Maternity hand hWomen's hHealth hCare h13th hEdition hLowdermilk
hTest
, Maternity hand hWomen's hHealth hCare h13th hEdition hLowdermilk
hTest
Chapter h01: h21st hCentury hMaternity hand hWomen’s hHealth
hNursinghLowdermilk: hMaternity h& hWomen’s hHealth hCare,
h13th hEdition
MULTIPLE hCHOICE
1. In hevaluating hthe hlevel hof ha hpregnant hwoman’s hrisk hof hhaving ha hlow-birth-weight
h (LBW)hinfant, hwhich hfactor his hthe h most himportant h for hthe hnurse hto hconsider?
a. African-American hrace
b. Cigarette hsmoking
c. Poor hnutritional hstatus
d. Limited hmaternal heducation
ANS: h A
The hrise hin hthe hoverall hLBW hrates hwere hdue hto hincreases hin hLBW hbirths hto hnon-
Hispanic hblack hwomen h(13.35%) hand hHispanic hwomen h(7.21%); hnon-Hispanic hblack
hinfants hare halmost htwice has hlikely has hnon-Hispanic hwhite hinfants hto hbe hof hLBW hand
hto hdie hin hthe hfirst hyear hof hlife.. hRace his ha hnonmodifiable hrisk hfactor. hCigarette
hsmoking his han himportant hfactor hinhpotential hinfant hmortality hrates, hbut hit his hnot hthe
hmost himportant. hAdditionally, hsmoking his ha hmodifiable hrisk hfactor. hPoor hnutrition his
han himportant hfactor hin hpotential hinfant hmortality hrates, hbut hit his hnot hthe hmost
himportant. hAdditionally, hnutritional hstatus his ha hmodifiable hrisk hfactor. hMaternal
heducation his han himportant hfactor hin hpotential hinfant hmortality hrates, hbut hit his hnot hthe
hmost himportant. hAdditionally, h maternal heducation his ha hmodifiable hrisk hfactor.
PTS: 1 DIF: Cognitive hLevel:
hUnderstandhTOP: Nursing hProcess: hAssessment
MSC: h h hClient h Needs: h HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, hAntepartum hCare
2. A h23-year-old hAfrican-American hwoman his hpregnant hwith hher hfirst hchild. hBased hon
hcurrent hstatistics hfor hinfant hmortality, hwhich hintervention his hmost himportant hfor hthe
hnurse hto hincludehin hthe hclient’s hplan hof hcare?
a. Perform ha hnutrition hassessment.
b. Refer hthe hwoman hto ha hsocial hworker.
c. Advise hthe hwoman hto hsee han hobstetrician, hnot ha hmidwife.
d. Explain hto hthe hwoman hthe himportance hof hkeeping hher hprenatal hcare happointments.
ANS: h D
Consistent hprenatal hcare his hthe hbest hmethod hof hpreventing hor hcontrolling hrisk hfactors
hassociated hwith hinfant hmortality. hNutritional hstatus his han himportant hmodifiable hrisk
hfactor, hbuthit his hnot hthe hmost himportant haction ha hnurse hshould htake hin hthis hsituation.
hThe hclient hmay hneedhassistance hfrom ha hsocial hworker hat hsome htime hduring hher
hpregnancy, hbut ha hreferral hto ha hsocialhworker his hnot hthe hmost himportant haspect hthe
hnurse hshould haddress hat hthis htime. hIf hthe hwoman hhas hidentifiable hhigh-risk hproblems,
hthen hher hhealth hcare hmay hneed hto hbe hprovided hby ha hphysician. hHowever, hit hcannot
hbe hassumed hthat hall hAfrican-American hwomen hhave hhigh-riskhissues. hIn haddition,
hadvising hthe hwoman hto hsee han hobstetrician his hnot hthe hmost himportant haspect hon
hwhich hthe hnurse hshould hfocus hat hthis htime, hand hit his hnot happropriate hfor ha hnurse hto
hadvise hor hmanage hthe htype hof hcare ha hclient h is hto hreceive.
