MaternitytandtWomen'stHealthtCaret13thtEditiontLowdermilktTest
, MaternitytandtWomen'stHealthtCaret13thtEditiontLowdermilktTest
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
t t t t t t t t t t
Maternity & Women’s Health Care, 13th Edition
t t t t t t
MULTIPLEtCHOICE
1. Intevaluatingtthetleveltoftatpregnanttwoman’strisktofthavingtatlow-birth-
weightt(LBW)tinfant,twhichtfactortistthetmosttimportanttfortthetnursettotconsider?
a. African-Americant race
b. Cigarettetsmoking
c. Poortnutritionaltstatus
d. Limitedtmaternalteducation
ANS:t A
ThetrisetintthetoveralltLBWtratestweretduettotincreasestintLBWtbirthsttotnon-
Hispanictblacktwoment(13.35%)tandtHispanictwoment(7.21%);tnon-
Hispanictblacktinfantstaretalmostttwicetastlikelytastnon-
HispanictwhitetinfantsttotbetoftLBWtandttotdietintthetfirsttyeartoftlife..tRacetistatnonmodifiabletris
ktfactor.tCigarettetsmokingtistantimportanttfactortintpotentialtinfanttmortalitytrates,tbuttittistnottth
etmosttimportant.tAdditionally,tsmokingtistatmodifiabletrisktfactor.tPoortnutritiontistantimporta
nttfactortintpotentialtinfanttmortalitytrates,tbuttittistnottthetmosttimportant.tAdditionally,tnutritio
naltstatustistatmodifiabletrisktfactor.tMaternalteducationtistantimportanttfactortintpotentialtinfant
tmortalitytrates,tbuttittistnottthetmosttimportant.tAdditionally,tmaternalteducationtistatmodifiable
trisktfactor.
PTS: 1 DIF:
CognitivetLevel:tUnderstandtTOP:
NursingtProcess:tAssessment
MSC:t t Clientt Needs:t HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,t Antepartumt Care
2. At23-year-oldtAfrican-
Americantwomantistpregnanttwiththertfirsttchild.tBasedtontcurrenttstatisticstfortinfanttmortalit
y,twhichtinterventiontistmosttimportanttfortthetnursettotincludetintthetclient’stplantoftcare?
a. Performtatnutritiontassessment.
b. Refertthetwomanttotatsocialtworker.
c. Advisetthetwomanttotseetantobstetrician,tnottatmidwife.
d. Explainttotthetwomantthetimportancetoftkeepingthertprenataltcaretappointments.
ANS:t D
Consistenttprenataltcaretistthetbesttmethodtoftpreventingtortcontrollingtrisktfactorstassociatedtw
ithtinfanttmortality.tNutritionaltstatustistantimportanttmodifiabletrisktfactor,tbuttittistnottthetmostti
mportanttactiontatnursetshouldttaketintthistsituation.tThetclienttmaytneedtassistancetfromtatsocial
tworkertattsomettimetduringthertpregnancy,tbuttatreferralttotatsocialtworkertistnottthetmosttimport
anttaspecttthetnursetshouldtaddresstattthisttime.tIftthetwomanthastidentifiablethigh-
risktproblems,tthentherthealthtcaretmaytneedttotbetprovidedtbytatphysician.tHowever,tittcannottb
etassumedtthattalltAfrican-Americantwomenthavethigh-
risktissues.tIntaddition,tadvisingtthetwomanttotseetantobstetriciantistnottthetmosttimportanttaspe
cttontwhichtthetnursetshouldtfocustattthisttime,tandtittistnottappropriatetfortatnursettotadvisetortma
nagetthettypetoftcaretatclienttisttotreceive.
PTS: 1 DIF:
CognitivetLevel:tUnderstandtTOP:
NursingtProcess:tPlanning
, MaternitytandtWomen'stHealthtCaret13thtEditiontLowdermilktTest
MSC:t ClienttNeeds:tHealthtPromotiontandtMaintenance
3. Thetnursestworkingtattatnewlytestablishedtbirthingtcenterthavetbegunttotcomparettheirtperf
ormancetintprovidingtmaternal-
newborntcaretagainsttclinicaltstandards.tThistcomparisontprocesstistmosttcommonlytkno
wntastwhat?
