Maternity band bWomen's bHealth bCare b13th bEdition bLowdermilk
Test
Maternity and b b
Women's Health b
Care13thEdit b b
ion b
Lowdermilk Test b
Bank
, Maternity band bWomen's bHealth bCare b13th bEdition bLowdermilk
Test
Chapter 01: 21st Century Maternity and Women’s Health Nursing
b b b b b b b b
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
b b b b b b b b
MULTIPLE bCHOICE
1. In bevaluating bthe blevel bof ba bpregnant bwoman’s brisk bof bhaving ba blow-birth-weight
b(LBW) binfant, bwhich bfactor bis bthe bmost bimportant bfor bthe bnurse bto bconsider?
a. African-American brace
b. Cigarette bsmoking
c. Poor bnutritional bstatus
d. Limited bmaternal beducation
ANS: b A
The brise bin bthe boverall bLBW brates bwere bdue bto bincreases bin bLBW bbirths bto bnon-Hispanic
bblack bwomen b(13.35%) band bHispanic bwomen b(7.21%); bnon-Hispanic bblack binfants bare
balmost btwice bas blikely bas bnon-Hispanic bwhite binfants bto bbe bof bLBW band bto bdie bin bthe bfirst
byear bof blife.. bRace bis ba bnonmodifiable brisk bfactor. bCigarette bsmoking bis ban bimportant bfactor
bin bpotential binfant bmortality brates, bbut bit bis bnot bthe bmost bimportant. bAdditionally, bsmoking
bis ba bmodifiable brisk bfactor. bPoor bnutrition bis ban bimportant bfactor bin bpotential binfant
bmortality brates, bbut bit bis bnot bthe bmost bimportant. bAdditionally, bnutritional bstatus bis ba
bmodifiable brisk bfactor. bMaternal beducation bis ban bimportant bfactor bin bpotential binfant
bmortality brates, bbut bit bis bnot bthe bmost bimportant. bAdditionally, bmaternal beducation bis ba
bmodifiable brisk bfactor.
PTS: 1 DIF: Cognitive bLevel: bUnderstand
bTOP: Nursing bProcess: bAssessment
MSC: b b Client b Needs: b HealtN
hUPrRoS
mI ioG
otN nTanBd.M
CaOinMtenance, b Antepartum b Care
2. A b23-year-old bAfrican-American bwoman bis bpregnant bwith bher bfirst bchild. bBased bon
bcurrent bstatistics bfor binfant bmortality, bwhich bintervention bis bmost bimportant bfor bthe bnurse
bto binclude bin bthe bclient’s bplan bof bcare?
a. Perform ba bnutrition bassessment.
b. Refer bthe bwoman bto ba bsocial bworker.
c. Advise bthe bwoman bto bsee ban bobstetrician, bnot ba bmidwife.
d. Explain bto bthe bwoman bthe bimportance bof bkeeping bher bprenatal bcare bappointments.
ANS: b D
Consistent bprenatal bcare bis bthe bbest bmethod bof bpreventing bor bcontrolling brisk bfactors
bassociated bwith binfant bmortality. bNutritional bstatus bis ban bimportant bmodifiable brisk bfactor,
bbut bit bis bnot bthe bmost bimportant baction ba bnurse bshould btake bin bthis bsituation. bThe bclient
bmay bneed bassistance bfrom ba bsocial bworker bat bsome btime bduring bher bpregnancy, bbut ba
breferral bto ba bsocial bworker bis bnot bthe bmost bimportant baspect bthe bnurse bshould baddress bat
bthis btime. bIf bthe bwoman bhas bidentifiable bhigh-risk bproblems, bthen bher bhealth bcare bmay
bneed bto bbe bprovided bby ba bphysician. bHowever, bit bcannot bbe bassumed bthat ball bAfrican-
American bwomen bhave bhigh-risk bissues. bIn baddition, badvising bthe bwoman bto bsee ban
bobstetrician bis bnot bthe bmost bimportant baspect bon bwhich bthe bnurse bshould bfocus bat bthis
btime, band bit bis bnot bappropriate bfor ba bnurse bto badvise bor bmanage bthe btype bof bcare ba bclient bis
bto breceive.
