MATERNITY & WOMEN’S HEALTH CARE 12TH EDITION
LOWDERMILK TEST BANK
QUESTION AND ANSWERS LATEST UPDATE 2024/2025
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. 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.
DIF: Cognitive Level: Analyze REF: im: 13
,TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
2. 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.
Discuss the procedure with the clients physician.
b. Look up the procedure in a nursing textbook.
c. Consult the agency procedure manual, and follow the guidelines for the
procedure.
ANS: D
Following the agencys 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 states 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.
DIF: Cognitive Level: Understand REF: im: 13
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
3. The National Quality Forum has issued a list of never events specifically
pertaining to maternal and child health. These include all of the following except:
, a. infant discharged to the wrong person.
b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
c. artificial insemination with the wrong donor sperm or egg.
d. foreign object retained after surgery.
ANS: D
Although a foreign object retained after surgery is a never event, it does not
specifically pertain to obstetric clients. A client undergoing any type of surgery may
be at risk for this event. An infant discharged to the wrong person specifically
pertains to postpartum care. Death or serious disability as a result of kernicterus
pertains to newborn assessment and care. Artificial insemination affects families
seeking care for infertility.
DIF: Cognitive Level: Remember REF: im: 4
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
4. A nurse caring for a pregnant client should be aware that the U.S. birth rate
shows what trend?
a. Births to unmarried women are more likely to have less favorable outcomes.
b. Birth rates for women 40 to 44 years of age are declining.
c. Cigarette smoking among pregnant women continues to increase.
d. Rates of pregnancy and abortion among teenagers are lower in the United
States than in any other industrialized country.
ANS: A
, LBW infants and preterm births are more likely because of the large number of
teenagers in the unmarried group. Birth rates for women in their early 40s continue
to increase. Fewer pregnant women smoke. Teen pregnancy and abortion rates are
higher in the United States than in any other industrial country.
DIF: Cognitive Level: Understand REF: IM:
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. A recently graduated nurse is attempting to understand the reason for increasing
health care spending in the United States. Which information gathered from her
research best explains the rationale for these higher costs compared with other
developed countries?
a. Higher rate of obesity among pregnant women
b. Limited access to technology
c. Increased use of health care services along with lower prices
d. Homogeneity of the population
ANS: A
Health care is one of the fastest growing sectors of the U.S. economy. Currently,
17.4% of the gross domestic product is spent on health care. Higher spending in the
United States, as compared with 12 other industrialized countries, is related to
higher prices and readily accessible technology along with greater obesity rates
among women. More than one third of women in the
United States are obese. In the population in the United States, 16% are uninsured
and have limited access to health care. Maternal morbidity and mortality are
directly related to racial disparities.
DIF: Cognitive Level: Understand REF: im: 5 TOP: Nursing Process: N/A
LOWDERMILK TEST BANK
QUESTION AND ANSWERS LATEST UPDATE 2024/2025
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. 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.
DIF: Cognitive Level: Analyze REF: im: 13
,TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
2. 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.
Discuss the procedure with the clients physician.
b. Look up the procedure in a nursing textbook.
c. Consult the agency procedure manual, and follow the guidelines for the
procedure.
ANS: D
Following the agencys 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 states 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.
DIF: Cognitive Level: Understand REF: im: 13
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
3. The National Quality Forum has issued a list of never events specifically
pertaining to maternal and child health. These include all of the following except:
, a. infant discharged to the wrong person.
b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
c. artificial insemination with the wrong donor sperm or egg.
d. foreign object retained after surgery.
ANS: D
Although a foreign object retained after surgery is a never event, it does not
specifically pertain to obstetric clients. A client undergoing any type of surgery may
be at risk for this event. An infant discharged to the wrong person specifically
pertains to postpartum care. Death or serious disability as a result of kernicterus
pertains to newborn assessment and care. Artificial insemination affects families
seeking care for infertility.
DIF: Cognitive Level: Remember REF: im: 4
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
4. A nurse caring for a pregnant client should be aware that the U.S. birth rate
shows what trend?
a. Births to unmarried women are more likely to have less favorable outcomes.
b. Birth rates for women 40 to 44 years of age are declining.
c. Cigarette smoking among pregnant women continues to increase.
d. Rates of pregnancy and abortion among teenagers are lower in the United
States than in any other industrialized country.
ANS: A
, LBW infants and preterm births are more likely because of the large number of
teenagers in the unmarried group. Birth rates for women in their early 40s continue
to increase. Fewer pregnant women smoke. Teen pregnancy and abortion rates are
higher in the United States than in any other industrial country.
DIF: Cognitive Level: Understand REF: IM:
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. A recently graduated nurse is attempting to understand the reason for increasing
health care spending in the United States. Which information gathered from her
research best explains the rationale for these higher costs compared with other
developed countries?
a. Higher rate of obesity among pregnant women
b. Limited access to technology
c. Increased use of health care services along with lower prices
d. Homogeneity of the population
ANS: A
Health care is one of the fastest growing sectors of the U.S. economy. Currently,
17.4% of the gross domestic product is spent on health care. Higher spending in the
United States, as compared with 12 other industrialized countries, is related to
higher prices and readily accessible technology along with greater obesity rates
among women. More than one third of women in the
United States are obese. In the population in the United States, 16% are uninsured
and have limited access to health care. Maternal morbidity and mortality are
directly related to racial disparities.
DIF: Cognitive Level: Understand REF: im: 5 TOP: Nursing Process: N/A
