Maternity and Women's Health Care 13th Edition Lowdermilk Test
L L L L L L L L
Test Bank L
For Maternity and Women's Health Care
L L L L L
13th Edition Lowdermilk
L L L
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Chap L L L L L L L gi gi
Bank
ter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mat
L
L L L L L L L L L L
ernity & Women’s Health Care, 12th Edition
L L L L L L
MULTIPLE CHOICE L
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
L L L L L L L L L L L L
weight (LBW) infant, which factor is the most important for the nurse to consider?
L gi L L L L L L L L L L L
a. African-American race L
b. Cigarette smoking L
c. Poor nutritional status L L
d. Limited maternal education L L
ANS: A L
The rise in the overall LBW rates were due to increases in LBW births to non-
L L L L L L L L L L L L L L L
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
L L L L L L L L
Hispanic black infants are almost twice as likely as non- L L L L L L L L L
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifi
L L L L L L L L L L L L L L L L L L L
Lable risk factor. Cigarette smoking is an important factor in potential infant mortality rates, b ut
L L L L L L L L L gi L L L L L
Lit is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutri tion
L L L L L L L L L L L L L L L
Lis an important factor in potential infant mortality rates, but it is not the most importan
L L L L L L L L L L L L L L L
t. Additionally, nutritional status is a modifiable risk factor. Maternal education is an impor
L L L L L L L L L L L L L
Ltant factor in potential infant mortality rates, but it is not the most important. Additionally,
L L L L L L L L L L L L L L
Lmaternal education is a modifiable risk factor. L L L L L L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L L gi
Nursing Process: Assessment L L
MSC: Client Needs: HealtN hUPrRoS
mI ioG
otN nT
L anBd.MCaO
inM
tenance, Antepartum Care
L L L L L
2. A 23-year-old African-
L L
American woman is pregnant with her first child. Based on current statistics for infant mor
L L L L L L L L L L gi L L L
tality, which intervention is most important for the nurse to include in the client’s plan of c
L L L L L L L L L L L gi L L L L L
are? L
a. Perform a nutrition assessment. L L L
b. Refer the woman to a social worker. L L L L L L
c. Advise the woman to see an obstetrician, not a midwife. L L L L L L L L L
d. Explain to the woman the importance of keeping her prenatal care appointments.L L L L L L L L L L L
ANS: D L
Consistent prenatal care is the best method of preventing or controlling risk factors associat
L L L L L L L L L L L L L
ed with infant mortality. Nutritional status is an important modifiable risk factor, but it is not t he
L L L L L L L L L L L L L gi L L L L
most important action a nurse should take in this situation. The client may need assistanc e
L L L L L L L L L L L L L L L L
from a social worker at some time during her pregnancy, but a referral to a social worker i s
L L L L L L L L L L L L L L L L gi L L
not the most important aspect the nurse should address at this time. If the woman has iden
L L L L L L L L L L L L L L L L L
tifiable high-
L L
risk problems, then her health care may need to be provided by a physician. However, it ca
gi L L L L L L L L L L L L L L L
nnot be assumed that all African-American women have high-
L L L L L L L L L
risk issues. In addition, advising the woman to see an obstetrician is not the most important
gi L L L L L L L L L L L L L L
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to a
L L L L L L L L L L L L L L L L L L L L
dvise or manage the type of care a client is to receive.
L L L L L L L L L L L L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L L gi
Nursing Process: Planning
L L L
, Maternity and Women's Health Care 13th Edition Lowdermilk Test L L L L L L L gi
MSC: Client Needs: Health Promotion and Maintenance
L L L L gi L
3. The nurses working at a newly established birthing center have begun to compare their
L L L L L L L L L L L L L
performance in providing maternal-
L L L L
newborn care against clinical standards. This comparison process is most commonly k nown
L L L L L L L L L L L L
as what?
L L
a. Best practices network L L
b. Clinical benchmarking L
c. Outcomes-oriented pracNtiUceR S L
d. Evidence-based practice L
ANS: C L
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
L L L L L L L L L L L L
benchmarks or standards. The term best practice refers to a program or service that has been
L L L L L L L L L L L L L gi L L
recognized for its excellence. Clinical benchmarking is a process used to compare one’s o
L L L L L L L L L L L L L L
wn performance against the performance of the best in an area of service. The term evidenc
L L L L L L L L L L L L L L L L
e-
L
based practice refers to the provision of care based on evidence gained through research an d
L L L L L L L L L L L L L L L
clinical trials.
L L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L L gi
Nursing Process: Evaluation L L
MSC: Client Needs: Safe and Effective Care Environment
L L L L L L L
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
L L L L L L L L L L L L L L
assessment of a 21-year-
L L L gi
old Hispanic client with limited English proficiency. Which intervention is the most
L L L L gi L L gi L L L
important for the nurse to implement?
