Maternity and Women's Health Care 13th Edition Lowdermilk Test
f f f f f f f f
Maternityand f f
Women'sHealth f
Care13thEdit f f
ion f
LowdermilkTest f
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test f f f f f f f f
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
f f f f f f f f f
Maternity & Women’s Health Care, 12th Edition
f f f f f f f
MULTIPLE CHOICE f
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
f f f f f f f f f f f f f
infant, which factor is the most important for the nurse to consider?
f f f f f f f f f f f f
a. African-American race f
b. Cigarette smoking f
c. Poor nutritional status f f
d. Limited maternal education f f
ANS: A f
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
f f f f f f f f f f f f f f f f
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice
f f f f f f f f f f f f
as likely as non-Hispanic white infants to be of LBW and to die in the first year of life.. Race
f f f f f f f f f f f f f f f f f f f f
is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
f f f f f f f f f f f f f f
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
f f f f f f f f f f f f f f f
factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
f f f f f f f f f f f f f f f f f
most important. Additionally, nutritional status is a modifiable risk factor. Maternal
f f f f f f f f f f f
education is an important factor in potential infant mortality rates, but it is not the most
f f f f f f f f f f f f f f f f
important. Additionally, maternal education is a modifiable risk factor.
f f f f f f f f f
PTS: 1 DIF: Cognitive Level: Understand f f
TOP: Nursing Process: Assessment
f f f
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN
f nTanBd.M
CaOinMtenance, Antepartum Care
f f f f f
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
f f f f f f f f f f f f
statistics for infant mortality, which intervention is most important for the nurse to include
f f f f f f f f f f f f f f
in the client’s plan of care?
f f f f f f
a. Perform a nutrition assessment. f f f
b. Refer the woman to a social worker. f f f f f f
c. Advise the woman to see an obstetrician, not a midwife. f f f f f f f f f
d. Explain to the woman the importance of keeping her prenatal care appointments. f f f f f f f f f f f
ANS: D f
Consistent prenatal care is the best method of preventing or controlling risk factors associated
f f f f f f f f f f f f f
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
f f f f f f f f f f f f f f f f
most important action a nurse should take in this situation. The client may need assistance
f f f f f f f f f f f f f f f
from a social worker at some time during her pregnancy, but a referral to a social worker is
f f f f f f f f f f f f f f f f f f
not the most important aspect the nurse should address at this time. If the woman has
f f f f f f f f f f f f f f f f
identifiable high-risk problems, then her health care may need to be provided by a physician.
f f f f f f f f f f f f f f f
However, it cannot be assumed that all African-American women have high-risk issues. In
f f f f f f f f f f f f f
addition, advising the woman to see an obstetrician is not the most important aspect on which
f f f f f f f f f f f f f f f f
the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage
f f f f f f f f f f f f f f f f f f f
the type of care a client is to receive.
f f f f f f f f f
PTS: 1 DIF: Cognitive Level: Understand f f
TOP: Nursing Process: Planning
f f f
, Maternity and Women's Health Care 13th Edition Lowdermilk Test f f f f f f f f
MSC: Client Needs: Health Promotion and Maintenance
f f f f f f
3. The nurses working at a newly established birthing center have begun to compare their
f f f f f f f f f f f f f
performance in providing maternal-newborn care against clinical standards. This
f f f f f f f f f
comparison process is most commonly known as what?
f f f f f f f f
a. Best practices network f f
b. Clinical benchmarking f
c. Outcomes-oriented pracNtiUceR S f
d. Evidence-based practice f
ANS: C f
Outcomes-oriented practice measures the effectiveness of the interventions and quality of f f f f f f f f f f
care against benchmarks or standards. The term best practice refers to a program or service
f f f f f f f f f f f f f f f
that has been recognized for its excellence. Clinical benchmarking is a process used to
f f f f f f f f f f f f f f
compare one’s own performance against the performance of the best in an area of service.
f f f f f f f f f f f f f f f
The term evidence-based practice refers to the provision of care based on evidence gained
f f f f f f f f f f f f f f
through research and clinical trials.
f f f f f
PTS: 1 DIF: Cognitive Level: Understand f f
TOP: Nursing Process: Evaluation
f f f
MSC: Client Needs: Safe and Effective Care Environment
f f f f f f f
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
f f f f f f f f f f f f f f
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
f f f f f f f f f f f
intervention is the most important for the nurse to implement?
