MATERNITY &
WOMEN’S HEALTH
CARE 12TH EDITION
LOWDERMILK
Test Bank Questions
with Complete
Solutions
, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
CONTENTS: Chapter 25: Newborn Nutrition and Feeding
Chapter 1: 21st Century Maternity and Women’s Health Nursing Chapter 26: Assessment of High Risk Pregnancy
Chapter 27: Hypertensive Disorders
Chapter 2: Community Care: The Family and Culture
Chapter 28: Hemorrhagic Disorders
Chapter 3: Nursing and Genomics
Chapter 29: Endocrine and Metabolic Disorders
Chapter 4: Assessment and Health Promotion Chapter 30: Medical-Surgical Disorders
Chapter 5: Violence Against Women Chapter 31: Mental Health Disorders and Substance Abuse
Chapter 32: Labor and Birth Complications
Chapter 6: Reproductive System Concerns
Chapter 33: Postpartum Complications
Chapter 7: Sexually Transmitted and Other Infections
Chapter 34: Nursing Care of the High Risk Newborn
Chapter 8: Contraception and Abortion Chapter 35: Acquired Problems of the Newborn
Chapter 9: Infertility Chapter 36: Hemolytic Disorders and Congenital Anomalies
Chapter 37: Perinatal Loss, Bereavement, and Grief
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System
Chapter 12: Conception and Fetal Development
Chapter 13: Anatomy and Physiology of Pregnancy
Chapter 14: Nursing Care of the Family During Pregnancy
Chapter 15: Maternal and Fetal Nutrition
Chapter 16: Labor and Birth Processes
Chapter 17: Maximizing Comfort for the Laboring Woman
Chapter 18: Fetal Assessment During Labor
Chapter 19: Nursing Care of the Family During Labor and Birth
Chapter 20: Postpartum Physiologic Changes
Chapter 21: Nursing Care of the Family During the Postpartum Period
Chapter 22: Transition to Parenthood
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn
Chapter 24: Nursing Care of the Newborn and Family
, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
a. Designing research studies
Chapter 1: 21st Century Maternity and Women's Health Nursing b. Collecting data for other researchers
c. Identifying researchable problems
MULTIPLE CHOICE
d. Seeking funding to support research studies
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW) infant, which
factor is the most important for the nurse to consider?
ANS: C
a. African-American race
When problems are identified, research can be properly conducted. Research of health care issues leads
b. Cigarette smoking to evidence-based practice guidelines. Designing research studies is only one factor of the research
process. Data collection is another factor of research. Financial support is necessary to conduct research,
c. Poor nutritional status
but it is not the primary role of the nurse in the research process.
d. Limited maternal education
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A MSC: Client Needs: Safe and
ANS: A Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for
infant mortality, which plan is most important for the nurse to implement?
For African-American births, the incidence of LBW infants is twice that of Caucasian births. 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
a. Perform a nutrition assessment.
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 b. Refer the woman to a social worker.
mortality rates, but it is not the most important. Additionally, maternal education is a modifiable risk
c. Advise the woman to see an obstetrician, not a midwife.
factor.
d. Explain to the woman the importance of keeping her prenatal care appointments.
DIF: Cognitive Level: Understand REF: IM:
ANS: D
TOP: Nursing Process: Assessment
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
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care 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
2. What is the primary role of practicing nurses in the research process? 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
, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or d. Evidence-based practice ANS: C
manage the type of care a client is to receive.
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care against
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning 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 ones own performance
against the performance of the best in an area of service. The term evidence-based practice refers to
MSC: Client Needs: Health Promotion and Maintenance the provision of care based on evidence gained through research and clinical trials.
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a DIF: Cognitive Level: Understand REF: im: 11 TOP: Nursing Process: Evaluation MSC: Client Needs: Safe
21-year-old Hispanic client with limited English proficiency. Which action is the most important for the and Effective Care Environment
nurse to perform?
6. Which statement best exemplifies contemporary maternity nursing?
a. Use maternity jargon to enable the client to become familiar with these terms.
a. Use of midwives for all vaginal deliveries
b. Speak quickly and efficiently to expedite the visit.
b. Family-centered care
c. Provide the client with handouts.
c. Free-standing birth clinics
d. Assess whether the client understands the discussion.
d. Physician-driven care
ANS: D
ANS: B
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evaluating
Contemporary maternity nursing focuses on the familys needs and desires. Fathers, partners,
whether the client understands the discussion. Speaking slowly and clearly and focusing on what is
grandparents, and siblings may be present for the birth and participate in activities such as cutting the
important will increase understanding. Most client education materials are written at a level too high for
babys umbilical cord. Both midwives and physicians perform vaginal deliveries. Free-standing clinics are
the average adult and may not be useful for a client with limited English proficiency.
an example of alternative birth options. Contemporary maternity nursing is driven by the relationship
between nurses and their clients.
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation MSC: Client Needs: Health
Promotion and Maintenance
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning MSC: Client Needs: Health
5. The nurses working at a newly established birthing center have begun to compare their performance Promotion and Maintenance
in providing maternal-newborn care against clinical standards. This comparison process is most
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in labor for
commonly known as what?
43 hours. The baby died 3 days later from sepsis. On what grounds could the woman have a legitimate
legal case for negligence?
a. Best practices network
b. Clinical benchmarking a. Inexperienced maternity nurse was assigned to care for the client.
c. Outcomes-oriented practice