L L L L L L
a. Use maternity jargon to enable the client to become familiar with these terms.
L L L L L L L L L L L L
b. Speak quickly and efficiently to expedite the visit.
L L L L L L L
c. Provide the client with handouts. L L L L
d. Assess whether the client understands the discussion. L L L L L L
ANS: D L
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
L L L L L L L L L L L L
d evaluating whether the client understands the discussion. Speaking slowly and clearly an
L gi L L L L L L L L L L L
d focusing on what is important will increase understanding. Most client education material
L gi L L L L L L L L L L L
s are written at a level too high for the average adult and may not be useful for a client wit
L gi L L L L L L L L L L L L L L L L L L L
h limited English proficiency.
L gi L L
PTS: 1 DIF:
Cognitive Level: ApplyTOP: L L
Nursing Process: Implementation L L
MSC: Client Needs: Health Promotion and Maintenance
L L L L gi L
5. Which statement best exemplifies contemporary maternity nursing?
L L L L L L
a. Use of midwives for all vaginal deliveries
L L L L L L
b. Family-centered care L
c. Free-standing birth clinics L L
d. Physician-
driven care ANS: B L gi L
, Maternity and Women's Health Care 13th Edition Lowdermilk Test L L L L L L L gi
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partne L L L L L L L L L L L
rs, grandparents, and siblings may be present for the birth and participate in activities such a s
L L L L L L L L L L L L L L gi L L
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveri es.
L L L L L L L L L L L L L
Free-
L
standing clinics are an example of alternative birth options. Contemporary maternity nursin g
L L L L L L L L L L L L
is driven by the relationship between nurses and their clients.
L L L L L L L L L L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L L gi
Nursing Process: Planning L L
MSC: Client Needs: Health Promotion and Maintenance
L L L L gi L
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
L L L L L L L L
ounce baby girl after being in labor for 43 hours. The baby died 3 days later from sepsis. On
L L L L gi L L L L L L L L L L L L L
what grounds could the woman have a legitimate legal case for negligence?
L L L L L L L L L L L L
a. Inexperienced maternity nurse was assigned to care for the client. L L L L L L L L L
b. Client was past her due date by 3 days. L L L L L L L L
c. Standard of care was not met. L L L L L
d. Client refused electronic fetal monitoring. L L L L
ANS: C L
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexpe
L L L L L L L L L L L L L L L L
rienced maternity nurse would need to display competency before being assigned to care fo r
L L L L gi L L L L L L L gi L L
clients on his or her own. This client may have been past her due date; however, a term p
L L L L L L L L L L L L L L L L L gi L
regnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the stand
L L L L L L L L L L L L L gi
ard of care, the client has the right to refuse treatment. This refusal is not a case for neglig
L L L L L L L L L L L L L L L L L L L
ence, but informed consent should be properly obtained, and the client should have signed
L L L L L L L L L L L L L L
an against medical advice form when refusing any treatment that is within the standard of
L L L L L L L L L L L L L L L
care.
L
PTS: 1 DIF:
Cognitive Level: Analyze TOP: L L gi
Nursing Process: Implementation L L
MSC: Client Needs: Safe and Effective Care Environment
L L L L L L L
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
L L L L L L L L L L L L L L L L L gi
Lvolume, his or her best action in this situation would be what?
L L L L L L L L L L L
a. Ask another nurse. L L
b. Discuss the procedure with the client’s physician. L L L L L L
c. Look up the procedure in a nursing textbook. L L L L L L L
d. First consult the agency procedure manual L L L L L
ANS: D L
Following the agency’s policies and procedures manual is always best when seeking infor
L L L L L L L L L L L L
mation on correct client procedures. These policies should reflect the current standards of c
L L L L L L L L L L L L gi L
are and the individual state’s guidelines. Each nurse is responsible for his or her own practi
L L L L L L L L L L L L L L L L
ce. Relying on another nurse may not always be a safe practice. Each nurse is obligated to f
L L L L L L L L L L L L L L L L L L
ollow the standards of care for safe client care delivery. Physicians are responsible for their
L L L L L L L L L L L L L L L
own client care activity. Nurses may follow safe orders from physicians, but they are also
L L L L L L L L L L L L L L L
responsible for the activities that they, as nurses, are to carry out. Information provided in a
L L L L L L L L L L L L L L L L
nursing textbook is basic information for general knowledge.Furthermore, the information i
L L L L L L L L L L L
n a textbook may not reflect the current standard of care or the individual state or hospital p
L L L L L L L L L L L L L L L L L L
olicies.