a. Besttpracticestnetwork
b. Clinicaltbenchmarking
c. Outcomes-orientedt pracNt iUceR S
d. Evidence-basedt practice
ANS:t C
Outcomes-
orientedtpracticetmeasuresttheteffectivenesstoftthetinterventionstandtqualitytoftcaretagainsttben
chmarkstortstandards.tThettermtbesttpracticetrefersttotatprogramtortservicetthatthastbeentrecogniz
edtfortitstexcellence.tClinicaltbenchmarkingtistatprocesstusedttotcomparetone’stowntperformanc
etagainsttthetperformancetoftthetbesttintantareatoftservice.tThettermtevidence-
basedtpracticetrefersttotthetprovisiontoftcaretbasedtontevidencetgainedtthroughtresearchtandtclin
icalttrials.
PTS: 1 DIF:
CognitivetLevel:tUnderstandtTOP:
NursingtProcess:tEvaluation
MSC:t ClienttNeeds:tSafetandtEffectivetCaretEnvironment
4. Duringtatprenataltintaketinterview,tthetnursetistintthetprocesstoftobtainingtantinitialtasses
smenttoftat21-year-
oldtHispanictclienttwithtlimitedtEnglishtproficiency.tWhichtinterventiontistthetmosttimp
ortanttfortthetnursettotimplement?
a. Usetmaternitytjargonttotenabletthetclientttotbecometfamiliartwithtthesetterms.
b. Speaktquicklytandtefficientlyttotexpeditetthetvisit.
c. Providetthetclienttwiththandouts.
d. Assesstwhethertthetclienttunderstandstthetdiscussion.
ANS:t D
Nursestcontributettothealthtliteracytbytusingtsimple,tcommontwords,tavoidingtjargon,tandteval
uatingtwhethertthetclienttunderstandstthetdiscussion.tSpeakingtslowlytandtclearlytandtfocusin
gtontwhattistimportanttwilltincreasetunderstanding.tMosttclientteducationtmaterialstaretwrittent
attatlevelttoothightfortthetaveragetadulttandtmaytnottbetusefultfortatclienttwithtlimitedtEnglishtpr
oficiency.
PTS: 1 DIF:
CognitivetLevel:tApplytTOP:
NursingtProcess:tImplementation
MSC:t ClienttNeeds:tHealthtPromotiontandtMaintenance
5. Whichtstatementtbesttexemplifiestcontemporarytmaternitytnursing?
a. Usetoftmidwivestfortalltvaginaltdeliveries
b. Family-centeredtcare
c. Free-standingtbirthtclinics
d. Physician-
driventcaretANS:t B
, MaternitytandtWomen'stHealthtCaret13thtEditiontLowdermilktTest
Contemporarytmaternitytnursingtfocusestontthetfamily’stneedstandtdesires.tFathers,tpartners,tg
randparents,tandtsiblingstmaytbetpresenttfortthetbirthtandtparticipatetintactivitiestsuchtastcuttingtt
hetbaby’stumbilicaltcord.tBothtmidwivestandtphysicianstperformtvaginaltdeliveries.tFree-
standingtclinicstaretantexampletoftalternativetbirthtoptions.tContemporarytmaternitytnursingtist
driventbytthetrelationshiptbetweentnursestandttheirtclients.
PTS: 1 DIF:
CognitivetLevel:tUnderstandtTOP:
NursingtProcess:tPlanning
MSC:t ClienttNeeds:tHealthtPromotiontandtMaintenance
6. At38-year-oldtHispanictwomantvaginallytdeliveredtat9-pound,t6-
ouncetbabytgirltaftertbeingtintlabortfort43thours.tThetbabytdiedt3tdaystlatertfromtsepsis.tOntwhatt
groundstcouldtthetwomanthavetatlegitimatetlegaltcasetfortnegligence?
a. Inexperiencedtmaternitytnursetwastassignedttotcaretfortthetclient.
b. Clienttwastpastthertduetdatetbyt3tdays.
c. Standardtoftcaretwastnottmet.
d. Clienttrefusedtelectronictfetaltmonitoring.
