edition Lowdermilk Test Bank Best
Maternity Guide.
,
,Chapter 01: 21st Century Maternity and Health Nursing Lowdermilk:
MULTIPLE CHOICE
1. In evaluating the level of a pregnant 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 studiesN U SRN T I G B.COM
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
f o rNt h eRav eIra gG
e adB
ult. C
a n d Mm a y not be useful for a client with limited
U S N T O
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
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
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
Maternity Guide.
,
,Chapter 01: 21st Century Maternity and Health Nursing Lowdermilk:
MULTIPLE CHOICE
1. In evaluating the level of a pregnant 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 studiesN U SRN T I G B.COM
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
f o rNt h eRav eIra gG
e adB
ult. C
a n d Mm a y not be useful for a client with limited
U S N T O
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
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
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