PTS: 1 DIF: Cognitive bLevel: bUnderstand
bTOP: Nursing bProcess: bPlanning
, Maternity band bWomen's bHealth bCare b13th bEdition bLowdermilk
Test
MSC: b Client bNeeds: bHealth bPromotion band bMaintenance
3. The bnurses bworking bat ba bnewly bestablished bbirthing bcenter bhave bbegun bto bcompare
btheir bperformance bin bproviding bmaternal-newborn bcare bagainst bclinical bstandards.
bThis bcomparison bprocess bis bmost bcommonly bknown bas bwhat?
a. Best bpractices bnetwork
b. Clinical bbenchmarking
c. Outcomes-oriented bpracNtiUceR S
d. Evidence-based bpractice
ANS: b C
Outcomes-oriented bpractice bmeasures bthe beffectiveness bof bthe binterventions band bquality bof
bcare bagainst bbenchmarks bor bstandards. bThe bterm bbest bpractice brefers bto ba bprogram bor
bservice bthat bhas bbeen brecognized bfor bits bexcellence. bClinical bbenchmarking bis ba bprocess
bused bto bcompare bone’s bown bperformance bagainst bthe bperformance bof bthe bbest bin ban barea
bof bservice. bThe bterm bevidence-based bpractice brefers bto bthe bprovision bof bcare bbased bon
bevidence bgained bthrough bresearch band bclinical btrials.
PTS: 1 DIF: Cognitive bLevel: bUnderstand
bTOP: Nursing bProcess: bEvaluation
MSC: b Client bNeeds: bSafe band bEffective bCare bEnvironment
4. During ba bprenatal bintake binterview, bthe bnurse bis bin bthe bprocess bof bobtaining ban
binitial bassessment bof ba b21-year-old bHispanic bclient bwith blimited bEnglish
bproficiency. bWhich bintervention bis bthe bmost bimportant bfor bthe bnurse bto
bimplement?
a. Use bmaternity bjargon bto benable bthe bclient bto bbecome bfamiliar bwith bthese bterms.
b. Speak bquickly band befficiently bto bexpedite bthe bvisit.
c. Provide bthe bclient bwith bhandouts.
d. Assess bwhether bthe bclient bunderstands bthe bdiscussion.
ANS: b D
Nurses bcontribute bto bhealth bliteracy bby busing bsimple, bcommon bwords, bavoiding bjargon,
band bevaluating bwhether bthe bclient bunderstands bthe bdiscussion. bSpeaking bslowly band
bclearly band bfocusing bon bwhat bis bimportant bwill bincrease bunderstanding. bMost bclient
beducation bmaterials bare bwritten bat ba blevel btoo bhigh bfor bthe baverage badult band bmay bnot bbe
buseful bfor ba bclient bwith blimited bEnglish bproficiency.
PTS: 1 DIF: Cognitive bLevel: bApply
bTOP: Nursing bProcess: bImplementation
MSC: b Client bNeeds: bHealth bPromotion band bMaintenance
5. Which bstatement bbest bexemplifies bcontemporary bmaternity bnursing?
a. Use bof bmidwives bfor ball bvaginal bdeliveries
b. Family-centered bcare
c. Free-standing bbirth bclinics
d. Physician-driven bcare
ANS: b B
b
, Maternity band bWomen's bHealth bCare b13th bEdition bLowdermilk
Test
Contemporary bmaternity bnursing bfocuses bon bthe bfamily’s bneeds band bdesires. bFathers,
bpartners, bgrandparents, band bsiblings bmay bbe bpresent bfor bthe bbirth band bparticipate bin
bactivities bsuch bas bcutting bthe bbaby’s bumbilical bcord. bBoth bmidwives band bphysicians
bperform bvaginal bdeliveries. bFree-standing bclinics bare ban bexample bof balternative bbirth
boptions. bContemporary bmaternity bnursing bis bdriven bby bthe brelationship bbetween bnurses
band btheir bclients.
