TEST BANK
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,Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th 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
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
Race is a non-modifiable 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.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studieNs R I G B.C
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one
factor of the research process. Data collection is another factor of research. Financial support
is necessary to conduct research, but it is not the primary role of the nurse in the research
process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
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
For more test banks
https://www.stuvia.com/user/angelinas
, associatedwith iinfant imortality. iNutritional istatus iis ian iimportant imodifiable irisk ifactor,
ibut i it iis inot ithemost iimportant iaction ia inurse ishould itake iin ithis isituation. iThe iclient
imay ineed iassistance ifrom ia isocial iworker iat isome itime iduring iher ipregnancy, ibut ia
ireferral ito ia isocial iworker iis inot ithe imost iimportant iaspect ithe inurse ishould iaddress iat
ithis itime. iIf ithe iwoman ihas iidentifiable ihigh-risk iproblems, ithen iher ihealth icare imay
ineed ito ibe iprovided iby ia iphysician. iHowever, iit icannot ibe iassumed ithat iall iAfrican-
American iwomen ihave ihigh-risk iissues. iIn iaddition, iadvising ithe iwoman ito isee ian
iobstetrician iis inot ithe imost iimportant iaspect ion iwhichthe inurse ishould ifocus iat ithis itime,
iand iit iis inot iappropriate ifor ia inurse ito iadvise ior imanage ithe itype iof icare ia iclient iis ito
ireceive.
DIF: Cognitive iLevel: iUnderstand REF: i p. i6 TOP: i Nursing iProcess:
iPlanning iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
4. During ia iprenatal iintake iinterview, ithe inurse iis iin ithe iprocess iof iobtaining ian iinitial
iassessment iof ia i21-year-old iHispanic iclient iwith ilimited iEnglish iproficiency. iWhich iaction
iis ithe imost iimportant ifor ithe inurse ito iperform?
a. Use imaternity ijargon ito ienable ithe iclient ito ibecome ifamiliar iwith ithese iterms.
b. Speak iquickly iand iefficiently ito iexpedite ithe ivisit.
c. Provide ithe iclient iwith ihandouts.
d. Assess iwhether ithe iclient iunderstands ithe idiscussion.
ANS: i D
Nurses icontribute ito ihealth iliteracy iby iusing isimple, icommon iwords, iavoiding ijargon, iand
ievaluating iwhether ithe iclient iunderstands ithe idiscussion. iSpeaking islowly iand iclearly iand
ifocusing ion iwhat iis iimportant iwill iincrease iunderstanding. iMost iclient ieducation imaterials
iare iwritten iat ia ilevel itoo ihigh ifor ithe iaverage iadult iand imay inot ibe iuseful ifor ia iclient iwith
ilimited iEnglish iproficiency.
N R I G B.C
DIF: Cognitive iLevel: iApply REF: i p. i5 TOP: i Nursing iProcess:
iEvaluation iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
5. The inurses iworking iat ia inewly iestablished ibirthing icenter ihave ibegun ito icompare itheir
iperformance iin iproviding imaternal-newborn icare iagainst iclinical istandards. iThis
icomparison iprocess iis imost icommonly iknown ias iwhat?
a. Best ipractices inetwork
b. Clinical ibenchmarking
c. Outcomes-oriented ipractice
d. Evidence-based ipractice
ANS: i C
Outcomes-oriented ipractice imeasures ithe ieffectiveness iof ithe iinterventions iand iquality iof
icare iagainst ibenchmarks ior istandards. iThe iterm ibest ipractice irefers ito ia iprogram ior
iservice ithat ihas ibeen irecognized ifor iits iexcellence. iClinical ibenchmarking iis ia iprocess
iused ito icompare ione’s iown iperformance iagainst ithe iperformance iof ithe ibest iin ian iarea iof
iservice. iThe iterm ievidence-based ipractice irefers ito ithe iprovision iof icare ibased ion
ievidence igained ithrough iresearch iand iclinical itrials.
