Test Bank - Maternity and Women's Health Care, 13th Edition
By Lowdermilk, Cashion, Alden, Olshansky Perry
(All Chapters 1-37, Latest Edition, 100% Verified Answers with Rationales)
,Table of Content PART 5: Postpartum
PART 1: Introduction to Maternity and Women’s 20. Postpartum Anatomic and Physiologic
Health Care Changes — 417
21. Nursing Care of the Family During the
1. 21st-Century Maternity and Women’s Postpartum Period — 425
Health Nursing — 1 22. Transition to Parenthood — 441
2. Community Care: The Family and Culture
3. Nursing and Genomics — 31 PART 6: The Newborn
PART 2: Women’s Health 23. Physiologic and Behavioral Adaptations of
the Newborn — 459
4. Assessment and Health Promotion — 47 24. Nursing Care of the Newborn and Family —
5. Violence Against Women — 80 25. Newborn Nutrition and Feeding — 532
6. Reproductive System Concerns — 99
7. Sexually Transmitted and Other Infections PART 7: Complications of Pregnancy
8. Contraception and Abortion — 143
9. Infertility — 165 26. Assessment of High-Risk Pregnancy — 565
10. Problems of the Breast — 178 27. Hypertensive Disorders — 585
11. Structural Disorders and Neoplasms of the 28. Hemorrhagic Disorders — 600
Reproductive System — 199 29. Endocrine and Metabolic Disorders — 618
30. Medical-Surgical Disorders — 639
PART 3: Pregnancy 31. Mental Health Disorders and Substance
Abuse — 666
12. Conception and Fetal Development — 231 32. Labor and Birth at Risk — 685
13. Anatomy and Physiology of Pregnancy — 33. Postpartum Complications — 728
14. Nursing Care of the Family During
Pregnancy — 265 PART 8: Newborn Complications
15. Maternal Nutrition — 297
34. Nursing Care of the High-Risk Newborn —
PART 4: Labor and Birth 741
35. Acquired Problems of the Newborn — 771
16. Labor and Birth Processes — 315 36. Hemolytic Disorders and Congenital
17. Maximizing Comfort for the Laboring Anomalies — 794
Person — 330 37. Perinatal Loss, Bereavement, and Grief —
18. Fetal Assessment During Labor — 356 817
19. Nursing Care of the Family During Labor
and Birth — 375
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
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 non modifiable 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:, 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 pracNtiUceRS
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
By Lowdermilk, Cashion, Alden, Olshansky Perry
(All Chapters 1-37, Latest Edition, 100% Verified Answers with Rationales)
,Table of Content PART 5: Postpartum
PART 1: Introduction to Maternity and Women’s 20. Postpartum Anatomic and Physiologic
Health Care Changes — 417
21. Nursing Care of the Family During the
1. 21st-Century Maternity and Women’s Postpartum Period — 425
Health Nursing — 1 22. Transition to Parenthood — 441
2. Community Care: The Family and Culture
3. Nursing and Genomics — 31 PART 6: The Newborn
PART 2: Women’s Health 23. Physiologic and Behavioral Adaptations of
the Newborn — 459
4. Assessment and Health Promotion — 47 24. Nursing Care of the Newborn and Family —
5. Violence Against Women — 80 25. Newborn Nutrition and Feeding — 532
6. Reproductive System Concerns — 99
7. Sexually Transmitted and Other Infections PART 7: Complications of Pregnancy
8. Contraception and Abortion — 143
9. Infertility — 165 26. Assessment of High-Risk Pregnancy — 565
10. Problems of the Breast — 178 27. Hypertensive Disorders — 585
11. Structural Disorders and Neoplasms of the 28. Hemorrhagic Disorders — 600
Reproductive System — 199 29. Endocrine and Metabolic Disorders — 618
30. Medical-Surgical Disorders — 639
PART 3: Pregnancy 31. Mental Health Disorders and Substance
Abuse — 666
12. Conception and Fetal Development — 231 32. Labor and Birth at Risk — 685
13. Anatomy and Physiology of Pregnancy — 33. Postpartum Complications — 728
14. Nursing Care of the Family During
Pregnancy — 265 PART 8: Newborn Complications
15. Maternal Nutrition — 297
34. Nursing Care of the High-Risk Newborn —
PART 4: Labor and Birth 741
35. Acquired Problems of the Newborn — 771
16. Labor and Birth Processes — 315 36. Hemolytic Disorders and Congenital
17. Maximizing Comfort for the Laboring Anomalies — 794
Person — 330 37. Perinatal Loss, Bereavement, and Grief —
18. Fetal Assessment During Labor — 356 817
19. Nursing Care of the Family During Labor
and Birth — 375
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
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 non modifiable 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:, 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 pracNtiUceRS
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