PTS: 1 DIF: Cognitive bLevel: bUnderstand
bTOP: Nursing bProcess: bPlanning
MSC: b Client bNeeds: bHealth bPromotion band bMaintenance
6. A b38-year-old bHispanic bwoman bvaginally bdelivered ba b9-pound, b6-ounce bbaby bgirl bafter
bbeing bin blabor bfor b43 bhours. bThe bbaby bdied b3 bdays blater bfrom bsepsis. bOn bwhat bgrounds
bcould bthe bwoman bhave ba blegitimate blegal bcase bfor bnegligence?
a. Inexperienced bmaternity bnurse bwas bassigned bto bcare bfor bthe bclient.
b. Client bwas bpast bher bdue bdate bby b3 bdays.
c. Standard bof bcare bwas bnot bmet.
d. Client brefused belectronic bfetal bmonitoring.
ANS: b C
Not bmeeting bthe bstandard bof bcare bis ba blegitimate bfactor bfor ba bcase bof bnegligence. bAn
binexperienced bmaternity bnurse bwould bneed bto bdisplay bcompetency bbefore bbeing bassigned bto
bcare bfor bclients bon bhis bor bher bown. bThis bclient bmay bhave bbeen bpast bher bdue bdate; bhowever,
ba bterm bpregnancy boften bgoes bbeyond b40 bweeks bof bgestation. bAlthough bfetal bmonitoring bis
bthe bstandard bof bcare, bthe bclient bhas bthe bright bto brefuse btreatment. bThis brefusal bis bnot ba bcase
bfor bnegligence, bbut binformed bconsent bshould bbe bproperly bobtained, band bthe bclient bshould
bhave bsigned ban bagainst bmedical badvice bform bwhen brefusing bany btreatment bthat bis bwithin
bthe bstandard bof bcare.
PTS: 1 DIF: Cognitive bLevel: bAnalyze
bTOP: Nursing bProcess: bImplementation
MSC: b Client bNeeds: bSafe band bEffective bCare bEnvironment
7. When bthe bnurse bis bunsure bhow bto bperform ba bclient bcare bprocedure bthat bis bhigh brisk band
blow bvolume, bhis bor bher bbest baction bin bthis bsituation bwould bbe bwhat?
a. Ask banother bnurse.
b. Discuss bthe bprocedure bwith bthe bclient’s bphysician.
c. Look bup bthe bprocedure bin ba bnursing btextbook.
d. First bconsult bthe bagency bprocedure bmanual
ANS: b D
Following bthe bagency’s bpolicies band bprocedures bmanual bis balways bbest bwhen bseeking
binformation bon bcorrect bclient bprocedures. bThese bpolicies bshould breflect bthe bcurrent
bstandards bof bcare band bthe bindividual bstate’s bguidelines. bEach bnurse bis bresponsible bfor bhis
bor bher bown bpractice. bRelying bon banother bnurse bmay bnot balways bbe ba bsafe bpractice. bEach
bnurse bis bobligated bto bfollow bthe bstandards bof bcare bfor bsafe bclient bcare bdelivery. bPhysicians
bare bresponsible bfor btheir bown bclient bcare bactivity. bNurses bmay bfollow bsafe borders bfrom
bphysicians, bbut bthey bare balso bresponsible bfor bthe bactivities bthat bthey, bas bnurses, bare bto
bcarry bout. bInformation bprovided bin ba bnursing btextbook bis bbasic binformation bfor bgeneral
bknowledge. bFurthermore, bthe binformation bin ba btextbook bmay bnot breflect bthe bcurrent
bstandard bof bcare bor bthe bindividual bstate bor bhospital bpolicies.