ANS:t C
Nottmeetingtthetstandardtoftcaretistatlegitimatetfactortfortatcasetoftnegligence.tAntinexperienced
tmaternitytnursetwouldtneedttotdisplaytcompetencytbeforetbeingtassignedttotcaretfortclientstonthi
storthertown.tThistclienttmaythavetbeentpastthertduetdate;thowever,tattermtpregnancytoftentgoestb
eyondt40tweekstoftgestation.tAlthoughtfetaltmonitoringtistthetstandardtoftcare,tthetclientthastthet
rightttotrefusettreatment.tThistrefusaltistnottatcasetfortnegligence,tbuttinformedtconsenttshouldtb
etproperlytobtained,tandtthetclienttshouldthavetsignedtantagainsttmedicaltadvicetformtwhentrefu
singtanyttreatmenttthattistwithintthetstandardtoftcare.
PTS: 1 DIF:
CognitivetLevel:tAnalyzetTOP:
NursingtProcess:tImplementation
MSC:t ClienttNeeds:tSafetandtEffectivetCaretEnvironment
7. Whentthetnursetistunsurethowttotperformtatclienttcaretproceduretthattisthightrisktandtlowtvolu
me,thistorthertbesttactiontintthistsituationtwouldtbetwhat?
a. Asktanothertnurse.
b. Discusstthetproceduretwithtthetclient’stphysician.
c. Looktuptthetproceduretintatnursingttextbook.
d. Firsttconsulttthetagencytproceduretmanual
ANS:t D
Followingtthetagency’stpoliciestandtprocedurestmanualtistalwaystbesttwhentseekingtinformatio
ntontcorrecttclienttprocedures.tThesetpoliciestshouldtreflecttthetcurrenttstandardstoftcaretandttheti
ndividualtstate’stguidelines.tEachtnursetistresponsibletforthistorthertowntpractice.tRelyingtontan
othertnursetmaytnottalwaystbetatsafetpractice.tEachtnursetistobligatedttotfollowtthetstandardstoftc
aretfortsafetclienttcaretdelivery.tPhysicianstaretresponsibletforttheirtowntclienttcaretactivity.tNur
sestmaytfollowtsafetorderstfromtphysicians,tbutttheytaretalsotresponsibletfortthetactivitiestthattth
ey,tastnurses,tarettotcarrytout.tInformationtprovidedtintatnursingttextbooktistbasictinformationtfort
generaltknowledge.tFurthermore,tthetinformationtintattextbooktmaytnottreflecttthetcurrenttstand
ardtoftcaretortthetindividualtstatetorthospitaltpolicies.
, MaternitytandtWomen'stHealthtCaret13thtEditiontLowdermilktTest
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
t t t t t t t t t t
Maternity & Women’s Health Care, 13th Edition
t t t t t t
MULTIPLEtCHOICE
1. Intevaluatingtthetleveltoftatpregnanttwoman’strisktofthavingtatlow-birth-
weightt(LBW)tinfant,twhichtfactortistthetmosttimportanttfortthetnursettotconsider?
a. African-Americant race
b. Cigarettetsmoking
c. Poortnutritionaltstatus
d. Limitedtmaternalteducation
ANS:t A
ThetrisetintthetoveralltLBWtratestweretduettotincreasestintLBWtbirthsttotnon-
Hispanictblacktwoment(13.35%)tandtHispanictwoment(7.21%);tnon-
Hispanictblacktinfantstaretalmostttwicetastlikelytastnon-
HispanictwhitetinfantsttotbetoftLBWtandttotdietintthetfirsttyeartoftlife..tRacetistatnonmodifiabletris
ktfactor.tCigarettetsmokingtistantimportanttfactortintpotentialtinfanttmortalitytrates,tbuttittistnottth
etmosttimportant.tAdditionally,tsmokingtistatmodifiabletrisktfactor.tPoortnutritiontistantimporta
nttfactortintpotentialtinfanttmortalitytrates,tbuttittistnottthetmosttimportant.tAdditionally,tnutritio
naltstatustistatmodifiabletrisktfactor.tMaternalteducationtistantimportanttfactortintpotentialtinfant
tmortalitytrates,tbuttittistnottthetmosttimportant.tAdditionally,tmaternalteducationtistatmodifiable
trisktfactor.
PTS: 1 DIF:
CognitivetLevel:tUnderstandtTOP:
NursingtProcess:tAssessment
MSC:t t Clientt Needs:t HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,t Antepartumt Care
2. At23-year-oldtAfrican-
Americantwomantistpregnanttwiththertfirsttchild.tBasedtontcurrenttstatisticstfortinfanttmortalit
y,twhichtinterventiontistmosttimportanttfortthetnursettotincludetintthetclient’stplantoftcare?
a. Performtatnutritiontassessment.
b. Refertthetwomanttotatsocialtworker.
c. Advisetthetwomanttotseetantobstetrician,tnottatmidwife.
d. Explainttotthetwomantthetimportancetoftkeepingthertprenataltcaretappointments.
