Maternity3and3Women's3Health3Care313th3Edition3Lowdermilk3Tes
t
Maternity and 3 3
Women's Health 3
Care13thEdit 3 3
ion 3
Lowdermilk Test 3
Bank
, Maternity3and3Women's3Health3Care313th3Edition3Lowdermilk3Tes
t
Chapter301:321st3Century3Maternity3and3Women’s3Health3Nursing3Lowdermil
k:3Maternity3&3Women’s3Health3Care,312th3Edition
MULTIPLE3CHOICE
1. In3evaluating3the3level3of3a3pregnant3woman’s3risk3of3having3a3low-birth-
weight3(LBW)3infant,3which3factor3is3the3most3important3for3the3nurse3to3consider?
a. African-American3race
b. Cigarette3smoking
c. Poor3nutritional3status
d. Limited3maternal3education
ANS:3 A
The3rise3in3the3overall3LBW3rates3were3due3to3increases3in3LBW3births3to3non-
Hispanic3black3women3(13.35%)3and3Hispanic3women3(7.21%);3non-
Hispanic3black3infants3are3almost3twice3as3likely3as3non-
Hispanic3white3infants3to3be3of3LBW3and3to3die3in3the3first3year3of3life..3Race3is3a3nonmodi
fiable3risk3factor.3Cigarette3smoking3is3an3important3factor3in3potential3infant3mortality3rate
s,3but3it3is3not3the3most3important.3Additionally,3smoking3is3a3modifiable3risk3factor.3Poor3
nutrition3is3an3important3factor3in3potential3infant3mortality3rates,3but3it3is3not3the3most3im
portant.3Additionally,3nutritional3status3is3a3modifiable3risk3factor.3Maternal3education3is3a
n3important3factor3in3potential3infant3mortality3rates,3but3it3is3not3the3most3important.3Addi
tionally,3maternal3education3is3a3modifiable3risk3factor.
PTS: 1 DIF:
Cognitive3Level:3Understand3TOP:
Nursing3Process:3Assessment
MSC:3 3 Client3 Needs:3 HealtN
hUPrRoS
mI i oG
o tN nTa nBd.MCaO
i nM
tenance,3 Antepartum3 Care
2. A323-year-old3African-
American3woman3is3pregnant3with3her3first3child.3Based3on3current3statistics3for3infant3m
ortality,3which3intervention3is3most3important3for3the3nurse3to3include3in3the3client’s3plan3
of3care?
a. Perform3a3nutrition3assessment.
b. Refer3the3woman3to3a3social3worker.
c. Advise3the3woman3to3see3an3obstetrician,3not3a3midwife.
d. Explain3to3the3woman3the3importance3of3keeping3her3prenatal3care3appointments.
ANS:3 D
Consistent3prenatal3care3is3the3best3method3of3preventing3or3controlling3risk3factors3associ
ated3with3infant3mortality.3Nutritional3status3is3an3important3modifiable3risk3factor,3but3it3is3
not3the3most3important3action3a3nurse3should3take3in3this3situation.3The3client3may3need3as
sistance3from3a3social3worker3at3some3time3during3her3pregnancy,3but3a3referral3to3a3social3
worker3is3not3the3most3important3aspect3the3nurse3should3address3at3this3time.3If3the3woma
n3has3identifiable3high-
risk3problems,3then3her3health3care3may3need3to3be3provided3by3a3physician.3However,3it3c
annot3be3assumed3that3all3African-American3women3have3high-
risk3issues.3In3addition,3advising3the3woman3to3see3an3obstetrician3is3not3the3most3importa
nt3aspect3on3which3the3nurse3should3focus3at3this3time,3and3it3is3not3appropriate3for3a3nurse
3to3advise 3or3manage 3the3type3of3care3a3client 3is3to3receive.
