MATERNITY & WOMAN'S HEALTH CARE 12th
EDITION LOWDERMILK TEST BANK.
Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank d. Seeking funding to support research studies
ANS: C
Chapter 1: 21st Century Maternity and Women’s Health Nursing
When problems are identified, research can be properly conducted. Research of health care
MULTIPLE CHOICE
issues leads to evidence-based practice guidelines. Designing research studies is only one factor
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW) infant, of the research process. Data collection is another factor of research. Financial support is
which factor is the most important for the nurse to consider? necessary to conduct research, but it is not the primary role of the nurse in the research process.
a. African-American race DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
b. Cigarette smoking
MSC: Client Needs: Safe and Effective Care Environment
c. Poor nutritional status
d. Limited maternal education 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?
ANS: A
a. Perform a nutrition assessment.
For African-American births, the incidence of LBW infants is twice that of Caucasian births. b. Refer the woman to a social worker.
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant c. Advise the woman to see an obstetrician, not a midwife.
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
d. Explain to the woman the importance of keeping her prenatal care appointments.
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
ANS: D
important factor in potential infant mortality rates, but it is not the most important. Additionally,
maternal education is a modifiable risk factor. 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
DIF: Cognitive Level: Understand REF: IM:
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
TOP: Nursing Process: Assessment
important aspect the nurse should address at this time. If the woman has identifiable high-risk
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care 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
2. What is the primary role of practicing nurses in the research process? 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
a. Designing research studies
receive.
b. Collecting data for other researchers
c. Identifying researchable problems DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
,MSC: Client Needs: Health Promotion and Maintenance 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
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial been recognized for its excellence. Clinical benchmarking is a process used to compare ones own
assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is the performance against the performance of the best in an area of service. The term evidence-based
most important for the nurse to perform? practice refers to the provision of care based on evidence gained through research and clinical
trials.
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit. DIF: Cognitive Level: Understand REF: im: 11 TOP: Nursing Process: Evaluation
c. Provide the client with handouts.
MSC: Client Needs: Safe and Effective Care Environment
d. Assess whether the client understands the discussion.
6. Which statement best exemplifies contemporary maternity nursing?
ANS: D
a. Use of midwives for all vaginal deliveries
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
b. Family-centered care
evaluating whether the client understands the discussion. Speaking slowly and clearly and
c. Free-standing birth clinics
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 d. Physician-driven care
English proficiency.
ANS: B
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation
Contemporary maternity nursing focuses on the familys needs and desires. Fathers, partners,
MSC: Client Needs: Health Promotion and Maintenance grandparents, and siblings may be present for the birth and participate in activities such as
cutting the babys umbilical cord. Both midwives and physicians perform vaginal deliveries.
5. The nurses working at a newly established birthing center have begun to compare their Free-standing clinics are an example of alternative birth options. Contemporary maternity
performance in providing maternal-newborn care against clinical standards. This comparison nursing is driven by the relationship between nurses and their clients.
process is most commonly known as what?
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
a. Best practices network
b. Clinical benchmarking MSC: Client Needs: Health Promotion and Maintenance
c. Outcomes-oriented practice
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
d. Evidence-based practice
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?
ANS: C
a. Inexperienced maternity nurse was assigned to care for the client.
,b. Client was past her due date by 3 days. of care for safe client care delivery. Physicians are responsible for their own client care activity.
c. Standard of care was not met. Nurses may follow safe orders from physicians, but they are also responsible for the activities
d. Client refused electronic fetal monitoring. that they, as nurses, are to carry out. Information provided in a nursing textbook is basic
information for general knowledge. Furthermore, the information in a textbook may not reflect
ANS: C the current standard of care or the individual state or hospital policies.
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced DIF: Cognitive Level: Understand REF: im: 13
maternity nurse would need to display competency before being assigned to care for clients on
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
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 9. The National Quality Forum has issued a list of never events specifically pertaining to
has the right to refuse treatment. This refusal is not a case for negligence, but informed consent maternal and child health. These include all of the following except:
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. a. infant discharged to the wrong person.
b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
DIF: Cognitive Level: Analyze REF: im: 13
c. artificial insemination with the wrong donor sperm or egg.
TOP: Nursing Process: Implementation d. foreign object retained after surgery.
MSC: Client Needs: Safe and Effective Care Environment ANS: D
8. When the nurse is unsure how to perform a client care procedure that is high risk and low Although a foreign object retained after surgery is a never event, it does not specifically pertain
volume, his or her best action in this situation would be what? to obstetric clients. A client undergoing any type of surgery may be at risk for this event. An
infant discharged to the wrong person specifically pertains to postpartum care. Death or serious
a. Ask another nurse.
disability as a result of kernicterus pertains to newborn assessment and care. Artificial
b. Discuss the procedure with the clients physician.
insemination affects families seeking care for infertility.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual, and follow the guidelines for the DIF: Cognitive Level: Remember REF: im: 4
procedure.
