MATERNITY AND WOMEN'S
HEALTH CARE 13TH EDITION
LOWDERMILK TEST EXAM
2024/2025 LATEST UPDATE WITH
ACTUAL VERIFIED NGN
QUESTIONS AND WELL
EXPLAINED 100% CORRECT
ANSWERS WITH
RATIONALES LATEST 2025
UPDATE GRADED A+ WITH 100%
GUARANTEED SUCCESS AFTER
DOWNLOAD
Chapter 01; 1st Century Maternity And Women’s Health Nursing
Multiple Choice
Discontinuing the test because the pattern is reassuring
A primigravida who is at 38 weeks' gestation is undergoing a nonstress test. The nurse
determines that the baseline fetal heart rate is 130 to 140 beats/min. It rises to 160 on two
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
occasions and 157 once during a 20-minute period. Each of the episodes in which the heart
rate is increased lasts 20 seconds. What action should the nurse take?
Vaginal hematoma
A client gives birth vaginally, with a midline episiotomy, to an infant who weighs 8 lb 13 oz
(4000 g). An ice pack is applied to the perineum to ease the swelling and pain. The client
complains, "This pain in my vaginal and rectum is excruciating, and my vagina feels so full
and heavy." What does the nurse suspect as the cause of the pain?
Doppler ultrasound at 10 to 12 weeks
A primigravida asks when she will be able to hear the fetal heartbeat for the first time. The
nurse should explain that the heartbeat can be heard with:
Stroke the extremities
Flick the soles of the feet
How does the nurse perform tactile stimulation to initiate respiration in a newborn? Select all
that apply.
Loss of childbearing potential
A 28-year-old woman is scheduled to undergo a laparoscopic bilateral salpingo-
oophorectomy. What does a nurse expect to be the client's priority concern?
Mother-infant interaction
What must the LPN observe first when planning to promote mother-infant attachment?
"You may be correct. The effect of contraceptive pills depends on their being taken on a
regular schedule."
A married couple has been using oral contraceptives to delay pregnancy. When the wife
misses her regular menstrual period, she decides to find out whether she is pregnant. She tells
the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1
week when she had the flu. How should the nurse respond?
Continued exposure to secondhand smoke is related to fetal growth restriction.
A pregnant client tells the nurse that her husband is a chain smoker. What information should
the nurse's teaching include?
LOA
A nurse performs Leopold's maneuvers on a newly admitted client in labor. Palpation reveals
a soft, firm mass in the fundus; a firm, smooth mass on the mother's left side; several knobs
and protrusions on the mother's right side; and a hard, round, movable mass in the pubic area
with the brow on the right. On the basis of these findings, the nurse determines that the fetal
position is:
Audible fetal heartbeat
A nurse is obtaining the health history of a woman who is visiting the prenatal clinic for the
first time. She states that she is 5 months pregnant. For what positive sign of pregnancy
should the nurse look in this patient?
Straw-colored, clear, and containing little white specks
A nurse observes a laboring client's amniotic fluid and decides that it is the expected color.
What finding supports this conclusion?
Offering a feeding
In specific situations gloves are used to handle newborns whether or not they are HIV
positive. When is it unnecessary for the nurse to wear gloves while caring for a newborn?
The client takes care of a cat.
, A client who is visiting the prenatal clinic for the first time has a serology test for
toxoplasmosis. What information about the client's activities in the history indicates to the
nurse that there is a need for this test?
Administer RhoGAM within 72 hours of the miscarriage.
A client who is pregnant for the first time expels the products of conception at 12 weeks'
gestation. The client's blood type is Rh negative. What should the nurse anticipate concerning
the administration of Rho(D) immune globulin (RhoGAM)?
Denial
A client who recently was told by her practitioner that she has extensive terminal metastatic
carcinoma of the breast tells the nurse that she believes an error has been made. She states
that she does not have breast cancer, and she is not going to die. The nurse determines that
the client is experiencing the stage of death and dying known as:
Down syndrome
While reviewing laboratory results of clients seen at a maternity clinic, the nurse notes that
one client's maternal serum α-fetoprotein level is lower than is typical. The nurse recognizes
that this may be associated with:
Severe preeclampsia
With severe preeclampsia, arteriolar spasms cause hypertension and decreased arterial
perfusion of the kidneys, which in turn cause an alteration in the glomeruli, resulting in
oliguria and proteinuria, as well as retention of sodium and water, resulting in edema.
