Test Bank Maternity and Women's Health Care 11th
Edition Lowdermilk PERRY GASHION & ALDEN
100% Verified Complete Q & A
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
MULTIPLE CHOICE
1. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
a. Births to unmarried women are more likely to have less favorable outcomes.
b. Birth rates for women 40 to 44 years of age are declining.
c. Cigarette smoking among pregnant women continues to increase.
d. Rates of pregnancy and abortion among teenagers are lower in the United States
than in any other industrialized country.
ANSWER>>A
LBW infants and preterm births are more likely because of the large number of teenagers in
the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer
pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States
than in any other industrial country.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
2. A recently graduated nurse is attempting to understand the reason for increasing health care
spending in the United States. Which information gathered from her research best explains the
rationale for these higher costs compared with other developed countries?
a. Higher rate of obesity among pregnant women
b. Limited access to technology
c. Increased use of health care services along with lower prices
d. Homogeneity of the population
ANSWER>>A
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the
gross domestic product is spent on health care. Higher spending in the United States, as
compared with 12 other industrialized countries, is related to higher prices and readily
accessible technology along with greater obesity rates among women. More than one third of
women in the United States are obese. In the population in the United States, 16% are
uninsured and have limited access to health care. Maternal morbidity and mortality are
directly related to racial disparities.
DIF: Cognitive Level: Understand REF: p. 5 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. Which statement best describes maternity nursing care that is based on knowledge gained
through research and clinical trials?
a. Maternity nursing care is derived from the Nursing Intervention Classification.
b. Maternity nursing care is known as evidence-based practice.
c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
d. Maternity nursing care is an outgrowth of telemedicine.
ANSWER>>B
Evidence-based practice is based on knowledge gained from research and clinical trials. The
Nursing Intervention Classification is a method of standardizing language and categorizing
, care. Dr. Cochrane s yst e m at iN
caUl l R
ySreI
viNGeTdBre.seCaO
ew rcM
h trials and is part of the evidence-based
practice movement. Telemedicine uses communication technologies to support health care.
DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Diagnosis
MSC: Client Needs: Safe and Effective Care Environment
4. What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
a. Standard of care
b. Risk management
c. Sentinel event
d. Failure to rescue
ANSWER>>A
Guidelines for standards of care are published by various professional nursing organizations.
Risk management identifies risks and establishes preventive practices, but it does not define
the standard of care. Sentinel events are unexpected negative occurrences. They do not
establish the standard of care. Failure to rescue is an evaluative process for nursing, but it does
not define the standard of care.
DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
5. Through the use of social media technology, nurses can link with other nurses who may share
similar interests, insights about practice, and advocate for clients. Which factor is the most
concerning pitfall for nurses using this technology?
a. Violation of client privacy and confidentiality
b. Institutions and colleagues who may be cast in an unfavorable light
c. Unintended negative consequences for using social media
d. Lack of institutional policy governing online contact
ANSWER>>A
The most significant pitfall for nurses using this technology is the violation of client privacy
and confidentiality. Furthermore, institutions and colleagues can be cast in an unfavorable
light with negative consequences for those posting information. Nursing students have been
expelled from school and nurses have been fired or reprimanded by their Board of Nursing for
injudicious posts. The American Nurses Association has published six principles for social
networking and the nurse. All institutions should have policies guiding the use of social
media, and the nurse should be familiar with these guidelines.
DIF: Cognitive Level: Analyze REF: p. 8
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
6. During a prenatal intake interview, the client informs the nurse that she would prefer a
midwife to provide both her care during pregnancy and deliver her infant. Which information
is most appropriate for the nurse to share with this client?
a. Midwifery care is only available to clients who are uninsured because their
services are less expensive than an obstetrician.
b. She will receive fewer interventions during the birth process.
c. She should be aware that mNUidwRSiveIN G B.C r tified.
s areTnot ceO
M
d. Her delivery can take place only at home or in a birth center.
ANSWER>>B
, This client will be able to participate actively in all decisions related to the birth process and is
likely to receive fewer interventions during the birth process. Midwifery services are available
to all low-risk pregnant women, regardless of the type of insurance they have. Midwifery care
in all developed countries is strictly regulated by a governing body to ensure that core
competencies are met. In the United States, this body is the American College of
Nurse-Midwives (ACNM). Midwives can provide care and delivery at home, in freestanding
birth centers, and in community and teaching hospitals.