f f f f f f f f f f
a. Use maternity jargon to enable the client to become familiar with these terms.
f f f f f f f f f f f f
b. Speak quickly and efficiently to expedite the visit.
f f f f f f f
c. Provide the client with handouts. f f f f
d. Assess whether the client understands the discussion.
f f f f f f
ANS: D f
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
f f f f f f f f f f f f
evaluating whether the client understands the discussion. Speaking slowly and clearly and
f f f f f f f f f f f f
focusing on what is important will increase understanding. Most client education materials
f f f f f f f f f f f f
are written at a level too high for the average adult and may not be useful for a client with
f f f f f f f f f f f f f f f f f f f f
limited English proficiency.
f f f
PTS: 1 DIF: Cognitive Level: Apply f f
TOP: Nursing Process: Implementation
f f f
MSC: Client Needs: Health Promotion and Maintenance
f f f f f f
5. Which statement best exemplifies contemporary maternity nursing?
f f f f f f
a. Use of midwives for all vaginal deliveries
f f f f f f
b. Family-centered care f
c. Free-standing birth clinics f f
d. Physician-driven care f
fANS: B f
, Maternity and Women's Health Care 13th Edition Lowdermilk Test f f f f f f f f
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, f f f f f f f f f f f
grandparents, and siblings may be present for the birth and participate in activities such as
f f f f f f f f f f f f f f f
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
f f f f f f f f f f f f
Free-standing clinics are an example of alternative birth options. Contemporary maternity
f f f f f f f f f f f
nursing is driven by the relationship between nurses and their clients.
f f f f f f f f f f f
PTS: 1 DIF: Cognitive Level: Understand f f
TOP: Nursing Process: Planning
f f f
MSC: Client Needs: Health Promotion and Maintenance
f f f f f f
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
f f f f f f f f f f f f f
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
f f f f f f f f f f f f f f f f f f
have a legitimate legal case for negligence?
f f f f f f f
a. Inexperienced maternity nurse was assigned to care for the client. f f f f f f f f f
b. Client was past her due date by 3 days. f f f f f f f f
c. Standard of care was not met. f f f f f
d. Client refused electronic fetal monitoring. f f f f
ANS: C f
Not meeting the standard of care is a legitimate factor for a case of negligence. An
f f f f f f f f f f f f f f f
inexperienced maternity nurse would need to display competency before being assigned to
f f f f f f f f f f f f
care for clients on his or her own. This client may have been past her due date; however, a
f f f f f f f f f f f f f f f f f f f
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
f f f f f f f f f f f f f f
standard of care, the client has the right to refuse treatment. This refusal is not a case for
f f f f f f f f f f f f f f f f f f
negligence, but informed consent should be properly obtained, and the client should have
f f f f f f f f f f f f f
signed an against medical advice form when refusing any treatment that is within the
f f f f f f f f f f f f f f
standard of care.
f f f
PTS: 1 DIF: Cognitive Level: Analyze f f
TOP: Nursing Process: Implementation
f f f
MSC: Client Needs: Safe and Effective Care Environment
f f f f f f f
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
f f f f f f f f f f f f f f f f f
volume, his or her best action in this situation would be what?
f f f f f f f f f f f f
a. Ask another nurse. f f
b. Discuss the procedure with the client’s physician. f f f f f f
c. Look up the procedure in a nursing textbook. f f f f f f f
d. First consult the agency procedure manual f f f f f
ANS: D f
Following the agency’s policies and procedures manual is always best when seeking
f f f f f f f f f f f
information on correct client procedures. These policies should reflect the current standards
f f f f f f f f f f f f
of care and the individual state’s guidelines. Each nurse is responsible for his or her own
f f f f f f f f f f f f f f f f
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
f f f f f f f f f f f f f f f f
to follow the standards of care for safe client care delivery. Physicians are responsible for
f f f f f f f f f f f f f f f
their own client care activity. Nurses may follow safe orders from physicians, but they are
f f f f f f f f f f f f f f f
also responsible for the activities that they, as nurses, are to carry out. Information provided
f f f f f f f f f f f f f f f
in a nursing textbook is basic information for general knowledge. Furthermore, the
f f f f f f f f f f f f
information in a textbook may not reflect the current standard of care or the individual state
f f f f f f f f f f f f f f f f
or hospital policies.