Test
Maternity and b b
Women's Health b
Care13thEdit b b
ion b
Lowdermilk Test b
Bank
, Maternity band bWomen's bHealth bCare b13th bEdition bLowdermilk
Test
Chapter 01: 21st Century Maternity and Women’s Health Nursing
b b b b b b b b
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
b b b b b b b b
MULTIPLE bCHOICE
1. In bevaluating bthe blevel bof ba bpregnant bwoman’s brisk bof bhaving ba blow-birth-weight
b(LBW) binfant, bwhich bfactor bis bthe bmost bimportant bfor bthe bnurse bto bconsider?
a. African-American brace
b. Cigarette bsmoking
c. Poor bnutritional bstatus
d. Limited bmaternal beducation
ANS: b A
The brise bin bthe boverall bLBW brates bwere bdue bto bincreases bin bLBW bbirths bto bnon-Hispanic
bblack bwomen b(13.35%) band bHispanic bwomen b(7.21%); bnon-Hispanic bblack binfants bare
balmost btwice bas blikely bas bnon-Hispanic bwhite binfants bto bbe bof bLBW band bto bdie bin bthe bfirst
byear bof blife.. bRace bis ba bnonmodifiable brisk bfactor. bCigarette bsmoking bis ban bimportant bfactor
bin bpotential binfant bmortality brates, bbut bit bis bnot bthe bmost bimportant. bAdditionally, bsmoking
bis ba bmodifiable brisk bfactor. bPoor bnutrition bis ban bimportant bfactor bin bpotential binfant
bmortality brates, bbut bit bis bnot bthe bmost bimportant. bAdditionally, bnutritional bstatus bis ba
bmodifiable brisk bfactor. bMaternal beducation bis ban bimportant bfactor bin bpotential binfant
bmortality brates, bbut bit bis bnot bthe bmost bimportant. bAdditionally, bmaternal beducation bis ba
bmodifiable brisk bfactor.
PTS: 1 DIF: Cognitive bLevel: bUnderstand
bTOP: Nursing bProcess: bAssessment
MSC: b b Client b Needs: b HealtN
hUPrRoS
mI ioG
otN nTanBd.M
CaOinMtenance, b Antepartum b Care
2. A b23-year-old bAfrican-American bwoman bis bpregnant bwith bher bfirst bchild. bBased bon
bcurrent bstatistics bfor binfant bmortality, bwhich bintervention bis bmost bimportant bfor bthe bnurse
bto binclude bin bthe bclient’s bplan bof bcare?
a. Perform ba bnutrition bassessment.
b. Refer bthe bwoman bto ba bsocial bworker.
c. Advise bthe bwoman bto bsee ban bobstetrician, bnot ba bmidwife.
d. Explain bto bthe bwoman bthe bimportance bof bkeeping bher bprenatal bcare bappointments.
ANS: b D
Consistent bprenatal bcare bis bthe bbest bmethod bof bpreventing bor bcontrolling brisk bfactors
bassociated bwith binfant bmortality. bNutritional bstatus bis ban bimportant bmodifiable brisk bfactor,
bbut bit bis bnot bthe bmost bimportant baction ba bnurse bshould btake bin bthis bsituation. bThe bclient
bmay bneed bassistance bfrom ba bsocial bworker bat bsome btime bduring bher bpregnancy, bbut ba
breferral bto ba bsocial bworker bis bnot bthe bmost bimportant baspect bthe bnurse bshould baddress bat
bthis btime. bIf bthe bwoman bhas bidentifiable bhigh-risk bproblems, bthen bher bhealth bcare bmay
bneed bto bbe bprovided bby ba bphysician. bHowever, bit bcannot bbe bassumed bthat ball bAfrican-
American bwomen bhave bhigh-risk bissues. bIn baddition, badvising bthe bwoman bto bsee ban
bobstetrician bis bnot bthe bmost bimportant baspect bon bwhich bthe bnurse bshould bfocus bat bthis
btime, band bit bis bnot bappropriate bfor ba bnurse bto badvise bor bmanage bthe btype bof bcare ba bclient bis
bto breceive.
