,TEST-BANK-FOR-Maternity-and-Women's-HealthCare--
13th-Edition-All-Chapters-With-Rationales||-Lowdermilk
Chapter-01:-21st-Century-Maternity-and-Women’s-Health-Nursing-
Lowdermilk:-Maternity-&-Women’s-Health-Care,-12th-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
The-rise-in-the-overall-LBW-rates-were-due-to-increases-in-LBW-births-to-non-Hispanic-
black-women-(13.35%)-and-Hispanic-women-(7.21%);-non-Hispanic-black-infants-are-
almost-twice-as-likely-as-non-Hispanic-white-infants-to-be-of-LBW-and-to-die-in-the-first-
year-of-life..-Race-is-a-nonmodifiable-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.
PTS: 1 DIF: Cognitive-Level:-Understand-
TOP: Nursing-Process:-Assessment
MSC:- - Client- Needs:- HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,- Antepartum- Care
2. A-23-year-old-African-American-woman-is-pregnant-with-her-first-child.-Based-on-current-
statistics-for-infant-mortality,-which-intervention-is-most-important-for-the-nurse-to-include-
in-the-client’s-plan-of-care?
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-
associated-with-infant-mortality.-Nutritional-status-is-an-important-modifiable-risk-factor,-but-
it-is-not-the-most-important-action-a-nurse-should-take-in-this-situation.-The-client-may-need-
assistance-from-a-social-worker-at-some-time-during-her-pregnancy,-but-a-referral-to-a-social-
worker-is-not-the-most-important-aspect-the-nurse-should-address-at-this-time.-If-the-woman-
has-identifiable-high-risk-problems,-then-her-health-care-may-need-to-be-provided-by-a-
physician.-However,-it-cannot-be-assumed-that-all-African-American-women-have-high-risk-
issues.-In-addition,-advising-the-woman-to-see-an-obstetrician-is-not-the-most-important-
aspect-on-which-the-nurse-should-focus-at-this-time,-and-it-is-not-appropriate-for-a-nurse-to-
advise-or-manage-the-type-of-care-a-client-is-to-receive.
,PTS: 1 DIF: Cognitive-Level:-Understand-
TOP: Nursing-Process:-Planning
, MSC:- Client-Needs:-Health-Promotion-and-Maintenance
3. The-nurses-working-at-a-newly-established-birthing-center-have-begun-to-compare-their-
performance-in-providing-maternal-newborn-care-against-clinical-standards.-This-
comparison-process-is-most-commonly-known-as-what?
a. Best-practices-network
b. Clinical-benchmarking
c. Outcomes-oriented- pracNtiUceR S
d. Evidence-based-practice
ANS:- C
Outcomes-oriented-practice-measures-the-effectiveness-of-the-interventions-and-quality-of-
care-against-benchmarks-or-standards.-The-term-best-practice-refers-to-a-program-or-service-
that-has-been-recognized-for-its-excellence.-Clinical-benchmarking-is-a-process-used-to-
compare-one’s-own-performance-against-the-performance-of-the-best-in-an-area-of-service.-
The-term-evidence-based-practice-refers-to-the-provision-of-care-based-on-evidence-gained-
through-research-and-clinical-trials.
PTS: 1 DIF: Cognitive-Level:-Understand-
TOP: Nursing-Process:-Evaluation
MSC:- Client-Needs:-Safe-and-Effective-Care-Environment
4. During-a-prenatal-intake-interview,-the-nurse-is-in-the-process-of-obtaining-an-initial-
assessment-of-a-21-year-old-Hispanic-client-with-limited-English-proficiency.-Which-
intervention-is-the-most-important-for-the-nurse-to-implement?
a. Use-maternity-jargon-to-enable-the-client-to-become-familiar-with-these-terms.
b. Speak-quickly-and-efficiently-to-expedite-the-visit.
c. Provide-the-client-with-handouts.
d. Assess-whether-the-client-understands-the-discussion.
ANS:- D
Nurses-contribute-to-health-literacy-by-using-simple,-common-words,-avoiding-jargon,-and-
evaluating-whether-the-client-understands-the-discussion.-Speaking-slowly-and-clearly-and-
focusing-on-what-is-important-will-increase-understanding.-Most-client-education-materials-
are-written-at-a-level-too-high-for-the-average-adult-and-may-not-be-useful-for-a-client-with-
limited-English-proficiency.