PTS: 1 DIF: Cognitive hLevel:
hUnderstandhTOP: Nursing hProcess: hPlanning
, Maternity hand hWomen's hHealth hCare h13th hEdition hLowdermilk
hTest
MSC: h Client hNeeds: hHealth hPromotion hand hMaintenance
3. The hnurses hworking hat ha hnewly hestablished hbirthing hcenter hhave hbegun hto
h compare htheirhperformance hin hproviding hmaternal-newborn hcare hagainst hclinical
hstandards. hThis hcomparison hprocess his hmost h commonly hknown has h what?
a. Best hpractices hnetwork
b. Clinical hbenchmarking
c. Outcomes-oriented hpracNtiU ceRS
d. Evidence-based hpractice
ANS: h C
Outcomes-oriented hpractice hmeasures hthe heffectiveness hof hthe hinterventions hand
hquality hof hcare hagainst h benchmarks hor hstandards. hThe hterm hbest hpractice hrefers hto ha
hprogram hor hservicehthat hhas hbeen hrecognized hfor hits hexcellence. hClinical
hbenchmarking his ha hprocess hused hto hcompare hone’s hown hperformance hagainst hthe
hperformance hof hthe hbest hin han harea hof hservice. hThe hterm hevidence-based hpractice
hrefers hto hthe hprovision hof hcare hbased hon hevidence hgainedhthrough hresearch hand
hclinical htrials.
PTS: 1 DIF: Cognitive hLevel:
hUnderstandhTOP: Nursing hProcess: hEvaluation
MSC: h Client hNeeds: hSafe hand hEffective hCare hEnvironment
4. During ha hprenatal hintake hinterview, hthe hnurse his hin hthe hprocess hof hobtaining
han hinitial hassessment hof ha h21-year-old hHispanic hclient hwith hlimited hEnglish
hproficiency. h Which hintervention his hthe h most h important h for hthe hnurse hto
h implement?
a. Use hmaternity hjargon hto henable hthe hclient hto hbecome hfamiliar hwith hthese hterms.
b. Speak hquickly hand hefficiently hto hexpedite hthe hvisit.
c. Provide hthe hclient hwith hhandouts.
d. Assess hwhether hthe hclient hunderstands hthe hdiscussion.
ANS: h D
Nurses hcontribute hto hhealth hliteracy hby husing hsimple, hcommon hwords, havoiding
hjargon, hand hevaluating hwhether hthe hclient hunderstands hthe hdiscussion. hSpeaking
hslowly hand hclearly hand hfocusing hon hwhat his himportant hwill hincrease hunderstanding.
hMost hclient heducation hmaterials hare hwritten hat ha hlevel htoo hhigh hfor hthe haverage
hadult hand hmay hnot hbe huseful hfor ha hclient hwithhlimited hEnglish hproficiency.
PTS: 1 DIF: Cognitive hLevel:
hApplyhTOP: Nursing hProcess:
h Implementation
MSC: h Client hNeeds: hHealth hPromotion hand hMaintenance
5. Which hstatement hbest hexemplifies hcontemporary hmaternity hnursing?
a. Use hof hmidwives hfor hall hvaginal hdeliveries
b. Family-centered hcare
c. Free-standing hbirth hclinics
d. Physician-driven
hcarehANS: h B
, Maternity hand hWomen's hHealth hCare h13th hEdition hLowdermilk
hTest
Contemporary hmaternity hnursing hfocuses hon hthe hfamily’s hneeds hand hdesires. hFathers,
hpartners, hgrandparents, hand hsiblings hmay hbe hpresent hfor hthe hbirth hand hparticipate hin
hactivitieshsuch has hcutting hthe hbaby’s humbilical hcord. hBoth hmidwives hand hphysicians
hperform hvaginal hdeliveries. hFree-standing hclinics hare han hexample hof halternative hbirth
hoptions. hContemporaryhmaternity hnursing his hdriven hby hthe hrelationship hbetween hnurses
hand htheir hclients.
