Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
Chapter 01: 21st Century Maternity and Women’s Health Nursing
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Lowdermilk: Maternity & Women’s Health Care, 11th Edition
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MULTIPLE CHOICE q
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
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which factor is the most important for the nurse to consider?
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a. African-American race q
b. Cigarette smoking q
c. Poor nutritional status q q
d. Limited maternal education q q
ANS: A q
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
q q q q q q q q q q q q q q q
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
q q q q q q q q q q q q q q q q
Poor nutrition is an important factor in potential infant mortality rates, but it is notthe most
q q q q q q q q q q q q q q q q q
important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
q q q q q q q q q q q q q
important factor in potential infant mortality rates, but it is not the most important. Additionally,
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maternal education is a modifiable risk factor.
q q q q q q q
DIF: Cognitive Level: Understand REF: p. 6 q q q q
TOP: Nursing Process: Assessment
q q q q
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
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2. What is the primary role of practicing nurses in the research process?
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a. Designing research studies q q
b. Collecting data for other researchers q q q q
c. Identifying researchable problems q q
d. Seeking funding to support research studies q q q q q
ANS: C q
When problems are identified, research can be properly conducted. Research of health care
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issues leads to evidence-based practice guidelines. Designing research studies is only one factor
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of the research process. Data collection is another factor of research. Financial supportis
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necessary to conduct research, but it is not the primary role of the nurse in the research process.
q q q q q q q q q q q q q q q q q q
DIF: Cognitive Level: Understand REF: p. 14 q q qqq q TOP: Nursing Process: N/A q q q
MSC: Client Needs: Safe and Effective Care Environment
q q q q q q q q
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
q q q q q q q q q q q q
,Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
statistics for infant mortality, which plan is most important for the nurse to implement?
q q q q q q q q q q q q q q
a. Perform a nutrition assessment.
q q q
b. Refer the woman to a social worker.
q q q q q q
c. Advise the woman to see an obstetrician, not a midwife.
q q q q q q q q q
d. Explain to the woman the importance of keeping her prenatal care appointments.
q q q q q q q q q q q
ANS: D
q
,Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
Consistent prenatal care is the best method of preventing or controlling risk factors associated
q q q q q q q q q q q q q
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not themost
q q q q q q q q q q q q q q q q q
important action a nurse should take in this situation. The client may need assistance from a social
q q q q q q q q q q q q q q q q q
worker at some time during her pregnancy, but a referral to a social worker is not the most
q q q q q q q q q q q q q q q q q q
important aspect the nurse should address at this time. If the woman has identifiable high-risk
q q q q q q q q q q q q q q q
problems, then her health care may need to be provided by a physician. However, it cannot be
q q q q q q q q q q q q q q q q q
assumed that all African-American women have high-risk issues. In addition, advising the
q q q q q q q q q q q q
woman to see an obstetrician is not the most important aspect on whichthe nurse should focus at
q q q q q q q q q q q q q q q q q q
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
q q q q q q q q q q q q q q q q q q q q q q
receive.
q
DIF: Cognitive Level: Understand REF: p. 6 q q qqq q TOP: Nursing Process: Planning q q q
MSC: Client Needs: Health Promotion and Maintenance
q q q q q q q
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of
q q q q q q q q q q q q q q q q
a 21-year-old Hispanic client with limited English proficiency. Which action isthe most
q q q q q q q q q q q q q
important for the nurse to perform?
q q q q q q
a. Use maternity jargon to enable the client to become familiar with these terms.
q q q q q q q q q q q q
b. Speak quickly and efficiently to expedite the visit. q q q q q q q
c. Provide the client with handouts. q q q q
d. Assess whether the client understands the discussion. q q q q q q
ANS: D q
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
q q q q q q q q q q q q
evaluating whether the client understands the discussion. Speaking slowly and clearly and
q q q q q q q q q q q q
focusing on what is important will increase understanding. Most client education materials are
q q q q q q q q q q q q q
written at a level too high for the average adult and may not be useful for a client with limited
q q q q q q q q q q q q q q q q q q q q
English proficiency.
q q
DIF: Cognitive Level: Apply REF: p. 5 q q qqq q TOP: Nursing Process: Evaluation q q q
MSC: Client Needs: Health Promotion and Maintenance
q q q q q q q
5. The nurses working at a newly established birthing center have begun to compare their
q q q q q q q q q q q q q
performance in providing maternal-newborn care against clinical standards. This comparison
q q q q q q q q q q
process is most commonly known as what?
q q q q q q q
a. Best practices network q q
b. Clinical benchmarking q
c. Outcomes-oriented practice q
d. Evidence-based practice q
ANS: C q
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care q q q q q q q q q q q
against benchmarks or standards. The term best practice refers to a program or service that has
q q q q q q q q q q q q q q q q
been recognized for its excellence. Clinical benchmarking is a process used to compare one’s own
q q q q q q q q q q q q q q q
performance against the performance of the best in an area of service. The term evidence-based
q q q q q q q q q q q q q q q
practice refers to the provision of care based on evidence gained through research and clinical
q q q q q q q q q q q q q q q
trials.
q
, Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
DIF: Cognitive Level: Understand
q q REF: p. 11
qqq q TOP: Nursing Process: Evaluation
q q q
MSC: Client Needs: Safe and Effective Care Environment
q q q q q q q q
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
Chapter 01: 21st Century Maternity and Women’s Health Nursing
q q q q q q q q
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
q q q q q q q q
MULTIPLE CHOICE q
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
q q q q q q q q q q q q q q
which factor is the most important for the nurse to consider?
