Test Bank - Maternity and Women’s Health Care, 13th Edition (Lowdermilk, 2025) Latest Edition

Maternity /and/Women's /Health /Care/13th/Edition /Lowdermilk /Test
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, Maternity /and/Women's /Health /Care/13th/Edition /Lowdermilk /Test nx xn nx nx nx nx nx nx




Chapter/01:/21st/Century/Maternity/and/Women’s/Health/Nursing /Lowdermilk:
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/Maternity /& /Women’s /Health /Care, /13th /Edition
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MULTIPLE /CHOICE nx




1. In/evaluating /the /level/of/a/pregnant /woman’s /risk /of/having /a /low-birth-weight /(LBW)
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n nx nx nx




/infant, /which /factor /is /the /most /important /for /the /nurse /to /consider?
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a. African-American / race n x




b. Cigarette/smoking nx




c. Poor/nutritional/status nx nx




d. Limited /maternal/education nx nx




ANS: / A n x




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/in
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n nx x
n x
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/potential /infant /mortality /rates, /but /it /is /not /the /most /important. /Additionally, /smoking /is
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/a /modifiable /risk /factor. /Poor /nutrition /is /an /important /factor /in /potential /infant /mortality
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/rates, /but /it /is /not /the /most /important. /Additionally, /nutritional /status /is /a /modifiable /risk
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/factor. /Maternal /education /is /an /important /factor /in /potential /infant /mortality/rates, /but /it
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/is /not /the /most /important. /Additionally, /maternal /education /is /a /modifiable /risk /factor.
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PTS: 1 DIF: Cognitive/Level:/Understand x
n x
n




/TOP: Nursing /Process: /Assessment
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MSC: / / Client / Needs: / HealtN hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, n x n x n x n x n x / Antepartum / Care n x




2. A /23-year-old /African-American /woman /is /pregnant /with /her /first /child. /Based /on /current
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/statistics /for /infant /mortality, /which /intervention /is /most /important /for/the /nurse /to /include
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/in /the /client’s /plan /of /care?
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a. Perform/a/nutrition/assessment. nx nx nx




b. Refer /the /woman/to /a/social/worker. nx nx nx nx nx x
n




c. Advise/the /woman /to /see /an/obstetrician, /not /a/midwife. nx nx nx nx nx x
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d. Explain/to /the /woman /the /importance /of/keeping /her /prenatal/care /appointments. nx nx nx nx nx nx x
n nx nx nx nx




ANS: / D n x




Consistent /prenatal /care /is /the /best /method /of /preventing /or /controlling /risk /factors nx nx nx nx nx nx nx nx nx nx nx nx




/associated/with/infant /mortality. /Nutritional/status/is/an/important/modifiable/risk /factor,/but
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n x
n x
n x
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n




/it /is /not /the /most /important /action /a /nurse /should /take /in /this /situation. /The /client /may
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/need /assistance /from/a /social /worker /at /some /time /during /her /pregnancy, /but /a /referral/to /a
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n nx




/social /worker /is /not /the /most /important /aspect /the /nurse /should /address /at /this /time. /If /the
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/woman /has /identifiable /high-risk /problems, /then /her /health /care /may /need /to /be /provided
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/by /a /physician. /However, /it /cannot /be /assumed /that /all /African-American /women /have
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/high-risk /issues. /In /addition, /advising /the /woman /to /see /an /obstetrician /is /not /the /most
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/important /aspect /on /which /the /nurse /should /focus /at /this /time, /and /it /is /not /appropriate
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/for /a /nurse /to /advise /or /manage /the /type /of /care /a /client /is /to /receive.
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PTS: 1 DIF: Cognitive/Level:/Understand x
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/TOP: Nursing /Process: /Planning
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, Maternity /and/Women's /Health /Care/13th/Edition /Lowdermilk /Test nx xn nx nx nx nx nx nx




MSC: / Client /Needs: /Health/Promotion/and /Maintenance
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n nx




3. The/nurses/working/at /a/newly/established /birthing /center/have/begun/to /compare/their
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n nx x
n




/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 nx nx




b. Clinical/benchmarking nx




c. Outcomes-oriented / pracNt iU ceR S n x




d. Evidence-based / practice n x




ANS: / C n x




Outcomes-oriented /practice /measures /the /effectiveness /of /the /interventions /and /quality /of nx nx nx nx nx nx nx nx nx nx




/care/against /benchmarks /or /standards. /The/term/best /practice /refers/to /a/program/or/service
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n x
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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 /service.
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/The /term /evidence-based /practice /refers /to /the /provision /of/care /based /on /evidence /gained
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/through /research /and /clinical /trials.
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PTS: 1 DIF: Cognitive/Level:/Understand x
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/TOP: Nursing /Process: /Evaluation
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MSC: / Client /Needs: /Safe/and/Effective /Care/Environment
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n




