Maternity and Women's Health Care 13th Edition Lowdermilk Test
Maternity and m m
Women's Health
Care13thEdit m m
ion m
Lowdermilk Test
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermi
m m m m m m m m m
lk: Maternity & Women’s Health Care, 12th Edition
m m m m m m m
MULTIPLEmCHOICE
1. Inmevaluatingmthemlevelmofmampregnantmwoman’smriskmofmhavingmamlow-birth-
weightm(LBW)minfant,mwhichmfactormismthemmostmimportantmformthemnursemtomconsider?
a. African-Americanmrace
b. Cigarettemsmoking
c. Poormnutritionalmstatus
d. Limitedmmaternalmeducation
ANS:m A
ThemriseminmthemoverallmLBWmratesmweremduemtomincreasesminmLBWmbirthsmtomnon-
Hispanicmblackmwomenm(13.35%)mandmHispanicmwomenm(7.21%);mnon-
Hispanicmblackminfantsmaremalmostmtwicemasmlikelymasmnon-
HispanicmwhiteminfantsmtombemofmLBWmandmtomdieminmthemfirstmyearmofmlife..mRacemismamnonmo
difiablemriskmfactor.mCigarettemsmokingmismanmimportantmfactorminmpotentialminfantmmortalitymr
ates,mbutmitmismnotmthemmostmimportant.mAdditionally,msmokingmismammodifiablemriskmfactor.mP
oormnutritionmismanmimportantmfactorminmpotentialminfantmmortalitymrates,mbutmitmismnotmthemmo
stmimportant.mAdditionally,mnutritionalmstatusmismammodifiablemriskmfactor.mMaternalmeducatio
nmismanmimportantmfactorminmpotentialminfantmmortalitymrates,mbutmitmismnotmthemmostmimportant
.mAdditionally,mmaternalmeducationmismammodifiablemriskmfactor.
PTS: 1 DIF:
CognitivemLevel:mUnderstandmTOP:
NursingmProcess:mAssessment
MSC:m m Clientm Needs:m HealtN
hUPrRoS
mI ioG
otN nTanBd.M
CaOinMtenance,m Antepartumm Care
2. Am23-year-oldmAfrican-
Americanmwomanmismpregnantmwithmhermfirstmchild.mBasedmonmcurrentmstatisticsmforminfantm
mortality,mwhichminterventionmismmostmimportantmformthemnursemtomincludeminmthemclient’smpl
anmofmcare?
a. Performmamnutritionmassessment.
b. Refermthemwomanmtomamsocialmworker.
c. Advisemthemwomanmtomseemanmobstetrician,mnotmammidwife.
d. Explainmtomthemwomanmthemimportancemofmkeepingmhermprenatalmcaremappointments.
ANS:m D
Consistentmprenatalmcaremismthembestmmethodmofmpreventingmormcontrollingmriskmfactorsmassoc
iatedmwithminfantmmortality.mNutritionalmstatusmismanmimportantmmodifiablemriskmfactor,mbutmitm
ismnotmthemmostmimportantmactionmamnursemshouldmtakeminmthismsituation.mThemclientmmaymnee
dmassistancemfrommamsocialmworkermatmsomemtimemduringmhermpregnancy,mbutmamreferralmtomams
ocialmworkermismnotmthemmostmimportantmaspectmthemnursemshouldmaddressmatmthismtime.mIfmthe
mwomanmhasmidentifiablemhigh-
riskmproblems,mthenmhermhealthmcaremmaymneedmtombemprovidedmbymamphysician.mHowever,mitm
cannotmbemassumedmthatmallmAfrican-Americanmwomenmhavemhigh-
riskmissues.mInmaddition,madvisingmthemwomanmtomseemanmobstetricianmismnotmthemmostmimport
antmaspectmonmwhichmthemnursemshouldmfocusmatmthismtime,mandmitmismnotmappropriatemformamnu
rsemtomadvisemormmanagemthemtypemofmcaremamclientmismtomreceive.
