Maternity and Women's Health Care 13th Edition Lowdermilk Test
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Chapter01:21st Century MaternityandWomen’s HealthNursing Lowdermilk:
Maternity & Women’s Health Care, 13th Edition
MULTIPLECHOICE
1. In evaluating the level of apregnant woman’s risk of having a low-birth-weight (LBW)
infant, which factor is the most important for the nurse to consider?
a. African-Americanrace
b. Cigarettesmoking
c. Poornutritional status
d. Limitedmaternal education
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost
twice as likely as non-Hispanic white infants to be of LBW and to die in the first yearoflife..
Race is anonmodifiable risk factor. Cigarettesmokingis 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.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Assessment
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
statistics for infant mortality, which intervention is most important for the nurse to include in
the client’s plan of care?
a. Perform anutrition assessment.
b. Referthe woman to a social worker.
c. Advisethe woman to see an obstetrician, not a midwife.
d. Explainto 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
associatedwithinfant mortality. Nutritional statusisan importantmodifiableriskfactor,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.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
MSC: Client Needs: Health Promotionand Maintenance
3. Thenurses working at a newlyestablishedbirthingcenter have begunto comparetheir
performance in providing maternal-newborn care against clinical standards. This
comparison process is most commonly known as what?
a. Bestpractices network
b. Clinicalbenchmarking
c. Outcomes-orientedp racNtiUceR S
d. Evidence-basedpractice
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of
careagainst benchmarks or standards. Theterm bestpractice referstoaprogram orservice 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.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Evaluation
MSC: Client Needs: Safeand Effective Care Environment
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
intervention is the most important for the nurse to implement?
a. Usematernityjargon to enable the client to become familiarwith these terms.
b. Speak quickly and efficientlyto expeditethe visit.
c. Providethe client with handouts.
d. Assesswhetherthe 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.
PTS: 1 DIF: CognitiveLevel:Apply
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotionand Maintenance
5. Whichstatement best exemplifies contemporarymaternitynursing?
a. Useof midwives for all vaginal deliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-drivencare
il
ANS: B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
grandparents, and siblings maybe present forthe birthand participate inactivities such as
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
Free-standing clinics are an example of alternative birth options. Contemporary maternity
nursing is driven by the relationship between nurses and their clients.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotionand Maintenance
6. A 38-year-old Hispanic woman vaginallydelivered a 9-pound, 6-ounce babygirlafter being in
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
woman have a legitimate legal case for negligence?
a. Inexperienced maternity nursewas assigned to careforthe client.
b. Client was past her duedate by3 days.
c. Standard ofcare was not met.
d. Clientrefused electronic fetal monitoring.
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
inexperiencedmaternitynurse wouldneed to displaycompetencybefore being assigned to
care for clients on his or her own. This client may have been past her due date; however, a
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring isthe
standard of care, the client has the right to refuse treatment. This refusal is not a case for
negligence, but informed consent should be properly obtained, and the client should have
signed an against medical advice form when refusing any treatment that is within the
standard of care.
PTS: 1 DIF: CognitiveLevel:Analyze
TOP: Nursing Process: Implementation
MSC: Client Needs: Safeand Effective Care Environment
7. Whenthe nurseisunsure how to perform a client care procedurethat is high risk and low
volume, his or her best action in this situation would be what?
a. Askanother nurse.
b. Discuss theprocedure with theclient’s physician.
c. Look up the procedure in a nursing textbook.
d. First consult the agencyprocedure manual
ANS: D
Following the agency’s policies and procedures manual is always best when seeking
information on correct client procedures. These policies should reflect the current standards of
care and the individual state’s guidelines. Each nurse is responsible for his or her own
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
to follow the standards of care for safe client care delivery. Physicians are responsible for
their own client care activity. Nurses may follow safe orders from physicians, but they are
also responsible for the activities that they, as nurses, are to carry out. Information provided
ina nursingtextbookisbasic informationforgeneral knowledge. Furthermore, the
information in a textbook may not reflect the current standard of care or the individual state
or hospital policies.
