Test Bank for Maternity and Women’s Health Care, 13th Edition (Lowdermilk, 2025/2026), Chapter 1-37 | All Chapters

Test Bank

for Maternity and Women’s Health Care, 13th Edition (Lowdermilk, 2025/2026), Lates

Updated Chapter 1-37 | All Chapters



PROSE STUVIA

,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 p9




1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight
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(LBW) infant, which factor is the most important for the nurse to consider?
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a. African-American race p9



b. Cigarette smoking p9



c. Poor nutritional status p9 p9



d. Limited maternal education p9 p9




ANS: A p 9



The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic
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black women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are
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almost twice as likely as non-Hispanic white infants to be of LBW and to die in the first
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year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor
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in potential infant mortality rates, but it is not the most important. Additionally, smoking
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is a modifiable risk factor. Poor nutrition is an important factor in potential infant
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mortality rates, but it is not the most important. Additionally, nutritional status is a
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modifiable risk factor. Maternal education is an important factor in potential infant
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mortality rates, but it is not the most important. Additionally, maternal education is a
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modifiable risk factor.
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PTS: 1 DIF: Cognitive Level: Understand p9 p9



TOP: Nursing Process: Assessment
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MSC: Client Needs: HealtNhUPrRoS
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otN nTanBd.MCaO
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tenance,
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2. A 23-year-old African-American woman is pregnant with her first child. Based on
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current statistics for infant mortality, which intervention is most important for the nurse
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to include in the client’s plan of care?
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a. Perform a nutrition assessment. p9 p9 p9



b. Refer the woman to a social worker. p9 p9 p9 p9 p9 p9



c. Advise the woman to see an obstetrician, not a midwife.
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d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D p 9



Consistent prenatal care is the best method of preventing or controlling risk factors
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associated with infant mortality. Nutritional status is an important modifiable risk factor,
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but it is not the most important action a nurse should take in this situation. The client
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may need assistance from a social worker at some time during her pregnancy, but a
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referral to a social worker is not the most important aspect the nurse should address at
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this time. If the woman has identifiable high-risk problems, then her health care may
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need to be provided by a physician. However, it cannot be assumed that all African-
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American women have high-risk issues. In addition, advising the woman to see an
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obstetrician is not the most important aspect on which the nurse should focus at this
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time, and it is not appropriate for a nurse to advise or manage the type of care a client is
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to receive.
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PTS: 1 DIF: Cognitive Level: Understand p9 p9



TOP: Nursing Process: Planning
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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 their
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performance in providing maternal-newborn care against clinical standards. This
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comparison process is most commonly known as what?
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a. Best practices network p9 p9



b. Clinical benchmarking p9




c. Outcomes-oriented pracNtiUceR S p9




d. Evidence-based practice p9




ANS: C p 9



Outcomes-oriented practice measures the effectiveness of the interventions and quality of p9 p9 p9 p9 p9 p9 p9 p9 p9 p9



care against benchmarks or standards. The term best practice refers to a program or service
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that has been recognized for its excellence. Clinical benchmarking is a process used to
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compare one’s own performance against the performance of the best in an area of
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service. The term evidence-based practice refers to the provision of care based on
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evidence gained through research and clinical trials.
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PTS: 1 DIF: Cognitive Level: Understand p9 p9



TOP: Nursing Process: Evaluation
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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
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initial assessment of a 21-year-old Hispanic client with limited English proficiency.
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Which intervention is the most 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. p9 p9 p9 p9



d. Assess whether the client understands the discussion.
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ANS: D p 9



Nurses contribute to health literacy by using simple, common words, avoiding jargon,
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and evaluating whether the client understands the discussion. Speaking slowly and
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clearly and focusing on what is important will increase understanding. Most client
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education materials are written at a level too high for the average adult and may not be
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useful for a client with limited English proficiency.
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PTS: 1 DIF: Cognitive Level: Apply p9 p9



TOP: Nursing Process: Implementation
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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 p9



c. Free-standing birth clinics p9 p9



d. Physician-driven care p9




p9 ANS: B p 9