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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n nx




b. Speak /quickly/and /efficiently/to /expedite/the /visit. nx nx nx x
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c. Provide/the/client /with/handouts. nx nx nx nx




d. Assess/whether /the/client /understands /the/discussion. nx nx nx nx nx nx




ANS: / D n x




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




/TOP: Nursing /Process: /Implementation
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MSC: / Client /Needs: /Health/Promotion/and /Maintenance
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n nx




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 nx




c. Free-standing/birth/clinics nx nx




d. Physician-driven/care nx




nx /ANS: / B n x

, Maternity /and/Women's /Health /Care/13th/Edition /Lowdermilk /Test nx xn nx nx nx nx nx nx




Contemporary /maternity /nursing /focuses /on /the /family’s /needs /and /desires. /Fathers, nx nx nx nx nx nx nx nx nx nx




/partners, /grandparents, /and /siblings /may/be/present /for/the/birth/and /participate /in/activities
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n x
n x
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/such /as /cutting /the /baby’s /umbilical /cord. /Both /midwives /and /physicians /perform /vaginal
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/deliveries. /Free-standing /clinics /are /an /example /of /alternative /birth /options. /Contemporary
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/maternity /nursing /is /driven /by /the /relationship /between /nurses /and /their /clients.
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PTS: 1 DIF: Cognitive/Level:/Understand x
n x
n




/TOP: Nursing /Process: /Planning
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MSC: / Client /Needs: /Health/Promotion/and /Maintenance
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n nx




6. A/38-year-old /Hispanic /woman/vaginally/delivered /a/9-pound, /6-ounce /baby/girl/after /being
x
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n nx x
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n x
n nx




/in /labor /for /43 /hours. /The /baby /died /3 /days /later /from /sepsis. /On /what /grounds /could /the
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/woman /have /a /legitimate /legal /case /for /negligence?
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a. Inexperienced /maternity/nurse/was /assigned /to/care/for/the/client. nx nx x
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n nx




b. Client /was /past /her /due/date /by/3 /days. nx nx nx nx nx nx x
n nx




c. Standard /of/care /was /not /met. nx nx nx nx nx




d. Client/refused/electronic /fetal/monitoring. nx nx nx x
n




ANS: / C n x




Not /meeting /the /standard /of /care /is /a /legitimate /factor /for /a /case /of /negligence. /An
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/inexperienced /maternity/nurse/would/need /to /display/competency/before /being /assigned /to
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n x
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/care /for /clients/on /his /or /her /own. /This /client /may /have /been /past /her /due /date;/however, /a
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/term/pregnancy/often /goes /beyond /40 /weeks /of/gestation. /Although /fetal /monitoring /is /the
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n nx nx nx nx nx




/standard /of /care, /the /client /has /the /right /to /refuse /treatment. /This /refusal /is /not /a /case /for
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/negligence, /but /informed /consent /should /be /properly /obtained, /and /the /client /should /have
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/signed /an /against /medical /advice /form /when /refusing /any /treatment /that /is /within /the
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/standard /of /care.
nx nx nx




PTS: 1 DIF: Cognitive/Level:/Analyze x
n x
n




/TOP: Nursing /Process: /Implementation
nx nx nx




MSC: / Client /Needs: /Safe/and/Effective /Care/Environment
n x nx nx nx nx nx x
n




7. When/the /nurse /is/unsure /how/to /perform/a /client /care/procedure/that /is/high/risk /and /low
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n nx nx nx x
n nx x
n nx nx nx




/volume, /his /or /her /best /action /in /this /situation /would /be /what?
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a. Ask/another /nurse. nx nx




b. Discuss /the/procedure/with/the/client’s /physician. nx nx nx x
n x
n nx




c. Look/up/the /procedure /in /a /nursing /textbook. nx nx nx nx nx nx nx




d. First /consult /the /agency/procedure/manual nx nx nx nx nx




ANS: / D n x




Following /the /agency’s /policies /and /procedures /manual /is /always /best /when /seeking nx nx nx nx nx nx nx nx nx nx nx




/information/on/correct /client /procedures. /These /policies /should /reflect /the /current /standards
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/of /care /and /the /individual /state’s /guidelines. /Each /nurse /is /responsible /for /his /or /her /own
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/practice. /Relying /on /another /nurse /may /not /always /be /a /safe /practice. /Each /nurse /is
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/obligated /to /follow /the /standards /of /care /for /safe /client /care /delivery. /Physicians /are
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/responsible /for /their /own /client /care /activity. /Nurses /may /follow /safe /orders /from
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/physicians, /but /they /are /also /responsible /for /the /activities /that /they, /as /nurses, /are /to /carry
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/out. /Information /provided /in/a /nursing/textbook/is/basic /information /for /general/knowledge.
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n x
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n




/Furthermore, /the /information /in /a /textbook /may /not /reflect /the /current /standard /of /care /or
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/the /individual /state /or /hospital /policies.
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