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Chapter01:21st Century MaternityandWomen’s HealthNursing Lowdermilk:
Maternity & Women’s Health Care, 13th Edition
MULTIPLECHOICE
1. In evaluating the level of apregnant woman’s risk of having a low-birth-weight (LBW)
infant, which factor is the most important for the nurse to consider?
a. African-Americanrace
b. Cigarettesmoking
c. Poornutritional status
d. Limitedmaternal education
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost
twice as likely as non-Hispanic white infants to be of LBW and to die in the first yearoflife..
Race is anonmodifiable risk factor. Cigarettesmokingis 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.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Assessment
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
statistics for infant mortality, which intervention is most important for the nurse to include in
the client’s plan of care?
a. Perform anutrition assessment.
b. Referthe woman to a social worker.
c. Advisethe woman to see an obstetrician, not a midwife.
d. Explainto 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
associatedwithinfant mortality. Nutritional statusisan importantmodifiableriskfactor,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.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
MSC: Client Needs: Health Promotionand Maintenance
3. Thenurses working at a newlyestablishedbirthingcenter have begunto comparetheir
performance in providing maternal-newborn care against clinical standards. This
comparison process is most commonly known as what?
a. Bestpractices network
b. Clinicalbenchmarking
c. Outcomes-orientedp racNtiUceR S
d. Evidence-basedpractice
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of
careagainst benchmarks or standards. Theterm bestpractice referstoaprogram orservice 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.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Evaluation
MSC: Client Needs: Safeand Effective Care Environment
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
intervention is the most important for the nurse to implement?
a. Usematernityjargon to enable the client to become familiarwith these terms.
b. Speak quickly and efficientlyto expeditethe visit.
c. Providethe client with handouts.
d. Assesswhetherthe 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.
PTS: 1 DIF: CognitiveLevel:Apply
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotionand Maintenance
5. Whichstatement best exemplifies contemporarymaternitynursing?
a. Useof midwives for all vaginal deliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-drivencare
il
ANS: B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
grandparents, and siblings maybe present forthe birthand participate inactivities such as
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
Free-standing clinics are an example of alternative birth options. Contemporary maternity
nursing is driven by the relationship between nurses and their clients.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotionand Maintenance
6. A 38-year-old Hispanic woman vaginallydelivered a 9-pound, 6-ounce babygirlafter being in
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
woman have a legitimate legal case for negligence?
a. Inexperienced maternity nursewas assigned to careforthe client.
b. Client was past her duedate by3 days.
c. Standard ofcare was not met.
d. Clientrefused electronic fetal monitoring.
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
inexperiencedmaternitynurse wouldneed to displaycompetencybefore being assigned to
care for clients on his or her own. This client may have been past her due date; however, a
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring isthe
standard of care, the client has the right to refuse treatment. This refusal is not a case for
negligence, but informed consent should be properly obtained, and the client should have
signed an against medical advice form when refusing any treatment that is within the
standard of care.
PTS: 1 DIF: CognitiveLevel:Analyze
TOP: Nursing Process: Implementation
MSC: Client Needs: Safeand Effective Care Environment
7. Whenthe nurseisunsure how to perform a client care procedurethat is high risk and low
volume, his or her best action in this situation would be what?
a. Askanother nurse.
b. Discuss theprocedure with theclient’s physician.
c. Look up the procedure in a nursing textbook.
d. First consult the agencyprocedure manual
ANS: D
Following the agency’s policies and procedures manual is always best when seeking
information on correct client procedures. These policies should reflect the current standards of
care and the individual state’s guidelines. Each nurse is responsible for his or her own
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
to follow the standards of care for safe client care delivery. Physicians are responsible for
their own client care activity. Nurses may follow safe orders from physicians, but they are
also responsible for the activities that they, as nurses, are to carry out. Information provided
ina nursingtextbookisbasic informationforgeneral knowledge. Furthermore, the
information in a textbook may not reflect the current standard of care or the individual state
or hospital policies.