TOP: Nursing Process: Implementation
ANS: D
MSC: Client Needs: Safe and Effective Care Environment
Following the agencys policies and procedures manual is always best when seeking information
10. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what
on correct client procedures. These policies should reflect the current standards of care and the
trend?
individual states guidelines. Each nurse is responsible for his or her own practice. Relying on
another nurse may not always be a safe practice. Each nurse is obligated to follow the standards
, a. Births to unmarried women are more likely to have less favorable outcomes. limited access to health care. Maternal morbidity and mortality are directly related to racial
b. Birth rates for women 40 to 44 years of age are declining. disparities.
c. Cigarette smoking among pregnant women continues to increase.
DIF: Cognitive Level: Understand REF: im: 5 TOP: Nursing Process: N/A
d. Rates of pregnancy and abortion among teenagers are lower in the United States
than in any other industrialized country.
MSC: Client Needs: Safe and Effective Care Environment
ANS: A 12. Which statement best describes maternity nursing care that is based on knowledge gained
through research and clinical trials?
LBW infants and preterm births are more likely because of the large number of teenagers in the
unmarried group. Birth rates for women in their early 40s continue to increase. Fewer pregnant a. Maternity nursing care is derived from the Nursing Intervention Classification.
women smoke. Teen pregnancy and abortion rates are higher in the United States than in any b. Maternity nursing care is known as evidence-based practice.
other industrial country.
c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
DIF: Cognitive Level: Understand REF: IM: d. Maternity nursing care is an outgrowth of telemedicine.
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity ANS: B
11. A recently graduated nurse is attempting to understand the reason for increasing health care Evidence-based practice is based on knowledge gained from research and clinical trials. The
spending in the United States. Which information gathered from her research best explains the Nursing Intervention Classification is a method of standardizing language and categorizing care.
rationale for these higher costs compared with other developed countries? Dr. Cochrane systematically reviewed research trials and is part of the evidence-based practice
movement. Telemedicine uses communication technologies to support health care.
a. Higher rate of obesity among pregnant women
b. Limited access to technology DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Diagnosis
c. Increased use of health care services along with lower prices
MSC: Client Needs: Safe and Effective Care Environment
d. Homogeneity of the population
13. What is the minimum level of practice that a reasonably prudent nurse is expected to
ANS: A provide?
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the a. Standard of care
gross domestic product is spent on health care. Higher spending in the United States, as b. Risk management
compared with 12 other industrialized countries, is related to higher prices and readily accessible
c. Sentinel event
technology along with greater obesity rates among women. More than one third of women in the
d. Failure to rescue
United States are obese. In the population in the United States, 16% are uninsured and have
ANS: A
EDITION LOWDERMILK TEST BANK.
Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank d. Seeking funding to support research studies
ANS: C
Chapter 1: 21st Century Maternity and Women’s Health Nursing
When problems are identified, research can be properly conducted. Research of health care
MULTIPLE CHOICE
issues leads to evidence-based practice guidelines. Designing research studies is only one factor
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW) infant, of the research process. Data collection is another factor of research. Financial support is
which factor is the most important for the nurse to consider? necessary to conduct research, but it is not the primary role of the nurse in the research process.
a. African-American race DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
b. Cigarette smoking
MSC: Client Needs: Safe and Effective Care Environment
c. Poor nutritional status
d. Limited maternal education 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?
ANS: A
a. Perform a nutrition assessment.
For African-American births, the incidence of LBW infants is twice that of Caucasian births. b. Refer the woman to a social worker.
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant c. Advise the woman to see an obstetrician, not a midwife.
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
d. Explain to the woman the importance of keeping her prenatal care appointments.
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
ANS: D
important factor in potential infant mortality rates, but it is not the most important. Additionally,
maternal education is a modifiable risk factor. 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
DIF: Cognitive Level: Understand REF: IM:
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
TOP: Nursing Process: Assessment
important aspect the nurse should address at this time. If the woman has identifiable high-risk
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care 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
2. What is the primary role of practicing nurses in the research process? 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
a. Designing research studies
receive.
b. Collecting data for other researchers
c. Identifying researchable problems DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
,MSC: Client Needs: Health Promotion and Maintenance 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
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial been recognized for its excellence. Clinical benchmarking is a process used to compare ones own
assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is the performance against the performance of the best in an area of service. The term evidence-based
most important for the nurse to perform? practice refers to the provision of care based on evidence gained through research and clinical
trials.
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit. DIF: Cognitive Level: Understand REF: im: 11 TOP: Nursing Process: Evaluation
c. Provide the client with handouts.
MSC: Client Needs: Safe and Effective Care Environment
d. Assess whether the client understands the discussion.
6. Which statement best exemplifies contemporary maternity nursing?
ANS: D
a. Use of midwives for all vaginal deliveries
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
b. Family-centered care
evaluating whether the client understands the discussion. Speaking slowly and clearly and
c. Free-standing birth clinics
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 d. Physician-driven care
English proficiency.
ANS: B
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation
Contemporary maternity nursing focuses on the familys needs and desires. Fathers, partners,
MSC: Client Needs: Health Promotion and Maintenance grandparents, and siblings may be present for the birth and participate in activities such as
cutting the babys umbilical cord. Both midwives and physicians perform vaginal deliveries.
