test bank for
maternity & women’s health care, 11th
edition
by lowdermilk||complete chapters 1-
37||100% verified asnwers
,table of contents
chapter 01: 21st century maternity and women’s health nursing ........4
chapter 02: community care: the family and culture ......................... 24
chapter 03: nursing and genomics .................................................... 48
chapter 04: assessment and health promotion ................................. 66
chapter 05: violence against women ................................................ 97
chapter 06: reproductive system concerns ...................................... 117
chapter 07: sexually transmitted and other infections..................... 138
chapter 08: contraception and abortion ......................................... 160
chapter 09: infertility ..................................................................... 187
chapter 10: problems of the breast ................................................. 210
chapter 11: structural disorders and neoplasms of the reproductive
system ........................................................................................... 233
chapter 12: conception and fetal development ............................... 252
chapter 13: anatomy and physiology of pregnancy ......................... 276
chapter 14: nursing care of the family during pregnancy ................ 305
chapter 15: maternal and fetal nutrition ........................................ 344
chapter 16: labor and birth processes ............................................. 375
chapter 17: maximizing comfort for the laboring woman ................ 399
chapter 18: fetal assessment during labor ...................................... 431
chapter 19: nursing care of the family during labor and birth .......... 463
chapter 20: postpartum physiologic changes .................................. 504
chapter 21: nursing care of the family during the postpartum period
...................................................................................................... 525
,chapter 22: transmition to parenthood ........................................... 549
chapter 23: physiologic and behavioral adaptations of the newborn
...................................................................................................... 576
chapter 24: nursing care of the newborn and family ....................... 613
chapter 25: newborn nutrition and feeding .................................... 642
chapter 26: assessment of high risk pregnancy ............................... 672
chapter 27: hypertensive disorders ................................................. 698
chapter 28: hemorrhagic disorders ................................................. 718
chapter 29: endocrine and metabolic disorders ............................... 742
chapter 30: medical-surgical disorders ........................................... 763
chapter 31: mental health disorders and substance abuse .............. 786
chapter 32: labor and birth complications ...................................... 801
chapter 33: postpartum complications ........................................... 827
chapter 34: nursing care of the high risk newborn .......................... 844
chapter 35: acquired problems of the newborn ............................... 869
chapter 36: hemolytic disorders and congenital anomalies ............. 887
chapter 37: perinatal loss, bereavement, and grief ......................... 901
,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
ANS>>>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 practicing nurses in the research
process?
a. designing research studies
b. collecting data for other researchers
c. identifying researchable problems
d. seeking funding to support research studies
ANS>>>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.
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.
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.
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.
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
ANS>>>c
maternity & women’s health care, 11th
edition
by lowdermilk||complete chapters 1-
37||100% verified asnwers
,table of contents
chapter 01: 21st century maternity and women’s health nursing ........4
chapter 02: community care: the family and culture ......................... 24
chapter 03: nursing and genomics .................................................... 48
chapter 04: assessment and health promotion ................................. 66
chapter 05: violence against women ................................................ 97
chapter 06: reproductive system concerns ...................................... 117
chapter 07: sexually transmitted and other infections..................... 138
chapter 08: contraception and abortion ......................................... 160
chapter 09: infertility ..................................................................... 187
chapter 10: problems of the breast ................................................. 210
chapter 11: structural disorders and neoplasms of the reproductive
system ........................................................................................... 233
chapter 12: conception and fetal development ............................... 252
chapter 13: anatomy and physiology of pregnancy ......................... 276
chapter 14: nursing care of the family during pregnancy ................ 305
chapter 15: maternal and fetal nutrition ........................................ 344
chapter 16: labor and birth processes ............................................. 375
chapter 17: maximizing comfort for the laboring woman ................ 399
chapter 18: fetal assessment during labor ...................................... 431
chapter 19: nursing care of the family during labor and birth .......... 463
chapter 20: postpartum physiologic changes .................................. 504
chapter 21: nursing care of the family during the postpartum period
...................................................................................................... 525
,chapter 22: transmition to parenthood ........................................... 549
chapter 23: physiologic and behavioral adaptations of the newborn
...................................................................................................... 576
chapter 24: nursing care of the newborn and family ....................... 613
chapter 25: newborn nutrition and feeding .................................... 642
chapter 26: assessment of high risk pregnancy ............................... 672
chapter 27: hypertensive disorders ................................................. 698
chapter 28: hemorrhagic disorders ................................................. 718
chapter 29: endocrine and metabolic disorders ............................... 742
chapter 30: medical-surgical disorders ........................................... 763
chapter 31: mental health disorders and substance abuse .............. 786
chapter 32: labor and birth complications ...................................... 801
chapter 33: postpartum complications ........................................... 827
chapter 34: nursing care of the high risk newborn .......................... 844
chapter 35: acquired problems of the newborn ............................... 869
chapter 36: hemolytic disorders and congenital anomalies ............. 887
chapter 37: perinatal loss, bereavement, and grief ......................... 901
,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
ANS>>>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 practicing nurses in the research
process?
a. designing research studies
b. collecting data for other researchers
c. identifying researchable problems
d. seeking funding to support research studies
ANS>>>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.
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.
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.
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.
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
ANS>>>c