PTS: 1 DIF: Cognitive bLevel: bUnderstand
bTOP: Nursing bProcess: bPlanning
, Maternity band bWomen's bHealth bCare b13th bEdition bLowdermilk
Test
MSC: b Client bNeeds: bHealth bPromotion band bMaintenance
3. The bnurses bworking bat ba bnewly bestablished bbirthing bcenter bhave bbegun bto bcompare
btheir bperformance bin bproviding bmaternal-newborn bcare bagainst bclinical bstandards.
bThis bcomparison bprocess bis bmost bcommonly bknown bas bwhat?
a. Best bpractices bnetwork
b. Clinical bbenchmarking
c. Outcomes-oriented bpracNtiUceR S
d. Evidence-based bpractice
ANS: b C
Outcomes-oriented bpractice bmeasures bthe beffectiveness bof bthe binterventions band bquality bof
bcare bagainst bbenchmarks bor bstandards. bThe bterm bbest bpractice brefers bto ba bprogram bor
bservice bthat bhas bbeen brecognized bfor bits bexcellence. bClinical bbenchmarking bis ba bprocess
bused bto bcompare bone’s bown bperformance bagainst bthe bperformance bof bthe bbest bin ban barea
bof bservice. bThe bterm bevidence-based bpractice brefers bto bthe bprovision bof bcare bbased bon
bevidence bgained bthrough bresearch band bclinical btrials.
PTS: 1 DIF: Cognitive bLevel: bUnderstand
bTOP: Nursing bProcess: bEvaluation
MSC: b Client bNeeds: bSafe band bEffective bCare bEnvironment
4. During ba bprenatal bintake binterview, bthe bnurse bis bin bthe bprocess bof bobtaining ban
binitial bassessment bof ba b21-year-old bHispanic bclient bwith blimited bEnglish
bproficiency. bWhich bintervention bis bthe bmost bimportant bfor bthe bnurse bto
bimplement?
a. Use bmaternity bjargon bto benable bthe bclient bto bbecome bfamiliar bwith bthese bterms.
b. Speak bquickly band befficiently bto bexpedite bthe bvisit.
c. Provide bthe bclient bwith bhandouts.
d. Assess bwhether bthe bclient bunderstands bthe bdiscussion.
ANS: b D
Nurses bcontribute bto bhealth bliteracy bby busing bsimple, bcommon bwords, bavoiding bjargon,
band bevaluating bwhether bthe bclient bunderstands bthe bdiscussion. bSpeaking bslowly band
bclearly band bfocusing bon bwhat bis bimportant bwill bincrease bunderstanding. bMost bclient
beducation bmaterials bare bwritten bat ba blevel btoo bhigh bfor bthe baverage badult band bmay bnot bbe
buseful bfor ba bclient bwith blimited bEnglish bproficiency.
PTS: 1 DIF: Cognitive bLevel: bApply
bTOP: Nursing bProcess: bImplementation
MSC: b Client bNeeds: bHealth bPromotion band bMaintenance
5. Which bstatement bbest bexemplifies bcontemporary bmaternity bnursing?
a. Use bof bmidwives bfor ball bvaginal bdeliveries
b. Family-centered bcare
c. Free-standing bbirth bclinics
d. Physician-driven bcare
ANS: b B
b
, Maternity band bWomen's bHealth bCare b13th bEdition bLowdermilk
Test
Contemporary bmaternity bnursing bfocuses bon bthe bfamily’s bneeds band bdesires. bFathers,
bpartners, bgrandparents, band bsiblings bmay bbe bpresent bfor bthe bbirth band bparticipate bin
bactivities bsuch bas bcutting bthe bbaby’s bumbilical bcord. bBoth bmidwives band bphysicians
bperform bvaginal bdeliveries. bFree-standing bclinics bare ban bexample bof balternative bbirth
boptions. bContemporary bmaternity bnursing bis bdriven bby bthe brelationship bbetween bnurses
band btheir bclients.