PTS: 1 DIF:
Cognitive3Level:3Understand3TOP:
Nursing3Process:3Planning
, Maternity3and3Women's3Health3Care313th3Edition3Lowdermilk3Tes
t
MSC:3 Client3Needs:3Health3Promotion3and3Maintenance
3. The3nurses3working3at3a3newly3established3birthing3center3have3begun3to3compare3the
ir3performance3in3providing3maternal-
newborn3care3against3clinical3standards.3This3comparison3process3is3most3commonly3
known3as3what?
a. Best3practices3network
b. Clinical3benchmarking
c. Outcomes-oriented3pracNtiU ceR S
d. Evidence-based3practice
ANS:3 C
Outcomes-
oriented3practice3measures3the3effectiveness3of3the3interventions3and3quality3of3care3agains
t3benchmarks3or3standards.3The3term3best3practice3refers3to3a3program3or3service3that3has3b
een3recognized3for3its3excellence.3Clinical3benchmarking3is3a3process3used3to3compare3one
’s3own3performance3against3the3performance3of3the3best3in3an3area3of3service.3The3term3evi
dence-
based3practice3refers3to3the3provision3of3care3based3on3evidence3gained3through3research3a
nd3clinical3trials.
PTS: 1 DIF:
Cognitive3Level:3Understand3TOP:
Nursing3Process:3Evaluation
MSC:3 Client3Needs:3Safe3and3Effective3Care3Environment
4. During3a3prenatal3intake3interview,3the3nurse3is3in3the3process3of3obtaining3an3initi
al3assessment3of3a321-year-
old3Hispanic3client3with3limited3English3proficiency.3Which3intervention3is3the3mos
t3important3for3the3nurse3to3implement?
a. Use3maternity3jargon3to3enable3the3client3to3become3familiar3with3these3terms.
b. Speak3quickly3and3efficiently3to3expedite3the3visit.
c. Provide3the3client3with3handouts.
d. Assess 3whether3the3client3understands3the3discussion.
ANS:3 D
Nurses3contribute3to3health3literacy3by3using3simple,3common3words,3avoiding3jargon,3an
d3evaluating3whether3the3client3understands3the3discussion.3Speaking3slowly3and3clearly3
and3focusing3on3what3is3important3will3increase3understanding.3Most3client3education3mat
erials3are3written3at3a3level3too3high3for3the3average3adult3and3may3not3be3useful3for3a3cli
ent3with3limited3English3proficiency.
PTS: 1 DIF:
Cognitive3Level:3Apply3TOP:
Nursing3Process:3Implementation
MSC:3 Client3Needs:3Health3Promotion3and3Maintenance
5. Which3statement3best3exemplifies3contemporary3maternity3nursing?
a. Use3of3midwives3for3all3vaginal3deliveries
b. Family-centered3care
c. Free-standing3birth3clinics
d. Physician-
driven3care3ANS:3 B
, Maternity3and3Women's3Health3Care313th3Edition3Lowdermilk3Tes
t
Contemporary3maternity3nursing3focuses3on3the3family’s3needs3and3desires.3Fathers,3partn
ers,3grandparents,3and3siblings3may3be3present3for3the3birth3and3participate3in3activities3suc
h3as3cutting3the3baby’s3umbilical3cord.3Both3midwives3and3physicians3perform3vaginal3deli
veries.3Free-
standing3clinics3are3an3example3of3alternative3birth3options.3Contemporary3maternity3nursi
ng3is3driven3by3the3relationship3between3nurses3and3their3clients.
PTS: 1 DIF:
Cognitive3Level:3Understand3TOP:
Nursing3Process:3Planning
MSC:3 Client3Needs:3Health3Promotion3and3Maintenance
6. A338-year-old3Hispanic3woman3vaginally3delivered3a39-pound,36-
ounce3baby3girl3after3being3in3labor3for3433hours.3The3baby3died333days3later3from3sepsis.3
On3what3grounds3could3the3woman3have3a3legitimate3legal3case3for3negligence?
a. Inexperienced3maternity3nurse3was3assigned3to3care3for3the3client.
b. Client3was3past3her3due3date3by333days.
c. Standard3of3care3was3not3met.
d. Client3refused3electronic3fetal3monitoring.