DIF: Cognitive iLevel: iUnderstand REF: i p. i11 TOP: i Nursing iProcess:
iEvaluation iMSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
6. Which istatement ibest iexemplifies icontemporary imaternity inursing?
a. Use iof imidwives ifor iall ivaginal ideliveries
b. Family-centered icare
For more test banks
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, c. Free-standing ibirth iclinics
d. Physician-driven icare
ANS: i B
Contemporary imaternity inursing ifocuses ion ithe ifamily’s ineeds iand idesires. iFathers,
ipartners, igrandparents, iand isiblings imay ibe ipresent ifor ithe ibirth iand iparticipate iin
iactivities isuch ias icutting ithe ibaby’s iumbilical icord. iBoth imidwives iand iphysicians
iperform ivaginal ideliveries. iFree-standing iclinics iare ian iexample iof ialternative ibirth
ioptions. iContemporary imaternity inursing iis idriven iby ithe irelationship ibetween inurses
iand itheir iclients.
DIF: Cognitive iLevel: iUnderstand REF: i pp. i8-9 TOP: i Nursing iProcess:
iPlanning iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
7. A i38-year-old iHispanic iwoman ivaginally idelivered ia i9-pound, i6-ounce ibaby igirl iafter
ibeing iin ilabor ifor i43 ihours. iThe ibaby idied i3 idays ilater ifrom isepsis. iOn iwhat igrounds
icould ithe iwoman ihave ia ilegitimate ilegal icase ifor inegligence?
a. Inexperienced imaternity inurse iwas iassigned ito icare ifor ithe iclient.
b. Client iwas ipast iher idue idate iby i3 idays.
c. Standard iof icare iwas inot imet.
d. Client irefused ielectronic ifetal imonitoring.
ANS: i C
Not imeeting ithe istandard iof icare iis ia ilegitimate ifactor ifor ia icase iof inegligence. iAn
iinexperienced imaternity inurse iwould ineed ito idisplay icompetency ibefore ibeing iassigned ito
care ifor iclients ion ihis ior iher iN
owUnR ShIisNcGlieTnBt im
. iT .C
ayOhM
ave ibeen ipast iher idue idate; ihowever, ia
iterm ipregnancy ioften igoes ibeyond i40 iweeks iof igestation. iAlthough ifetal imonitoring iis ithe
istandard iof icare, ithe iclient ihas ithe iright ito irefuse itreatment. iThis irefusal iis inot ia icase ifor
negligence, ibut iinfor ixonsent ishould ibe iproperly iobtained, iand ithe iclient ishould ihave isigned
ian iagainst imedical iadvice iform iwhen irefusing iany itreatment ithat iis iwithin ithe istandard iof
icare.
DIF: Cognitive iLevel: iAnalyze REF: ip. i13
iTOP: i Nursing iProcess: iImplementation
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
8. When ithe inurse iis iunsure ihow ito iperform ia iclient icare iprocedure ithat iis ihigh irisk iand
ilow ivolume, ihis ior iher ibest iaction iin ithis isituation iwould ibe iwhat?
a. Ask ianother inurse.
b. Discuss ithe iprocedure iwith ithe iclient’s iphysician.
c. Look iup ithe iprocedure iin ia inursing itextbook.
d. Consult ithe iagency iprocedure imanual, iand ifollow ithe iguidelines ifor ithe iprocedure.
ANS: i D
Following ithe iagency’s ipolicies iand iprocedures imanual iis ialways ibest iwhen iseeking
iinformation ion icorrect iclient iprocedures. iThese ipolicies ishould ireflect ithe icurrent istandards
iof icare iand ithe iindividual istate’s iguidelines. iEach inurse iis iresponsible ifor ihis ior iher iown
ipractice. iRelying ion ianother inurse imay inot ialways ibe ia isafe ipractice. iEach inurse iis
iobligated ito ifollow ithe istandards iof icare ifor isafe iclient icare idelivery. iPhysicians iare
iresponsible ifor itheir iown iclient icare iactivity. iNurses imay ifollow isafe iorders ifrom
iphysicians, ibut ithey iare ialso iresponsible ifor ithe iactivities ithat ithey, ias inurses, iare ito icarry
iout. iInformation iprovided iin ia inursing itextbook iis ibasic iinformation ifor igeneral
iknowledge. iFurthermore, ithe iinformation iin ia itextbook imay inot ireflect ithe icurrent
istandard iof icare ior ithe iindividual istate ior ihospital ipolicies.
