FOR MATERNITY AND WOMEN'S
HEALTHCARE 13TH EDITION LOWDERMILK
,Chapter# 0 1 : 2 1 s t Century Maternity And Women’s Health Nursing Lowdermilk:
Maternity & Women’s Health Care, 12th Edition
Multiple Choice
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?
African-American Race
Cigarette Smoking
Poor Nutritional Status
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 InPotential 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: 1Dif: Cognitive Level: Understand Top: Nursing Process: Assessment
Msc: Client Needs: Healnance, Antepartum Care
A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based On
CurrentStatistics For Infant Mortality, Which Intervention Is Most Important For The Nurse To
IncludeIn The Client’s Plan Of Care?
Perform A Nutrition Assessment.
Refer The Woman To A Social Worker.
Advise The Woman To See An Obstetrician, Not A Midwife.
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,
ButIt 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 SocialWorker 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-RiskIssues. 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: 1Dif: Cognitive Level: Understand Top: Nursing Process: Planning
,AllTestsBank
Msc: Client Needs: Health Promotion And Maintenance
The Nurses Working At A Newly Established Birthing Center Have Begun To Compare
TheirPerformance In Providing Maternal-Newborn Care Against Clinical Standards. This
Comparison Process Is Most Commonly Known As What?
Best Practices Network
Clinical Benchmarking
Outcomes-Oriented Pracnt
iuc er s 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
ServiceThat 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
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?
Use Maternity Jargon To Enable The Client To Become Familiar With These Terms.
Speak Quickly And Efficiently To Expedite The Visit.
Provide The Client With Handouts.
Assess Whether The Client Understands The
Discussion. ANSWER: D
Nurses Contribute To Health Literacy By Using Simple, Common Words, Avoiding Jargon,
AndEvaluating Whether The Client Understands The Discussion. Speaking Slowly And
Clearly AndFocusing On What Is Important Will Increase Understanding. Most Client
Education MaterialsAre Written At A Level Too High For The Average Adult And May Not
Be Useful For A Client WithLimited English Proficiency.
Pts: 1 Dif: Cognitive Level: Apply Top: Nursing Process:
Implementation Msc: Client Needs: Health Promotion And Maintenance
Which Statement Best Exemplifies Contemporary Maternity Nursing?
Use Of Midwives For All Vaginal Deliveries
Family-Centered Care
Free-Standing Birth Clinics
Physician-Driven CareANSWER: B
, AllTestsBank
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
ActivitiesSuch As Cutting The Baby’s Umbilical Cord. Both Midwives And PhysiciANSWER
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
A 38-Year-Old Hispanic Woman Vaginally Delivered A 9-Pound, 6-Ounce Baby Girl
After BeingIn 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?
Inexperienced Maternity Nurse Was Assigned To Care For The Client.
Client Was Past Her Due Date By 3 Days.
Standard Of Care Was Not Met.
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
ToCare For Clients On His Or Her Own. This Client May Have Been Past Her Due Date;
However, ATerm Pregnancy Often Goes Beyond 40 Weeks Of Gestation.
Although Fetal Monitoring Is TheStandard 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
When The Nurse Is Unsure How To Perform A Client Care Procedure That Is High Risk And
LowVolume, His Or Her Best Action In This Situation Would Be What?
Ask Another Nurse.
Discuss The Procedure With The Client’s Physician.
Look Up The Procedure In A Nursing Textbook.
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
StandardsOf 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.
PhysiciANSWER Are Responsible For Their Own Client Care Activity. Nurses May Follow
Safe Orders From PhysiciANSWER, 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.
HEALTHCARE 13TH EDITION LOWDERMILK
,Chapter# 0 1 : 2 1 s t Century Maternity And Women’s Health Nursing Lowdermilk:
Maternity & Women’s Health Care, 12th Edition
Multiple Choice
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?
African-American Race
Cigarette Smoking
Poor Nutritional Status
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 InPotential 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: 1Dif: Cognitive Level: Understand Top: Nursing Process: Assessment
Msc: Client Needs: Healnance, Antepartum Care
A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based On
CurrentStatistics For Infant Mortality, Which Intervention Is Most Important For The Nurse To
IncludeIn The Client’s Plan Of Care?
Perform A Nutrition Assessment.
Refer The Woman To A Social Worker.
Advise The Woman To See An Obstetrician, Not A Midwife.
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,
ButIt 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 SocialWorker 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-RiskIssues. 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: 1Dif: Cognitive Level: Understand Top: Nursing Process: Planning
,AllTestsBank
Msc: Client Needs: Health Promotion And Maintenance
The Nurses Working At A Newly Established Birthing Center Have Begun To Compare
TheirPerformance In Providing Maternal-Newborn Care Against Clinical Standards. This
Comparison Process Is Most Commonly Known As What?
Best Practices Network
Clinical Benchmarking
Outcomes-Oriented Pracnt
iuc er s 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
ServiceThat 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
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?
Use Maternity Jargon To Enable The Client To Become Familiar With These Terms.
Speak Quickly And Efficiently To Expedite The Visit.
Provide The Client With Handouts.
Assess Whether The Client Understands The
Discussion. ANSWER: D
Nurses Contribute To Health Literacy By Using Simple, Common Words, Avoiding Jargon,
AndEvaluating Whether The Client Understands The Discussion. Speaking Slowly And
Clearly AndFocusing On What Is Important Will Increase Understanding. Most Client
Education MaterialsAre Written At A Level Too High For The Average Adult And May Not
Be Useful For A Client WithLimited English Proficiency.
Pts: 1 Dif: Cognitive Level: Apply Top: Nursing Process:
Implementation Msc: Client Needs: Health Promotion And Maintenance
Which Statement Best Exemplifies Contemporary Maternity Nursing?
Use Of Midwives For All Vaginal Deliveries
Family-Centered Care
Free-Standing Birth Clinics
Physician-Driven CareANSWER: B
, AllTestsBank
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
ActivitiesSuch As Cutting The Baby’s Umbilical Cord. Both Midwives And PhysiciANSWER
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
A 38-Year-Old Hispanic Woman Vaginally Delivered A 9-Pound, 6-Ounce Baby Girl
After BeingIn 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?
Inexperienced Maternity Nurse Was Assigned To Care For The Client.
Client Was Past Her Due Date By 3 Days.
Standard Of Care Was Not Met.
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
ToCare For Clients On His Or Her Own. This Client May Have Been Past Her Due Date;
However, ATerm Pregnancy Often Goes Beyond 40 Weeks Of Gestation.
Although Fetal Monitoring Is TheStandard 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
When The Nurse Is Unsure How To Perform A Client Care Procedure That Is High Risk And
LowVolume, His Or Her Best Action In This Situation Would Be What?
Ask Another Nurse.
Discuss The Procedure With The Client’s Physician.
Look Up The Procedure In A Nursing Textbook.
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
StandardsOf 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.
PhysiciANSWER Are Responsible For Their Own Client Care Activity. Nurses May Follow
Safe Orders From PhysiciANSWER, 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.
