Maternity and Women's Health Care 13th Edition Lowdermilk Test
x x x x x x x x
, Maternity and Women's Health Care 13th Edition Lowdermilk Test x x x x x x x x
Chapter 01: 21st Century Maternity and Women’s Health NursingL
x x x x x x x x x
owdermilk: Maternity & Women’s Health Care, 13th Edition
x x x x x x x
MULTIPLE CHOICE x
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
x x x x x x x x x x x x
weight (LBW)infant, which factor is the most important for the nurse to consider?
x x x x x x x x x x x x x
a. African-American race x
b. Cigarette smoking x
c. Poor nutritional status x x
d. Limited maternal education x x
ANS: A x
The rise in the overall LBW rates were due to increases in LBW births to non-
x x x x x x x x x x x x x x x
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
x x x x x x x x
Hispanic black infants are almost twice as likely as non-
x x x x x x x x x
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifiable
x x x x x x x x x x x x x x x x x x x
risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but it is
x x x x x x x x x x x x x x x x x
not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition is an i
x x x x x x x x x x x x x x x
mportant factor in potential infant mortality rates, but it is not the most important. Additionall
x x x x x x x x x x x x x x
y, nutritional status is a modifiable risk factor. Maternal education is an important factor in pot
x x x x x x x x x x x x x x x
ential infant mortality rates, but it is not the most important. Additionally, maternal education i
x x x x x x x x x x x x x x
s a modifiable risk factor.
x x x x
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: x x x
Nursing Process: Assessment x x
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
xxx inM
tenance, Antepartum Care x x x x
2. A 23-year-old African-
x x
American woman is pregnant with her first child. Based on currentstatistics for infant mortal
x x x x x x x x x x x x x x
ity, which intervention is most important for the nurse to includein the client’s plan of care?
x x x x x x x x x x x x x x x x
a. Perform a nutrition assessment. x x x
b. Refer the woman to a social worker. x x x x x x
c. Advise the woman to see an obstetrician, not a midwife. x x x x x x x x x
d. Explain to the woman the importance of keeping her prenatal care appointments.
x x x x x x x x x x x
ANS: D x
Consistent prenatal care is the best method of preventing or controlling risk factors associated
x x x x x x x x x x x x x x
with infant mortality. Nutritional status is an important modifiable risk factor, butit is not the m
x x x x x x x x x x x x x x x x
ost important action a nurse should take in this situation. The client may needassistance from a
x x x x x x x x x x x x x x x x
xsocial worker at some time during her pregnancy, but a referral to a socialworker is not the mo
x x x x x x x x x x x x x x x x x x
st important aspect the nurse should address at this time. If the woman has identifiable high-
x x x x x x x x x x x x x x x
risk problems, then her health care may need to be provided by a physician. However, it canno
x x x x x x x x x x x x x x x x
t be assumed that all African-American women have high-
x x x x x x x x
riskissues. In addition, advising the woman to see an obstetrician is not the most important asp
x x x x x x x x x x x x x x x x
ect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise o
x x x x x x x x x x x x x x x x x x x x
r manage the type of care a client is to receive.
x x x x x x x x x x
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: x x x
Nursing Process: Planning x x
, Maternity and Women's Health Care 13th Edition Lowdermilk Test x x x x x x x x
MSC: Client Needs: Health Promotion and Maintenance
x x x x x x
3. The nurses working at a newly established birthing center have begun to compare theirpe
x x x x x x x x x x x x x x
rformance in providing maternal- x x x
newborn care against clinical standards. This comparison process is most commonly kno
x x x x x x x x x x x
wn as what?
x x
a. Best practices network x x
b. Clinical benchmarking x
c. Outcomes-oriented pracNtiUceRS x
d. Evidence-based practice x
ANS: C x
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against be
x x x x x x x x x x x x x
nchmarks or standards. The term best practice refers to a program or servicethat has been recog
x x x x x x x x x x x x x x x x
nized for its excellence. Clinical benchmarking is a process used to compare one’s own perfor
x x x x x x x x x x x x x x
mance against the performance of the best in an area of service. The term evidence-
x x x x x x x x x x x x x x
based practice refers to the provision of care based on evidence gainedthrough research and cl
x x x x x x x x x x x x x x x
inical trials. x
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: x x x
Nursing Process: Evaluation x x
MSC: Client Needs: Safe and Effective Care Environment
x x x x x x x
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial ass
x x x x x x x x x x x x x x x
essment of a 21-year- x x x
old Hispanic client with limited English proficiency. Whichintervention is the most im
x x x x x x x x x x x x
portant for the nurse to implement?