DIF: Cognitive Level: Understand REF: p. 8 TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
7. While obtaining a detailed history from a woman who has recently immigrated from Somalia,
the nurse realizes that the client has undergone female genital mutilation. What is the nurse’s
most appropriate response in this situation?
a. “This is a very abnormal practice and rarely seen in the United States.”
b. “Are you aware of who performed this mutilation so that it can be reported to the
authorities?”
c. “We will be able to restore fully your circumcision after delivery.”
d. “The extent of your circumcision will affect the potential for complications.”
ANSWER>>D
The extent of the circumcision is important. The client may experience pain, bleeding,
scarring, or infection and may require surgery before childbirth. Although this practice is not
prevalent in the United States, it is very common in many African and Middle Eastern
countries for religious reasons. Mentioning that the practice is abnormal and rarely seen in the
United States is culturally insensitive. The infibulation may have occurred during infancy or
childhood; consequently, the client will have little to no recollection of the event. She would
have considered this to be a normal milestone during her growth and development. The
International Council of Nurses has spoken out against this procedure as harmful to a
woman’s health.
DIF: Cognitive Level: Analyze REF: p. 9
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
8. To ensure client safety, the practicing nurse must have knowledge of The Joint Commission’s
current “Do Not Use” list of abbreviations. Which term is acceptable for use regarding
medication administration?
a. q.o.d. or Q.O.D.
b. MSO4 or MgSO4
c. International Unit
d. Lack of a leading zero
ANSWER>>C
“I.U.” and “i.u.” are no longer acceptable because they could be misread as “I.V.” or the
number “10.” “Q.O.D.” should be written out as “every other day.” The period after the “Q”
could be mistaken for an “I” and the “o” could also be mistaken for an “i.” Confusing one
medication for another is too easy. Medications are used for very different purposes and could
Ner sReSout
place a client at risk for an ad vU
I Ncom
G TB.C M
e . For O
example, these medications should be
written as morphine sulfate and magnesium sulfate. The decimal point should never be missed
before a number (e.g., 0.4 rather than .4). A leading zero is the preferred form.
DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
Edition Lowdermilk PERRY GASHION & ALDEN
100% Verified Complete Q & A
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
MULTIPLE CHOICE
1. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
a. Births to unmarried women are more likely to have less favorable outcomes.
b. Birth rates for women 40 to 44 years of age are declining.
c. Cigarette smoking among pregnant women continues to increase.
d. Rates of pregnancy and abortion among teenagers are lower in the United States
than in any other industrialized country.
ANSWER>>A
LBW infants and preterm births are more likely because of the large number of teenagers in
the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer
pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States
than in any other industrial country.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
2. A recently graduated nurse is attempting to understand the reason for increasing health care
spending in the United States. Which information gathered from her research best explains the
rationale for these higher costs compared with other developed countries?
a. Higher rate of obesity among pregnant women
b. Limited access to technology
c. Increased use of health care services along with lower prices
d. Homogeneity of the population
ANSWER>>A
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the
gross domestic product is spent on health care. Higher spending in the United States, as
compared with 12 other industrialized countries, is related to higher prices and readily
accessible technology along with greater obesity rates among women. More than one third of
women in the United States are obese. In the population in the United States, 16% are
uninsured and have limited access to health care. Maternal morbidity and mortality are
directly related to racial disparities.
DIF: Cognitive Level: Understand REF: p. 5 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. Which statement best describes maternity nursing care that is based on knowledge gained
through research and clinical trials?
a. Maternity nursing care is derived from the Nursing Intervention Classification.
b. Maternity nursing care is known as evidence-based practice.
c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
d. Maternity nursing care is an outgrowth of telemedicine.
ANSWER>>B
Evidence-based practice is based on knowledge gained from research and clinical trials. The
Nursing Intervention Classification is a method of standardizing language and categorizing
, care. Dr. Cochrane s yst e m at iN
caUl l R
ySreI
viNGeTdBre.seCaO
ew rcM
h trials and is part of the evidence-based
practice movement. Telemedicine uses communication technologies to support health care.
DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Diagnosis
MSC: Client Needs: Safe and Effective Care Environment
4. What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
a. Standard of care
b. Risk management
c. Sentinel event
d. Failure to rescue
ANSWER>>A
Guidelines for standards of care are published by various professional nursing organizations.
