Maternity4cand4cWomen's4cHealth4cCare4c13th4cEdition4cLowdermilk4c
Test
, Maternity4cand4cWomen's4cHealth4cCare4c13th4cEdition4cLowdermilk4c
Test
Chapter4c01:4c21st4cCentury4cMaternity4cand4cWomen’s4cHealth4cNursing4cLowder
milk:4cMaternity4c&4cWomen’s4cHealth4cCare,4c13th4cEdition
MULTIPLE4cCHOICE
1. In4cevaluating4cthe4clevel4cof4ca4cpregnant4cwoman’s4crisk4cof4chaving4ca4clow-birth-
weight4c(LBW)4cinfant,4cwhich4cfactor4cis4cthe4cmost4cimportant4cfor4cthe4cnurse4cto4cconsid
er?
a. African-American4c race
b. Cigarette4csmoking
c. Poor4cnutritional4cstatus
d. Limited4cmaternal4ceducation
ANS:4 c A
The4crise4cin4cthe4coverall4cLBW4crates4cwere4cdue4cto4cincreases4cin4cLBW4cbirths4cto4cnon-
Hispanic4cblack4cwomen4c(13.35%)4cand4cHispanic4cwomen4c(7.21%);4cnon-
Hispanic4cblack4cinfants4care4calmost4ctwice4cas4clikely4cas4cnon-
Hispanic4cwhite4cinfants4cto4cbe4cof4cLBW4cand4cto4cdie4cin4cthe4cfirst4cyear4cof4clife..4cRace4cis4ca4c
nonmodifiable4crisk4cfactor.4cCigarette4csmoking4cis4can4cimportant4cfactor4cin4cpotential4cinfant4c
mortality4crates,4cbut4cit4cis4cnot4cthe4cmost4cimportant.4cAdditionally,4csmoking4cis4ca4cmodifiabl
e4crisk4cfactor.4cPoor4cnutrition4cis4can4cimportant4cfactor4cin4cpotential4cinfant4cmortality4crates,4c
but4cit4cis4cnot4cthe4cmost4cimportant.4cAdditionally,4cnutritional4cstatus4cis4ca4cmodifiable4crisk4cf
actor.4cMaternal4ceducation4cis4can4cimportant4cfactor4cin4cpotential4cinfant4cmortality4crates,4cbu
t4cit4cis4cnot4cthe4cmost4cimportant.4cAdditionally,4cmaternal4ceducation4cis4ca4cmodifiable4crisk4cf
actor.
PTS: 1 DIF:
Cognitive4cLevel:4cUnderstand4cTOP:
Nursing4cProcess:4cAssessment
MSC:4 c 4 c Client4 c Needs:4 c HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,4 c Antepartum4 c Care
2. A4c23-year-old4cAfrican-
American4cwoman4cis4cpregnant4cwith4cher4cfirst4cchild.4cBased4con4ccurrent4cstatistics4cfor4cinf
ant4cmortality,4cwhich4cintervention4cis4cmost4cimportant4cfor4cthe4cnurse4cto4cinclude4cin4cthe4ccl
ient’s4cplan4cof4ccare?
a. Perform4ca4cnutrition4cassessment.
b. Refer4cthe4cwoman4cto4ca4csocial4cworker.
c. Advise4cthe4cwoman4cto4csee4can4cobstetrician,4cnot4ca4cmidwife.
d. Explain4cto4cthe4cwoman4cthe4cimportance4cof4ckeeping4cher4cprenatal4ccare4cappointments.
ANS:4 c D
Consistent4cprenatal4ccare4cis4cthe4cbest4cmethod4cof4cpreventing4cor4ccontrolling4crisk4cfactors4ca
ssociated4cwith4cinfant4cmortality.4cNutritional4cstatus4cis4can4cimportant4cmodifiable4crisk4cfactor,
4cbut4cit4cis4cnot4cthe4cmost4cimportant4caction4ca4cnurse4cshould4ctake4cin4cthis4csituation.4cThe4ccli
ent4cmay4cneed4cassistance4cfrom4ca4csocial4cworker4cat4csome4ctime4cduring4cher4cpregnancy,4cbu
t4ca4creferral4cto4ca4csocial4cworker4cis4cnot4cthe4cmost4cimportant4caspect4cthe4cnurse4cshould4cadd
ress4cat4cthis4ctime.4cIf4cthe4cwoman4chas4cidentifiable4chigh-
risk4cproblems,4cthen4cher4chealth4ccare4cmay4cneed4cto4cbe4cprovided4cby4ca4cphysician.4cHowev
er,4cit4ccannot4cbe4cassumed4cthat4call4cAfrican-American4cwomen4chave4chigh-
risk4cissues.4cIn4caddition,4cadvising4cthe4cwoman4cto4csee4can4cobstetrician4cis4cnot4cthe4cmost4ci
mportant4caspect4con4cwhich4cthe4cnurse4cshould4cfocus4cat4cthis4ctime,4cand4cit4cis4cnot4cappropri
ate4cfor4ca4cnurse4cto4cadvise4cor4cmanage4cthe4ctype4cof4ccare4ca4cclient4cis4cto4creceive.