x x x x x
a. Use maternity jargon to enable the client to become familiar with these terms.
x x x x x x x x x x x x
b. Speak quickly and efficiently to expedite the visit.
x x x x x x x
c. Provide the client with handouts. x x x x
d. Assess whether the client understands the discussion.
x x x x x x
ANS: D x
Nurses contribute to health literacy by using simple, common words, avoiding jargon, andev
x x x x x x x x x x x x x
aluating whether the client understands the discussion. Speaking slowly and clearly andfocu
x x x x x x x x x x x x
sing on what is important will increase understanding. Most client education materialsare wri
x x x x x x x x x x x x x
tten at a level too high for the average adult and may not be useful for a client withlimited En
x x x x x x x x x x x x x x x x x x x x
glish proficiency.
x
PTS: 1 DIF:
Cognitive Level: ApplyTOP: x x x
Nursing Process: Implementation x x
MSC: Client Needs: Health Promotion and Maintenance
x x x x x x
5. Which statement best exemplifies contemporary maternity nursing?
x x x x x x
a. Use of midwives for all vaginal deliveries
x x x x x x
b. Family-centered care x
c. Free-standing birth clinics x x
d. Physician-
driven careANS: B x x x
, Maternity and Women's Health Care 13th Edition Lowdermilk Test x x x x x x x x
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,x x x x x x x x x x x x
grandparents, and siblings may be present for the birth and participate in activitiessuch as cutti
x x x x x x x x x x x x x x x
ng the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries. Free-
x x x x x x x x x x x x
standing clinics are an example of alternative birth options. Contemporarymaternity nursing is
x x x x x x x x x x x x
driven by the relationship between nurses and their clients.
x x x x x x x x x
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: x x x
Nursing Process: Planning x x
MSC: Client Needs: Health Promotion and Maintenance
x x x x x x
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
x x x x x x x x
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On wh
x x x x x x x x x x x x x x x x x x x
at grounds could the woman have a legitimate legal case for negligence?
x x x x x x x x x x x
a. Inexperienced maternity nurse was assigned to care for the client. x x x x x x x x x
b. Client was past her due date by 3 days. x x x x x x x x
c. Standard of care was not met. x x x x x
d. Client refused electronic fetal monitoring. x x x x
ANS: C x
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperien
x x x x x x x x x x x x x x x x
ced maternity nurse would need to display competency before being assigned tocare for clien
x x x x x x x x x x x x x x
ts on his or her own. This client may have been past her due date; however, aterm pregnancy
x x x x x x x x x x x x x x x x x x x
often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard of care, th
x x x x x x x x x x x x x x x
e client has the right to refuse treatment. This refusal is not a case for negligence, but informe
x x x x x x x x x x x x x x x x x
d consent should be properly obtained, and the client should have signed an against medical
x x x x x x x x x x x x x x x
advice form when refusing any treatment that is within the standard of care.
x x x x x x x x x x x x
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: x x x
Nursing Process: Implementation x x
MSC: Client Needs: Safe and Effective Care Environment
x x x x x x x
7. When the nurse is unsure how to perform a client care procedure that is high risk and lowvol
x x x x x x x x x x x x x x x x x x
ume, his or her best action in this situation would be what?
x x x x x x x x x x x
a. Ask another nurse. x x
b. Discuss the procedure with the client’s physician. x x x x x x
c. Look up the procedure in a nursing textbook. x x x x x x x
d. First consult the agency procedure manual x x x x x
ANS: D x
Following the agency’s policies and procedures manual is always best when seeking informat
x x x x x x x x x x x x
ion on correct client procedures. These policies should reflect the current standardsof care and
x x x x x x x x x x x x x x x
the individual state’s guidelines. Each nurse is responsible for his or her own practice. Relying
x x x x x x x x x x x x x x
xon another nurse may not always be a safe practice. Each nurse is obligated to follow the stand
x x x x x x x x x x x x x x x x x
ards of care for safe client care delivery. Physicians are responsible for their own client care ac
x x x x x x x x x x x x x x x x
tivity. Nurses may follow safe orders from physicians, but they are also responsible for the acti
x x x x x x x x x x x x x x x
vities that they, as nurses, are to carry out. Information provided in a nursing textbook is basic i
x x x x x x x x x x x x x x x x x
nformation for general knowledge.Furthermore, the information in a textbook may not reflect
x x x x x x x x x x x x x
the current standard of care or the individual state or hospital policies.