f f f
f f f f f f f f
Maternityand f f
Women'sHealth f
Care13thEdit f f
ion f
LowdermilkTest f
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test f f f f f f f f
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
f f f f f f f f f
Maternity & Women’s Health Care, 12th Edition
f f f f f f f
MULTIPLE CHOICE f
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
f f f f f f f f f f f f f
infant, which factor is the most important for the nurse to consider?
f f f f f f f f f f f f
a. African-American race f
b. Cigarette smoking f
c. Poor nutritional status f f
d. Limited maternal education f f
ANS: A f
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
f f f f f f f f f f f f f f f f
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice
f f f f f f f f f f f f
as likely as non-Hispanic white infants to be of LBW and to die in the first year of life.. Race
f f f f f f f f f f f f f f f f f f f f
is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
f f f f f f f f f f f f f f
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
f f f f f f f f f f f f f f f
factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
f f f f f f f f f f f f f f f f f
most important. Additionally, nutritional status is a modifiable risk factor. Maternal
f f f f f f f f f f f
education is an important factor in potential infant mortality rates, but it is not the most
f f f f f f f f f f f f f f f f
important. Additionally, maternal education is a modifiable risk factor.
f f f f f f f f f
PTS: 1 DIF: Cognitive Level: Understand f f
TOP: Nursing Process: Assessment
f f f
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN
f nTanBd.M
CaOinMtenance, Antepartum Care
f f f f f
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
f f f f f f f f f f f f
statistics for infant mortality, which intervention is most important for the nurse to include
f f f f f f f f f f f f f f
in the client’s plan of care?
f f f f f f
a. Perform a nutrition assessment. f f f
b. Refer the woman to a social worker. f f f f f f
c. Advise the woman to see an obstetrician, not a midwife. f f f f f f f f f
d. Explain to the woman the importance of keeping her prenatal care appointments. f f f f f f f f f f f
ANS: D f
Consistent prenatal care is the best method of preventing or controlling risk factors associated
f f f f f f f f f f f f f
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
f f f f f f f f f f f f f f f f
most important action a nurse should take in this situation. The client may need assistance
f f f f f f f f f f f f f f f
from a social worker at some time during her pregnancy, but a referral to a social worker is
f f f f f f f f f f f f f f f f f f
not the most important aspect the nurse should address at this time. If the woman has
f f f f f f f f f f f f f f f f
identifiable high-risk problems, then her health care may need to be provided by a physician.
f f f f f f f f f f f f f f f
However, it cannot be assumed that all African-American women have high-risk issues. In
f f f f f f f f f f f f f
addition, advising the woman to see an obstetrician is not the most important aspect on which
f f f f f f f f f f f f f f f f
the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage
f f f f f f f f f f f f f f f f f f f
the type of care a client is to receive.
f f f f f f f f f
PTS: 1 DIF: Cognitive Level: Understand f f
TOP: Nursing Process: Planning
f f f
, Maternity and Women's Health Care 13th Edition Lowdermilk Test f f f f f f f f
MSC: Client Needs: Health Promotion and Maintenance
f f f f f f
3. The nurses working at a newly established birthing center have begun to compare their
f f f f f f f f f f f f f
performance in providing maternal-newborn care against clinical standards. This
f f f f f f f f f
comparison process is most commonly known as what?
f f f f f f f f
a. Best practices network f f
b. Clinical benchmarking f
c. Outcomes-oriented pracNtiUceR S f
d. Evidence-based practice f
ANS: C f
Outcomes-oriented practice measures the effectiveness of the interventions and quality of f f f f f f f f f f
care against benchmarks or standards. The term best practice refers to a program or service
f f f f f f f f f f f f f f f
that has been recognized for its excellence. Clinical benchmarking is a process used to
f f f f f f f f f f f f f f
compare one’s own performance against the performance of the best in an area of service.
f f f f f f f f f f f f f f f
The term evidence-based practice refers to the provision of care based on evidence gained
f f f f f f f f f f f f f f
through research and clinical trials.
f f f f f
PTS: 1 DIF: Cognitive Level: Understand f f
TOP: Nursing Process: Evaluation
f f f
MSC: Client Needs: Safe and Effective Care Environment
f f f f f f f
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
f f f f f f f f f f f f f f
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
f f f f f f f f f f f
intervention is the most important for the nurse to implement?
