Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk
Test
, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk
Test
Chapter /01: /21st /Century /Maternity /and /Women’s /Health /Nursing
/Lowdermilk: /Maternity /& /Women’s /Health /Care, /13th /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
ANS: / 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
mI ioG
otN nTanBd.MCaO
inM
tenance, / 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.
ANS: / 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
, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk
Test
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 / pracNt iU ceR S
d. Evidence-based / practice
ANS: / 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.
ANS: / 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
/ANS: / B
, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk
Test
Contemporary /maternity /nursing /focuses /on /the /family’s /needs /and /desires. /Fathers,
/partners, /grandparents, /and /siblings /may /be /present /for /the /birth /and /participate /in
/activities /such /as /cutting /the /baby’s /umbilical /cord. /Both /midwives /and /physicians
/perform /vaginal /deliveries. /Free-standing /clinics /are /an /example /of /alternative /birth
/options. /Contemporary /maternity /nursing /is /driven /by /the /relationship /between /nurses
/and /their /clients.
PTS: 1 DIF: Cognitive /Level: /Understand
/TOP: Nursing /Process: /Planning
MSC: / Client /Needs: /Health /Promotion /and /Maintenance
6. A /38-year-old /Hispanic /woman /vaginally /delivered /a /9-pound, /6-ounce /baby /girl /after
/being /in /labor /for /43 /hours. /The /baby /died /3 /days /later /from /sepsis. /On /what /grounds
/could /the /woman /have /a /legitimate /legal /case /for /negligence?
a. Inexperienced /maternity /nurse /was /assigned /to /care /for /the /client.
b. Client /was /past /her /due /date /by /3 /days.
c. Standard /of /care /was /not /met.
d. Client /refused /electronic /fetal /monitoring.
ANS: / C
Not /meeting /the /standard /of /care /is /a /legitimate /factor /for /a /case /of /negligence. /An
/inexperienced /maternity /nurse /would /need /to /display /competency /before /being /assigned
/to /care /for /clients /on /his /or /her /own. /This /client /may /have /been /past /her /due /date;
/however, /a /term /pregnancy /often /goes /beyond /40 /weeks /of /gestation. /Although /fetal
/monitoring /is /the /standard /of /care, /the /client /has /the /right /to /refuse /treatment. /This
/refusal /is /not /a /case /for /negligence, /but /informed /consent /should /be /properly /obtained,
/and /the /client /should /have /signed /an /against /medical /advice /form /when /refusing /any
/treatment /that /is /within /the /standard /of /care.
PTS: 1 DIF: Cognitive /Level: /Analyze
/TOP: Nursing /Process: /Implementation
MSC: / Client /Needs: /Safe /and /Effective /Care /Environment
7. When /the /nurse /is /unsure /how /to /perform /a /client /care /procedure /that /is /high /risk /and
/low /volume, /his /or /her /best /action /in /this /situation /would /be /what?
a. Ask /another /nurse.
b. Discuss /the /procedure /with /the /client’s /physician.
c. Look /up /the /procedure /in /a /nursing /textbook.
d. First /consult /the /agency /procedure /manual
ANS: / D
Following /the /agency’s /policies /and /procedures /manual /is /always /best /when /seeking
/information /on /correct /client /procedures. /These /policies /should /reflect /the /current
/standards /of /care /and /the /individual /state’s /guidelines. /Each /nurse /is /responsible /for /his
/or /her /own /practice. /Relying /on /another /nurse /may /not /always /be /a /safe /practice. /Each
/nurse /is /obligated /to /follow /the /standards /of /care /for /safe /client /care /delivery.
/Physicians /are /responsible /for /their /own /client /care /activity. /Nurses /may /follow /safe
/orders /from /physicians, /but /they /are /also /responsible /for /the /activities /that /they, /as
/nurses, /are /to /carry /out. /Information /provided /in /a /nursing /textbook /is /basic /information
/for /general /knowledge. /Furthermore, /the /information /in /a /textbook /may /not /reflect /the
/current /standard /of /care /or /the /individual /state /or /hospital /policies.