ANS:3 C
Not3meeting3the3standard3of3care3is3a3legitimate3factor3for3a3case3of3negligence.3An3inexpe
rienced3maternity3nurse3would3need3to3display3competency3before3being3assigned3to3care3f
or3clients3on3his3or3her3own.3This3client3may3have3been3past3her3due3date;3however,3a3term
3pregnancy3often3goes3beyond3403weeks3of3gestation.3Although3fetal3monitoring3is3the3stan
dard3of3care,3the3client3has3the3right3to3refuse3treatment.3This3refusal3is3not3a3case3for3negli
gence,3but3informed3consent3should3be3properly3obtained,3and3the3client3should3have3signe
d3an3against3medical3advice3form3when3refusing3any3treatment3that3is3within3the3standard3
of3care.
PTS: 1 DIF:
Cognitive3Level:3Analyze3TOP:
Nursing3Process:3Implementation
MSC:3 Client3Needs:3Safe3and3Effective3Care3Environment
7. When3the3nurse3is3unsure3how3to3perform3a3client3care3procedure3that3is3high3risk3and3lo
w3volume,3his3or3her3best3action3in3this3situation3would3be3what?
a. Ask3another3nurse.
b. Discuss3the3procedure3with3the3client’s3physician.
c. Look3up3the3procedure3in3a3nursing3textbook.
d. First3consult3the3agency3procedure3manual
ANS:3 D
Following3the3agency’s3policies3and3procedures3manual3is3always3best3when3seeking3infor
mation3on3correct3client3procedures.3These3policies3should3reflect3the3current3standards3of3
care3and3the3individual3state’s3guidelines.3Each3nurse3is3responsible3for3his3or3her3own3pra
ctice.3Relying3on3another3nurse3may3not3always3be3a3safe3practice.3Each3nurse3is3obligated
3to3follow3the3standards3of3care3for3safe 3client3care 3delivery.3Physicians3are3responsible 3for
3their3own3client 3care 3activity.3Nurses3may3follow3safe 3orders3from3physicians,3but3they3ar
e3also3responsible3for3the3activities3that3they,3as3nurses,3are3to3carry3out.3Information3provi
ded3in3a3nursing3textbook3is3basic3information3for3general3knowledge.3Furthermore,3the3inf
ormation3in3a3textbook3may3not3reflect3the3current3standard3of3care3or3the3individual3state3
or3hospital3policies.
t
Maternity and 3 3
Women's Health 3
Care13thEdit 3 3
ion 3
Lowdermilk Test 3
Bank
, Maternity3and3Women's3Health3Care313th3Edition3Lowdermilk3Tes
t
Chapter301:321st3Century3Maternity3and3Women’s3Health3Nursing3Lowdermil
k:3Maternity3&3Women’s3Health3Care,312th3Edition
MULTIPLE3CHOICE
1. In3evaluating3the3level3of3a3pregnant3woman’s3risk3of3having3a3low-birth-
weight3(LBW)3infant,3which3factor3is3the3most3important3for3the3nurse3to3consider?
a. African-American3race
b. Cigarette3smoking
c. Poor3nutritional3status
d. Limited3maternal3education
ANS:3 A
The3rise3in3the3overall3LBW3rates3were3due3to3increases3in3LBW3births3to3non-
Hispanic3black3women3(13.35%)3and3Hispanic3women3(7.21%);3non-
Hispanic3black3infants3are3almost3twice3as3likely3as3non-
Hispanic3white3infants3to3be3of3LBW3and3to3die3in3the3first3year3of3life..3Race3is3a3nonmodi
fiable3risk3factor.3Cigarette3smoking3is3an3important3factor3in3potential3infant3mortality3rate
s,3but3it3is3not3the3most3important.3Additionally,3smoking3is3a3modifiable3risk3factor.3Poor3
nutrition3is3an3important3factor3in3potential3infant3mortality3rates,3but3it3is3not3the3most3im
portant.3Additionally,3nutritional3status3is3a3modifiable3risk3factor.3Maternal3education3is3a
n3important3factor3in3potential3infant3mortality3rates,3but3it3is3not3the3most3important.3Addi
tionally,3maternal3education3is3a3modifiable3risk3factor.