5. The nurses working at a newly established birthing center have begun to compare their Free-standing clinics are an example of alternative birth options. Contemporary maternity
performance in providing maternal-newborn care against clinical standards. This comparison nursing is driven by the relationship between nurses and their clients.
process is most commonly known as what?
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
a. Best practices network
b. Clinical benchmarking MSC: Client Needs: Health Promotion and Maintenance
c. Outcomes-oriented practice
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
d. Evidence-based practice
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?
ANS: C
a. Inexperienced maternity nurse was assigned to care for the client.
,b. Client was past her due date by 3 days. of care for safe client care delivery. Physicians are responsible for their own client care activity.
c. Standard of care was not met. Nurses may follow safe orders from physicians, but they are also responsible for the activities
d. Client refused electronic fetal monitoring. that they, as nurses, are to carry out. Information provided in a nursing textbook is basic
information for general knowledge. Furthermore, the information in a textbook may not reflect
ANS: C the current standard of care or the individual state or hospital policies.
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced DIF: Cognitive Level: Understand REF: im: 13
maternity nurse would need to display competency before being assigned to care for clients on
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
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 9. The National Quality Forum has issued a list of never events specifically pertaining to
has the right to refuse treatment. This refusal is not a case for negligence, but informed consent maternal and child health. These include all of the following except:
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. a. infant discharged to the wrong person.
b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
DIF: Cognitive Level: Analyze REF: im: 13
c. artificial insemination with the wrong donor sperm or egg.
TOP: Nursing Process: Implementation d. foreign object retained after surgery.
MSC: Client Needs: Safe and Effective Care Environment ANS: D
8. When the nurse is unsure how to perform a client care procedure that is high risk and low Although a foreign object retained after surgery is a never event, it does not specifically pertain
volume, his or her best action in this situation would be what? to obstetric clients. A client undergoing any type of surgery may be at risk for this event. An
infant discharged to the wrong person specifically pertains to postpartum care. Death or serious
a. Ask another nurse.
disability as a result of kernicterus pertains to newborn assessment and care. Artificial
b. Discuss the procedure with the clients physician.
insemination affects families seeking care for infertility.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual, and follow the guidelines for the DIF: Cognitive Level: Remember REF: im: 4
procedure.
TOP: Nursing Process: Implementation
ANS: D
MSC: Client Needs: Safe and Effective Care Environment
Following the agencys policies and procedures manual is always best when seeking information
10. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what
on correct client procedures. These policies should reflect the current standards of care and the
trend?
individual states guidelines. Each nurse is responsible for his or her own practice. Relying on
another nurse may not always be a safe practice. Each nurse is obligated to follow the standards
, a. Births to unmarried women are more likely to have less favorable outcomes. limited access to health care. Maternal morbidity and mortality are directly related to racial
b. Birth rates for women 40 to 44 years of age are declining. disparities.
c. Cigarette smoking among pregnant women continues to increase.
DIF: Cognitive Level: Understand REF: im: 5 TOP: Nursing Process: N/A
d. Rates of pregnancy and abortion among teenagers are lower in the United States
than in any other industrialized country.
MSC: Client Needs: Safe and Effective Care Environment
ANS: A 12. Which statement best describes maternity nursing care that is based on knowledge gained
through research and clinical trials?
LBW infants and preterm births are more likely because of the large number of teenagers in the
unmarried group. Birth rates for women in their early 40s continue to increase. Fewer pregnant a. Maternity nursing care is derived from the Nursing Intervention Classification.
women smoke. Teen pregnancy and abortion rates are higher in the United States than in any b. Maternity nursing care is known as evidence-based practice.
other industrial country.
c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
DIF: Cognitive Level: Understand REF: IM: d. Maternity nursing care is an outgrowth of telemedicine.
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity ANS: B
11. A recently graduated nurse is attempting to understand the reason for increasing health care Evidence-based practice is based on knowledge gained from research and clinical trials. The
spending in the United States. Which information gathered from her research best explains the Nursing Intervention Classification is a method of standardizing language and categorizing care.
rationale for these higher costs compared with other developed countries? Dr. Cochrane systematically reviewed research trials and is part of the evidence-based practice
movement. Telemedicine uses communication technologies to support health care.
a. Higher rate of obesity among pregnant women
b. Limited access to technology DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Diagnosis
c. Increased use of health care services along with lower prices
MSC: Client Needs: Safe and Effective Care Environment
d. Homogeneity of the population
13. What is the minimum level of practice that a reasonably prudent nurse is expected to
ANS: A provide?
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the a. Standard of care
gross domestic product is spent on health care. Higher spending in the United States, as b. Risk management
compared with 12 other industrialized countries, is related to higher prices and readily accessible
c. Sentinel event
technology along with greater obesity rates among women. More than one third of women in the
d. Failure to rescue
United States are obese. In the population in the United States, 16% are uninsured and have
ANS: A
