MATERNITY
AND WOMEN'S
HEALTH CARE
12TH EDITION
LOWDERMILK
TEST BANK
, Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant womans 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
ANS: A
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
Race is a nonmodifiable risk factor. Cigarette smoking is 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.
DIF: Cognitive Level: Understand REF: IM:
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
,d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one factor
of the research process. Data collection is another factor of research. Financial support is
necessary to conduct research, but it is not the primary role of the nurse in the research process.
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
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.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated
with infant mortality. Nutritional status is an important modifiable risk factor, 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.
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
, MSC: Client Needs: Health Promotion and Maintenance
4. During ja jprenatal jintake jinterview, jthe jnurse jis jin jthe jprocess jof jobtaining jan jinitial
jassessment jof ja j21-year-old jHispanic jclient jwith jlimited jEnglish jproficiency. jWhich jaction jis
jthejmost jimportant jfor jthe jnurse jto jperform?
a. Use jmaternity jjargon jto jenable jthe jclient jto jbecome jfamiliar jwith jthese jterms.
b. Speak jquickly jand jefficiently jto jexpedite jthe jvisit.
c. Provide jthe jclient jwith jhandouts.
d. Assess jwhether jthe jclient junderstands jthe jdiscussion.
ANS: jD
Nurses jcontribute jto jhealth jliteracy jby jusing jsimple, jcommon jwords, javoiding jjargon, jand
jevaluating jwhether jthe jclient junderstands jthe jdiscussion. jSpeaking jslowly jand jclearly jand
jfocusing jon jwhat jis jimportant jwill jincrease junderstanding. jMost jclient jeducation jmaterials
jarejwritten jat ja jlevel jtoo jhigh jfor jthe javerage jadult jand jmay jnot jbe juseful jfor ja jclient jwith
jlimitedjEnglish jproficiency.
DIF: jCognitive jLevel: jApply jREF: jim: j5 jTOP: jNursing jProcess:
jEvaluationjMSC: jClient jNeeds: jHealth jPromotion jand jMaintenance
5. The jnurses jworking jat ja jnewly jestablished jbirthing jcenter jhave jbegun jto jcompare jtheir
jperformance jin jproviding jmaternal-newborn jcare jagainst jclinical jstandards. jThis
jcomparisonjprocess jis jmost jcommonly jknown jas jwhat?
a. Best jpractices jnetwork
b. Clinical jbenchmarking
c. Outcomes-oriented jpractice
d. Evidence-based
jpracticejANS: jC
AND WOMEN'S
HEALTH CARE
12TH EDITION
LOWDERMILK
TEST BANK
, Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant womans 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
ANS: A
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
Race is a nonmodifiable risk factor. Cigarette smoking is 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.
DIF: Cognitive Level: Understand REF: IM:
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
,d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one factor
of the research process. Data collection is another factor of research. Financial support is
necessary to conduct research, but it is not the primary role of the nurse in the research process.
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
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.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated
with infant mortality. Nutritional status is an important modifiable risk factor, 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.
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
, MSC: Client Needs: Health Promotion and Maintenance
4. During ja jprenatal jintake jinterview, jthe jnurse jis jin jthe jprocess jof jobtaining jan jinitial
jassessment jof ja j21-year-old jHispanic jclient jwith jlimited jEnglish jproficiency. jWhich jaction jis
jthejmost jimportant jfor jthe jnurse jto jperform?
a. Use jmaternity jjargon jto jenable jthe jclient jto jbecome jfamiliar jwith jthese jterms.
b. Speak jquickly jand jefficiently jto jexpedite jthe jvisit.
c. Provide jthe jclient jwith jhandouts.
d. Assess jwhether jthe jclient junderstands jthe jdiscussion.
ANS: jD
Nurses jcontribute jto jhealth jliteracy jby jusing jsimple, jcommon jwords, javoiding jjargon, jand
jevaluating jwhether jthe jclient junderstands jthe jdiscussion. jSpeaking jslowly jand jclearly jand
jfocusing jon jwhat jis jimportant jwill jincrease junderstanding. jMost jclient jeducation jmaterials
jarejwritten jat ja jlevel jtoo jhigh jfor jthe javerage jadult jand jmay jnot jbe juseful jfor ja jclient jwith
jlimitedjEnglish jproficiency.
DIF: jCognitive jLevel: jApply jREF: jim: j5 jTOP: jNursing jProcess:
jEvaluationjMSC: jClient jNeeds: jHealth jPromotion jand jMaintenance
5. The jnurses jworking jat ja jnewly jestablished jbirthing jcenter jhave jbegun jto jcompare jtheir
jperformance jin jproviding jmaternal-newborn jcare jagainst jclinical jstandards. jThis
jcomparisonjprocess jis jmost jcommonly jknown jas jwhat?
a. Best jpractices jnetwork
b. Clinical jbenchmarking
c. Outcomes-oriented jpractice
d. Evidence-based
jpracticejANS: jC
