MATERNITY AND
WOMEN‘S HEALTH
CARE 11th EDITION
LOWDERMILK TEST
BANK 100% CORRECT
QUESTIONS AND
ANSWERS.
,Chapter 01: 21st Century Maternity and Women‘s Health Nursing
Lowdermilk: Maternity & Women‘s Health Care, 11th 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
ANSWER: A
For African-American births, the incidence of LBW infants is twice that of
Caucasian births. 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.
DIF: Cognitive Level: Understand REF: p.
6 TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of p ract icing n u r s e s in the research process?
a. Designing research studiesN RU SI N TG OB . C M
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANSWER: C
When problems are identified, research can be properly conducted. Research of
health care issues leads to evidence-based practice guidelines. Designing
research studies is only one factor of the research process. Data collection is
another factor of research. Financial support is necessary to conduct research,
but it is not the primary role of the nurse in the research process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process:
N/A MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child.
Based on the statistics for infant mortality, which plan is most important
for the nurse to implement?
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.
ANSWER: 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.
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process:
Planning MSC: Client Needs: Health Promotion and Maintenance
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 action is the most important for the nurse to perform?
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.
ANSWER: 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
f o r t h e a v er a g e ad ult a n d m a y not be useful for a client with limited
N R I G B. C M
English
proficiency. USNT O
DIF: Cognitive Level: Apply REF: p. 5 TOP: Nursing Process:
Evaluation MSC: Client Needs: Health Promotion and Maintenance
5. 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 practice
d. Evidence-based practice
ANSWER: 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.
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process:
, Evaluation MSC: Client Needs: Safe and Effective Care Environment
WOMEN‘S HEALTH
CARE 11th EDITION
LOWDERMILK TEST
BANK 100% CORRECT
QUESTIONS AND
ANSWERS.
,Chapter 01: 21st Century Maternity and Women‘s Health Nursing
Lowdermilk: Maternity & Women‘s Health Care, 11th 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
ANSWER: A
For African-American births, the incidence of LBW infants is twice that of
Caucasian births. 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.
DIF: Cognitive Level: Understand REF: p.
6 TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of p ract icing n u r s e s in the research process?
a. Designing research studiesN RU SI N TG OB . C M
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANSWER: C
When problems are identified, research can be properly conducted. Research of
health care issues leads to evidence-based practice guidelines. Designing
research studies is only one factor of the research process. Data collection is
another factor of research. Financial support is necessary to conduct research,
but it is not the primary role of the nurse in the research process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process:
N/A MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child.
Based on the statistics for infant mortality, which plan is most important
for the nurse to implement?
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.
ANSWER: 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.
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process:
Planning MSC: Client Needs: Health Promotion and Maintenance
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 action is the most important for the nurse to perform?
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.
ANSWER: 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
f o r t h e a v er a g e ad ult a n d m a y not be useful for a client with limited
N R I G B. C M
English
proficiency. USNT O
DIF: Cognitive Level: Apply REF: p. 5 TOP: Nursing Process:
Evaluation MSC: Client Needs: Health Promotion and Maintenance
5. 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 practice
d. Evidence-based practice
ANSWER: 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.
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process:
, Evaluation MSC: Client Needs: Safe and Effective Care Environment