L
L L L L L L L L
Test Bank L
For Maternity and Women's Health Care
L L L L L
13th Edition Lowdermilk
L L L
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Chap L L L L L L L gi gi
Bank
ter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mat
L
L L L L L L L L L L
ernity & Women’s Health Care, 12th Edition
L L L L L L
MULTIPLE CHOICE L
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
L L L L L L L L L L L L
weight (LBW) infant, which factor is the most important for the nurse to consider?
L gi L L L L L L L L L L L
a. African-American race L
b. Cigarette smoking L
c. Poor nutritional status L L
d. Limited maternal education L L
ANS: A L
The rise in the overall LBW rates were due to increases in LBW births to non-
L L L L L L L L L L L L L L L
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
L L L L L L L L
Hispanic black infants are almost twice as likely as non- L L L L L L L L L
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifi
L L L L L L L L L L L L L L L L L L L
Lable risk factor. Cigarette smoking is an important factor in potential infant mortality rates, b ut
L L L L L L L L L gi L L L L L
Lit is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutri tion
L L L L L L L L L L L L L L L
Lis an important factor in potential infant mortality rates, but it is not the most importan
L L L L L L L L L L L L L L L
t. Additionally, nutritional status is a modifiable risk factor. Maternal education is an impor
L L L L L L L L L L L L L
Ltant factor in potential infant mortality rates, but it is not the most important. Additionally,
L L L L L L L L L L L L L L
Lmaternal education is a modifiable risk factor. L L L L L L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L L gi
Nursing Process: Assessment L L
MSC: Client Needs: HealtN hUPrRoS
mI ioG
otN nT
L anBd.MCaO
inM
tenance, Antepartum Care
L L L L L
2. A 23-year-old African-
L L
American woman is pregnant with her first child. Based on current statistics for infant mor
L L L L L L L L L L gi L L L
tality, which intervention is most important for the nurse to include in the client’s plan of c
L L L L L L L L L L L gi L L L L L
are? L
a. Perform a nutrition assessment. L L L
b. Refer the woman to a social worker. L L L L L L
c. Advise the woman to see an obstetrician, not a midwife. L L L L L L L L L
d. Explain to the woman the importance of keeping her prenatal care appointments.L L L L L L L L L L L
ANS: D L
Consistent prenatal care is the best method of preventing or controlling risk factors associat
L L L L L L L L L L L L L
ed with infant mortality. Nutritional status is an important modifiable risk factor, but it is not t he
L L L L L L L L L L L L L gi L L L L
most important action a nurse should take in this situation. The client may need assistanc e
L L L L L L L L L L L L L L L L
from a social worker at some time during her pregnancy, but a referral to a social worker i s
L L L L L L L L L L L L L L L L gi L L
not the most important aspect the nurse should address at this time. If the woman has iden
L L L L L L L L L L L L L L L L L
tifiable high-
L L
risk problems, then her health care may need to be provided by a physician. However, it ca
gi L L L L L L L L L L L L L L L
nnot be assumed that all African-American women have high-
L L L L L L L L L
risk issues. In addition, advising the woman to see an obstetrician is not the most important
gi L L L L L L L L L L L L L L
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to a
L L L L L L L L L L L L L L L L L L L L
dvise or manage the type of care a client is to receive.
L L L L L L L L L L L L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L L gi
Nursing Process: Planning
L L L
, Maternity and Women's Health Care 13th Edition Lowdermilk Test L L L L L L L gi
MSC: Client Needs: Health Promotion and Maintenance
L L L L gi L
3. The nurses working at a newly established birthing center have begun to compare their
L L L L L L L L L L L L L
performance in providing maternal-
L L L L
newborn care against clinical standards. This comparison process is most commonly k nown
L L L L L L L L L L L L
as what?
L L
a. Best practices network L L
b. Clinical benchmarking L
c. Outcomes-oriented pracNtiUceR S L
d. Evidence-based practice L
ANS: C L
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
L L L L L L L L L L L L
benchmarks or standards. The term best practice refers to a program or service that has been
L L L L L L L L L L L L L gi L L
recognized for its excellence. Clinical benchmarking is a process used to compare one’s o
L L L L L L L L L L L L L L
wn performance against the performance of the best in an area of service. The term evidenc
L L L L L L L L L L L L L L L L
e-
L
based practice refers to the provision of care based on evidence gained through research an d
L L L L L L L L L L L L L L L
clinical trials.
L L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L L gi
Nursing Process: Evaluation L L
MSC: Client Needs: Safe and Effective Care Environment
L L L L L L L
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
L L L L L L L L L L L L L L
assessment of a 21-year-
L L L gi
old Hispanic client with limited English proficiency. Which intervention is the most
L L L L gi L L gi L L L
important for the nurse to implement?