PTS: 1 DIF:
,Maternity4cand4cWomen's4cHealth4cCare4c13th4cEdition4cLowdermilk4c
Test
Cognitive4cLevel:4cUnderstand4cTOP:
Nursing4cProcess:4cPlanning
, Maternity4cand4cWomen's4cHealth4cCare4c13th4cEdition4cLowdermilk4c
Test
MSC:4c Client4cNeeds:4cHealth4cPromotion4cand4cMaintenance
3. The4cnurses4cworking4cat4ca4cnewly4cestablished4cbirthing4ccenter4chave4cbegun4cto4ccompar
e4ctheir4cperformance4cin4cproviding4cmaternal-
newborn4ccare4cagainst4cclinical4cstandards.4cThis4ccomparison4cprocess4cis4cmost4ccomm
only4cknown4cas4cwhat?
a. Best4cpractices4cnetwork
b. Clinical4cbenchmarking
c. Outcomes-oriented4 c pracNt iU
ceR S
d. Evidence-based4cpractice
ANS:4 c C
Outcomes-
oriented4cpractice4cmeasures4cthe4ceffectiveness4cof4cthe4cinterventions4cand4cquality4cof4ccare4ca
gainst4cbenchmarks4cor4cstandards.4cThe4cterm4cbest4cpractice4crefers4cto4ca4cprogram4cor4cservice4c
that4chas4cbeen4crecognized4cfor4cits4cexcellence.4cClinical4cbenchmarking4cis4ca4cprocess4cused4c
to4ccompare4cone’s4cown4cperformance4cagainst4cthe4cperformance4cof4cthe4cbest4cin4can4carea4cof
4cservice.4cThe4cterm4cevidence-
based4cpractice4crefers4cto4cthe4cprovision4cof4ccare4cbased4con4cevidence4cgained4cthrough4crese
arch4cand4cclinical4ctrials.
PTS: 1 DIF:
Cognitive4cLevel:4cUnderstand4cTOP:
Nursing4cProcess:4cEvaluation
MSC:4c Client4cNeeds:4cSafe4cand4cEffective4cCare4cEnvironment
4. During4ca4cprenatal4cintake4cinterview,4cthe4cnurse4cis4cin4cthe4cprocess4cof4cobtaining4can
4cinitial4cassessment4cof4ca4c21-year-
old4cHispanic4cclient4cwith4climited4cEnglish4cproficiency.4cWhich4cintervention4cis4cthe4
cmost4cimportant4cfor4cthe4cnurse4cto4cimplement?
a. Use4cmaternity4cjargon4cto4cenable4cthe4cclient4cto4cbecome4cfamiliar4cwith4cthese4cterms.
b. Speak4cquickly4cand4cefficiently4cto4cexpedite4cthe4cvisit.
c. Provide4cthe4cclient4cwith4chandouts.
d. Assess4cwhether4cthe4cclient4cunderstands4cthe4cdiscussion.
ANS:4 c D
Nurses4ccontribute4cto4chealth4cliteracy4cby4cusing4csimple,4ccommon4cwords,4cavoiding4cjargo
n,4cand4cevaluating4cwhether4cthe4cclient4cunderstands4cthe4cdiscussion.4cSpeaking4cslowly4can
d4cclearly4cand4cfocusing4con4cwhat4cis4cimportant4cwill4cincrease4cunderstanding.4cMost4cclient4c
education4cmaterials4care4cwritten4cat4ca4clevel4ctoo4chigh4cfor4cthe4caverage4cadult4cand4cmay4cn
ot4cbe4cuseful4cfor4ca4cclient4cwith4climited4cEnglish4cproficiency.