x x x x x x x x x x x
x x x x x x x x
, Maternity and Women's Health Care 13th Edition Lowdermilk Test x x x x x x x x
Chapter 01: 21st Century Maternity and Women’s Health NursingL
x x x x x x x x x
owdermilk: Maternity & Women’s Health Care, 13th Edition
x x x x x x x
MULTIPLE CHOICE x
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
x x x x x x x x x x x x
weight (LBW)infant, which factor is the most important for the nurse to consider?
x x x x x x x x x x x x x
a. African-American race x
b. Cigarette smoking x
c. Poor nutritional status x x
d. Limited maternal education x x
ANS: A x
The rise in the overall LBW rates were due to increases in LBW births to non-
x x x x x x x x x x x x x x x
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
x x x x x x x x
Hispanic black infants are almost twice as likely as non-
x x x x x x x x x
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifiable
x x x x x x x x x x x x x x x x x x x
risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but it is
x x x x x x x x x x x x x x x x x
not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition is an i
x x x x x x x x x x x x x x x
mportant factor in potential infant mortality rates, but it is not the most important. Additionall
x x x x x x x x x x x x x x
y, nutritional status is a modifiable risk factor. Maternal education is an important factor in pot
x x x x x x x x x x x x x x x
ential infant mortality rates, but it is not the most important. Additionally, maternal education i
x x x x x x x x x x x x x x
s a modifiable risk factor.
x x x x
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: x x x
Nursing Process: Assessment x x
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
xxx inM
tenance, Antepartum Care x x x x
2. A 23-year-old African-
x x
American woman is pregnant with her first child. Based on currentstatistics for infant mortal
x x x x x x x x x x x x x x
ity, which intervention is most important for the nurse to includein the client’s plan of care?
x x x x x x x x x x x x x x x x
a. Perform a nutrition assessment. x x x
b. Refer the woman to a social worker. x x x x x x
c. Advise the woman to see an obstetrician, not a midwife. x x x x x x x x x
d. Explain to the woman the importance of keeping her prenatal care appointments.
x x x x x x x x x x x
ANS: D x
Consistent prenatal care is the best method of preventing or controlling risk factors associated
x x x x x x x x x x x x x x
with infant mortality. Nutritional status is an important modifiable risk factor, butit is not the m
x x x x x x x x x x x x x x x x
ost important action a nurse should take in this situation. The client may needassistance from a
x x x x x x x x x x x x x x x x
xsocial worker at some time during her pregnancy, but a referral to a socialworker is not the mo
x x x x x x x x x x x x x x x x x x
st important aspect the nurse should address at this time. If the woman has identifiable high-
x x x x x x x x x x x x x x x
risk problems, then her health care may need to be provided by a physician. However, it canno
x x x x x x x x x x x x x x x x
t be assumed that all African-American women have high-
x x x x x x x x
riskissues. In addition, advising the woman to see an obstetrician is not the most important asp
x x x x x x x x x x x x x x x x
ect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise o
x x x x x x x x x x x x x x x x x x x x
r manage the type of care a client is to receive.
x x x x x x x x x x
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: x x x
Nursing Process: Planning x x
, Maternity and Women's Health Care 13th Edition Lowdermilk Test x x x x x x x x
MSC: Client Needs: Health Promotion and Maintenance
x x x x x x
3. The nurses working at a newly established birthing center have begun to compare theirpe
x x x x x x x x x x x x x x
rformance in providing maternal- x x x
newborn care against clinical standards. This comparison process is most commonly kno
x x x x x x x x x x x
wn as what?
x x
a. Best practices network x x
b. Clinical benchmarking x
c. Outcomes-oriented pracNtiUceRS x
d. Evidence-based practice x
ANS: C x
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against be
x x x x x x x x x x x x x
nchmarks or standards. The term best practice refers to a program or servicethat has been recog
x x x x x x x x x x x x x x x x
nized for its excellence. Clinical benchmarking is a process used to compare one’s own perfor
x x x x x x x x x x x x x x
mance against the performance of the best in an area of service. The term evidence-
x x x x x x x x x x x x x x
based practice refers to the provision of care based on evidence gainedthrough research and cl
x x x x x x x x x x x x x x x
inical trials. x
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: x x x
Nursing Process: Evaluation x x
MSC: Client Needs: Safe and Effective Care Environment
x x x x x x x
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial ass
x x x x x x x x x x x x x x x
essment of a 21-year- x x x
old Hispanic client with limited English proficiency. Whichintervention is the most im
x x x x x x x x x x x x
portant for the nurse to implement?
