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, 12th 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
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. Outcomes-oriented pracNtiUceRS
d. Evidence-based practice
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.
PTS: 1 DIF: Cognitive Level: Apply TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
, 5. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care ANS: B
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
grandparents, and siblings may be present for the birth and participate in activities such as cutting the
baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries. Free-standing clinics
are an example of alternative birth options. Contemporary maternity nursing is driven by the
relationship between nurses and their clients.
PTS: 1 DIF: Cognitive Level: Understand TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman have a
legitimate legal case for negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced
maternity nurse would need to display competency before being assigned to care for clients on his or
her own. This client may have been past her due date; however, a term pregnancy often goes beyond
40 weeks of gestation. Although fetal monitoring is the standard of care, the client has the right to
refuse treatment. This refusal is not a case for negligence, but informed consent should be properly
obtained, and the client should have signed an against medical advice form when refusing any
treatment that is within the standard of care.
PTS: 1 DIF: Cognitive Level: Analyze TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
Test
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s
Health Care, 12th 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
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. Outcomes-oriented pracNtiUceRS
d. Evidence-based practice
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.
PTS: 1 DIF: Cognitive Level: Apply TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
, 5. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care ANS: B
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
grandparents, and siblings may be present for the birth and participate in activities such as cutting the
baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries. Free-standing clinics
are an example of alternative birth options. Contemporary maternity nursing is driven by the
relationship between nurses and their clients.
PTS: 1 DIF: Cognitive Level: Understand TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman have a
legitimate legal case for negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced
maternity nurse would need to display competency before being assigned to care for clients on his or
her own. This client may have been past her due date; however, a term pregnancy often goes beyond
40 weeks of gestation. Although fetal monitoring is the standard of care, the client has the right to
refuse treatment. This refusal is not a case for negligence, but informed consent should be properly
obtained, and the client should have signed an against medical advice form when refusing any
treatment that is within the standard of care.
PTS: 1 DIF: Cognitive Level: Analyze TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
