,Lowdermilk: Maternity & Women's Health Care, 10th Edition
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Test Bank
MULTIPLE CHOICE
1. To assess a mother’s risk of having a low-birth-weight (LBW) infant, what is the most
important factor for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANS: A
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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.
DIF: Cognitive Level: Comprehension REF: 5
OBJ: Client Needs: Health Promotion and Maintenance: Antepartum Care
TOP: Nursing Process: Assessment
2. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be conducted properly. Research of health care
issues leads to evidence-based practice guidelines.
Designing research studies is only one factor of the research process.
Data collection is one factor of research.
Financial support is necessary to conduct research, but it is not the primary role of the nurse
in the research process.
DIF: Cognitive Level: Comprehension REF: 14
OBJ: Client Needs: Safe and Effective Care Environment
TOP: "Nursing Process: Diagnosis, Evaluation"
Mosby items and derived items © 2012, 2007, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
,Test Bank 1-2
3. The nurse should be aware that a statistic widely used to compare the health status of
different populations is the:
a. Incidence of specific infections, such as acquired immunodeficiency syndrome
(AIDS) and tuberculosis
b. Infant mortality rate
c. Maternal morbidity rate
d. Incidence of low-birth-weight (LBW) infants
ANS: B
City, county, and state health departments provide annual reports of births and deaths.
Maternal and infant death rates are particularly important because they reflect health
outcomes that may be preventable. Infant mortality continues to be a concern in all
populations.
AIDS and tuberculosis may be the target of research studies; however, maternal and infant
mortality rates are particularly important in the evaluation of the health of a population.
The number of maternal deaths in the United States is small; however, worldwide many
women die each year from problems related to pregnancy and childbirth.
The incidence of LBW infants is monitored in order to determine risk factors such as racial
disparity. It is not as widely used as infant mortality.
DIF: Cognitive Level: Knowledge REF: 5
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Assessment
4. Alternative and complementary therapies:
a. Replace conventional Western modalities of treatment
b. Are used by only a small number of American adults
c. Allow for more client autonomy
d. Focus primarily on the disease an individual is experiencing
ANS: C
City, county, and state health departments provide annual reports of births and deaths.
Maternal and infant death rates are particularly important because they reflect health
outcomes that may be preventable. Infant mortality continues to be a concern in all
populations.
Alternative and complementary therapies are part of an integrative approach to health care.
An increasing number of American adults are seeking alternative and complementary health
care options.
Alternative healing modalities offer a holistic approach to health, focusing on the whole
person and not just the disease.
DIF: Cognitive Level: Comprehension REF: 3
OBJ: Client Needs: Physiologic Integrity
TOP: Nursing Process: Planning
Mosby items and derived items © 2012, 2007, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-3
5. 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, designed to improve the quality of client care, is called:
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented care
d. Evidence-based practice
ANS: C
Outcomes-oriented care measures effectiveness of interventions and quality of care against
benchmarks or standards.
The term best practice refers to a program or service that has been recognized for 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.
DIF: Cognitive Level: Comprehension REF: 11
OBJ: Client Needs: Safe and Effective Care Environment
TOP: Nursing Process: Evaluation
6. Contemporary maternity nursing is exemplified by:
a. The use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care
ANS: B
Contemporary maternity nursing focuses on the family’s needs and desires.
Midwives and physicians both perform vaginal deliveries.
Free-standing clinics are an example of alternative birth options.
Contemporary maternity nursing is driven by the relationship between nurses and their
clients.
DIF: Cognitive Level: Comprehension REF: 8
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Planning
7. A 38-year-old Hispanic woman delivered a 9-lb, 6-oz baby girl vaginally after being in
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
woman have a legitimate legal case for negligence?
a. She is Hispanic.
b. She delivered a girl.
c. If the standards of care were not met.
d. She refused fetal monitoring.
ANS: C
Mosby items and derived items © 2012, 2007, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Test Bank
MULTIPLE CHOICE
1. To assess a mother’s risk of having a low-birth-weight (LBW) infant, what is the most
important factor for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANS: A
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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.
DIF: Cognitive Level: Comprehension REF: 5
OBJ: Client Needs: Health Promotion and Maintenance: Antepartum Care
TOP: Nursing Process: Assessment
2. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be conducted properly. Research of health care
issues leads to evidence-based practice guidelines.
Designing research studies is only one factor of the research process.
Data collection is one factor of research.
Financial support is necessary to conduct research, but it is not the primary role of the nurse
in the research process.
DIF: Cognitive Level: Comprehension REF: 14
OBJ: Client Needs: Safe and Effective Care Environment
TOP: "Nursing Process: Diagnosis, Evaluation"
Mosby items and derived items © 2012, 2007, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
,Test Bank 1-2
3. The nurse should be aware that a statistic widely used to compare the health status of
different populations is the:
a. Incidence of specific infections, such as acquired immunodeficiency syndrome
(AIDS) and tuberculosis
b. Infant mortality rate
c. Maternal morbidity rate
d. Incidence of low-birth-weight (LBW) infants
ANS: B
City, county, and state health departments provide annual reports of births and deaths.
Maternal and infant death rates are particularly important because they reflect health
outcomes that may be preventable. Infant mortality continues to be a concern in all
populations.
AIDS and tuberculosis may be the target of research studies; however, maternal and infant
mortality rates are particularly important in the evaluation of the health of a population.
The number of maternal deaths in the United States is small; however, worldwide many
women die each year from problems related to pregnancy and childbirth.
The incidence of LBW infants is monitored in order to determine risk factors such as racial
disparity. It is not as widely used as infant mortality.
DIF: Cognitive Level: Knowledge REF: 5
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Assessment
4. Alternative and complementary therapies:
a. Replace conventional Western modalities of treatment
b. Are used by only a small number of American adults
c. Allow for more client autonomy
d. Focus primarily on the disease an individual is experiencing
ANS: C
City, county, and state health departments provide annual reports of births and deaths.
Maternal and infant death rates are particularly important because they reflect health
outcomes that may be preventable. Infant mortality continues to be a concern in all
populations.
Alternative and complementary therapies are part of an integrative approach to health care.
An increasing number of American adults are seeking alternative and complementary health
care options.
Alternative healing modalities offer a holistic approach to health, focusing on the whole
person and not just the disease.
DIF: Cognitive Level: Comprehension REF: 3
OBJ: Client Needs: Physiologic Integrity
TOP: Nursing Process: Planning
Mosby items and derived items © 2012, 2007, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-3
5. 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, designed to improve the quality of client care, is called:
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented care
d. Evidence-based practice
ANS: C
Outcomes-oriented care measures effectiveness of interventions and quality of care against
benchmarks or standards.
The term best practice refers to a program or service that has been recognized for 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.
DIF: Cognitive Level: Comprehension REF: 11
OBJ: Client Needs: Safe and Effective Care Environment
TOP: Nursing Process: Evaluation
6. Contemporary maternity nursing is exemplified by:
a. The use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care
ANS: B
Contemporary maternity nursing focuses on the family’s needs and desires.
Midwives and physicians both perform vaginal deliveries.
Free-standing clinics are an example of alternative birth options.
Contemporary maternity nursing is driven by the relationship between nurses and their
clients.
DIF: Cognitive Level: Comprehension REF: 8
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Planning
7. A 38-year-old Hispanic woman delivered a 9-lb, 6-oz baby girl vaginally after being in
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
woman have a legitimate legal case for negligence?
a. She is Hispanic.
b. She delivered a girl.
c. If the standards of care were not met.
d. She refused fetal monitoring.
ANS: C
Mosby items and derived items © 2012, 2007, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