PTS: 1 DIF:
CognitivemLevel:mUnderstandmTOP:
NursingmProcess:mPlanning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
MSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
3. Themnursesmworkingmatmamnewlymestablishedmbirthingmcentermhavembegunmtomcomparemth
eirmperformanceminmprovidingmmaternal-
newbornmcaremagainstmclinicalmstandards.mThismcomparisonmprocessmismmostmcommonly
mknownmasmwhat?
a. Bestmpracticesmnetwork
b. Clinicalmbenchmarking
c. Outcomes-orientedmpracNtiUceR S
d. Evidence-basedmpractice
ANS:m C
Outcomes-
orientedmpracticemmeasuresmthemeffectivenessmofmtheminterventionsmandmqualitymofmcaremagain
stmbenchmarksmormstandards.mThemtermmbestmpracticemrefersmtomamprogrammormservicemthatmhas
mbeenmrecognizedmformitsmexcellence.mClinicalmbenchmarkingmismamprocessmusedmtomcomparem
one’smownmperformancemagainstmthemperformancemofmthembestminmanmareamofmservice.mThemter
mmevidence-
basedmpracticemrefersmtomthemprovisionmofmcarembasedmonmevidencemgainedmthroughmresearchm
andmclinicalmtrials.
PTS: 1 DIF:
CognitivemLevel:mUnderstandmTOP:
NursingmProcess:mEvaluation
MSC:m ClientmNeeds:mSafemandmEffectivemCaremEnvironment
4. Duringmamprenatalmintakeminterview,mthemnursemisminmthemprocessmofmobtainingmanminit
ialmassessmentmofmam21-year-
oldmHispanicmclientmwithmlimitedmEnglishmproficiency.mWhichminterventionmismthemmo
stmimportantmformthemnursemtomimplement?
a. Usemmaternitymjargonmtomenablemthemclientmtombecomemfamiliarmwithmthesemterms.
b. Speakmquicklymandmefficientlymtomexpeditemthemvisit.
c. Providemthemclientmwithmhandouts.
d. Assessmwhethermthemclientmunderstandsmthemdiscussion.
ANS:m D
Nursesmcontributemtomhealthmliteracymbymusingmsimple,mcommonmwords,mavoidingmjargon,ma
ndmevaluatingmwhethermthemclientmunderstandsmthemdiscussion.mSpeakingmslowlymandmclearl
ymandmfocusingmonmwhatmismimportantmwillmincreasemunderstanding.mMostmclientmeducationm
materialsmaremwrittenmatmamlevelmtoomhighmformthemaveragemadultmandmmaymnotmbemusefulmfor
mamclientmwithmlimitedmEnglishmproficiency.
PTS: 1 DIF:
CognitivemLevel:mApplymTOP:
NursingmProcess:mImplementation
MSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
5. Whichmstatementmbestmexemplifiesmcontemporarymmaternitymnursing?
a. Usemofmmidwivesmformallmvaginalmdeliveries
b. Family-centeredmcare
c. Free-standingmbirthmclinics
d. Physician-
drivenmcaremANS:m B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Contemporarymmaternitymnursingmfocusesmonmthemfamily’smneedsmandmdesires.mFathers,mpartn
ers,mgrandparents,mandmsiblingsmmaymbempresentmformthembirthmandmparticipateminmactivitiesmsu
chmasmcuttingmthembaby’smumbilicalmcord.mBothmmidwivesmandmphysiciansmperformmvaginalmd
eliveries.mFree-
standingmclinicsmaremanmexamplemofmalternativembirthmoptions.mContemporarymmaternitymnurs
ingmismdrivenmbymthemrelationshipmbetweenmnursesmandmtheirmclients.
PTS: 1 DIF:
CognitivemLevel:mUnderstandmTOP:
NursingmProcess:mPlanning
MSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
6. Am38-year-oldmHispanicmwomanmvaginallymdeliveredmam9-pound,m6-
ouncembabymgirlmaftermbeingminmlabormform43mhours.mThembabymdiedm3mdaysmlatermfrommsepsis.
mOnmwhatmgroundsmcouldmthemwomanmhavemamlegitimatemlegalmcasemformnegligence?
a. Inexperiencedmmaternitymnursemwasmassignedmtomcaremformthemclient.
b. Clientmwasmpastmhermduemdatembym3mdays.
c. Standardmofmcaremwasmnotmmet.
d. Clientmrefusedmelectronicmfetalmmonitoring.
ANS:m C
Notmmeetingmthemstandardmofmcaremismamlegitimatemfactormformamcasemofmnegligence.mAnminexp
eriencedmmaternitymnursemwouldmneedmtomdisplaymcompetencymbeforembeingmassignedmtomcare
mformclientsmonmhismormhermown.mThismclientmmaymhavembeenmpastmhermduemdate;mhowever,mamte
rmmpregnancymoftenmgoesmbeyondm40mweeksmofmgestation.mAlthoughmfetalmmonitoringmismthem
standardmofmcare,mthemclientmhasmthemrightmtomrefusemtreatment.mThismrefusalmismnotmamcasemfor
mnegligence,mbutminformedmconsentmshouldmbemproperlymobtained,mandmthemclientmshouldmhav
emsignedmanmagainstmmedicalmadvicemformmwhenmrefusingmanymtreatmentmthatmismwithinmthemst
andardmofmcare.