PTS: 1 DIF: Cognitive hLevel:
hUnderstandhTOP: Nursing hProcess: hPlanning
MSC: h Client hNeeds: hHealth hPromotion hand hMaintenance
6. A h38-year-old hHispanic hwoman hvaginally hdelivered ha h9-pound, h6-ounce hbaby hgirl
hafter hbeinghin hlabor hfor h43 hhours. hThe hbaby hdied h3 hdays hlater hfrom hsepsis. hOn hwhat
hgrounds hcould hthe hwoman hhave ha hlegitimate h legal hcase h for hnegligence?
a. Inexperienced hmaternity hnurse hwas hassigned hto hcare hfor hthe hclient.
b. Client hwas hpast hher hdue hdate hby h3 hdays.
c. Standard hof hcare hwas hnot hmet.
d. Client hrefused helectronic hfetal hmonitoring.
ANS: h C
Not hmeeting hthe hstandard hof hcare his ha hlegitimate hfactor hfor ha hcase hof hnegligence.
hAn hinexperienced hmaternity hnurse hwould hneed hto hdisplay hcompetency hbefore hbeing
hassigned htohcare hfor hclients hon hhis hor hher hown. hThis hclient hmay hhave hbeen hpast
hher hdue hdate; hhowever, hahterm hpregnancy hoften hgoes hbeyond h40 hweeks hof hgestation.
hAlthough hfetal hmonitoring h is hthehstandard hof hcare, hthe hclient hhas hthe hright hto hrefuse
htreatment. hThis hrefusal his hnot ha hcase hfor hnegligence, hbut hinformed hconsent hshould
hbe hproperly hobtained, hand hthe hclient hshould hhave hsigned han hagainst hmedical hadvice
hform hwhen hrefusing hany htreatment hthat his hwithin hthe hstandard hof hcare.
PTS: 1 DIF: Cognitive hLevel:
hAnalyzehTOP: Nursing hProcess:
h Implementation
MSC: h Client hNeeds: hSafe hand hEffective hCare hEnvironment
7. When hthe hnurse his hunsure hhow hto hperform ha hclient hcare hprocedure hthat his hhigh hrisk
hand h lowhvolume, hhis hor h her h best h action hin hthis hsituation hwould h be hwhat?
a. Ask hanother hnurse.
b. Discuss hthe hprocedure hwith hthe hclient’s hphysician.
c. Look hup hthe hprocedure hin ha hnursing htextbook.
d. First hconsult hthe hagency hprocedure hmanual
ANS: h D
Following hthe hagency’s hpolicies hand hprocedures hmanual his halways hbest hwhen hseeking
hinformation hon hcorrect hclient hprocedures. h These hpolicies hshould hreflect hthe hcurrent
hstandardshof hcare hand hthe hindividual hstate’s hguidelines. hEach hnurse his hresponsible hfor
hhis hor hher hown hpractice. hRelying hon hanother hnurse hmay hnot halways hbe ha hsafe
hpractice. hEach hnurse his hobligated hto hfollow hthe hstandards hof hcare hfor hsafe hclient
hcare hdelivery. hPhysicians hare hresponsible hfor htheir hown hclient hcare hactivity. hNurses
hmay hfollow hsafe horders hfrom hphysicians, hbut hthey hare halso hresponsible hfor hthe
hactivities hthat hthey, has hnurses, hare hto hcarry hout. hInformation hprovided hin ha hnursing
htextbook his hbasic hinformation hfor hgeneral hknowledge.hFurthermore, hthe hinformation hin
ha htextbook hmay hnot hreflect hthe hcurrent hstandard hof hcare hor hthe hindividual hstate hor
hhospital hpolicies.