Risk management identifies risks and establishes preventive practices, but it does not define
the standard of care. Sentinel events are unexpected negative occurrences. They do not
establish the standard of care. Failure to rescue is an evaluative process for nursing, but it does
not define the standard of care.
DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
5. Through the use of social media technology, nurses can link with other nurses who may share
similar interests, insights about practice, and advocate for clients. Which factor is the most
concerning pitfall for nurses using this technology?
a. Violation of client privacy and confidentiality
b. Institutions and colleagues who may be cast in an unfavorable light
c. Unintended negative consequences for using social media
d. Lack of institutional policy governing online contact
ANSWER>>A
The most significant pitfall for nurses using this technology is the violation of client privacy
and confidentiality. Furthermore, institutions and colleagues can be cast in an unfavorable
light with negative consequences for those posting information. Nursing students have been
expelled from school and nurses have been fired or reprimanded by their Board of Nursing for
injudicious posts. The American Nurses Association has published six principles for social
networking and the nurse. All institutions should have policies guiding the use of social
media, and the nurse should be familiar with these guidelines.
DIF: Cognitive Level: Analyze REF: p. 8
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
6. During a prenatal intake interview, the client informs the nurse that she would prefer a
midwife to provide both her care during pregnancy and deliver her infant. Which information
is most appropriate for the nurse to share with this client?
a. Midwifery care is only available to clients who are uninsured because their
services are less expensive than an obstetrician.
b. She will receive fewer interventions during the birth process.
c. She should be aware that mNUidwRSiveIN G B.C r tified.
s areTnot ceO
M
d. Her delivery can take place only at home or in a birth center.
ANSWER>>B
, This client will be able to participate actively in all decisions related to the birth process and is
likely to receive fewer interventions during the birth process. Midwifery services are available
to all low-risk pregnant women, regardless of the type of insurance they have. Midwifery care
in all developed countries is strictly regulated by a governing body to ensure that core
competencies are met. In the United States, this body is the American College of
Nurse-Midwives (ACNM). Midwives can provide care and delivery at home, in freestanding
birth centers, and in community and teaching hospitals.
DIF: Cognitive Level: Understand REF: p. 8 TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
7. While obtaining a detailed history from a woman who has recently immigrated from Somalia,
the nurse realizes that the client has undergone female genital mutilation. What is the nurse’s
most appropriate response in this situation?
a. “This is a very abnormal practice and rarely seen in the United States.”
b. “Are you aware of who performed this mutilation so that it can be reported to the
authorities?”
c. “We will be able to restore fully your circumcision after delivery.”
d. “The extent of your circumcision will affect the potential for complications.”
ANSWER>>D
The extent of the circumcision is important. The client may experience pain, bleeding,
scarring, or infection and may require surgery before childbirth. Although this practice is not
prevalent in the United States, it is very common in many African and Middle Eastern
countries for religious reasons. Mentioning that the practice is abnormal and rarely seen in the
United States is culturally insensitive. The infibulation may have occurred during infancy or
childhood; consequently, the client will have little to no recollection of the event. She would
have considered this to be a normal milestone during her growth and development. The
International Council of Nurses has spoken out against this procedure as harmful to a
woman’s health.
DIF: Cognitive Level: Analyze REF: p. 9
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
8. To ensure client safety, the practicing nurse must have knowledge of The Joint Commission’s
current “Do Not Use” list of abbreviations. Which term is acceptable for use regarding
medication administration?
a. q.o.d. or Q.O.D.
b. MSO4 or MgSO4
c. International Unit
d. Lack of a leading zero
ANSWER>>C
“I.U.” and “i.u.” are no longer acceptable because they could be misread as “I.V.” or the
number “10.” “Q.O.D.” should be written out as “every other day.” The period after the “Q”
could be mistaken for an “I” and the “o” could also be mistaken for an “i.” Confusing one
medication for another is too easy. Medications are used for very different purposes and could
Ner sReSout
place a client at risk for an ad vU
I Ncom
G TB.C M
e . For O
example, these medications should be
written as morphine sulfate and magnesium sulfate. The decimal point should never be missed
before a number (e.g., 0.4 rather than .4). A leading zero is the preferred form.
DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