L L L L L L
a. Use maternity jargon to enable the client to become familiar with these terms.
L L L L L L L L L L L L
b. Speak quickly and efficiently to expedite the visit.
L L L L L L L
c. Provide the client with handouts. L L L L
d. Assess whether the client understands the discussion. L L L L L L
ANS: D L
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
L L L L L L L L L L L L
d evaluating whether the client understands the discussion. Speaking slowly and clearly an
L gi L L L L L L L L L L L
d focusing on what is important will increase understanding. Most client education material
L gi L L L L L L L L L L L
s are written at a level too high for the average adult and may not be useful for a client wit
L gi L L L L L L L L L L L L L L L L L L L
h limited English proficiency.
L gi L L
PTS: 1 DIF:
Cognitive Level: ApplyTOP: L L
Nursing Process: Implementation L L
MSC: Client Needs: Health Promotion and Maintenance
L L L L gi L
5. Which statement best exemplifies contemporary maternity nursing?
L L L L L L
a. Use of midwives for all vaginal deliveries
L L L L L L
b. Family-centered care L
c. Free-standing birth clinics L L
d. Physician-
driven care ANS: B L gi L
, Maternity and Women's Health Care 13th Edition Lowdermilk Test L L L L L L L gi
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partne L L L L L L L L L L L
rs, grandparents, and siblings may be present for the birth and participate in activities such a s
L L L L L L L L L L L L L L gi L L
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveri es.
L L L L L L L L L L L L L
Free-
L
standing clinics are an example of alternative birth options. Contemporary maternity nursin g
L L L L L L L L L L L L
is driven by the relationship between nurses and their clients.
L L L L L L L L L L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L L gi
Nursing Process: Planning L L
MSC: Client Needs: Health Promotion and Maintenance
L L L L gi L
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
L L L L L L L L
ounce baby girl after being in labor for 43 hours. The baby died 3 days later from sepsis. On
L L L L gi L L L L L L L L L L L L L
what grounds could the woman have a legitimate legal case for negligence?
L L L L L L L L L L L L
a. Inexperienced maternity nurse was assigned to care for the client. L L L L L L L L L
b. Client was past her due date by 3 days. L L L L L L L L
c. Standard of care was not met. L L L L L
d. Client refused electronic fetal monitoring. L L L L
ANS: C L
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexpe
L L L L L L L L L L L L L L L L
rienced maternity nurse would need to display competency before being assigned to care fo r
L L L L gi L L L L L L L gi L L
clients on his or her own. This client may have been past her due date; however, a term p
L L L L L L L L L L L L L L L L L gi L
regnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the stand
L L L L L L L L L L L L L gi
ard of care, the client has the right to refuse treatment. This refusal is not a case for neglig
L L L L L L L L L L L L L L L L L L L
ence, but informed consent should be properly obtained, and the client should have signed
L L L L L L L L L L L L L L
an against medical advice form when refusing any treatment that is within the standard of
L L L L L L L L L L L L L L L
care.
L
PTS: 1 DIF:
Cognitive Level: Analyze TOP: L L gi
Nursing Process: Implementation L L
MSC: Client Needs: Safe and Effective Care Environment
L L L L L L L
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
L L L L L L L L L L L L L L L L L gi
Lvolume, his or her best action in this situation would be what?
L L L L L L L L L L L
a. Ask another nurse. L L
b. Discuss the procedure with the client’s physician. L L L L L L
c. Look up the procedure in a nursing textbook. L L L L L L L
d. First consult the agency procedure manual L L L L L
ANS: D L
Following the agency’s policies and procedures manual is always best when seeking infor
L L L L L L L L L L L L
mation on correct client procedures. These policies should reflect the current standards of c
L L L L L L L L L L L L gi L
are and the individual state’s guidelines. Each nurse is responsible for his or her own practi
L L L L L L L L L L L L L L L L
ce. Relying on another nurse may not always be a safe practice. Each nurse is obligated to f
L L L L L L L L L L L L L L L L L L
ollow the standards of care for safe client care delivery. Physicians are responsible for their
L L L L L L L L L L L L L L L
own client care activity. Nurses may follow safe orders from physicians, but they are also
L L L L L L L L L L L L L L L
responsible for the activities that they, as nurses, are to carry out. Information provided in a
L L L L L L L L L L L L L L L L
nursing textbook is basic information for general knowledge.Furthermore, the information i
L L L L L L L L L L L
n a textbook may not reflect the current standard of care or the individual state or hospital p
L L L L L L L L L L L L L L L L L L
olicies.
L
