Test Bank for Maternity & Women’s Health Care, 13th Edition,Lowdermilk. UPDATED VERSION,2026/2027!!!! ALL CHAPTERS FULLY COVERED !!!! GET A COPY,GET AN A+

Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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Chapter 01: 21st Century Maternity and Women’s Health Nursing
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Lowdermilk: Maternity & Women’s Health Care, 13th Edition
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MULTIPLE CHOICE +j




1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
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weight (LBW)infant, which factor is the most important for the nurse to consider?
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a. African-American race +j


b. Cigarette smoking +j


c. Poor nutritional status +j +j


d. Limited maternal education +j +j




ANS: A + j


The rise in the overall LBW rates were due to increases in LBW births to non-
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Hispanic black women (13.35%) and Hispanic women (7.21%); non-
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Hispanic black infants are almost twice as likely as non-
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Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodif
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iable risk factor. Cigarette smoking is an important factor inpotential infant mortality rates,
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but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nut
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rition is an important factor in potential infant mortality rates, but it is not the most import
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ant. Additionally, nutritional status is a modifiable risk factor. Maternal education is an im
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portant factor in potential infant mortality rates, but it is not the most important. Additional
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ly, maternal education is a modifiable risk factor.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
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Nursing Process: Assessment +j +j



MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nT
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inM
tenance, Antepartum Care +j +j +j +j




2. A 23-year-old African-
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American woman is pregnant with her first child. Based on currentstatistics for infant mo
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rtality, which intervention is most important for the nurse to includein the client’s plan of
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care?
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a. Perform a nutrition assessment. +j +j +j


b. Refer the woman to a social worker. +j +j +j +j +j +j


c. Advise the woman to see an obstetrician, not a midwife.+j +j +j +j +j +j +j +j +j


d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D + j


Consistent prenatal care is the best method of preventing or controlling risk factors associa
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ted with infant mortality. Nutritional status is an important modifiable risk factor, butit is not
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the most important action a nurse should take in this situation. The client may needassista
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nce from a social worker at some time during her pregnancy, but a referral to a socialwork
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er is not the most important aspect the nurse should address at this time. If the woman has
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identifiable high- +j


risk problems, then her health care may need to be provided by a physician. However, it c
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annot be assumed that all African-American women have high-
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riskissues. In addition, advising the woman to see an obstetrician is not the most important
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aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
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advise or manage the type of care a client is to receive.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
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Nursing Process: Planning +j +j

, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t
MSC: Client Needs: Health Promotion and Maintenance
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3. The nurses working at a newly established birthing center have begun to compare thei
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rperformance in providing maternal-
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newborn care against clinical standards. This comparison process is most commonly
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known as what? +j +j


a. Best practices network +j +j


b. Clinical benchmarking +j


c. Outcomes-oriented pracNtiU
ceRS +j


d. Evidence-based practice +j



ANS: C + j


Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
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benchmarks or standards. The term best practice refers to a program or servicethat has bee
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n recognized for its excellence. Clinical benchmarking is a process used to compare one’s
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own performance against the performance of the best in an area of service. The term evide
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nce-
based practice refers to the provision of care based on evidence gainedthrough research an
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d clinical trials.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
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Nursing Process: Evaluation +j +j


MSC: Client Needs: Safe and Effective Care Environment
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initia
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l assessment of a 21-year-
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old Hispanic client with limited English proficiency. Whichintervention is the most
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important for the nurse to implement?
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a. Use maternity jargon to enable the client to become familiar with these terms.
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b. Speak quickly and efficiently to expedite the visit.
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c. Provide the client with handouts. +j +j +j +j


d. Assess whether the client understands the discussion.
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ANS: D + j


Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
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devaluating whether the client understands the discussion. Speaking slowly and clearly a
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ndfocusing on what is important will increase understanding. Most client education materi
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alsare written at a level too high for the average adult and may not be useful for a client
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withlimited English proficiency.
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PTS: 1 DIF:
Cognitive Level: ApplyTOP: +j +j +
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Nursing Process: Implementation +j +j


MSC: Client Needs: Health Promotion and Maintenance
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5. Which statement best exemplifies contemporary maternity nursing?
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a. Use of midwives for all vaginal deliveries
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b. Family-centered care +j


c. Free-standing birth clinics +j +j


d. Physician-
driven careANS: B +j +
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, Maternity and Women's Health Care 13th Edition Lowdermilk Tes+j +j +j +j +j +j +j +j


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Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partne
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rs, grandparents, and siblings may be present for the birth and participate in activitiessuch a
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s cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliver
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ies. Free- +j


standing clinics are an example of alternative birth options. Contemporarymaternity nursin
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g is driven by the relationship between nurses and their clients.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j


Nursing Process: Planning +j +j


MSC: Client Needs: Health Promotion and Maintenance
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6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
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ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. O
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n what grounds could the woman have a legitimate legal case for negligence?
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a. Inexperienced maternity nurse was assigned to care for the client. +j +j +j +j +j +j +j +j +j


b. Client was past her due date by 3 days. +j +j +j +j +j +j +j +j


c. Standard of care was not met. +j +j +j +j +j


d. Client refused electronic fetal monitoring. +j +j +j +j




ANS: C + j


Not meeting the standard of care is a legitimate factor for a case of negligence. An inexp
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erienced maternity nurse would need to display competency before being assigned tocare
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for clients on his or her own. This client may have been past her due date; however, ater
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m pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thest
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andard of care, the client has the right to refuse treatment. This refusal is not a case for n
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egligence, but informed consent should be properly obtained, and the client should have
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signed an against medical advice form when refusing any treatment that is within the sta
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ndard of care. +j +j



PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: +j +j +
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Nursing Process: Implementation +j +j


MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high risk and lo
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wvolume, his or her best action in this situation would be what?
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a. Ask another nurse. +j +j


b. Discuss the procedure with the client’s physician. +j +j +j +j +j +j


c. Look up the procedure in a nursing textbook.+j +j +j +j +j +j +j


d. First consult the agency procedure manual
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ANS: D + j


Following the agency’s policies and procedures manual is always best when seeking infor
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mation on correct client procedures. These policies should reflect the current standardsof c
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are and the individual state’s guidelines. Each nurse is responsible for his or her own pract
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ice. Relying on another nurse may not always be a safe practice. Each nurse is obligated to
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follow the standards of care for safe client care delivery. Physicians are responsible for th
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eir own client care activity. Nurses may follow safe orders from physicians, but they are al
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so responsible for the activities that they, as nurses, are to carry out. Information provided
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in a nursing textbook is basic information for general knowledge.Furthermore, the informati
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on in a textbook may not reflect the current standard of care or the individual state or hosp
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ital policies. +j