x x x x x
a. Use maternity jargon to enable the client to become familiar with these terms.
x x x x x x x x x x x x
b. Speak quickly and efficiently to expedite the visit.
x x x x x x x
c. Provide the client with handouts. x x x x
d. Assess whether the client understands the discussion.
x x x x x x
ANS: D x
Nurses contribute to health literacy by using simple, common words, avoiding jargon, andev
x x x x x x x x x x x x x
aluating whether the client understands the discussion. Speaking slowly and clearly andfocu
x x x x x x x x x x x x
sing on what is important will increase understanding. Most client education materialsare wri
x x x x x x x x x x x x x
tten at a level too high for the average adult and may not be useful for a client withlimited En
x x x x x x x x x x x x x x x x x x x x
glish proficiency.
x
PTS: 1 DIF:
Cognitive Level: ApplyTOP: x x x
Nursing Process: Implementation x x
MSC: Client Needs: Health Promotion and Maintenance
x x x x x x
5. Which statement best exemplifies contemporary maternity nursing?
x x x x x x
a. Use of midwives for all vaginal deliveries
x x x x x x
b. Family-centered care x
c. Free-standing birth clinics x x
d. Physician-
driven careANS: B x x x
, Maternity and Women's Health Care 13th Edition Lowdermilk Test x x x x x x x x
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,x x x x x x x x x x x x
grandparents, and siblings may be present for the birth and participate in activitiessuch as cutti
x x x x x x x x x x x x x x x
ng the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries. Free-
x x x x x x x x x x x x
standing clinics are an example of alternative birth options. Contemporarymaternity nursing is
x x x x x x x x x x x x
driven by the relationship between nurses and their clients.
x x x x x x x x x
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: x x x
Nursing Process: Planning x x
MSC: Client Needs: Health Promotion and Maintenance
x x x x x x
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
x x x x x x x x
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On wh
x x x x x x x x x x x x x x x x x x x
at grounds could the woman have a legitimate legal case for negligence?
x x x x x x x x x x x
a. Inexperienced maternity nurse was assigned to care for the client. x x x x x x x x x
b. Client was past her due date by 3 days. x x x x x x x x
c. Standard of care was not met. x x x x x
d. Client refused electronic fetal monitoring. x x x x
ANS: C x
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperien
x x x x x x x x x x x x x x x x
ced maternity nurse would need to display competency before being assigned tocare for clien
x x x x x x x x x x x x x x
ts on his or her own. This client may have been past her due date; however, aterm pregnancy
x x x x x x x x x x x x x x x x x x x
often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard of care, th
x x x x x x x x x x x x x x x
e client has the right to refuse treatment. This refusal is not a case for negligence, but informe
x x x x x x x x x x x x x x x x x
d consent should be properly obtained, and the client should have signed an against medical
x x x x x x x x x x x x x x x
advice form when refusing any treatment that is within the standard of care.
x x x x x x x x x x x x
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: x x x
Nursing Process: Implementation x x
MSC: Client Needs: Safe and Effective Care Environment
x x x x x x x
7. When the nurse is unsure how to perform a client care procedure that is high risk and lowvol
x x x x x x x x x x x x x x x x x x
ume, his or her best action in this situation would be what?
x x x x x x x x x x x
a. Ask another nurse. x x
b. Discuss the procedure with the client’s physician. x x x x x x
c. Look up the procedure in a nursing textbook. x x x x x x x
d. First consult the agency procedure manual x x x x x
ANS: D x
Following the agency’s policies and procedures manual is always best when seeking informat
x x x x x x x x x x x x
ion on correct client procedures. These policies should reflect the current standardsof care and
x x x x x x x x x x x x x x x
the individual state’s guidelines. Each nurse is responsible for his or her own practice. Relying
x x x x x x x x x x x x x x
xon another nurse may not always be a safe practice. Each nurse is obligated to follow the stand
x x x x x x x x x x x x x x x x x
ards of care for safe client care delivery. Physicians are responsible for their own client care ac
x x x x x x x x x x x x x x x x
tivity. Nurses may follow safe orders from physicians, but they are also responsible for the acti
x x x x x x x x x x x x x x x
vities that they, as nurses, are to carry out. Information provided in a nursing textbook is basic i
x x x x x x x x x x x x x x x x x
nformation for general knowledge.Furthermore, the information in a textbook may not reflect
x x x x x x x x x x x x x
the current standard of care or the individual state or hospital policies.
x x x x x x x x x x x
