Complete Test Bank for Maternity and Women’s
Health Care, 13th Edition by Deitra Leonard
Lowdermilk, Kitty Cashion, Kathryn Rhodes Alden,
Ellen Olshansky & Shannon E. Perry — All
Chapters Covered with Verified Questions &
Answers (PDF)
, Maternity and Women's Health Care 13th Edition Lowdermilk
Test
Chapter 01: 21st Century Maternity and Women’s
Health Nursing Lowdermilk: Maternity & Women’s
Health Care, 13th Edition
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
ANS: 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:
HealtNhUPrRoSmIotNioGnTanBd.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?
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.
ANS: 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
, Maternity and Women's Health Care 13th Edition Lowdermilk
Test
MSC: Client Needs: Health Promotion and Maintenance
3. 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.
d. Evidence-based practice Outcomes-oriented pracNtiUceRS
ANS: 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 performance of the best in
an area of service. The term evidence-based practice refers to the
provision of care based on evidence gained through research and
clinical trials.
PTS: 1 DIF: Cognitive Level:
Understand TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care
Environment
4. 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.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion.
ANS: 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.
Health Care, 13th Edition by Deitra Leonard
Lowdermilk, Kitty Cashion, Kathryn Rhodes Alden,
Ellen Olshansky & Shannon E. Perry — All
Chapters Covered with Verified Questions &
Answers (PDF)
, Maternity and Women's Health Care 13th Edition Lowdermilk
Test
Chapter 01: 21st Century Maternity and Women’s
Health Nursing Lowdermilk: Maternity & Women’s
Health Care, 13th Edition
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
ANS: 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:
HealtNhUPrRoSmIotNioGnTanBd.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?
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.
ANS: 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
, Maternity and Women's Health Care 13th Edition Lowdermilk
Test
MSC: Client Needs: Health Promotion and Maintenance
3. 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.
d. Evidence-based practice Outcomes-oriented pracNtiUceRS
ANS: 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 performance of the best in
an area of service. The term evidence-based practice refers to the
provision of care based on evidence gained through research and
clinical trials.
PTS: 1 DIF: Cognitive Level:
Understand TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care
Environment
4. 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.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion.
ANS: 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.