hTest
, Maternity hand hWomen's hHealth hCare h13th hEdition hLowdermilk
hTest
Chapter h01: h21st hCentury hMaternity hand hWomen’s hHealth
hNursinghLowdermilk: hMaternity h& hWomen’s hHealth hCare,
h13th hEdition
MULTIPLE hCHOICE
1. In hevaluating hthe hlevel hof ha hpregnant hwoman’s hrisk hof hhaving ha hlow-birth-weight
h (LBW)hinfant, hwhich hfactor his hthe h most himportant h for hthe hnurse hto hconsider?
a. African-American hrace
b. Cigarette hsmoking
c. Poor hnutritional hstatus
d. Limited hmaternal heducation
ANS: h A
The hrise hin hthe hoverall hLBW hrates hwere hdue hto hincreases hin hLBW hbirths hto hnon-
Hispanic hblack hwomen h(13.35%) hand hHispanic hwomen h(7.21%); hnon-Hispanic hblack
hinfants hare halmost htwice has hlikely has hnon-Hispanic hwhite hinfants hto hbe hof hLBW hand
hto hdie hin hthe hfirst hyear hof hlife.. hRace his ha hnonmodifiable hrisk hfactor. hCigarette
hsmoking his han himportant hfactor hinhpotential hinfant hmortality hrates, hbut hit his hnot hthe
hmost himportant. hAdditionally, hsmoking his ha hmodifiable hrisk hfactor. hPoor hnutrition his
han himportant hfactor hin hpotential hinfant hmortality hrates, hbut hit his hnot hthe hmost
himportant. hAdditionally, hnutritional hstatus his ha hmodifiable hrisk hfactor. hMaternal
heducation his han himportant hfactor hin hpotential hinfant hmortality hrates, hbut hit his hnot hthe
hmost himportant. hAdditionally, h maternal heducation his ha hmodifiable hrisk hfactor.
PTS: 1 DIF: Cognitive hLevel:
hUnderstandhTOP: Nursing hProcess: hAssessment
MSC: h h hClient h Needs: h HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, hAntepartum hCare
2. A h23-year-old hAfrican-American hwoman his hpregnant hwith hher hfirst hchild. hBased hon
hcurrent hstatistics hfor hinfant hmortality, hwhich hintervention his hmost himportant hfor hthe
hnurse hto hincludehin hthe hclient’s hplan hof hcare?
a. Perform ha hnutrition hassessment.
b. Refer hthe hwoman hto ha hsocial hworker.
c. Advise hthe hwoman hto hsee han hobstetrician, hnot ha hmidwife.
d. Explain hto hthe hwoman hthe himportance hof hkeeping hher hprenatal hcare happointments.
ANS: h D
Consistent hprenatal hcare his hthe hbest hmethod hof hpreventing hor hcontrolling hrisk hfactors
hassociated hwith hinfant hmortality. hNutritional hstatus his han himportant hmodifiable hrisk
hfactor, hbuthit his hnot hthe hmost himportant haction ha hnurse hshould htake hin hthis hsituation.
hThe hclient hmay hneedhassistance hfrom ha hsocial hworker hat hsome htime hduring hher
hpregnancy, hbut ha hreferral hto ha hsocialhworker his hnot hthe hmost himportant haspect hthe
hnurse hshould haddress hat hthis htime. hIf hthe hwoman hhas hidentifiable hhigh-risk hproblems,
hthen hher hhealth hcare hmay hneed hto hbe hprovided hby ha hphysician. hHowever, hit hcannot
hbe hassumed hthat hall hAfrican-American hwomen hhave hhigh-riskhissues. hIn haddition,
hadvising hthe hwoman hto hsee han hobstetrician his hnot hthe hmost himportant haspect hon
hwhich hthe hnurse hshould hfocus hat hthis htime, hand hit his hnot happropriate hfor ha hnurse hto
hadvise hor hmanage hthe htype hof hcare ha hclient h is hto hreceive.