ANS:t D
Consistenttprenataltcaretistthetbesttmethodtoftpreventingtortcontrollingtrisktfactorstassociatedtw
ithtinfanttmortality.tNutritionaltstatustistantimportanttmodifiabletrisktfactor,tbuttittistnottthetmostti
mportanttactiontatnursetshouldttaketintthistsituation.tThetclienttmaytneedtassistancetfromtatsocial
tworkertattsomettimetduringthertpregnancy,tbuttatreferralttotatsocialtworkertistnottthetmosttimport
anttaspecttthetnursetshouldtaddresstattthisttime.tIftthetwomanthastidentifiablethigh-
risktproblems,tthentherthealthtcaretmaytneedttotbetprovidedtbytatphysician.tHowever,tittcannottb
etassumedtthattalltAfrican-Americantwomenthavethigh-
risktissues.tIntaddition,tadvisingtthetwomanttotseetantobstetriciantistnottthetmosttimportanttaspe
cttontwhichtthetnursetshouldtfocustattthisttime,tandtittistnottappropriatetfortatnursettotadvisetortma
nagetthettypetoftcaretatclienttisttotreceive.
PTS: 1 DIF:
CognitivetLevel:tUnderstandtTOP:
NursingtProcess:tPlanning
, MaternitytandtWomen'stHealthtCaret13thtEditiontLowdermilktTest
MSC:t ClienttNeeds:tHealthtPromotiontandtMaintenance
3. Thetnursestworkingtattatnewlytestablishedtbirthingtcenterthavetbegunttotcomparettheirtperf
ormancetintprovidingtmaternal-
newborntcaretagainsttclinicaltstandards.tThistcomparisontprocesstistmosttcommonlytkno
wntastwhat?
a. Besttpracticestnetwork
b. Clinicaltbenchmarking
c. Outcomes-orientedt pracNt iUceR S
d. Evidence-basedt practice
ANS:t C
Outcomes-
orientedtpracticetmeasuresttheteffectivenesstoftthetinterventionstandtqualitytoftcaretagainsttben
chmarkstortstandards.tThettermtbesttpracticetrefersttotatprogramtortservicetthatthastbeentrecogniz
edtfortitstexcellence.tClinicaltbenchmarkingtistatprocesstusedttotcomparetone’stowntperformanc
etagainsttthetperformancetoftthetbesttintantareatoftservice.tThettermtevidence-
basedtpracticetrefersttotthetprovisiontoftcaretbasedtontevidencetgainedtthroughtresearchtandtclin
icalttrials.
PTS: 1 DIF:
CognitivetLevel:tUnderstandtTOP:
NursingtProcess:tEvaluation
MSC:t ClienttNeeds:tSafetandtEffectivetCaretEnvironment
4. Duringtatprenataltintaketinterview,tthetnursetistintthetprocesstoftobtainingtantinitialtasses
smenttoftat21-year-
oldtHispanictclienttwithtlimitedtEnglishtproficiency.tWhichtinterventiontistthetmosttimp
ortanttfortthetnursettotimplement?
a. Usetmaternitytjargonttotenabletthetclientttotbecometfamiliartwithtthesetterms.
b. Speaktquicklytandtefficientlyttotexpeditetthetvisit.
c. Providetthetclienttwiththandouts.
d. Assesstwhethertthetclienttunderstandstthetdiscussion.
ANS:t D
Nursestcontributettothealthtliteracytbytusingtsimple,tcommontwords,tavoidingtjargon,tandteval
uatingtwhethertthetclienttunderstandstthetdiscussion.tSpeakingtslowlytandtclearlytandtfocusin
gtontwhattistimportanttwilltincreasetunderstanding.tMosttclientteducationtmaterialstaretwrittent
attatlevelttoothightfortthetaveragetadulttandtmaytnottbetusefultfortatclienttwithtlimitedtEnglishtpr
oficiency.
