TESTBANK FOR Maternity & Women’s Health Care, 13th Edition by Lowdermilk ISBN:978-0323810180 COMPLETE GUIDE All CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

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Chapter01:21st CenturyMaternity and Women’s Health Nursing Lowdermi lk:
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Maternity & Women’s Health Care, 13th Edition
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MULTIPLECHOICE

1. Inevaluating the level ofapregnant woman’s risk ofhaving a low-birth-
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weight (LBW)infant, which factor is the most important forthe nurseto consider?
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a. African-American race cp



b. Cigarette smoking cp



c. Poor nutritional status cp cp



d. Limited maternaleducation zcp cp




ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-
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Hispanic black women (13.35%) and Hispanic women (7.21%); non-
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Hispanic black infants are almost twice as likely as non- cp cp cp cp cp cp cp cp cp



Hispanic whiteinfants to be of LBW and to die in the first year oflife.. Race is a nonmodifia bl
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e riskfactor. Cigarettesmokingisan important factor inpotential infantmortality rates,but i t is n
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ot the most important. Additionally, smoking is a modifiable risk factor. Poor nutritio n is a
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n important factor in potential infant mortality rates, but it is not the most important. A dditio
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nally, nutritional status is a modifiable risk factor. Maternal education is an importan t facto
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r in potential infant mortality rates, but it is notthe most important. Additionally, mate r nal ed
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ucation is a modifiable risk factor. cp cp cp cp cp




PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: #
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Nursing Process: Assessment cp cp




MSC: Client Needs: HealtN PR
hU mI
roS ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care c p c p c p c p cp




2. A 23-year-old African-
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American woman is pregnant with her first child. Based on currentstatistics for infant mort al
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ity, which intervention is most important for the nurse to includein the client’s plan of ca re?
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a. Perform a nutrition assessment. cp cp F#



b. Refer the woman to asocialworker. cp cp F# cp cp cp



c. Advisethe woman to see an obstetrician, not amidwife. cp F# cp cp F# cp cp



d. Explain tothe woman the importanceofkeeping her prenatalcare appointments. F# cp F# F# cp cp cp cp cp cp




ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associat e
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d with infant mortality. Nutritional status is an important modifiable risk factor, butit is not t he
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most important action a nurse should take in this situation. The client may needassistanc e fr
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om a social worker at some time during her pregnancy, but a referral to a socialworker is not t
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he most important aspect the nurse should address at this time. If the woman has identi f iabl
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e high-
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risk problems, then her health care may need to be provided by a physician. However, it can n
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ot be assumed that all African-American women have high-
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riskissues. In addition, advising the woman to see an obstetrician is not the most important a s pe
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ct on which the nurse should focus at this time, and it is not appropriate for a nurse to ad vis
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e or manage the type of care a client is to receive.
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PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: Nursi cp cp cp



ng Process: Planning
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, Maternity and Women's Health Care13th Edition Lowdermilk Test cp cp cp cp cp cp cp cp




MSC: Client Needs: HealthPromotionand Maintenance
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3. Thenurses working at a newlyestablished birthing center have begun to compare their p er
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formance in providing maternal- cp cp cp



newborn care against clinical standards. This comparison process is most commonlyk now n
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as what?
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a. Best practices network cp cp



b. Clinicalbenchmarking
c. Outcomes-oriented p racNt iUc eR S cp cp



d. Evidence-based practice cp




ANS: C
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of careagainst
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benchmarks or standards. The term bestpracticerefersto aprogramorservicethat has been r e c
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ognized for its excellence. Clinical benchmarking is a process used to compare one’s own p erf
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ormance against the performance of the best in an area of service. The term evidence-
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based practice refers to the provision of care based on evidence gainedthrough research and c
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linical trials. cp




PTS: 1 DIF:
CognitiveLevel:UnderstandTOP: cp



Nursing Process: Evaluation cp cp



MSC: Client Needs: SafeandEffective CareEnvironment
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial as
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sessment of a 21-year- cp cp cp



oldHispanicclient with limited Englishproficiency. Whichintervention is the most i mportan
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t for the nurse to implement?
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a. Usematernityjargon to enable theclient to become familiar with theseterms. F# cp cp cp cp cp cp F# cp



b. Speak quicklyand efficientlyto expedite the visit. cp cp cp cp F# cp



c. Providethe client withhandouts. cp cp cp



d. Assesswhethertheclient understands thediscussion. cp cp cp cp




ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and eva
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luating whether the client understands the discussion. Speaking slowly and clearly and focusin
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g on what is important will increase understanding. Most client education materials
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a re written at a level too high for the average adult and may not be useful for a client with l
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i mited English proficiency.
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PTS: 1 DIF:
Cognitive Level: ApplyTOP: cp cp



Nursing Process: Implementation cp cp



MSC: Client Needs: HealthPromotion and Maintenance
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5. Whichstatement best exemplifiescontemporarymaternitynursing? cp cp cp



a. Use of midwives for all vaginaldeliveries
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b. Family-centered care cp



c. Free-standing birth clinics cp cp



d. Physician-
driven careANS: cp cp




B

, Maternity and Women's Health Care13th Edition Lowdermilk Test cp cp cp cp cp cp cp cp




Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner s cp cp cp cp cp cp cp cp cp cp cp cp



, grandparents, and siblings may be present for the birth and participate in activitiessuch as c ut
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ting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries. Fr
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ee-
standing clinics are an example of alternative birth options. Contemporarymaternity nursing i
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s driven bythe relationship between nurses and their clients.
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PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: #
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Nursing Process: Planning cp cp



MSC: Client Needs: HealthPromotion and Maintenance
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6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
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ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On wha
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t grounds could the woman have a legitimate legal case for negligence?
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a. Inexperienced maternitynurse was assigned to carefortheclient. cp cp F# cp cp cp cp cp



b. Client was past her due date by3 days. cp cp cp cp F# cp cp



c. Standard ofcarewas not met. cp cp cp cp



d. Client refused electronic fetalmonitoring. cp cp cp




ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexper ie
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nced maternity nurse would need to display competency before being assigned tocare for cli
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ents on his or her own. This client may have been past her due date; however, aterm pre gna
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ncy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard of ca
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re, the client has the right to refuse treatment. This refusal is not a case for negligence
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, but informed consent should be properly obtained, and the client should have signed an a g
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ainst medical advice form when refusing any treatment that is within the standard of care.
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PTS: 1 DIF:
CognitiveLevel: AnalyzeTOP: cp cp



Nursing Process: Implementation cp cp



MSC: Client Needs: Safe and Effective CareEnvironment
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7. Whenthe nurse isunsure how to performa client careprocedurethat is high risk and lowv ol
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ume, his or her best action in this situation would be what?
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a. Ask anothernurse. F# cp



b. Discuss the procedure with theclient’s physician. cp cp cp cp cp



c. Look upthe procedure in a nursing textbook. F# cp cp cp cp cp cp



d. First consult the agencyproceduremanual cp cp cp




ANS: D
Following the agency’s policies and procedures manual is always best when seeking inform a
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tion on correct client procedures. These policies should reflect the current standardsof care an
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d the individual state’s guidelines. Each nurse is responsible for his or her own practice. Rel
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ying on another nurse may not always be a safe practice. Each nurse is obligated to follo w th
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e standards of care for safe client care delivery. Physicians are responsible for their own client
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care activity. Nurses may follow safe orders from physicians, but they are also respo nsible f
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or the activities that they, as nurses, are to carry out. Informationprovided in a nursin g textboo
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k is basic information forgeneralknowledge.Furthermore, the information in a text book may
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not reflect the current standard of care or the individual state or hospital policies.
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