Eclampsia is characterized by seizures; there are no data to indicate that the client is having
or has had seizures. Chronic hypertension is hypertension diagnosed before pregnancy or
before 20 weeks' gestation. If hypertension diagnosed during pregnancy for the first time
persists beyond the postpartum period, it is also considered chronic hypertension. Gestational
hypertension is hypertension that occurs during midpregnancy for the first time and without
proteinuria; it is definitively diagnosed when the hypertension resolves 12 weeks after
delivery.
A 16-year-old primigravida at 32 weeks' gestation is admitted to the high-risk unit. Her blood
pressure is 170/110 mm Hg and she has 4+ proteinuria. She gained 50 lb during the
pregnancy, and her face and extremities are edematous. What complication, which occurs in
the latter part of pregnancy, does the nurse identify?
Have you ever had an internal examination done before?"
On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal
examination today." What is the nurse's best response?
Cervix effaces and dilates during true labor.
During prenatal classes the nurse teaches the difference between true labor and false labor.
How does the nurse explain the difference?
Meperidine (Demerol)
A multipara is admitted to the birthing room in active labor. Her temperature is 98° F (36.7°
C), pulse 70 beats/min, respirations 18 breaths/min, and blood pressure 126/76 mm Hg. A
vaginal examination reveals a cervix that is 90% effaced and 7 cm dilated with the vertex
presenting at 2+ station. The client is complaining of pain and asks for medication. Which
medication should be avoided because it may cause respiratory depression in the newborn?
Accept that she is pregnant
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
A woman has just received the news that she is pregnant. She is ambivalent about the
pregnancy because she had planned to go back to work when her youngest child started
school next year. What developmental task of pregnancy must the woman accomplish in the
first trimester of pregnancy?
Mother should be reunited with her infant as soon as possible to enhance adjustment
A nurse understands the stages of parental adjustment that follow the birth of an at-risk infant
who is in the neonatal intensive care unit. To better plan nursing care, the nurse bases
observations and assessments on the recognition that the:
The Pap smear can detect cancer of the cervix.
A young sexually active client at the family planning clinic is advised to have a Papanicolaou
(Pap) smear. She has never had a Pap smear before. What should the nurse include in the
explanation of this procedure?
The amount of lochia rubra is moderate.
A nurse caring for a client who gave birth to a healthy neonate evaluates the client's uterine
tone 8 hours later. How does the nurse determine that the uterus is demonstrating appropriate
involution?
Maintaining adequate hydration
A client at 39 weeks' gestation arrives in the birthing suite reporting that she is having regular
contractions. A vaginal examination reveals that the presentation is a double-footling breech.
The practitioner decides to proceed to a cesarean birth under regional anesthesia. What is an
important intervention to help prevent postoperative maternal complications?
½ cup of red kidney beans
A nurse is providing nutritional counseling to a low-income pregnant client who has iron-
deficiency anemia. What food should the nurse encourage the client to include in her diet
each day to best address this problem?
Warming the newborn
What is the nurse's initial action immediately after assisting with a precipitous birth in the
triage area of the emergency department?
Gently guiding the head downward
After being transported to the hospital by the ambulance, a pregnant woman is brought into
the emergency department on a stretcher. The nurse notes that the fetus' head has emerged.
How should the nurse assist the mother in the birth of the fetus' anterior shoulder?
Administration of antibiotics before delivery
A woman in active labor arrives at the birthing unit. She tells the nurse that she was found to
have a chlamydial infection the last time she visited the clinic but that she stopped taking the
antibiotic after 3 days because she "felt better." What would the nurse anticipate as part of the
plan of care, in light of this history?
An injury to the brachial plexus during birth
A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication?
Call an ambulance to go to the emergency department.
A woman who was discharged recently from the hospital after undergoing a hysterectomy
calls the clinic and states that she has tenderness, redness, and swelling in her right calf. What
should the nurse instruct the client to do?