PTS: 1 DIF: Cognitive-Level:-
Apply-TOP: Nursing-Process:-
Implementation
MSC:- Client-Needs:-Health-Promotion-and-Maintenance
5. Which-statement-best-exemplifies-contemporary-maternity-nursing?
a. Use-of-midwives-for-all-vaginal-deliveries
b. Family-centered-care
c. Free-standing-birth-clinics
d. Physician-driven-
care-ANS:- B
13th-Edition-All-Chapters-With-Rationales||-Lowdermilk
Chapter-01:-21st-Century-Maternity-and-Women’s-Health-Nursing-
Lowdermilk:-Maternity-&-Women’s-Health-Care,-12th-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
The-rise-in-the-overall-LBW-rates-were-due-to-increases-in-LBW-births-to-non-Hispanic-
black-women-(13.35%)-and-Hispanic-women-(7.21%);-non-Hispanic-black-infants-are-
almost-twice-as-likely-as-non-Hispanic-white-infants-to-be-of-LBW-and-to-die-in-the-first-
year-of-life..-Race-is-a-nonmodifiable-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.
PTS: 1 DIF: Cognitive-Level:-Understand-
TOP: Nursing-Process:-Assessment
MSC:- - Client- Needs:- HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,- Antepartum- Care
2. A-23-year-old-African-American-woman-is-pregnant-with-her-first-child.-Based-on-current-
statistics-for-infant-mortality,-which-intervention-is-most-important-for-the-nurse-to-include-
in-the-client’s-plan-of-care?
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-
associated-with-infant-mortality.-Nutritional-status-is-an-important-modifiable-risk-factor,-but-
it-is-not-the-most-important-action-a-nurse-should-take-in-this-situation.-The-client-may-need-
assistance-from-a-social-worker-at-some-time-during-her-pregnancy,-but-a-referral-to-a-social-
worker-is-not-the-most-important-aspect-the-nurse-should-address-at-this-time.-If-the-woman-
has-identifiable-high-risk-problems,-then-her-health-care-may-need-to-be-provided-by-a-
physician.-However,-it-cannot-be-assumed-that-all-African-American-women-have-high-risk-
issues.-In-addition,-advising-the-woman-to-see-an-obstetrician-is-not-the-most-important-
aspect-on-which-the-nurse-should-focus-at-this-time,-and-it-is-not-appropriate-for-a-nurse-to-
advise-or-manage-the-type-of-care-a-client-is-to-receive.
,PTS: 1 DIF: Cognitive-Level:-Understand-
TOP: Nursing-Process:-Planning
, MSC:- Client-Needs:-Health-Promotion-and-Maintenance
3. The-nurses-working-at-a-newly-established-birthing-center-have-begun-to-compare-their-
performance-in-providing-maternal-newborn-care-against-clinical-standards.-This-
comparison-process-is-most-commonly-known-as-what?
a. Best-practices-network
b. Clinical-benchmarking
c. Outcomes-oriented- pracNtiUceR S
d. Evidence-based-practice
ANS:- C
Outcomes-oriented-practice-measures-the-effectiveness-of-the-interventions-and-quality-of-
care-against-benchmarks-or-standards.-The-term-best-practice-refers-to-a-program-or-service-
that-has-been-recognized-for-its-excellence.-Clinical-benchmarking-is-a-process-used-to-
compare-one’s-own-performance-against-the-performance-of-the-best-in-an-area-of-service.-
The-term-evidence-based-practice-refers-to-the-provision-of-care-based-on-evidence-gained-
through-research-and-clinical-trials.
PTS: 1 DIF: Cognitive-Level:-Understand-
TOP: Nursing-Process:-Evaluation
MSC:- Client-Needs:-Safe-and-Effective-Care-Environment
4. During-a-prenatal-intake-interview,-the-nurse-is-in-the-process-of-obtaining-an-initial-
assessment-of-a-21-year-old-Hispanic-client-with-limited-English-proficiency.-Which-
intervention-is-the-most-important-for-the-nurse-to-implement?
a. Use-maternity-jargon-to-enable-the-client-to-become-familiar-with-these-terms.
b. Speak-quickly-and-efficiently-to-expedite-the-visit.
c. Provide-the-client-with-handouts.
d. Assess-whether-the-client-understands-the-discussion.
ANS:- D
Nurses-contribute-to-health-literacy-by-using-simple,-common-words,-avoiding-jargon,-and-
evaluating-whether-the-client-understands-the-discussion.-Speaking-slowly-and-clearly-and-
focusing-on-what-is-important-will-increase-understanding.-Most-client-education-materials-
are-written-at-a-level-too-high-for-the-average-adult-and-may-not-be-useful-for-a-client-with-
limited-English-proficiency.
PTS: 1 DIF: Cognitive-Level:-
Apply-TOP: Nursing-Process:-
Implementation
MSC:- Client-Needs:-Health-Promotion-and-Maintenance
5. Which-statement-best-exemplifies-contemporary-maternity-nursing?
a. Use-of-midwives-for-all-vaginal-deliveries
b. Family-centered-care
c. Free-standing-birth-clinics
d. Physician-driven-
care-ANS:- B
