Test bank for maternity women s health care
13th edition Author ;lowdermilk latest versio
n All CHAPTERs
1|Page
, 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
ANS: 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
mIotN
ioG
nTanBd.MCaO
inMtenance, Antepartum
Care
2|Page
, 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.
ANS: 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
3|Page
, 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 pracNtiUce
d. Evidence-based practice
ANS: 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.
ANS: D
Nurses contribute to health literacy by using simple, common words,
avoiding jargon, and evaluating whether the client understands the
4|Page
13th edition Author ;lowdermilk latest versio
n All CHAPTERs
1|Page
, 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
ANS: 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
mIotN
ioG
nTanBd.MCaO
inMtenance, Antepartum
Care
2|Page
, 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.
ANS: 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
3|Page
, 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 pracNtiUce
d. Evidence-based practice
ANS: 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.
ANS: D
Nurses contribute to health literacy by using simple, common words,
avoiding jargon, and evaluating whether the client understands the
4|Page