q q q q q q q q q q q
a. African-American race q
b. Cigarette smoking q
c. Poor nutritional status q q
d. Limited maternal education q q
ANS: A q
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
q q q q q q q q q q q q q
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
q q q q q q q q q q q q q q q
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
q q q q q q q q q q q q q q q q
Poor nutrition is an important factor in potential infant mortality rates, but it is notthe most
q q q q q q q q q q q q q q q q q
important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
q q q q q q q q q q q q q
important factor in potential infant mortality rates, but it is not the most important. Additionally,
q q q q q q q q q q q q q q q
maternal education is a modifiable risk factor.
q q q q q q q
DIF: Cognitive Level: Understand REF: p. 6 q q q q
TOP: Nursing Process: Assessment
q q q q
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
q q q q q q q q
2. What is the primary role of practicing nurses in the research process?
q q q q q q q q q q q
a. Designing research studies q q
b. Collecting data for other researchers q q q q
c. Identifying researchable problems q q
d. Seeking funding to support research studies q q q q q
ANS: C q
When problems are identified, research can be properly conducted. Research of health care
q q q q q q q q q q q q
issues leads to evidence-based practice guidelines. Designing research studies is only one factor
q q q q q q q q q q q q q
of the research process. Data collection is another factor of research. Financial supportis
q q q q q q q q q q q q q q
necessary to conduct research, but it is not the primary role of the nurse in the research process.
q q q q q q q q q q q q q q q q q q
DIF: Cognitive Level: Understand REF: p. 14 q q qqq q TOP: Nursing Process: N/A q q q
MSC: Client Needs: Safe and Effective Care Environment
q q q q q q q q
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
q q q q q q q q q q q q
,Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
statistics for infant mortality, which plan is most important for the nurse to implement?
q q q q q q q q q q q q q q
a. Perform a nutrition assessment.
q q q
b. Refer the woman to a social worker.
q q q q q q
c. Advise the woman to see an obstetrician, not a midwife.
q q q q q q q q q
d. Explain to the woman the importance of keeping her prenatal care appointments.
q q q q q q q q q q q
ANS: D
q
,Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
Consistent prenatal care is the best method of preventing or controlling risk factors associated
q q q q q q q q q q q q q
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not themost
q q q q q q q q q q q q q q q q q
important action a nurse should take in this situation. The client may need assistance from a social
q q q q q q q q q q q q q q q q q
worker at some time during her pregnancy, but a referral to a social worker is not the most
q q q q q q q q q q q q q q q q q q
important aspect the nurse should address at this time. If the woman has identifiable high-risk
q q q q q q q q q q q q q q q
problems, then her health care may need to be provided by a physician. However, it cannot be
q q q q q q q q q q q q q q q q q
assumed that all African-American women have high-risk issues. In addition, advising the
q q q q q q q q q q q q
woman to see an obstetrician is not the most important aspect on whichthe nurse should focus at
q q q q q q q q q q q q q q q q q q
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
q q q q q q q q q q q q q q q q q q q q q q
receive.
q
DIF: Cognitive Level: Understand REF: p. 6 q q qqq q TOP: Nursing Process: Planning q q q
MSC: Client Needs: Health Promotion and Maintenance
q q q q q q q
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of
q q q q q q q q q q q q q q q q
a 21-year-old Hispanic client with limited English proficiency. Which action isthe most
q q q q q q q q q q q q q
important for the nurse to perform?
q q q q q q
a. Use maternity jargon to enable the client to become familiar with these terms.
q q q q q q q q q q q q
b. Speak quickly and efficiently to expedite the visit. q q q q q q q
c. Provide the client with handouts. q q q q
d. Assess whether the client understands the discussion. q q q q q q
ANS: D q
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
q q q q q q q q q q q q
evaluating whether the client understands the discussion. Speaking slowly and clearly and
q q q q q q q q q q q q
focusing on what is important will increase understanding. Most client education materials are
q q q q q q q q q q q q q
written at a level too high for the average adult and may not be useful for a client with limited
q q q q q q q q q q q q q q q q q q q q
English proficiency.
q q
DIF: Cognitive Level: Apply REF: p. 5 q q qqq q TOP: Nursing Process: Evaluation q q q
MSC: Client Needs: Health Promotion and Maintenance
q q q q q q q
5. The nurses working at a newly established birthing center have begun to compare their
q q q q q q q q q q q q q
performance in providing maternal-newborn care against clinical standards. This comparison
q q q q q q q q q q
process is most commonly known as what?
q q q q q q q
a. Best practices network q q
b. Clinical benchmarking q
c. Outcomes-oriented practice q
d. Evidence-based practice q
ANS: C q
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care q q q q q q q q q q q
against benchmarks or standards. The term best practice refers to a program or service that has
q q q q q q q q q q q q q q q q
been recognized for its excellence. Clinical benchmarking is a process used to compare one’s own
q q q q q q q q q q q q q q q
performance against the performance of the best in an area of service. The term evidence-based
q q q q q q q q q q q q q q q
practice refers to the provision of care based on evidence gained through research and clinical
q q q q q q q q q q q q q q q
trials.
q
, Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
DIF: Cognitive Level: Understand
q q REF: p. 11
qqq q TOP: Nursing Process: Evaluation
q q q
MSC: Client Needs: Safe and Effective Care Environment
q q q q q q q q
