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 S! S! S! S! S! S! S! S!


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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 S!




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 S!


b. Cigarette smoking S!


c. Poor nutritional status S! S!


d. Limited maternal education S! S!




ANS: A S !


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 nonmodi
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fiable 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 n
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utrition is an important factor in potential infant mortality rates, but it is not the most imp
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ortant. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
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important factor in potential infant mortality rates, but it is not the most important. Additi
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onally, maternal education is a modifiable risk factor.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: S! S! S
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Nursing Process: Assessment S! S!



MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN
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inM
tenance, Antepartum Care S! S! S! S!




2. A 23-year-old African-
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American woman is pregnant with her first child. Based on currentstatistics for infant m
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ortality, which intervention is most important for the nurse to includein the client’s plan
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of care? S!


a. Perform a nutrition assessment. S! S! S!


b. Refer the woman to a social worker. S! S! S! S! S! S!


c. Advise the woman to see an obstetrician, not a midwife. S! S! S! S! S! S! S! S! S!


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


Consistent prenatal care is the best method of preventing or controlling risk factors associ
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ated with infant mortality. Nutritional status is an important modifiable risk factor, butit is n
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ot the most important action a nurse should take in this situation. The client may needassi
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stance from a social worker at some time during her pregnancy, but a referral to a socialw
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orker is not the most important aspect the nurse should address at this time. If the woman
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has identifiable high-
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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 importan
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t aspect on which the nurse should focus at this time, and it is not appropriate for a nurse
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to advise or manage the type of care a client is to receive.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: S! S! S
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Nursing Process: Planning S! S!

, Maternity and Women's Health Care 13th Edition Lowdermilk TesS! S! S! S! S! S! S! S!


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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 the
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irperformance 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? S! S!


a. Best practices network S! S!


b. Clinical benchmarking S!


c. Outcomes-oriented pracNtiU
ceRS S!


d. Evidence-based practice S!



ANS: C S !


Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care agains
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t benchmarks or standards. The term best practice refers to a program or servicethat has be
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en recognized for its excellence. Clinical benchmarking is a process used to compare one’
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s own performance against the performance of the best in an area of service. The term evi
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dence-
based practice refers to the provision of care based on evidence gainedthrough research a
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nd clinical trials.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: S! S! S
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Nursing Process: Evaluation S! S!


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 initi
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al 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. S! S! S! S!


d. Assess whether the client understands the discussion.S! S! S! S! S! S!




ANS: D S !


Nurses contribute to health literacy by using simple, common words, avoiding jargon, a
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ndevaluating whether the client understands the discussion. Speaking slowly and clearly
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andfocusing on what is important will increase understanding. Most client education mate
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rialsare written at a level too high for the average adult and may not be useful for a clie
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nt withlimited English proficiency.
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PTS: 1 DIF:
Cognitive Level: ApplyTOP: S! S! S
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Nursing Process: Implementation S! S!


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 S!


c. Free-standing birth clinics S! S!


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


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Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partn
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ers, grandparents, and siblings may be present for the birth and participate in activitiessuch
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as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliv
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eries. Free- S!


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: S! S! S
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Nursing Process: Planning S! S!


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.
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On 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. S! S! S! S! S! S! S! S! S!


b. Client was past her due date by 3 days. S! S! S! S! S! S! S! S!


c. Standard of care was not met. S! S! S! S! S!


d. Client refused electronic fetal monitoring. S! S! S! S!




ANS: C S !


Not meeting the standard of care is a legitimate factor for a case of negligence. An inex
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perienced maternity nurse would need to display competency before being assigned tocar
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e for clients on his or her own. This client may have been past her due date; however, at
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erm pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is th
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estandard of care, the client has the right to refuse treatment. This refusal is not a case f
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or negligence, but informed consent should be properly obtained, and the client should h
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ave signed an against medical advice form when refusing any treatment that is within th
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e standard of care.
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PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: S! S! S
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Nursing Process: Implementation S! S!


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. S! S!


b. Discuss the procedure with the client’s physician. S! S! S! S! S! S!


c. Look up the procedure in a nursing textbook. S! S! S! S! S! S! S!


d. First consult the agency procedure manual S! S! S! S! S!




ANS: D S !


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 prac
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tice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
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to follow the standards of care for safe client care delivery. Physicians are responsible for
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their own client care activity. Nurses may follow safe orders from physicians, but they are
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also responsible for the activities that they, as nurses, are to carry out. Information provid
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ed in a nursing textbook is basic information for general knowledge.Furthermore, the infor
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mation in a textbook may not reflect the current standard of care or the individual state or
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hospital policies. S!