Test
, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk
Test
Chapter /01: /21st /Century /Maternity /and /Women’s /Health /Nursing
/Lowdermilk: /Maternity /& /Women’s /Health /Care, /13th /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
ANS: / 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
mI ioG
otN nTanBd.MCaO
inM
tenance, / 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.
ANS: / 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
, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk
Test
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 / pracNt iU ceR S
d. Evidence-based / practice
ANS: / 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.
ANS: / 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
/ANS: / B
, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk
Test
Contemporary /maternity /nursing /focuses /on /the /family’s /needs /and /desires. /Fathers,
/partners, /grandparents, /and /siblings /may /be /present /for /the /birth /and /participate /in
/activities /such /as /cutting /the /baby’s /umbilical /cord. /Both /midwives /and /physicians
/perform /vaginal /deliveries. /Free-standing /clinics /are /an /example /of /alternative /birth
/options. /Contemporary /maternity /nursing /is /driven /by /the /relationship /between /nurses
/and /their /clients.
PTS: 1 DIF: Cognitive /Level: /Understand
/TOP: Nursing /Process: /Planning
MSC: / Client /Needs: /Health /Promotion /and /Maintenance
6. A /38-year-old /Hispanic /woman /vaginally /delivered /a /9-pound, /6-ounce /baby /girl /after
/being /in /labor /for /43 /hours. /The /baby /died /3 /days /later /from /sepsis. /On /what /grounds
/could /the /woman /have /a /legitimate /legal /case /for /negligence?
a. Inexperienced /maternity /nurse /was /assigned /to /care /for /the /client.
b. Client /was /past /her /due /date /by /3 /days.
c. Standard /of /care /was /not /met.
d. Client /refused /electronic /fetal /monitoring.
ANS: / C
Not /meeting /the /standard /of /care /is /a /legitimate /factor /for /a /case /of /negligence. /An
/inexperienced /maternity /nurse /would /need /to /display /competency /before /being /assigned
/to /care /for /clients /on /his /or /her /own. /This /client /may /have /been /past /her /due /date;
/however, /a /term /pregnancy /often /goes /beyond /40 /weeks /of /gestation. /Although /fetal
/monitoring /is /the /standard /of /care, /the /client /has /the /right /to /refuse /treatment. /This
/refusal /is /not /a /case /for /negligence, /but /informed /consent /should /be /properly /obtained,
/and /the /client /should /have /signed /an /against /medical /advice /form /when /refusing /any
/treatment /that /is /within /the /standard /of /care.
PTS: 1 DIF: Cognitive /Level: /Analyze
/TOP: Nursing /Process: /Implementation
MSC: / Client /Needs: /Safe /and /Effective /Care /Environment
7. When /the /nurse /is /unsure /how /to /perform /a /client /care /procedure /that /is /high /risk /and
/low /volume, /his /or /her /best /action /in /this /situation /would /be /what?
a. Ask /another /nurse.
b. Discuss /the /procedure /with /the /client’s /physician.
c. Look /up /the /procedure /in /a /nursing /textbook.
d. First /consult /the /agency /procedure /manual
ANS: / D
Following /the /agency’s /policies /and /procedures /manual /is /always /best /when /seeking
/information /on /correct /client /procedures. /These /policies /should /reflect /the /current
/standards /of /care /and /the /individual /state’s /guidelines. /Each /nurse /is /responsible /for /his
/or /her /own /practice. /Relying /on /another /nurse /may /not /always /be /a /safe /practice. /Each
/nurse /is /obligated /to /follow /the /standards /of /care /for /safe /client /care /delivery.
/Physicians /are /responsible /for /their /own /client /care /activity. /Nurses /may /follow /safe
/orders /from /physicians, /but /they /are /also /responsible /for /the /activities /that /they, /as
/nurses, /are /to /carry /out. /Information /provided /in /a /nursing /textbook /is /basic /information
/for /general /knowledge. /Furthermore, /the /information /in /a /textbook /may /not /reflect /the
/current /standard /of /care /or /the /individual /state /or /hospital /policies.