PTS: 1 DIF:
CognitivemLevel:mAnalyzemTOP:
NursingmProcess:mImplementation
MSC:m ClientmNeeds:mSafemandmEffectivemCaremEnvironment
7. Whenmthemnursemismunsuremhowmtomperformmamclientmcaremproceduremthatmismhighmriskmandml
owmvolume,mhismormhermbestmactionminmthismsituationmwouldmbemwhat?
a. Askmanothermnurse.
b. Discussmthemproceduremwithmthemclient’smphysician.
c. Lookmupmthemprocedureminmamnursingmtextbook.
d. Firstmconsultmthemagencymproceduremmanual
ANS:m D
Followingmthemagency’smpoliciesmandmproceduresmmanualmismalwaysmbestmwhenmseekingminfo
rmationmonmcorrectmclientmprocedures.mThesempoliciesmshouldmreflectmthemcurrentmstandardsmo
fmcaremandmthemindividualmstate’smguidelines.mEachmnursemismresponsiblemformhismormhermownm
practice.mRelyingmonmanothermnursemmaymnotmalwaysmbemamsafempractice.mEachmnursemismoblig
atedmtomfollowmthemstandardsmofmcaremformsafemclientmcaremdelivery.mPhysiciansmaremresponsib
lemformtheirmownmclientmcaremactivity.mNursesmmaymfollowmsafemordersmfrommphysicians,mbutmt
heymaremalsomresponsiblemformthemactivitiesmthatmthey,masmnurses,maremtomcarrymout.mInformatio
nmprovidedminmamnursingmtextbookmismbasicminformationmformgeneralmknowledge.mFurthermore
,mtheminformationminmamtextbookmmaymnotmreflectmthemcurrentmstandardmofmcaremormthemindivid
ualmstatemormhospitalmpolicies.
Maternity and m m
Women's Health
Care13thEdit m m
ion m
Lowdermilk Test
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermi
m m m m m m m m m
lk: Maternity & Women’s Health Care, 12th Edition
m m m m m m m
MULTIPLEmCHOICE
1. Inmevaluatingmthemlevelmofmampregnantmwoman’smriskmofmhavingmamlow-birth-
weightm(LBW)minfant,mwhichmfactormismthemmostmimportantmformthemnursemtomconsider?
a. African-Americanmrace
b. Cigarettemsmoking
c. Poormnutritionalmstatus
d. Limitedmmaternalmeducation
ANS:m A
ThemriseminmthemoverallmLBWmratesmweremduemtomincreasesminmLBWmbirthsmtomnon-
Hispanicmblackmwomenm(13.35%)mandmHispanicmwomenm(7.21%);mnon-
Hispanicmblackminfantsmaremalmostmtwicemasmlikelymasmnon-
HispanicmwhiteminfantsmtombemofmLBWmandmtomdieminmthemfirstmyearmofmlife..mRacemismamnonmo
difiablemriskmfactor.mCigarettemsmokingmismanmimportantmfactorminmpotentialminfantmmortalitymr
ates,mbutmitmismnotmthemmostmimportant.mAdditionally,msmokingmismammodifiablemriskmfactor.mP
oormnutritionmismanmimportantmfactorminmpotentialminfantmmortalitymrates,mbutmitmismnotmthemmo
stmimportant.mAdditionally,mnutritionalmstatusmismammodifiablemriskmfactor.mMaternalmeducatio
nmismanmimportantmfactorminmpotentialminfantmmortalitymrates,mbutmitmismnotmthemmostmimportant
.mAdditionally,mmaternalmeducationmismammodifiablemriskmfactor.