Birth of the fetus within a day
HEALTH CARE 13TH EDITION
LOWDERMILK TEST EXAM
2024/2025 LATEST UPDATE WITH
ACTUAL VERIFIED NGN
QUESTIONS AND WELL
EXPLAINED 100% CORRECT
ANSWERS WITH
RATIONALES LATEST 2025
UPDATE GRADED A+ WITH 100%
GUARANTEED SUCCESS AFTER
DOWNLOAD
Chapter 01; 1st Century Maternity And Women’s Health Nursing
Multiple Choice
Discontinuing the test because the pattern is reassuring
A primigravida who is at 38 weeks' gestation is undergoing a nonstress test. The nurse
determines that the baseline fetal heart rate is 130 to 140 beats/min. It rises to 160 on two
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
occasions and 157 once during a 20-minute period. Each of the episodes in which the heart
rate is increased lasts 20 seconds. What action should the nurse take?
Vaginal hematoma
A client gives birth vaginally, with a midline episiotomy, to an infant who weighs 8 lb 13 oz
(4000 g). An ice pack is applied to the perineum to ease the swelling and pain. The client
complains, "This pain in my vaginal and rectum is excruciating, and my vagina feels so full
and heavy." What does the nurse suspect as the cause of the pain?
Doppler ultrasound at 10 to 12 weeks
A primigravida asks when she will be able to hear the fetal heartbeat for the first time. The
nurse should explain that the heartbeat can be heard with:
Stroke the extremities
Flick the soles of the feet
How does the nurse perform tactile stimulation to initiate respiration in a newborn? Select all
that apply.
Loss of childbearing potential
A 28-year-old woman is scheduled to undergo a laparoscopic bilateral salpingo-
oophorectomy. What does a nurse expect to be the client's priority concern?
Mother-infant interaction
What must the LPN observe first when planning to promote mother-infant attachment?
"You may be correct. The effect of contraceptive pills depends on their being taken on a
regular schedule."
A married couple has been using oral contraceptives to delay pregnancy. When the wife
misses her regular menstrual period, she decides to find out whether she is pregnant. She tells
the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1
week when she had the flu. How should the nurse respond?
Continued exposure to secondhand smoke is related to fetal growth restriction.
A pregnant client tells the nurse that her husband is a chain smoker. What information should
the nurse's teaching include?
LOA
A nurse performs Leopold's maneuvers on a newly admitted client in labor. Palpation reveals
a soft, firm mass in the fundus; a firm, smooth mass on the mother's left side; several knobs
and protrusions on the mother's right side; and a hard, round, movable mass in the pubic area
with the brow on the right. On the basis of these findings, the nurse determines that the fetal
position is:
Audible fetal heartbeat
A nurse is obtaining the health history of a woman who is visiting the prenatal clinic for the
first time. She states that she is 5 months pregnant. For what positive sign of pregnancy
should the nurse look in this patient?
Straw-colored, clear, and containing little white specks
A nurse observes a laboring client's amniotic fluid and decides that it is the expected color.
What finding supports this conclusion?
Offering a feeding
In specific situations gloves are used to handle newborns whether or not they are HIV
positive. When is it unnecessary for the nurse to wear gloves while caring for a newborn?
The client takes care of a cat.
, A client who is visiting the prenatal clinic for the first time has a serology test for
toxoplasmosis. What information about the client's activities in the history indicates to the
nurse that there is a need for this test?
Administer RhoGAM within 72 hours of the miscarriage.
A client who is pregnant for the first time expels the products of conception at 12 weeks'
gestation. The client's blood type is Rh negative. What should the nurse anticipate concerning
the administration of Rho(D) immune globulin (RhoGAM)?
Denial
A client who recently was told by her practitioner that she has extensive terminal metastatic
carcinoma of the breast tells the nurse that she believes an error has been made. She states
that she does not have breast cancer, and she is not going to die. The nurse determines that
the client is experiencing the stage of death and dying known as:
Down syndrome
While reviewing laboratory results of clients seen at a maternity clinic, the nurse notes that
one client's maternal serum α-fetoprotein level is lower than is typical. The nurse recognizes
that this may be associated with:
Severe preeclampsia
With severe preeclampsia, arteriolar spasms cause hypertension and decreased arterial
perfusion of the kidneys, which in turn cause an alteration in the glomeruli, resulting in
oliguria and proteinuria, as well as retention of sodium and water, resulting in edema.
