TEST BANK for Maternity and Women's Health Care (Maternity & Women's Health Care) 13th Edition Latest Version 2025/2026 [A+] All Chapters Fully Covered by Deitra Leonard Lowdermilk RN,FAAN, Kitty Cashion (Author),

Maternity11and11Women's11Health11Care1113th11Edition11Lowdermi
lk11Test

, Maternity11and11Women's11Health11Care1113th11Edition11Lowdermi
lk11Test
Chapter1101:1121st11Century11Maternity11and11Women’s11Health11N
ursing11Lowdermilk:11Maternity11&11Women’s11Health11Care,1113t
h11Edition


MULTIPLE11CHOICE

1. In11evaluating11the11level11of11a11pregnant11woman’s11risk11of11having11a11low-birth-
weight11(LBW)11infant,11which11factor11is11the11 most11important11 for11the11nurse11to11c
onsider?
a. African-American11race
b. Cigarette11smoking
c. Poor11nutritional11status
d. Limited11maternal11education
ANS:1 1 A
The11rise11in11the11overall11LBW11rates11were11due11to11increases11in11LBW11births11to11n
on-Hispanic11black11women11(13.35%)11and11Hispanic11women11(7.21%);11non-
Hispanic11black11infants11are11almost11twice11as11likely11as11non-
Hispanic11white11infants11to11be11of11LBW11and11to11die11in11the11first11year11of11life..11Rac
e11is11a11nonmodifiable11risk11factor.11Cigarette11smoking11is11an11important11factor11in11pote
ntial11infant11mortality11rates,11but11it11is11not11the11most11important.11Additionally,11smoki
ng11is11a11modifiable11risk11factor.11Poor11nutrition11is11an11important11factor11in11potential
11infant11mortality11rates,11but11it11is11not11the11most11important.11Additionally,11nutritional
11status11is11a11modifiable11risk11factor.11Maternal11education11is11an11important11factor11in
11potential11infant11mortality11rates,11but11it11is11not11the11most11important.11Additionally,11
maternal11education11is11a11modifiable11risk11factor.

PTS: 1 DIF:
Cognitive11Level:11Understand11TOP:
Nursing11Process:11Assessment
MSC:111111Client11 Needs:11 HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,11Antepartum11Care
2. A1123-year-old11African-
American11woman11is11pregnant11with11her11first11child.11Based11on11current11statistics11fo
r11infant11mortality,11which11intervention11is11most11important11for11the11nurse11to11inclu
de11in11the11client’s11plan11of11care?
a. Perform11a11nutrition11assessment.
b. Refer11the11woman11to11a11social11worker.
c. Advise11the11woman11to11see11an11obstetrician,11not11a11midwife.
d. Explain11to11the11woman11the11importance11of11keeping11her11prenatal11care11appointments
.
ANS:1 1 D
Consistent11prenatal11care11is11the11best11method11of11preventing11or11controlling11risk11fac
tors11associated11with11infant11mortality.11Nutritional11status11is11an11important11modifiable1
1risk11factor,11but11it11is11not11the11most11important11action11a11nurse11should11take11in11this1
1situation.11The11client11may11need11assistance11from11a11social11worker11at11some11time11du
ring11her11pregnancy,11but11a11referral11to11a11social11worker11is11not11the11most11important1
1aspect11the11nurse11should11address11at11this11time.11If11the11woman11has11identifiable11hig
h-
risk11problems,11then11her11health11care11may11need11to11be11provided11by11a11physician.11
However,11it11cannot11be11assumed11that11all11African-American11women11have11high-
risk11issues.11In11addition,11advising11the11woman11to11see11an11obstetrician11is11not11the11m
ost11important11aspect11on11which11the11nurse11should11focus11at11this11time,11and11it11is11n

, Maternity11and11Women's11Health11Care1113th11Edition11Lowdermi
lk11Test
ot11appropriate11for11a11nurse11to11advise11or11manage11the11type11of11care11a11client11 is11to
11receive.


PTS: 1 DIF:
Cognitive11Level:11Understand11TOP:
Nursing11Process:11Planning

, Maternity11and11Women's11Health11Care1113th11Edition11Lowdermi
lk11Test
MSC:11 Client11Needs:11Health11Promotion11and11Maintenance

3. The11nurses11working11at11a11newly11established11birthing11center11have11begun11to11c
ompare11their11performance11in11providing11maternal-
newborn11care11against11clinical11standards.11This11comparison11process11is11most11 c
ommonly11known11as11what?
a. Best11practices11network
b. Clinical11benchmarking
c. Outcomes-oriented11pracNtiU
ceRS
d. Evidence-based11practice
ANS:1 1 C
Outcomes-
oriented11practice11measures11the11effectiveness11of11the11interventions11and11quality11of11c
are11against11benchmarks11or11standards.11The11term11best11practice11refers11to11a11program1
1or11service11that11has11been11recognized11for11its11excellence.11Clinical11benchmarking11is11
a11process11used11to11compare11one’s11own11performance11against11the11performance11of11t
he11best11in11an11area11of11service.11The11term11evidence-
based11practice11refers11to11the11provision11of11care11based11on11evidence11gained11through1
1research11and11clinical11trials.


PTS: 1 DIF:
Cognitive11Level:11Understand11TOP:
Nursing11Process:11Evaluation
MSC:11 Client11Needs:11Safe11and11Effective11Care11Environment

4. During11a11prenatal11intake11interview,11the11nurse11is11in11the11process11of11obtaini
ng11an11initial11assessment11of11a1121-year-
old11Hispanic11client11with11limited11English11proficiency.11Which11intervention11is11
the11most11important11for11the11nurse11to11implement?
a. Use11maternity11jargon11to11enable11the11client11to11become11familiar11with11these11terms.
b. Speak11quickly11and11efficiently11to11expedite11the11visit.
c. Provide11the11client11with11handouts.
d. Assess11whether11the11client11understands11the11discussion.
ANS:1 1 D
Nurses11contribute11to11health11literacy11by11using11simple,11common11words,11avoiding1
1jargon,11and11evaluating11whether11the11client11understands11the11discussion.11Speaking11s
lowly11and11clearly11and11focusing11on11what11is11important11will11increase11understanding.
11Most11client11education11materials11are11written11at11a11level11too11high11for11the11averag
e11adult11and11may11not11be11useful11for11a11client11with11limited11English11proficiency.

PTS: 1 DIF:
Cognitive11Level:11Apply11TOP:
Nursing11Process:11 Implementation
MSC:11 Client11Needs:11Health11Promotion11and11Maintenance


5. Which11statement11best11exemplifies11contemporary11maternity11nursing?
a. Use11of11midwives11for11all11vaginal11deliveries
b. Family-centered11care
c. Free-standing11birth11clinics
d. Physician-
driven11care11ANS:1 1 B