TEST BANK
FOR MATERNITY AND WOMEN'S HEALTHCARE
13TH EDITION LOWDERMILK
, Maternity And Women'S Health Care 13th Edition Lowdermilk Test
bA n k
Chapter 0 1 : 2 1 s t 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
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: 1 Dif: Cognitive Level:
Understand Top: Nursing Process: Assessment
Msc: Client Needs: Healnance, Antepartum Care
2. 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?
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, 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: 1 Dif: Cognitive Level:
Understand Top: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Msc: Client Needs: Health Promotion And Maintenance
3. 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?
a. Best Practices Network
b. Clinical Benchmarking
c. Outcomes-Oriented Pracntice
u rs
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 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
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, 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
5. Which Statement Best Exemplifies Contemporary Maternity Nursing?
a. Use Of Midwives For All Vaginal Deliveries
b. Family-Centered Care