PTS: 1 DIF:
Cognitive3Level:3Understand3TOP:
Nursing3Process:3Assessment
MSC:3 3 Client3 Needs:3 HealtN
hUPrRoS
mI i oG
o tN nTa nBd.MCaO
i nM
tenance,3 Antepartum3 Care
2. A323-year-old3African-
American3woman3is3pregnant3with3her3first3child.3Based3on3current3statistics3for3infant3m
ortality,3which3intervention3is3most3important3for3the3nurse3to3include3in3the3client’s3plan3
of3care?
a. Perform3a3nutrition3assessment.
b. Refer3the3woman3to3a3social3worker.
c. Advise3the3woman3to3see3an3obstetrician,3not3a3midwife.
d. Explain3to3the3woman3the3importance3of3keeping3her3prenatal3care3appointments.
ANS:3 D
Consistent3prenatal3care3is3the3best3method3of3preventing3or3controlling3risk3factors3associ
ated3with3infant3mortality.3Nutritional3status3is3an3important3modifiable3risk3factor,3but3it3is3
not3the3most3important3action3a3nurse3should3take3in3this3situation.3The3client3may3need3as
sistance3from3a3social3worker3at3some3time3during3her3pregnancy,3but3a3referral3to3a3social3
worker3is3not3the3most3important3aspect3the3nurse3should3address3at3this3time.3If3the3woma
n3has3identifiable3high-
risk3problems,3then3her3health3care3may3need3to3be3provided3by3a3physician.3However,3it3c
annot3be3assumed3that3all3African-American3women3have3high-
risk3issues.3In3addition,3advising3the3woman3to3see3an3obstetrician3is3not3the3most3importa
nt3aspect3on3which3the3nurse3should3focus3at3this3time,3and3it3is3not3appropriate3for3a3nurse
3to3advise 3or3manage 3the3type3of3care3a3client 3is3to3receive.
PTS: 1 DIF:
Cognitive3Level:3Understand3TOP:
Nursing3Process:3Planning
, Maternity3and3Women's3Health3Care313th3Edition3Lowdermilk3Tes
t
MSC:3 Client3Needs:3Health3Promotion3and3Maintenance
3. The3nurses3working3at3a3newly3established3birthing3center3have3begun3to3compare3the
ir3performance3in3providing3maternal-
newborn3care3against3clinical3standards.3This3comparison3process3is3most3commonly3
known3as3what?
a. Best3practices3network
b. Clinical3benchmarking
c. Outcomes-oriented3pracNtiU ceR S
d. Evidence-based3practice
ANS:3 C
Outcomes-
oriented3practice3measures3the3effectiveness3of3the3interventions3and3quality3of3care3agains
t3benchmarks3or3standards.3The3term3best3practice3refers3to3a3program3or3service3that3has3b
een3recognized3for3its3excellence.3Clinical3benchmarking3is3a3process3used3to3compare3one
’s3own3performance3against3the3performance3of3the3best3in3an3area3of3service.3The3term3evi
dence-
based3practice3refers3to3the3provision3of3care3based3on3evidence3gained3through3research3a
nd3clinical3trials.
PTS: 1 DIF:
Cognitive3Level:3Understand3TOP:
Nursing3Process:3Evaluation
MSC:3 Client3Needs:3Safe3and3Effective3Care3Environment
4. During3a3prenatal3intake3interview,3the3nurse3is3in3the3process3of3obtaining3an3initi
al3assessment3of3a321-year-
old3Hispanic3client3with3limited3English3proficiency.3Which3intervention3is3the3mos
t3important3for3the3nurse3to3implement?
a. Use3maternity3jargon3to3enable3the3client3to3become3familiar3with3these3terms.
b. Speak3quickly3and3efficiently3to3expedite3the3visit.
c. Provide3the3client3with3handouts.
d. Assess 3whether3the3client3understands3the3discussion.
ANS:3 D
Nurses3contribute3to3health3literacy3by3using3simple,3common3words,3avoiding3jargon,3an
d3evaluating3whether3the3client3understands3the3discussion.3Speaking3slowly3and3clearly3
and3focusing3on3what3is3important3will3increase3understanding.3Most3client3education3mat
erials3are3written3at3a3level3too3high3for3the3average3adult3and3may3not3be3useful3for3a3cli
ent3with3limited3English3proficiency.
