Test Bank For Lowdermilk: Maternity & Women’s
Health Care, 13th Edition
,Chapter 01: 21st Century Maternity And Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th 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
ANSWER: 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: Healtn
huprros
mi iog
otn ntanbd.M
caoinmtenance, 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.
ANSWER: 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 Pracntiucer s
d. Evidence-Based Practice
ANSWER: 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.
ANSWER: 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 ANSWER: 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.
ANSWER: 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
7. When The NURSE Is Unsure How To Perform A Client Care Procedure That Is High
Risk And Low Volume, His Or Her Best Action In This Situation Would Be What?
a. Ask Another NURSE.
b. Discuss The Procedure With The Client’s Physician.
c. Look Up The Procedure In A Nursing Textbook.
d. First Consult The Agency Procedure Manual
ANSWER: D
Following The Agency’s Policies And Procedures Manual Is Always Best When Seeking
Information On Correct Client Procedures. These Policies Should Reflect The Current
Standards Of Care And The Individual State’s 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 Of Care For Safe Client
Care Delivery. Physicians Are Responsible For Their Own Client Care Activity. NURSEs
May Follow Safe Orders From Physicians, But They Are Also Responsible For The
Activities 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 The Current Standard Of Care Or The Individual State Or
Hospital Policies.
Health Care, 13th Edition
,Chapter 01: 21st Century Maternity And Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th 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
ANSWER: 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: Healtn
huprros
mi iog
otn ntanbd.M
caoinmtenance, 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.
ANSWER: 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 Pracntiucer s
d. Evidence-Based Practice
ANSWER: 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.
ANSWER: 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 ANSWER: 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.
ANSWER: 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
7. When The NURSE Is Unsure How To Perform A Client Care Procedure That Is High
Risk And Low Volume, His Or Her Best Action In This Situation Would Be What?
a. Ask Another NURSE.
b. Discuss The Procedure With The Client’s Physician.
c. Look Up The Procedure In A Nursing Textbook.
d. First Consult The Agency Procedure Manual
ANSWER: D
Following The Agency’s Policies And Procedures Manual Is Always Best When Seeking
Information On Correct Client Procedures. These Policies Should Reflect The Current
Standards Of Care And The Individual State’s 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 Of Care For Safe Client
Care Delivery. Physicians Are Responsible For Their Own Client Care Activity. NURSEs
May Follow Safe Orders From Physicians, But They Are Also Responsible For The
Activities 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 The Current Standard Of Care Or The Individual State Or
Hospital Policies.
