Test Bank
for Maternity and Women’s Health Care, 13th Edition (Lowdermilk, 2025/2026), Lates
Updated Chapter 1-37 | All Chapters
PROSE STUVIA
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
p9 p9 p9 p9 p9 p9 p9 p9
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
p9 p9 p9 p9 p9 p9 p9 p9
MULTIPLE CHOICE p9
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
(LBW) infant, which factor is the most important for the nurse to consider?
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
a. African-American race p9
b. Cigarette smoking p9
c. Poor nutritional status p9 p9
d. Limited maternal education p9 p9
ANS: A p 9
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
black women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
almost twice as likely as non-Hispanic white infants to be of LBW and to die in the first
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
in potential infant mortality rates, but it is not the most important. Additionally, smoking
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
is a modifiable risk factor. Poor nutrition is an important factor in potential infant
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
mortality rates, but it is not the most important. Additionally, nutritional status is a
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
modifiable risk factor. Maternal education is an important factor in potential infant
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
mortality rates, but it is not the most important. Additionally, maternal education is a
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
modifiable risk factor.
p9 p9 p9
PTS: 1 DIF: Cognitive Level: Understand p9 p9
TOP: Nursing Process: Assessment
p9 p9 p9
MSC: Client Needs: HealtNhUPrRoS
p mI9 ioG
otN nTanBd.MCaO
p inM
tenance,
9 p 9 p 9 p 9 Antepartum Care p 9
2. A 23-year-old African-American woman is pregnant with her first child. Based on
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
current statistics for infant mortality, which intervention is most important for the nurse
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
to include in the client’s plan of care?
p9 p9 p9 p9 p9 p9 p9 p9
a. Perform a nutrition assessment. p9 p9 p9
b. Refer the woman to a social worker. p9 p9 p9 p9 p9 p9
c. Advise the woman to see an obstetrician, not a midwife.
p9 p9 p9 p9 p9 p9 p9 p9 p9
d. Explain to the woman the importance of keeping her prenatal care appointments.
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
ANS: D p 9
Consistent prenatal care is the best method of preventing or controlling risk factors
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
associated with infant mortality. Nutritional status is an important modifiable risk factor,
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
but it is not the most important action a nurse should take in this situation. The client
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
may need assistance from a social worker at some time during her pregnancy, but a
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
referral to a social worker is not the most important aspect the nurse should address at
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
this time. If the woman has identifiable high-risk problems, then her health care may
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
need to be provided by a physician. However, it cannot be assumed that all African-
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
American women have high-risk issues. In addition, advising the woman to see an
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
obstetrician is not the most important aspect on which the nurse should focus at this
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
time, and it is not appropriate for a nurse to advise or manage the type of care a client is
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
to receive.
p9 p9
PTS: 1 DIF: Cognitive Level: Understand p9 p9
TOP: Nursing Process: Planning
p9 p9 p9
, MSC: Client Needs: Health Promotion and Maintenance
p9 p9 p9 p9 p9 p9
3. The nurses working at a newly established birthing center have begun to compare their
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
performance in providing maternal-newborn care against clinical standards. This
p9 p9 p9 p9 p9 p9 p9 p9 p9
comparison process is most commonly known as what?
p9 p9 p9 p9 p9 p9 p9 p9
a. Best practices network p9 p9
b. Clinical benchmarking p9
c. Outcomes-oriented pracNtiUceR S p9
d. Evidence-based practice p9
ANS: C p 9
Outcomes-oriented practice measures the effectiveness of the interventions and quality of p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
care against benchmarks or standards. The term best practice refers to a program or service
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
that has been recognized for its excellence. Clinical benchmarking is a process used to
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
compare one’s own performance against the performance of the best in an area of
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
service. The term evidence-based practice refers to the provision of care based on
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
evidence gained through research and clinical trials.
p9 p9 p9 p9 p9 p9 p9
PTS: 1 DIF: Cognitive Level: Understand p9 p9
TOP: Nursing Process: Evaluation
p9 p9 p9
MSC: Client Needs: Safe and Effective Care Environment
p9 p9 p9 p9 p9 p9 p9
4. During a prenatal intake interview, the nurse is in the process of obtaining an
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
initial assessment of a 21-year-old Hispanic client with limited English proficiency.
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
Which intervention is the most important for the nurse to implement?
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
a. Use maternity jargon to enable the client to become familiar with these terms.
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
b. Speak quickly and efficiently to expedite the visit.
p9 p9 p9 p9 p9 p9 p9
c. Provide the client with handouts. p9 p9 p9 p9
d. Assess whether the client understands the discussion.
p9 p9 p9 p9 p9 p9
ANS: D p 9
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
and evaluating whether the client understands the discussion. Speaking slowly and
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
clearly and focusing on what is important will increase understanding. Most client
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
education materials are written at a level too high for the average adult and may not be
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
useful for a client with limited English proficiency.
p9 p9 p9 p9 p9 p9 p9 p9
PTS: 1 DIF: Cognitive Level: Apply p9 p9
TOP: Nursing Process: Implementation
p9 p9 p9
MSC: Client Needs: Health Promotion and Maintenance
p9 p9 p9 p9 p9 p9
5. Which statement best exemplifies contemporary maternity nursing?
p9 p9 p9 p9 p9 p9
a. Use of midwives for all vaginal deliveries
p9 p9 p9 p9 p9 p9
b. Family-centered care p9
c. Free-standing birth clinics p9 p9
d. Physician-driven care p9
p9 ANS: B p 9
for Maternity and Women’s Health Care, 13th Edition (Lowdermilk, 2025/2026), Lates
Updated Chapter 1-37 | All Chapters
PROSE STUVIA
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
p9 p9 p9 p9 p9 p9 p9 p9
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
p9 p9 p9 p9 p9 p9 p9 p9
MULTIPLE CHOICE p9
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
(LBW) infant, which factor is the most important for the nurse to consider?