PTS: 1 DIF: Cognitive hLevel:
hUnderstandhTOP: Nursing hProcess: hPlanning
, Maternity hand hWomen's hHealth hCare h13th hEdition hLowdermilk
hTest
MSC: h Client hNeeds: hHealth hPromotion hand hMaintenance
3. The hnurses hworking hat ha hnewly hestablished hbirthing hcenter hhave hbegun hto
h compare htheirhperformance hin hproviding hmaternal-newborn hcare hagainst hclinical
hstandards. hThis hcomparison hprocess his hmost h commonly hknown has h what?
a. Best hpractices hnetwork
b. Clinical hbenchmarking
c. Outcomes-oriented hpracNtiU ceRS
d. Evidence-based hpractice
ANS: h C
Outcomes-oriented hpractice hmeasures hthe heffectiveness hof hthe hinterventions hand
hquality hof hcare hagainst h benchmarks hor hstandards. hThe hterm hbest hpractice hrefers hto ha
hprogram hor hservicehthat hhas hbeen hrecognized hfor hits hexcellence. hClinical
hbenchmarking his ha hprocess hused hto hcompare hone’s hown hperformance hagainst hthe
hperformance hof hthe hbest hin han harea hof hservice. hThe hterm hevidence-based hpractice
hrefers hto hthe hprovision hof hcare hbased hon hevidence hgainedhthrough hresearch hand
hclinical htrials.
PTS: 1 DIF: Cognitive hLevel:
hUnderstandhTOP: Nursing hProcess: hEvaluation
MSC: h Client hNeeds: hSafe hand hEffective hCare hEnvironment
4. During ha hprenatal hintake hinterview, hthe hnurse his hin hthe hprocess hof hobtaining
han hinitial hassessment hof ha h21-year-old hHispanic hclient hwith hlimited hEnglish
hproficiency. h Which hintervention his hthe h most h important h for hthe hnurse hto
h implement?
a. Use hmaternity hjargon hto henable hthe hclient hto hbecome hfamiliar hwith hthese hterms.
b. Speak hquickly hand hefficiently hto hexpedite hthe hvisit.
c. Provide hthe hclient hwith hhandouts.
d. Assess hwhether hthe hclient hunderstands hthe hdiscussion.
ANS: h D
Nurses hcontribute hto hhealth hliteracy hby husing hsimple, hcommon hwords, havoiding
hjargon, hand hevaluating hwhether hthe hclient hunderstands hthe hdiscussion. hSpeaking
hslowly hand hclearly hand hfocusing hon hwhat his himportant hwill hincrease hunderstanding.
hMost hclient heducation hmaterials hare hwritten hat ha hlevel htoo hhigh hfor hthe haverage
hadult hand hmay hnot hbe huseful hfor ha hclient hwithhlimited hEnglish hproficiency.
PTS: 1 DIF: Cognitive hLevel:
hApplyhTOP: Nursing hProcess:
h Implementation
MSC: h Client hNeeds: hHealth hPromotion hand hMaintenance
5. Which hstatement hbest hexemplifies hcontemporary hmaternity hnursing?
a. Use hof hmidwives hfor hall hvaginal hdeliveries
b. Family-centered hcare
c. Free-standing hbirth hclinics
d. Physician-driven
hcarehANS: h B
, Maternity hand hWomen's hHealth hCare h13th hEdition hLowdermilk
hTest
Contemporary hmaternity hnursing hfocuses hon hthe hfamily’s hneeds hand hdesires. hFathers,
hpartners, hgrandparents, hand hsiblings hmay hbe hpresent hfor hthe hbirth hand hparticipate hin
hactivitieshsuch has hcutting hthe hbaby’s humbilical hcord. hBoth hmidwives hand hphysicians
hperform hvaginal hdeliveries. hFree-standing hclinics hare han hexample hof halternative hbirth
hoptions. hContemporaryhmaternity hnursing his hdriven hby hthe hrelationship hbetween hnurses
hand htheir hclients.