PTS: 1 DIF:
Cognitive4cLevel:4cApply4cTOP:
Nursing4cProcess:4cImplementation
MSC:4c Client4cNeeds:4cHealth4cPromotion4cand4cMaintenance
5. Which4cstatement4cbest4cexemplifies4ccontemporary4cmaternity4cnursing?
a. Use4cof4cmidwives4cfor4call4cvaginal4cdeliveries
b. Family-centered4ccare
c. Free-standing4cbirth4cclinics
d. Physician-
driven4ccare4cANS:4 c B
Test
, Maternity4cand4cWomen's4cHealth4cCare4c13th4cEdition4cLowdermilk4c
Test
Chapter4c01:4c21st4cCentury4cMaternity4cand4cWomen’s4cHealth4cNursing4cLowder
milk:4cMaternity4c&4cWomen’s4cHealth4cCare,4c13th4cEdition
MULTIPLE4cCHOICE
1. In4cevaluating4cthe4clevel4cof4ca4cpregnant4cwoman’s4crisk4cof4chaving4ca4clow-birth-
weight4c(LBW)4cinfant,4cwhich4cfactor4cis4cthe4cmost4cimportant4cfor4cthe4cnurse4cto4cconsid
er?
a. African-American4c race
b. Cigarette4csmoking
c. Poor4cnutritional4cstatus
d. Limited4cmaternal4ceducation
ANS:4 c A
The4crise4cin4cthe4coverall4cLBW4crates4cwere4cdue4cto4cincreases4cin4cLBW4cbirths4cto4cnon-
Hispanic4cblack4cwomen4c(13.35%)4cand4cHispanic4cwomen4c(7.21%);4cnon-
Hispanic4cblack4cinfants4care4calmost4ctwice4cas4clikely4cas4cnon-
Hispanic4cwhite4cinfants4cto4cbe4cof4cLBW4cand4cto4cdie4cin4cthe4cfirst4cyear4cof4clife..4cRace4cis4ca4c
nonmodifiable4crisk4cfactor.4cCigarette4csmoking4cis4can4cimportant4cfactor4cin4cpotential4cinfant4c
mortality4crates,4cbut4cit4cis4cnot4cthe4cmost4cimportant.4cAdditionally,4csmoking4cis4ca4cmodifiabl
e4crisk4cfactor.4cPoor4cnutrition4cis4can4cimportant4cfactor4cin4cpotential4cinfant4cmortality4crates,4c
but4cit4cis4cnot4cthe4cmost4cimportant.4cAdditionally,4cnutritional4cstatus4cis4ca4cmodifiable4crisk4cf
actor.4cMaternal4ceducation4cis4can4cimportant4cfactor4cin4cpotential4cinfant4cmortality4crates,4cbu
t4cit4cis4cnot4cthe4cmost4cimportant.4cAdditionally,4cmaternal4ceducation4cis4ca4cmodifiable4crisk4cf
actor.
PTS: 1 DIF:
Cognitive4cLevel:4cUnderstand4cTOP:
Nursing4cProcess:4cAssessment
MSC:4 c 4 c Client4 c Needs:4 c HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,4 c Antepartum4 c Care
2. A4c23-year-old4cAfrican-
American4cwoman4cis4cpregnant4cwith4cher4cfirst4cchild.4cBased4con4ccurrent4cstatistics4cfor4cinf
ant4cmortality,4cwhich4cintervention4cis4cmost4cimportant4cfor4cthe4cnurse4cto4cinclude4cin4cthe4ccl
ient’s4cplan4cof4ccare?
a. Perform4ca4cnutrition4cassessment.
b. Refer4cthe4cwoman4cto4ca4csocial4cworker.
c. Advise4cthe4cwoman4cto4csee4can4cobstetrician,4cnot4ca4cmidwife.
d. Explain4cto4cthe4cwoman4cthe4cimportance4cof4ckeeping4cher4cprenatal4ccare4cappointments.
ANS:4 c D
Consistent4cprenatal4ccare4cis4cthe4cbest4cmethod4cof4cpreventing4cor4ccontrolling4crisk4cfactors4ca
ssociated4cwith4cinfant4cmortality.4cNutritional4cstatus4cis4can4cimportant4cmodifiable4crisk4cfactor,
4cbut4cit4cis4cnot4cthe4cmost4cimportant4caction4ca4cnurse4cshould4ctake4cin4cthis4csituation.4cThe4ccli
ent4cmay4cneed4cassistance4cfrom4ca4csocial4cworker4cat4csome4ctime4cduring4cher4cpregnancy,4cbu
t4ca4creferral4cto4ca4csocial4cworker4cis4cnot4cthe4cmost4cimportant4caspect4cthe4cnurse4cshould4cadd
ress4cat4cthis4ctime.4cIf4cthe4cwoman4chas4cidentifiable4chigh-
risk4cproblems,4cthen4cher4chealth4ccare4cmay4cneed4cto4cbe4cprovided4cby4ca4cphysician.4cHowev
er,4cit4ccannot4cbe4cassumed4cthat4call4cAfrican-American4cwomen4chave4chigh-
risk4cissues.4cIn4caddition,4cadvising4cthe4cwoman4cto4csee4can4cobstetrician4cis4cnot4cthe4cmost4ci
mportant4caspect4con4cwhich4cthe4cnurse4cshould4cfocus4cat4cthis4ctime,4cand4cit4cis4cnot4cappropri
ate4cfor4ca4cnurse4cto4cadvise4cor4cmanage4cthe4ctype4cof4ccare4ca4cclient4cis4cto4creceive.