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
a. African-American race p9
b. Cigarette smoking p9
c. Poor nutritional status p9 p9
d. Limited maternal education p9 p9
ANS: A p 9
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
black women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
almost twice as likely as non-Hispanic white infants to be of LBW and to die in the first
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
in potential infant mortality rates, but it is not the most important. Additionally, smoking
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
is a modifiable risk factor. Poor nutrition is an important factor in potential infant
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
mortality rates, but it is not the most important. Additionally, nutritional status is a
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
modifiable risk factor. Maternal education is an important factor in potential infant
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
mortality rates, but it is not the most important. Additionally, maternal education is a
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
modifiable risk factor.
p9 p9 p9
PTS: 1 DIF: Cognitive Level: Understand p9 p9
TOP: Nursing Process: Assessment
p9 p9 p9
MSC: Client Needs: HealtNhUPrRoS
p mI9 ioG
otN nTanBd.MCaO
p inM
tenance,
9 p 9 p 9 p 9 Antepartum Care p 9
2. A 23-year-old African-American woman is pregnant with her first child. Based on
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
current statistics for infant mortality, which intervention is most important for the nurse
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
to include in the client’s plan of care?
p9 p9 p9 p9 p9 p9 p9 p9
a. Perform a nutrition assessment. p9 p9 p9
b. Refer the woman to a social worker. p9 p9 p9 p9 p9 p9
c. Advise the woman to see an obstetrician, not a midwife.
p9 p9 p9 p9 p9 p9 p9 p9 p9
d. Explain to the woman the importance of keeping her prenatal care appointments.
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
ANS: D p 9
Consistent prenatal care is the best method of preventing or controlling risk factors
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
associated with infant mortality. Nutritional status is an important modifiable risk factor,
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
but it is not the most important action a nurse should take in this situation. The client
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
may need assistance from a social worker at some time during her pregnancy, but a
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
referral to a social worker is not the most important aspect the nurse should address at
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
this time. If the woman has identifiable high-risk problems, then her health care may
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
need to be provided by a physician. However, it cannot be assumed that all African-
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
American women have high-risk issues. In addition, advising the woman to see an
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
obstetrician is not the most important aspect on which the nurse should focus at this
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
time, and it is not appropriate for a nurse to advise or manage the type of care a client is
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
to receive.
p9 p9
PTS: 1 DIF: Cognitive Level: Understand p9 p9
TOP: Nursing Process: Planning
p9 p9 p9
, MSC: Client Needs: Health Promotion and Maintenance
p9 p9 p9 p9 p9 p9
3. The nurses working at a newly established birthing center have begun to compare their
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
performance in providing maternal-newborn care against clinical standards. This
p9 p9 p9 p9 p9 p9 p9 p9 p9
comparison process is most commonly known as what?
p9 p9 p9 p9 p9 p9 p9 p9
a. Best practices network p9 p9
b. Clinical benchmarking p9
c. Outcomes-oriented pracNtiUceR S p9
d. Evidence-based practice p9
ANS: C p 9
Outcomes-oriented practice measures the effectiveness of the interventions and quality of p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
care against benchmarks or standards. The term best practice refers to a program or service
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
that has been recognized for its excellence. Clinical benchmarking is a process used to
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
compare one’s own performance against the performance of the best in an area of
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
service. The term evidence-based practice refers to the provision of care based on
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
evidence gained through research and clinical trials.
p9 p9 p9 p9 p9 p9 p9
PTS: 1 DIF: Cognitive Level: Understand p9 p9
TOP: Nursing Process: Evaluation
p9 p9 p9
MSC: Client Needs: Safe and Effective Care Environment
p9 p9 p9 p9 p9 p9 p9
4. During a prenatal intake interview, the nurse is in the process of obtaining an
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
initial assessment of a 21-year-old Hispanic client with limited English proficiency.
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
Which intervention is the most important for the nurse to implement?
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
a. Use maternity jargon to enable the client to become familiar with these terms.
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
b. Speak quickly and efficiently to expedite the visit.
p9 p9 p9 p9 p9 p9 p9
c. Provide the client with handouts. p9 p9 p9 p9
d. Assess whether the client understands the discussion.
p9 p9 p9 p9 p9 p9
ANS: D p 9
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
and evaluating whether the client understands the discussion. Speaking slowly and
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
clearly and focusing on what is important will increase understanding. Most client
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
education materials are written at a level too high for the average adult and may not be
p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9 p9
useful for a client with limited English proficiency.
p9 p9 p9 p9 p9 p9 p9 p9
PTS: 1 DIF: Cognitive Level: Apply p9 p9
TOP: Nursing Process: Implementation
p9 p9 p9
MSC: Client Needs: Health Promotion and Maintenance
p9 p9 p9 p9 p9 p9
5. Which statement best exemplifies contemporary maternity nursing?
p9 p9 p9 p9 p9 p9
a. Use of midwives for all vaginal deliveries
p9 p9 p9 p9 p9 p9
b. Family-centered care p9
c. Free-standing birth clinics p9 p9
d. Physician-driven care p9
p9 ANS: B p 9