PTS: 1 DIF:
Cognitive3Level:3Apply3TOP:
Nursing3Process:3Implementation
MSC:3 Client3Needs:3Health3Promotion3and3Maintenance
5. Which3statement3best3exemplifies3contemporary3maternity3nursing?
a. Use3of3midwives3for3all3vaginal3deliveries
b. Family-centered3care
c. Free-standing3birth3clinics
d. Physician-
driven3care3ANS:3 B
, Maternity3and3Women's3Health3Care313th3Edition3Lowdermilk3Tes
t
Contemporary3maternity3nursing3focuses3on3the3family’s3needs3and3desires.3Fathers,3partn
ers,3grandparents,3and3siblings3may3be3present3for3the3birth3and3participate3in3activities3suc
h3as3cutting3the3baby’s3umbilical3cord.3Both3midwives3and3physicians3perform3vaginal3deli
veries.3Free-
standing3clinics3are3an3example3of3alternative3birth3options.3Contemporary3maternity3nursi
ng3is3driven3by3the3relationship3between3nurses3and3their3clients.
PTS: 1 DIF:
Cognitive3Level:3Understand3TOP:
Nursing3Process:3Planning
MSC:3 Client3Needs:3Health3Promotion3and3Maintenance
6. A338-year-old3Hispanic3woman3vaginally3delivered3a39-pound,36-
ounce3baby3girl3after3being3in3labor3for3433hours.3The3baby3died333days3later3from3sepsis.3
On3what3grounds3could3the3woman3have3a3legitimate3legal3case3for3negligence?
a. Inexperienced3maternity3nurse3was3assigned3to3care3for3the3client.
b. Client3was3past3her3due3date3by333days.
c. Standard3of3care3was3not3met.
d. Client3refused3electronic3fetal3monitoring.
ANS:3 C
Not3meeting3the3standard3of3care3is3a3legitimate3factor3for3a3case3of3negligence.3An3inexpe
rienced3maternity3nurse3would3need3to3display3competency3before3being3assigned3to3care3f
or3clients3on3his3or3her3own.3This3client3may3have3been3past3her3due3date;3however,3a3term
3pregnancy3often3goes3beyond3403weeks3of3gestation.3Although3fetal3monitoring3is3the3stan
dard3of3care,3the3client3has3the3right3to3refuse3treatment.3This3refusal3is3not3a3case3for3negli
gence,3but3informed3consent3should3be3properly3obtained,3and3the3client3should3have3signe
d3an3against3medical3advice3form3when3refusing3any3treatment3that3is3within3the3standard3
of3care.
PTS: 1 DIF:
Cognitive3Level:3Analyze3TOP:
Nursing3Process:3Implementation
MSC:3 Client3Needs:3Safe3and3Effective3Care3Environment
7. When3the3nurse3is3unsure3how3to3perform3a3client3care3procedure3that3is3high3risk3and3lo
w3volume,3his3or3her3best3action3in3this3situation3would3be3what?
a. Ask3another3nurse.
b. Discuss3the3procedure3with3the3client’s3physician.
c. Look3up3the3procedure3in3a3nursing3textbook.
d. First3consult3the3agency3procedure3manual
ANS:3 D
Following3the3agency’s3policies3and3procedures3manual3is3always3best3when3seeking3infor
mation3on3correct3client3procedures.3These3policies3should3reflect3the3current3standards3of3
care3and3the3individual3state’s3guidelines.3Each3nurse3is3responsible3for3his3or3her3own3pra
ctice.3Relying3on3another3nurse3may3not3always3be3a3safe3practice.3Each3nurse3is3obligated
3to3follow3the3standards3of3care3for3safe 3client3care 3delivery.3Physicians3are3responsible 3for
3their3own3client 3care 3activity.3Nurses3may3follow3safe 3orders3from3physicians,3but3they3ar
e3also3responsible3for3the3activities3that3they,3as3nurses,3are3to3carry3out.3Information3provi
ded3in3a3nursing3textbook3is3basic3information3for3general3knowledge.3Furthermore,3the3inf
ormation3in3a3textbook3may3not3reflect3the3current3standard3of3care3or3the3individual3state3
or3hospital3policies.
