Test Bank For Maternity and Women's Health Care 13th Edition
All Chapters 1-37 Lowdermilk Test
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
QUIZ
1. In evaluating the level of a pregnant woman’s 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
CORRECT: 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
year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor
in potential newbornmortality rates, but it is not the most important. Additionally, smoking
isa modifiable risk factor. Poor nutrition is an important factor in potential
newbornmortality rates, but it is not the most important. Additionally, nutritional status is a
modifiable risk factor. Maternal education is an important factor in potential
newbornmortality rates, but it is not the most important. Additionally, maternal education is
a modifiable risk factor.
PTS: 1 DIF: Cognitive Level: Understand
TOPIC: Nursing Process: Assessment
MSC: Patient Needs: HealtNhUPrRoSmIotNioGnTanBd.MCaOinMtenance,
AntepartumCare
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
statistics for newbornmortality, which intervention is most important for the nurse to
include in the patient’s plan of care?
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.
CORRECT: D
Consistent prenatal care is the best method of preventing or controlling risk factors
associated with newbornmortality. Nutritional status is an important modifiable risk factor,
but it is not the most important action a nurse should take in this situation. The patient 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 patient is to receive.
PTS: 1 DIF: Cognitive Level: Understand
TOPIC: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
MSC: Patient Needs: Health Promotion and Maintenance
3. 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 pracNtiUceRS
d. Evidence-based practice
CORRECT: 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 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: Cognitive Level: Understand
TOPIC: Nursing Process: Evaluation
MSC: Patient Needs: Safe and 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 patient with limited English proficiency.
Which intervention is the most important for the nurse to implement?
a. Use maternity jargon to enable the patient to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the patient with handouts.
d. Assess whether the patient understands the discussion.
CORRECT: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
evaluating whether the patient understands the discussion. Speaking slowly and clearly and
focusing on what is important will increase understanding. Most patient education
materials are written at a level too high for the average adult and may not be useful for a
patient with limited English proficiency.
PTS: 1 DIF: Cognitive Level: Apply
TOPIC: Nursing Process:
Implementation
MSC: Patient Needs: Health Promotion and Maintenance
5. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care
CORRECT: 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 may be present for the birth and participate in activities
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 patients.
PTS: 1 DIF: Cognitive Level: Understand
TOPIC: Nursing Process: Planning
MSC: Patient Needs: Health Promotion and Maintenance
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after
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 nurse was assigned to care for the patient.
b. Patient was past her due date by 3 days.
c. Standard of care was not met.
d. Patient refused electronic fetal monitoring.
CORRECT: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
inexperienced maternity nurse would need to display competency before being assigned to
care for patients on his or her own. This patient may have been past her due date;
however, aterm pregnancy often goes beyond 40 weeks of gestation. Although fetal
monitoring is thestandard of care, the patient has the right to refuse treatment. This refusal
is not a case for negligence, but informed consent should be properly obtained, and the
patient should have signed an against medical advice form when refusing any treatment
that is within the standard of care.
PTS: 1 DIF: Cognitive Level:
Analyze TOPIC: Nursing Process:
Implementation
MSC: Patient Needs: Safe and Effective Care Environment
7. When the nurse is unsure how to perform a patient care procedure that is high risk
and low volume, his or her best action in this situation would be what?
a. Ask another nurse.
b. Discuss the procedure with the patient’s physician.
c. Look up the procedure in a nursing textbook.
d. First consult the agency procedure manual
CORRECT: D
Following the agency’s policies and procedures manual is always best when seeking
information on correct patient procedures. These policies should reflect the current
standardsof 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 patient care delivery. Physicians are
responsible for their own patient 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 in a nursing textbook is basic information for general
knowledge. Furthermore, the information in a textbook may not reflect the current standard
of care or the individual state or hospital policies.
All Chapters 1-37 Lowdermilk Test
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
QUIZ
1. In evaluating the level of a pregnant woman’s 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
CORRECT: 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
year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor
in potential newbornmortality rates, but it is not the most important. Additionally, smoking
isa modifiable risk factor. Poor nutrition is an important factor in potential
newbornmortality rates, but it is not the most important. Additionally, nutritional status is a
modifiable risk factor. Maternal education is an important factor in potential
newbornmortality rates, but it is not the most important. Additionally, maternal education is
a modifiable risk factor.
PTS: 1 DIF: Cognitive Level: Understand
TOPIC: Nursing Process: Assessment
MSC: Patient Needs: HealtNhUPrRoSmIotNioGnTanBd.MCaOinMtenance,
AntepartumCare
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
statistics for newbornmortality, which intervention is most important for the nurse to
include in the patient’s plan of care?
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.
CORRECT: D
Consistent prenatal care is the best method of preventing or controlling risk factors
associated with newbornmortality. Nutritional status is an important modifiable risk factor,
but it is not the most important action a nurse should take in this situation. The patient 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 patient is to receive.
PTS: 1 DIF: Cognitive Level: Understand
TOPIC: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
MSC: Patient Needs: Health Promotion and Maintenance
3. 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 pracNtiUceRS
d. Evidence-based practice
CORRECT: 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 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: Cognitive Level: Understand
TOPIC: Nursing Process: Evaluation
MSC: Patient Needs: Safe and 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 patient with limited English proficiency.
Which intervention is the most important for the nurse to implement?
a. Use maternity jargon to enable the patient to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the patient with handouts.
d. Assess whether the patient understands the discussion.
CORRECT: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
evaluating whether the patient understands the discussion. Speaking slowly and clearly and
focusing on what is important will increase understanding. Most patient education
materials are written at a level too high for the average adult and may not be useful for a
patient with limited English proficiency.
PTS: 1 DIF: Cognitive Level: Apply
TOPIC: Nursing Process:
Implementation
MSC: Patient Needs: Health Promotion and Maintenance
5. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care
CORRECT: 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 may be present for the birth and participate in activities
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 patients.
PTS: 1 DIF: Cognitive Level: Understand
TOPIC: Nursing Process: Planning
MSC: Patient Needs: Health Promotion and Maintenance
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after
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 nurse was assigned to care for the patient.
b. Patient was past her due date by 3 days.
c. Standard of care was not met.
d. Patient refused electronic fetal monitoring.
CORRECT: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
inexperienced maternity nurse would need to display competency before being assigned to
care for patients on his or her own. This patient may have been past her due date;
however, aterm pregnancy often goes beyond 40 weeks of gestation. Although fetal
monitoring is thestandard of care, the patient has the right to refuse treatment. This refusal
is not a case for negligence, but informed consent should be properly obtained, and the
patient should have signed an against medical advice form when refusing any treatment
that is within the standard of care.
PTS: 1 DIF: Cognitive Level:
Analyze TOPIC: Nursing Process:
Implementation
MSC: Patient Needs: Safe and Effective Care Environment
7. When the nurse is unsure how to perform a patient care procedure that is high risk
and low volume, his or her best action in this situation would be what?
a. Ask another nurse.
b. Discuss the procedure with the patient’s physician.
c. Look up the procedure in a nursing textbook.
d. First consult the agency procedure manual
CORRECT: D
Following the agency’s policies and procedures manual is always best when seeking
information on correct patient procedures. These policies should reflect the current
standardsof 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 patient care delivery. Physicians are
responsible for their own patient 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 in a nursing textbook is basic information for general
knowledge. Furthermore, the information in a textbook may not reflect the current standard
of care or the individual state or hospital policies.
