TEST BANK FOR MATERNITY AND WOMEN'S
HEALTH CARE 13TH EDITION LOWDERMILK
,TEST BANK FOR MATERNITY AND WOMEN'S
HEALTH CARE 13TH EDITION LOWDERMILK
MATERNITY AND WOMEN'S HEALTH CARE 13TH EDITION LOWDERMILK TEST CHAPTER 01B:A2N1KST
CENTURY MATERNITY AND WOMEN’S HEALTH NURSING LOWDERMILK: MATERNITY & WOMEN’S
HEALTH CARE, 12TH 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: HEALTNHUPRROSMIOTNIOGNTANBD.MCAOINMTENANCE, 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 PRACNTIUCERS
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
HEALTH CARE 13TH EDITION LOWDERMILK
,TEST BANK FOR MATERNITY AND WOMEN'S
HEALTH CARE 13TH EDITION LOWDERMILK
MATERNITY AND WOMEN'S HEALTH CARE 13TH EDITION LOWDERMILK TEST CHAPTER 01B:A2N1KST
CENTURY MATERNITY AND WOMEN’S HEALTH NURSING LOWDERMILK: MATERNITY & WOMEN’S
HEALTH CARE, 12TH 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: HEALTNHUPRROSMIOTNIOGNTANBD.MCAOINMTENANCE, 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 PRACNTIUCERS
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