Eclampsia is characterized by seizures; there are no data to indicate that the client is having
or has had seizures. Chronic hypertension is hypertension diagnosed before pregnancy or
before 20 weeks' gestation. If hypertension diagnosed during pregnancy for the first time
persists beyond the postpartum period, it is also considered chronic hypertension. Gestational
hypertension is hypertension that occurs during midpregnancy for the first time and without
proteinuria; it is definitively diagnosed when the hypertension resolves 12 weeks after
delivery.
A 16-year-old primigravida at 32 weeks' gestation is admitted to the high-risk unit. Her blood
pressure is 170/110 mm Hg and she has 4+ proteinuria. She gained 50 lb during the
pregnancy, and her face and extremities are edematous. What complication, which occurs in
the latter part of pregnancy, does the nurse identify?
Have you ever had an internal examination done before?"
On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal
examination today." What is the nurse's best response?
Cervix effaces and dilates during true labor.
During prenatal classes the nurse teaches the difference between true labor and false labor.
How does the nurse explain the difference?
Meperidine (Demerol)
A multipara is admitted to the birthing room in active labor. Her temperature is 98° F (36.7°
C), pulse 70 beats/min, respirations 18 breaths/min, and blood pressure 126/76 mm Hg. A
vaginal examination reveals a cervix that is 90% effaced and 7 cm dilated with the vertex
presenting at 2+ station. The client is complaining of pain and asks for medication. Which
medication should be avoided because it may cause respiratory depression in the newborn?
Accept that she is pregnant
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
A woman has just received the news that she is pregnant. She is ambivalent about the
pregnancy because she had planned to go back to work when her youngest child started
school next year. What developmental task of pregnancy must the woman accomplish in the
first trimester of pregnancy?
Mother should be reunited with her infant as soon as possible to enhance adjustment
A nurse understands the stages of parental adjustment that follow the birth of an at-risk infant
who is in the neonatal intensive care unit. To better plan nursing care, the nurse bases
observations and assessments on the recognition that the:
The Pap smear can detect cancer of the cervix.
A young sexually active client at the family planning clinic is advised to have a Papanicolaou
(Pap) smear. She has never had a Pap smear before. What should the nurse include in the
explanation of this procedure?
The amount of lochia rubra is moderate.
A nurse caring for a client who gave birth to a healthy neonate evaluates the client's uterine
tone 8 hours later. How does the nurse determine that the uterus is demonstrating appropriate
involution?
Maintaining adequate hydration
A client at 39 weeks' gestation arrives in the birthing suite reporting that she is having regular
contractions. A vaginal examination reveals that the presentation is a double-footling breech.
The practitioner decides to proceed to a cesarean birth under regional anesthesia. What is an
important intervention to help prevent postoperative maternal complications?
½ cup of red kidney beans
A nurse is providing nutritional counseling to a low-income pregnant client who has iron-
deficiency anemia. What food should the nurse encourage the client to include in her diet
each day to best address this problem?
Warming the newborn
What is the nurse's initial action immediately after assisting with a precipitous birth in the
triage area of the emergency department?
Gently guiding the head downward
After being transported to the hospital by the ambulance, a pregnant woman is brought into
the emergency department on a stretcher. The nurse notes that the fetus' head has emerged.
How should the nurse assist the mother in the birth of the fetus' anterior shoulder?
Administration of antibiotics before delivery
A woman in active labor arrives at the birthing unit. She tells the nurse that she was found to
have a chlamydial infection the last time she visited the clinic but that she stopped taking the
antibiotic after 3 days because she "felt better." What would the nurse anticipate as part of the
plan of care, in light of this history?
An injury to the brachial plexus during birth
A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication?
Call an ambulance to go to the emergency department.
A woman who was discharged recently from the hospital after undergoing a hysterectomy
calls the clinic and states that she has tenderness, redness, and swelling in her right calf. What
should the nurse instruct the client to do?
Birth of the fetus within a day
