TEST BANK
All Chapters Included
FOR
MATERNITY AND WOMEN'S HEALTHCARE
13TH EDITION ALL CHAPTERS
WITH
RATIONALES
, TEST BANK FOR Maternity and Women's HealthCare
13th Edition All Chapters With Rationales
Chapter 01: 21st 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 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.
, PTS: 1 DIF: Cognitive Level:
Understand TOP: Nursing Process: Assessment
MSC: Client Needs: HealtN
hUPrRoS
mIotN
ioG
nTanBd.MCaO
inMtenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child.
Based on current statistics for infant mortality, which intervention is most
important for the nurse to include in 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, but it 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 social worker 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-risk issues. 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
MSC: Client Needs: Health Promotion and Maintenance
3. 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 is most commonly known as
what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracNtiUceR S
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 service that 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, and evaluating whether the client understands the
discussion. Speaking slowly and clearly and focusing on what is important
will increase understanding. Most client education materials are written at a
level too high for the average adult and may not be useful for a client with
limited 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
c. Free-standing birth clinics
d. Physician-driven
care Answer: B
All Chapters Included
FOR
MATERNITY AND WOMEN'S HEALTHCARE
13TH EDITION ALL CHAPTERS
WITH
RATIONALES
, TEST BANK FOR Maternity and Women's HealthCare
13th Edition All Chapters With Rationales
Chapter 01: 21st 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 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.
, PTS: 1 DIF: Cognitive Level:
Understand TOP: Nursing Process: Assessment
MSC: Client Needs: HealtN
hUPrRoS
mIotN
ioG
nTanBd.MCaO
inMtenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child.
Based on current statistics for infant mortality, which intervention is most
important for the nurse to include in 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, but it 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 social worker 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-risk issues. 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
MSC: Client Needs: Health Promotion and Maintenance
3. 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 is most commonly known as
what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracNtiUceR S
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 service that 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, and evaluating whether the client understands the
discussion. Speaking slowly and clearly and focusing on what is important
will increase understanding. Most client education materials are written at a
level too high for the average adult and may not be useful for a client with
limited 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
c. Free-standing birth clinics
d. Physician-driven
care Answer: B