PTS: 1 DIF:
,Maternity4cand4cWomen's4cHealth4cCare4c13th4cEdition4cLowdermilk4c
Test
Cognitive4cLevel:4cUnderstand4cTOP:
Nursing4cProcess:4cPlanning
, Maternity4cand4cWomen's4cHealth4cCare4c13th4cEdition4cLowdermilk4c
Test
MSC:4c Client4cNeeds:4cHealth4cPromotion4cand4cMaintenance
3. The4cnurses4cworking4cat4ca4cnewly4cestablished4cbirthing4ccenter4chave4cbegun4cto4ccompar
e4ctheir4cperformance4cin4cproviding4cmaternal-
newborn4ccare4cagainst4cclinical4cstandards.4cThis4ccomparison4cprocess4cis4cmost4ccomm
only4cknown4cas4cwhat?
a. Best4cpractices4cnetwork
b. Clinical4cbenchmarking
c. Outcomes-oriented4 c pracNt iU
ceR S
d. Evidence-based4cpractice
ANS:4 c C
Outcomes-
oriented4cpractice4cmeasures4cthe4ceffectiveness4cof4cthe4cinterventions4cand4cquality4cof4ccare4ca
gainst4cbenchmarks4cor4cstandards.4cThe4cterm4cbest4cpractice4crefers4cto4ca4cprogram4cor4cservice4c
that4chas4cbeen4crecognized4cfor4cits4cexcellence.4cClinical4cbenchmarking4cis4ca4cprocess4cused4c
to4ccompare4cone’s4cown4cperformance4cagainst4cthe4cperformance4cof4cthe4cbest4cin4can4carea4cof
4cservice.4cThe4cterm4cevidence-
based4cpractice4crefers4cto4cthe4cprovision4cof4ccare4cbased4con4cevidence4cgained4cthrough4crese
arch4cand4cclinical4ctrials.
PTS: 1 DIF:
Cognitive4cLevel:4cUnderstand4cTOP:
Nursing4cProcess:4cEvaluation
MSC:4c Client4cNeeds:4cSafe4cand4cEffective4cCare4cEnvironment
4. During4ca4cprenatal4cintake4cinterview,4cthe4cnurse4cis4cin4cthe4cprocess4cof4cobtaining4can
4cinitial4cassessment4cof4ca4c21-year-
old4cHispanic4cclient4cwith4climited4cEnglish4cproficiency.4cWhich4cintervention4cis4cthe4
cmost4cimportant4cfor4cthe4cnurse4cto4cimplement?
a. Use4cmaternity4cjargon4cto4cenable4cthe4cclient4cto4cbecome4cfamiliar4cwith4cthese4cterms.
b. Speak4cquickly4cand4cefficiently4cto4cexpedite4cthe4cvisit.
c. Provide4cthe4cclient4cwith4chandouts.
d. Assess4cwhether4cthe4cclient4cunderstands4cthe4cdiscussion.
ANS:4 c D
Nurses4ccontribute4cto4chealth4cliteracy4cby4cusing4csimple,4ccommon4cwords,4cavoiding4cjargo
n,4cand4cevaluating4cwhether4cthe4cclient4cunderstands4cthe4cdiscussion.4cSpeaking4cslowly4can
d4cclearly4cand4cfocusing4con4cwhat4cis4cimportant4cwill4cincrease4cunderstanding.4cMost4cclient4c
education4cmaterials4care4cwritten4cat4ca4clevel4ctoo4chigh4cfor4cthe4caverage4cadult4cand4cmay4cn
ot4cbe4cuseful4cfor4ca4cclient4cwith4climited4cEnglish4cproficiency.
PTS: 1 DIF:
Cognitive4cLevel:4cApply4cTOP:
Nursing4cProcess:4cImplementation
MSC:4c Client4cNeeds:4cHealth4cPromotion4cand4cMaintenance
5. Which4cstatement4cbest4cexemplifies4ccontemporary4cmaternity4cnursing?
a. Use4cof4cmidwives4cfor4call4cvaginal4cdeliveries
b. Family-centered4ccare
c. Free-standing4cbirth4cclinics
d. Physician-
driven4ccare4cANS:4 c B