For more test banks
https://www.stuvia.com/user/angelinas
For more test banks
https://www.stuvia.com/user/angelinas
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th 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
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
Race is a non-modifiable 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.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studieNs R I G B.C
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one
factor of the research process. Data collection is another factor of research. Financial support
is necessary to conduct research, but it is not the primary role of the nurse in the research
process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
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
For more test banks
https://www.stuvia.com/user/angelinas
, associatedwith iinfant imortality. iNutritional istatus iis ian iimportant imodifiable irisk ifactor,
ibut i it iis inot ithemost iimportant iaction ia inurse ishould itake iin ithis isituation. iThe iclient
imay ineed iassistance ifrom ia isocial iworker iat isome itime iduring iher ipregnancy, ibut ia
ireferral ito ia isocial iworker iis inot ithe imost iimportant iaspect ithe inurse ishould iaddress iat
ithis itime. iIf ithe iwoman ihas iidentifiable ihigh-risk iproblems, ithen iher ihealth icare imay
ineed ito ibe iprovided iby ia iphysician. iHowever, iit icannot ibe iassumed ithat iall iAfrican-
American iwomen ihave ihigh-risk iissues. iIn iaddition, iadvising ithe iwoman ito isee ian
iobstetrician iis inot ithe imost iimportant iaspect ion iwhichthe inurse ishould ifocus iat ithis itime,
iand iit iis inot iappropriate ifor ia inurse ito iadvise ior imanage ithe itype iof icare ia iclient iis ito
ireceive.
DIF: Cognitive iLevel: iUnderstand REF: i p. i6 TOP: i Nursing iProcess:
iPlanning iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
4. During ia iprenatal iintake iinterview, ithe inurse iis iin ithe iprocess iof iobtaining ian iinitial
iassessment iof ia i21-year-old iHispanic iclient iwith ilimited iEnglish iproficiency. iWhich iaction
iis ithe imost iimportant ifor ithe inurse ito iperform?
a. Use imaternity ijargon ito ienable ithe iclient ito ibecome ifamiliar iwith ithese iterms.
b. Speak iquickly iand iefficiently ito iexpedite ithe ivisit.
c. Provide ithe iclient iwith ihandouts.
d. Assess iwhether ithe iclient iunderstands ithe idiscussion.
ANS: i D
Nurses icontribute ito ihealth iliteracy iby iusing isimple, icommon iwords, iavoiding ijargon, iand
ievaluating iwhether ithe iclient iunderstands ithe idiscussion. iSpeaking islowly iand iclearly iand
ifocusing ion iwhat iis iimportant iwill iincrease iunderstanding. iMost iclient ieducation imaterials
iare iwritten iat ia ilevel itoo ihigh ifor ithe iaverage iadult iand imay inot ibe iuseful ifor ia iclient iwith
ilimited iEnglish iproficiency.
N R I G B.C
DIF: Cognitive iLevel: iApply REF: i p. i5 TOP: i Nursing iProcess:
iEvaluation iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
5. The inurses iworking iat ia inewly iestablished ibirthing icenter ihave ibegun ito icompare itheir
iperformance iin iproviding imaternal-newborn icare iagainst iclinical istandards. iThis
icomparison iprocess iis imost icommonly iknown ias iwhat?
a. Best ipractices inetwork
b. Clinical ibenchmarking
c. Outcomes-oriented ipractice
d. Evidence-based ipractice
ANS: i C
Outcomes-oriented ipractice imeasures ithe ieffectiveness iof ithe iinterventions iand iquality iof
icare iagainst ibenchmarks ior istandards. iThe iterm ibest ipractice irefers ito ia iprogram ior
iservice ithat ihas ibeen irecognized ifor iits iexcellence. iClinical ibenchmarking iis ia iprocess
iused ito icompare ione’s iown iperformance iagainst ithe iperformance iof ithe ibest iin ian iarea iof
iservice. iThe iterm ievidence-based ipractice irefers ito ithe iprovision iof icare ibased ion
ievidence igained ithrough iresearch iand iclinical itrials.