PTS: 1 DIF: Cognitive bLevel: bUnderstand
bTOP: Nursing bProcess: bPlanning
MSC: b Client bNeeds: bHealth bPromotion band bMaintenance
6. A b38-year-old bHispanic bwoman bvaginally bdelivered ba b9-pound, b6-ounce bbaby bgirl bafter
bbeing bin blabor bfor b43 bhours. bThe bbaby bdied b3 bdays blater bfrom bsepsis. bOn bwhat bgrounds
bcould bthe bwoman bhave ba blegitimate blegal bcase bfor bnegligence?
a. Inexperienced bmaternity bnurse bwas bassigned bto bcare bfor bthe bclient.
b. Client bwas bpast bher bdue bdate bby b3 bdays.
c. Standard bof bcare bwas bnot bmet.
d. Client brefused belectronic bfetal bmonitoring.
ANS: b C
Not bmeeting bthe bstandard bof bcare bis ba blegitimate bfactor bfor ba bcase bof bnegligence. bAn
binexperienced bmaternity bnurse bwould bneed bto bdisplay bcompetency bbefore bbeing bassigned bto
bcare bfor bclients bon bhis bor bher bown. bThis bclient bmay bhave bbeen bpast bher bdue bdate; bhowever,
ba bterm bpregnancy boften bgoes bbeyond b40 bweeks bof bgestation. bAlthough bfetal bmonitoring bis
bthe bstandard bof bcare, bthe bclient bhas bthe bright bto brefuse btreatment. bThis brefusal bis bnot ba bcase
bfor bnegligence, bbut binformed bconsent bshould bbe bproperly bobtained, band bthe bclient bshould
bhave bsigned ban bagainst bmedical badvice bform bwhen brefusing bany btreatment bthat bis bwithin
bthe bstandard bof bcare.
PTS: 1 DIF: Cognitive bLevel: bAnalyze
bTOP: Nursing bProcess: bImplementation
MSC: b Client bNeeds: bSafe band bEffective bCare bEnvironment
7. When bthe bnurse bis bunsure bhow bto bperform ba bclient bcare bprocedure bthat bis bhigh brisk band
blow bvolume, bhis bor bher bbest baction bin bthis bsituation bwould bbe bwhat?
a. Ask banother bnurse.
b. Discuss bthe bprocedure bwith bthe bclient’s bphysician.
c. Look bup bthe bprocedure bin ba bnursing btextbook.
d. First bconsult bthe bagency bprocedure bmanual
ANS: b D
Following bthe bagency’s bpolicies band bprocedures bmanual bis balways bbest bwhen bseeking
binformation bon bcorrect bclient bprocedures. bThese bpolicies bshould breflect bthe bcurrent
bstandards bof bcare band bthe bindividual bstate’s bguidelines. bEach bnurse bis bresponsible bfor bhis
bor bher bown bpractice. bRelying bon banother bnurse bmay bnot balways bbe ba bsafe bpractice. bEach
bnurse bis bobligated bto bfollow bthe bstandards bof bcare bfor bsafe bclient bcare bdelivery. bPhysicians
bare bresponsible bfor btheir bown bclient bcare bactivity. bNurses bmay bfollow bsafe borders bfrom
bphysicians, bbut bthey bare balso bresponsible bfor bthe bactivities bthat bthey, bas bnurses, bare bto
bcarry bout. bInformation bprovided bin ba bnursing btextbook bis bbasic binformation bfor bgeneral
bknowledge. bFurthermore, bthe binformation bin ba btextbook bmay bnot breflect bthe bcurrent
bstandard bof bcare bor bthe bindividual bstate bor bhospital bpolicies.