PTS: 1 DIF:
CognitivetLevel:tApplytTOP:
NursingtProcess:tImplementation
MSC:t ClienttNeeds:tHealthtPromotiontandtMaintenance
5. Whichtstatementtbesttexemplifiestcontemporarytmaternitytnursing?
a. Usetoftmidwivestfortalltvaginaltdeliveries
b. Family-centeredtcare
c. Free-standingtbirthtclinics
d. Physician-
driventcaretANS:t B
, MaternitytandtWomen'stHealthtCaret13thtEditiontLowdermilktTest
Contemporarytmaternitytnursingtfocusestontthetfamily’stneedstandtdesires.tFathers,tpartners,tg
randparents,tandtsiblingstmaytbetpresenttfortthetbirthtandtparticipatetintactivitiestsuchtastcuttingtt
hetbaby’stumbilicaltcord.tBothtmidwivestandtphysicianstperformtvaginaltdeliveries.tFree-
standingtclinicstaretantexampletoftalternativetbirthtoptions.tContemporarytmaternitytnursingtist
driventbytthetrelationshiptbetweentnursestandttheirtclients.
PTS: 1 DIF:
CognitivetLevel:tUnderstandtTOP:
NursingtProcess:tPlanning
MSC:t ClienttNeeds:tHealthtPromotiontandtMaintenance
6. At38-year-oldtHispanictwomantvaginallytdeliveredtat9-pound,t6-
ouncetbabytgirltaftertbeingtintlabortfort43thours.tThetbabytdiedt3tdaystlatertfromtsepsis.tOntwhatt
groundstcouldtthetwomanthavetatlegitimatetlegaltcasetfortnegligence?
a. Inexperiencedtmaternitytnursetwastassignedttotcaretfortthetclient.
b. Clienttwastpastthertduetdatetbyt3tdays.
c. Standardtoftcaretwastnottmet.
d. Clienttrefusedtelectronictfetaltmonitoring.
ANS:t C
Nottmeetingtthetstandardtoftcaretistatlegitimatetfactortfortatcasetoftnegligence.tAntinexperienced
tmaternitytnursetwouldtneedttotdisplaytcompetencytbeforetbeingtassignedttotcaretfortclientstonthi
storthertown.tThistclienttmaythavetbeentpastthertduetdate;thowever,tattermtpregnancytoftentgoestb
eyondt40tweekstoftgestation.tAlthoughtfetaltmonitoringtistthetstandardtoftcare,tthetclientthastthet
rightttotrefusettreatment.tThistrefusaltistnottatcasetfortnegligence,tbuttinformedtconsenttshouldtb
etproperlytobtained,tandtthetclienttshouldthavetsignedtantagainsttmedicaltadvicetformtwhentrefu
singtanyttreatmenttthattistwithintthetstandardtoftcare.
PTS: 1 DIF:
CognitivetLevel:tAnalyzetTOP:
NursingtProcess:tImplementation
MSC:t ClienttNeeds:tSafetandtEffectivetCaretEnvironment
7. Whentthetnursetistunsurethowttotperformtatclienttcaretproceduretthattisthightrisktandtlowtvolu
me,thistorthertbesttactiontintthistsituationtwouldtbetwhat?
a. Asktanothertnurse.
b. Discusstthetproceduretwithtthetclient’stphysician.
c. Looktuptthetproceduretintatnursingttextbook.
d. Firsttconsulttthetagencytproceduretmanual
ANS:t D
Followingtthetagency’stpoliciestandtprocedurestmanualtistalwaystbesttwhentseekingtinformatio
ntontcorrecttclienttprocedures.tThesetpoliciestshouldtreflecttthetcurrenttstandardstoftcaretandttheti
ndividualtstate’stguidelines.tEachtnursetistresponsibletforthistorthertowntpractice.tRelyingtontan
othertnursetmaytnottalwaystbetatsafetpractice.tEachtnursetistobligatedttotfollowtthetstandardstoftc
aretfortsafetclienttcaretdelivery.tPhysicianstaretresponsibletforttheirtowntclienttcaretactivity.tNur
sestmaytfollowtsafetorderstfromtphysicians,tbutttheytaretalsotresponsibletfortthetactivitiestthattth
ey,tastnurses,tarettotcarrytout.tInformationtprovidedtintatnursingttextbooktistbasictinformationtfort
generaltknowledge.tFurthermore,tthetinformationtintattextbooktmaytnottreflecttthetcurrenttstand
ardtoftcaretortthetindividualtstatetorthospitaltpolicies.