DIF: Cognitive iLevel: iUnderstand REF: i p. i11 TOP: i Nursing iProcess:
iEvaluation iMSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
6. Which istatement ibest iexemplifies icontemporary imaternity inursing?
a. Use iof imidwives ifor iall ivaginal ideliveries
b. Family-centered icare
For more test banks
https://www.stuvia.com/user/angelinas
, c. Free-standing ibirth iclinics
d. Physician-driven icare
ANS: i B
Contemporary imaternity inursing ifocuses ion ithe ifamily’s ineeds iand idesires. iFathers,
ipartners, igrandparents, iand isiblings imay ibe ipresent ifor ithe ibirth iand iparticipate iin
iactivities isuch ias icutting ithe ibaby’s iumbilical icord. iBoth imidwives iand iphysicians
iperform ivaginal ideliveries. iFree-standing iclinics iare ian iexample iof ialternative ibirth
ioptions. iContemporary imaternity inursing iis idriven iby ithe irelationship ibetween inurses
iand itheir iclients.
DIF: Cognitive iLevel: iUnderstand REF: i pp. i8-9 TOP: i Nursing iProcess:
iPlanning iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
7. A i38-year-old iHispanic iwoman ivaginally idelivered ia i9-pound, i6-ounce ibaby igirl iafter
ibeing iin ilabor ifor i43 ihours. iThe ibaby idied i3 idays ilater ifrom isepsis. iOn iwhat igrounds
icould ithe iwoman ihave ia ilegitimate ilegal icase ifor inegligence?
a. Inexperienced imaternity inurse iwas iassigned ito icare ifor ithe iclient.
b. Client iwas ipast iher idue idate iby i3 idays.
c. Standard iof icare iwas inot imet.
d. Client irefused ielectronic ifetal imonitoring.
ANS: i C
Not imeeting ithe istandard iof icare iis ia ilegitimate ifactor ifor ia icase iof inegligence. iAn
iinexperienced imaternity inurse iwould ineed ito idisplay icompetency ibefore ibeing iassigned ito
care ifor iclients ion ihis ior iher iN
owUnR ShIisNcGlieTnBt im
. iT .C
ayOhM
ave ibeen ipast iher idue idate; ihowever, ia
iterm ipregnancy ioften igoes ibeyond i40 iweeks iof igestation. iAlthough ifetal imonitoring iis ithe
istandard iof icare, ithe iclient ihas ithe iright ito irefuse itreatment. iThis irefusal iis inot ia icase ifor
negligence, ibut iinfor ixonsent ishould ibe iproperly iobtained, iand ithe iclient ishould ihave isigned
ian iagainst imedical iadvice iform iwhen irefusing iany itreatment ithat iis iwithin ithe istandard iof
icare.
DIF: Cognitive iLevel: iAnalyze REF: ip. i13
iTOP: i Nursing iProcess: iImplementation
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
8. When ithe inurse iis iunsure ihow ito iperform ia iclient icare iprocedure ithat iis ihigh irisk iand
ilow ivolume, ihis ior iher ibest iaction iin ithis isituation iwould ibe iwhat?
a. Ask ianother inurse.
b. Discuss ithe iprocedure iwith ithe iclient’s iphysician.
c. Look iup ithe iprocedure iin ia inursing itextbook.
d. Consult ithe iagency iprocedure imanual, iand ifollow ithe iguidelines ifor ithe iprocedure.
ANS: i D
Following ithe iagency’s ipolicies iand iprocedures imanual iis ialways ibest iwhen iseeking
iinformation ion icorrect iclient iprocedures. iThese ipolicies ishould ireflect ithe icurrent istandards
iof icare iand ithe iindividual istate’s iguidelines. iEach inurse iis iresponsible ifor ihis ior iher iown
ipractice. iRelying ion ianother inurse imay inot ialways ibe ia isafe ipractice. iEach inurse iis
iobligated ito ifollow ithe istandards iof icare ifor isafe iclient icare idelivery. iPhysicians iare
iresponsible ifor itheir iown iclient icare iactivity. iNurses imay ifollow isafe iorders ifrom
iphysicians, ibut ithey iare ialso iresponsible ifor ithe iactivities ithat ithey, ias inurses, iare ito icarry
iout. iInformation iprovided iin ia inursing itextbook iis ibasic iinformation ifor igeneral
iknowledge. iFurthermore, ithe iinformation iin ia itextbook imay inot ireflect ithe icurrent
istandard iof icare ior ithe iindividual istate ior ihospital ipolicies.
For more test banks
https://www.stuvia.com/user/angelinas