PTS: 1 DIF:
CognitivemLevel:mUnderstandmTOP:
NursingmProcess:mAssessment
MSC:m m Clientm Needs:m HealtN
hUPrRoS
mI ioG
otN nTanBd.M
CaOinMtenance,m Antepartumm Care
2. Am23-year-oldmAfrican-
Americanmwomanmismpregnantmwithmhermfirstmchild.mBasedmonmcurrentmstatisticsmforminfantm
mortality,mwhichminterventionmismmostmimportantmformthemnursemtomincludeminmthemclient’smpl
anmofmcare?
a. Performmamnutritionmassessment.
b. Refermthemwomanmtomamsocialmworker.
c. Advisemthemwomanmtomseemanmobstetrician,mnotmammidwife.
d. Explainmtomthemwomanmthemimportancemofmkeepingmhermprenatalmcaremappointments.
ANS:m D
Consistentmprenatalmcaremismthembestmmethodmofmpreventingmormcontrollingmriskmfactorsmassoc
iatedmwithminfantmmortality.mNutritionalmstatusmismanmimportantmmodifiablemriskmfactor,mbutmitm
ismnotmthemmostmimportantmactionmamnursemshouldmtakeminmthismsituation.mThemclientmmaymnee
dmassistancemfrommamsocialmworkermatmsomemtimemduringmhermpregnancy,mbutmamreferralmtomams
ocialmworkermismnotmthemmostmimportantmaspectmthemnursemshouldmaddressmatmthismtime.mIfmthe
mwomanmhasmidentifiablemhigh-
riskmproblems,mthenmhermhealthmcaremmaymneedmtombemprovidedmbymamphysician.mHowever,mitm
cannotmbemassumedmthatmallmAfrican-Americanmwomenmhavemhigh-
riskmissues.mInmaddition,madvisingmthemwomanmtomseemanmobstetricianmismnotmthemmostmimport
antmaspectmonmwhichmthemnursemshouldmfocusmatmthismtime,mandmitmismnotmappropriatemformamnu
rsemtomadvisemormmanagemthemtypemofmcaremamclientmismtomreceive.
PTS: 1 DIF:
CognitivemLevel:mUnderstandmTOP:
NursingmProcess:mPlanning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
MSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
3. Themnursesmworkingmatmamnewlymestablishedmbirthingmcentermhavembegunmtomcomparemth
eirmperformanceminmprovidingmmaternal-
newbornmcaremagainstmclinicalmstandards.mThismcomparisonmprocessmismmostmcommonly
mknownmasmwhat?
a. Bestmpracticesmnetwork
b. Clinicalmbenchmarking
c. Outcomes-orientedmpracNtiUceR S
d. Evidence-basedmpractice
ANS:m C
Outcomes-
orientedmpracticemmeasuresmthemeffectivenessmofmtheminterventionsmandmqualitymofmcaremagain
stmbenchmarksmormstandards.mThemtermmbestmpracticemrefersmtomamprogrammormservicemthatmhas
mbeenmrecognizedmformitsmexcellence.mClinicalmbenchmarkingmismamprocessmusedmtomcomparem
one’smownmperformancemagainstmthemperformancemofmthembestminmanmareamofmservice.mThemter
mmevidence-
basedmpracticemrefersmtomthemprovisionmofmcarembasedmonmevidencemgainedmthroughmresearchm
andmclinicalmtrials.
PTS: 1 DIF:
CognitivemLevel:mUnderstandmTOP:
NursingmProcess:mEvaluation
MSC:m ClientmNeeds:mSafemandmEffectivemCaremEnvironment
4. Duringmamprenatalmintakeminterview,mthemnursemisminmthemprocessmofmobtainingmanminit
ialmassessmentmofmam21-year-
oldmHispanicmclientmwithmlimitedmEnglishmproficiency.mWhichminterventionmismthemmo
stmimportantmformthemnursemtomimplement?
a. Usemmaternitymjargonmtomenablemthemclientmtombecomemfamiliarmwithmthesemterms.
b. Speakmquicklymandmefficientlymtomexpeditemthemvisit.
c. Providemthemclientmwithmhandouts.
d. Assessmwhethermthemclientmunderstandsmthemdiscussion.
ANS:m D
Nursesmcontributemtomhealthmliteracymbymusingmsimple,mcommonmwords,mavoidingmjargon,ma
ndmevaluatingmwhethermthemclientmunderstandsmthemdiscussion.mSpeakingmslowlymandmclearl
ymandmfocusingmonmwhatmismimportantmwillmincreasemunderstanding.mMostmclientmeducationm
materialsmaremwrittenmatmamlevelmtoomhighmformthemaveragemadultmandmmaymnotmbemusefulmfor
mamclientmwithmlimitedmEnglishmproficiency.
