Expert Corner
, c. Provide the client with handouts.
d. Assess whether the client understands the discussion.
Answer: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evaluating whether
the client understands the discussion. Speaking slowly and clearly and focusing on what is important will
increase understanding. Most client education materials are written at a level too high for the average adult and
may not be useful for a client with limited English proficiency.
PTS: 1 DIF: Cognitive Level: Apply TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. The nurses working at a newly established birthing center have begun to compare their performance in
providing maternal-newborn care against clinical standards. This comparison process is most commonly known
as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracNtiUceRSINGTB.COM
d. Evidence-based practice
Answer: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care against
benchmarks or standards. The term best practice refers to a program or service that has been recognized for its
excellence. Clinical benchmarking is a process used to compare one’s own performance against the
Expert Corner
By Lowdermilk, Cashion, Alden, Olshansky.
All Chapters | 100% Verified Answers with Rationales | Latest Lowdermilk Edition
Expert Corner
, Chapter 01: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant, which
factor is the most important for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
Answer: A
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black women (13.35%)
and Hispanic women (7.21%); non-Hispanic black infants are almost twice as likely as non-Hispanic white
infants to be of LBW and to die in the first year of life.. Race is a nonmodifiable risk factor. Cigarette smoking
is an important factor in potential infant mortality rates, but it is not the most important. Additionally, smoking
is a modifiable risk factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not
the most important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
important factor in potential infant mortality rates, but it is not the most important. Additionally, maternal
education is a modifiable risk factor.
PTS: 1 DIF: Cognitive Level: Understand TOP: Nursing Process: Assessment
MSC: Client Needs: HealtNhUPrRoSmIotNioGn TanBd.MCaOinMtenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on current statistics for
infant mortality, which intervention is most important for the nurse to include in the client’s plan of care?
Expert Corner
, a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
Answer: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
mortality. Nutritional status is an important modifiable risk factor, but it is not the most important action a nurse
should take in this situation. The client may need assistance from a social worker at some time during her
pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at this
time. If the woman has identifiable high-risk problems, then her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have high-risk issues. In addition,
advising the woman to see an obstetrician is not the most important aspect on which the nurse should focus at
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to receive.
PTS: 1 DIF: Cognitive Level: Understand TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
3. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-
year-old Hispanic client with limited English proficiency. Which intervention is the most important for the
nurse to implement?
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
Expert Corner
, c. Provide the client with handouts.
d. Assess whether the client understands the discussion.
Answer: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evaluating whether
the client understands the discussion. Speaking slowly and clearly and focusing on what is important will
increase understanding. Most client education materials are written at a level too high for the average adult and
may not be useful for a client with limited English proficiency.
PTS: 1 DIF: Cognitive Level: Apply TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. The nurses working at a newly established birthing center have begun to compare their performance in
providing maternal-newborn care against clinical standards. This comparison process is most commonly known
as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracNtiUceRSINGTB.COM
d. Evidence-based practice
Answer: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care against
benchmarks or standards. The term best practice refers to a program or service that has been recognized for its
excellence. Clinical benchmarking is a process used to compare one’s own performance against the
Expert Corner