f f f f f f f f f f
a. Use maternity jargon to enable the client to become familiar with these terms.
f f f f f f f f f f f f
b. Speak quickly and efficiently to expedite the visit.
f f f f f f f
c. Provide the client with handouts. f f f f
d. Assess whether the client understands the discussion.
f f f f f f
ANS: D f
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
f f f f f f f f f f f f
evaluating whether the client understands the discussion. Speaking slowly and clearly and
f f f f f f f f f f f f
focusing on what is important will increase understanding. Most client education materials
f f f f f f f f f f f f
are written at a level too high for the average adult and may not be useful for a client with
f f f f f f f f f f f f f f f f f f f f
limited English proficiency.
f f f
PTS: 1 DIF: Cognitive Level: Apply f f
TOP: Nursing Process: Implementation
f f f
MSC: Client Needs: Health Promotion and Maintenance
f f f f f f
5. Which statement best exemplifies contemporary maternity nursing?
f f f f f f
a. Use of midwives for all vaginal deliveries
f f f f f f
b. Family-centered care f
c. Free-standing birth clinics f f
d. Physician-driven care f
fANS: B f
, Maternity and Women's Health Care 13th Edition Lowdermilk Test f f f f f f f f
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, f f f f f f f f f f f
grandparents, and siblings may be present for the birth and participate in activities such as
f f f f f f f f f f f f f f f
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
f f f f f f f f f f f f
Free-standing clinics are an example of alternative birth options. Contemporary maternity
f f f f f f f f f f f
nursing is driven by the relationship between nurses and their clients.
f f f f f f f f f f f
PTS: 1 DIF: Cognitive Level: Understand f f
TOP: Nursing Process: Planning
f f f
MSC: Client Needs: Health Promotion and Maintenance
f f f f f f
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
f f f f f f f f f f f f f
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
f f f f f f f f f f f f f f f f f f
have a legitimate legal case for negligence?
f f f f f f f
a. Inexperienced maternity nurse was assigned to care for the client. f f f f f f f f f
b. Client was past her due date by 3 days. f f f f f f f f
c. Standard of care was not met. f f f f f
d. Client refused electronic fetal monitoring. f f f f
ANS: C f
Not meeting the standard of care is a legitimate factor for a case of negligence. An
f f f f f f f f f f f f f f f
inexperienced maternity nurse would need to display competency before being assigned to
f f f f f f f f f f f f
care for clients on his or her own. This client may have been past her due date; however, a
f f f f f f f f f f f f f f f f f f f
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
f f f f f f f f f f f f f f
standard of care, the client has the right to refuse treatment. This refusal is not a case for
f f f f f f f f f f f f f f f f f f
negligence, but informed consent should be properly obtained, and the client should have
f f f f f f f f f f f f f
signed an against medical advice form when refusing any treatment that is within the
f f f f f f f f f f f f f f
standard of care.
f f f
PTS: 1 DIF: Cognitive Level: Analyze f f
TOP: Nursing Process: Implementation
f f f
MSC: Client Needs: Safe and Effective Care Environment
f f f f f f f
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
f f f f f f f f f f f f f f f f f
volume, his or her best action in this situation would be what?
f f f f f f f f f f f f
a. Ask another nurse. f f
b. Discuss the procedure with the client’s physician. f f f f f f
c. Look up the procedure in a nursing textbook. f f f f f f f
d. First consult the agency procedure manual f f f f f
ANS: D f
Following the agency’s policies and procedures manual is always best when seeking
f f f f f f f f f f f
information on correct client procedures. These policies should reflect the current standards
f f f f f f f f f f f f
of care and the individual state’s guidelines. Each nurse is responsible for his or her own
f f f f f f f f f f f f f f f f
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
f f f f f f f f f f f f f f f f
to follow the standards of care for safe client care delivery. Physicians are responsible for
f f f f f f f f f f f f f f f
their own client care activity. Nurses may follow safe orders from physicians, but they are
f f f f f f f f f f f f f f f
also responsible for the activities that they, as nurses, are to carry out. Information provided
f f f f f f f f f f f f f f f
in a nursing textbook is basic information for general knowledge. Furthermore, the
f f f f f f f f f f f f
information in a textbook may not reflect the current standard of care or the individual state
f f f f f f f f f f f f f f f f
or hospital policies.
f f f