PTS: 1 DIF:
CognitivemLevel:mApplymTOP:
NursingmProcess:mImplementation
MSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
5. Whichmstatementmbestmexemplifiesmcontemporarymmaternitymnursing?
a. Usemofmmidwivesmformallmvaginalmdeliveries
b. Family-centeredmcare
c. Free-standingmbirthmclinics
d. Physician-
drivenmcaremANS:m B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Contemporarymmaternitymnursingmfocusesmonmthemfamily’smneedsmandmdesires.mFathers,mpartn
ers,mgrandparents,mandmsiblingsmmaymbempresentmformthembirthmandmparticipateminmactivitiesmsu
chmasmcuttingmthembaby’smumbilicalmcord.mBothmmidwivesmandmphysiciansmperformmvaginalmd
eliveries.mFree-
standingmclinicsmaremanmexamplemofmalternativembirthmoptions.mContemporarymmaternitymnurs
ingmismdrivenmbymthemrelationshipmbetweenmnursesmandmtheirmclients.
PTS: 1 DIF:
CognitivemLevel:mUnderstandmTOP:
NursingmProcess:mPlanning
MSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
6. Am38-year-oldmHispanicmwomanmvaginallymdeliveredmam9-pound,m6-
ouncembabymgirlmaftermbeingminmlabormform43mhours.mThembabymdiedm3mdaysmlatermfrommsepsis.
mOnmwhatmgroundsmcouldmthemwomanmhavemamlegitimatemlegalmcasemformnegligence?
a. Inexperiencedmmaternitymnursemwasmassignedmtomcaremformthemclient.
b. Clientmwasmpastmhermduemdatembym3mdays.
c. Standardmofmcaremwasmnotmmet.
d. Clientmrefusedmelectronicmfetalmmonitoring.
ANS:m C
Notmmeetingmthemstandardmofmcaremismamlegitimatemfactormformamcasemofmnegligence.mAnminexp
eriencedmmaternitymnursemwouldmneedmtomdisplaymcompetencymbeforembeingmassignedmtomcare
mformclientsmonmhismormhermown.mThismclientmmaymhavembeenmpastmhermduemdate;mhowever,mamte
rmmpregnancymoftenmgoesmbeyondm40mweeksmofmgestation.mAlthoughmfetalmmonitoringmismthem
standardmofmcare,mthemclientmhasmthemrightmtomrefusemtreatment.mThismrefusalmismnotmamcasemfor
mnegligence,mbutminformedmconsentmshouldmbemproperlymobtained,mandmthemclientmshouldmhav
emsignedmanmagainstmmedicalmadvicemformmwhenmrefusingmanymtreatmentmthatmismwithinmthemst
andardmofmcare.
PTS: 1 DIF:
CognitivemLevel:mAnalyzemTOP:
NursingmProcess:mImplementation
MSC:m ClientmNeeds:mSafemandmEffectivemCaremEnvironment
7. Whenmthemnursemismunsuremhowmtomperformmamclientmcaremproceduremthatmismhighmriskmandml
owmvolume,mhismormhermbestmactionminmthismsituationmwouldmbemwhat?
a. Askmanothermnurse.
b. Discussmthemproceduremwithmthemclient’smphysician.
c. Lookmupmthemprocedureminmamnursingmtextbook.
d. Firstmconsultmthemagencymproceduremmanual
ANS:m D
Followingmthemagency’smpoliciesmandmproceduresmmanualmismalwaysmbestmwhenmseekingminfo
rmationmonmcorrectmclientmprocedures.mThesempoliciesmshouldmreflectmthemcurrentmstandardsmo
fmcaremandmthemindividualmstate’smguidelines.mEachmnursemismresponsiblemformhismormhermownm
practice.mRelyingmonmanothermnursemmaymnotmalwaysmbemamsafempractice.mEachmnursemismoblig
atedmtomfollowmthemstandardsmofmcaremformsafemclientmcaremdelivery.mPhysiciansmaremresponsib
lemformtheirmownmclientmcaremactivity.mNursesmmaymfollowmsafemordersmfrommphysicians,mbutmt
heymaremalsomresponsiblemformthemactivitiesmthatmthey,masmnurses,maremtomcarrymout.mInformatio
nmprovidedminmamnursingmtextbookmismbasicminformationmformgeneralmknowledge.mFurthermore
,mtheminformationminmamtextbookmmaymnotmreflectmthemcurrentmstandardmofmcaremormthemindivid
ualmstatemormhospitalmpolicies.