PTS: 1 DIF: Cognitive hLevel:
hUnderstandhTOP: Nursing hProcess: hPlanning
MSC: h Client hNeeds: hHealth hPromotion hand hMaintenance
6. A h38-year-old hHispanic hwoman hvaginally hdelivered ha h9-pound, h6-ounce hbaby hgirl
hafter hbeinghin hlabor hfor h43 hhours. hThe hbaby hdied h3 hdays hlater hfrom hsepsis. hOn hwhat
hgrounds hcould hthe hwoman hhave ha hlegitimate h legal hcase h for hnegligence?
a. Inexperienced hmaternity hnurse hwas hassigned hto hcare hfor hthe hclient.
b. Client hwas hpast hher hdue hdate hby h3 hdays.
c. Standard hof hcare hwas hnot hmet.
d. Client hrefused helectronic hfetal hmonitoring.
ANS: h C
Not hmeeting hthe hstandard hof hcare his ha hlegitimate hfactor hfor ha hcase hof hnegligence.
hAn hinexperienced hmaternity hnurse hwould hneed hto hdisplay hcompetency hbefore hbeing
hassigned htohcare hfor hclients hon hhis hor hher hown. hThis hclient hmay hhave hbeen hpast
hher hdue hdate; hhowever, hahterm hpregnancy hoften hgoes hbeyond h40 hweeks hof hgestation.
hAlthough hfetal hmonitoring h is hthehstandard hof hcare, hthe hclient hhas hthe hright hto hrefuse
htreatment. hThis hrefusal his hnot ha hcase hfor hnegligence, hbut hinformed hconsent hshould
hbe hproperly hobtained, hand hthe hclient hshould hhave hsigned han hagainst hmedical hadvice
hform hwhen hrefusing hany htreatment hthat his hwithin hthe hstandard hof hcare.
PTS: 1 DIF: Cognitive hLevel:
hAnalyzehTOP: Nursing hProcess:
h Implementation
MSC: h Client hNeeds: hSafe hand hEffective hCare hEnvironment
7. When hthe hnurse his hunsure hhow hto hperform ha hclient hcare hprocedure hthat his hhigh hrisk
hand h lowhvolume, hhis hor h her h best h action hin hthis hsituation hwould h be hwhat?
a. Ask hanother hnurse.
b. Discuss hthe hprocedure hwith hthe hclient’s hphysician.
c. Look hup hthe hprocedure hin ha hnursing htextbook.
d. First hconsult hthe hagency hprocedure hmanual
ANS: h D
Following hthe hagency’s hpolicies hand hprocedures hmanual his halways hbest hwhen hseeking
hinformation hon hcorrect hclient hprocedures. h These hpolicies hshould hreflect hthe hcurrent
hstandardshof hcare hand hthe hindividual hstate’s hguidelines. hEach hnurse his hresponsible hfor
hhis hor hher hown hpractice. hRelying hon hanother hnurse hmay hnot halways hbe ha hsafe
hpractice. hEach hnurse his hobligated hto hfollow hthe hstandards hof hcare hfor hsafe hclient
hcare hdelivery. hPhysicians hare hresponsible hfor htheir hown hclient hcare hactivity. hNurses
hmay hfollow hsafe horders hfrom hphysicians, hbut hthey hare halso hresponsible hfor hthe
hactivities hthat hthey, has hnurses, hare hto hcarry hout. hInformation hprovided hin ha hnursing
htextbook his hbasic hinformation hfor hgeneral hknowledge.hFurthermore, hthe hinformation hin
ha htextbook hmay hnot hreflect hthe hcurrent hstandard hof hcare hor hthe hindividual hstate hor
hhospital hpolicies.
