Maternity and Women's Health Care 13th Edition Lowdermilk Test
Maternity and
Women's Health
Care 13th
Edition
Lowdermilk Test
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
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Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
MULTIPLE CHOICE
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
ANS: 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 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.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Assessment
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.M
CaOinMtenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
statistics for infant mortality, which intervention is most important for the nurse to include
in the client’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.
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.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test hg hg hg hg hg hg hg hg
MSC: Client Needs: Health Promotion and Maintenance
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3. The nurses working at a newly established birthing center have begun to compare their
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performance in providing maternal- hg hg hg
newborn care against clinical standards. This comparison process is most commonly k
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nown as what? hg hg
a. Best practices network hg hg
b. Clinical benchmarking hg
c. Outcomes-oriented pracNtiUceR S hg
d. Evidence-based practice hg
ANS: C h g
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
hg hg hg hg hg hg hg hg hg hg hg hg hg
benchmarks or standards. The term best practice refers to a program or service that has been
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
recognized for its excellence. Clinical benchmarking is a process used to compare one’s ow
hg hg hg hg hg hg hg hg hg hg hg hg hg
n performance against the performance of the best in an area of service. The term evidence-
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
based practice refers to the provision of care based on evidence gained through research an
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
d clinical trials.
hg hg
PTS: 1 DIF:
Cognitive Level: Understand TOP: hg hg hg
Nursing Process: Evaluation hg hg
MSC: Client Needs: Safe and Effective Care Environment
hg hg hg hg hg hg hg
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
hg hg hg hg hg hg hg hg hg hg hg hg hg hg h
assessment of a 21-year-
g hg hg hg
old Hispanic client with limited English proficiency. Which intervention is the most
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important for the nurse to implement? hg hg hg hg hg
a. Use maternity jargon to enable the client to become familiar with these terms.
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b. Speak quickly and efficiently to expedite the visit.
hg hg hg hg hg hg hg
c. Provide the client with handouts. hg hg hg hg
d. Assess whether the client understands the discussion.
hg hg hg hg hg hg
ANS: D h g
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
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evaluating whether the client understands the discussion. Speaking slowly and clearly and
hg hg hg hg hg hg hg hg hg hg hg hg
focusing on what is important will increase understanding. Most client education materials
hg hg hg hg hg hg hg hg hg hg hg hg
are written at a level too high for the average adult and may not be useful for a client with
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
limited English proficiency. hg hg
PTS: 1 DIF:
Cognitive Level: Apply TOP: hg hg hg
Nursing Process: Implementation hg hg
MSC: Client Needs: Health Promotion and Maintenance
hg hg hg hg hg hg
5. Which statement best exemplifies contemporary maternity nursing?
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a. Use of midwives for all vaginal deliveries
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b. Family-centered care hg
c. Free-standing birth clinics hg hg
d. Physician-
driven care ANS: B hg hg h g
, Maternity and Women's Health Care 13th Edition Lowdermilk Test hg hg hg hg hg hg hg hg
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner hg hg hg hg hg hg hg hg hg hg hg
s, grandparents, and siblings may be present for the birth and participate in activities such as
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries
hg hg hg hg hg hg hg hg hg hg hg
. Free-
hg
standing clinics are an example of alternative birth options. Contemporary maternity nursin
hg hg hg hg hg hg hg hg hg hg hg
g is driven by the relationship between nurses and their clients.
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PTS: 1 DIF:
Cognitive Level: Understand TOP: hg hg hg
Nursing Process: Planning hg hg
MSC: Client Needs: Health Promotion and Maintenance
hg hg hg hg hg hg
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
hg hg hg hg hg hg hg hg
ounce baby girl after being in labor for 43 hours. The baby died 3 days later from sepsis. On
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what grounds could the woman have a legitimate legal case for negligence?
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a. Inexperienced maternity nurse was assigned to care for the client. hg hg hg hg hg hg hg hg hg
b. Client was past her due date by 3 days. hg hg hg hg hg hg hg hg
c. Standard of care was not met. hg hg hg hg hg
d. Client refused electronic fetal monitoring. hg hg hg hg
ANS: C h g
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperi
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enced maternity nurse would need to display competency before being assigned to care for cl
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ients on his or her own. This client may have been past her due date; however, a term pregn
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard of
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
care, the client has the right to refuse treatment. This refusal is not a case for negligence, bu
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
t informed consent should be properly obtained, and the client should have signed an again
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st medical advice form when refusing any treatment that is within the standard of care.
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
PTS: 1 DIF:
Cognitive Level: Analyze TOP: hg hg hg
Nursing Process: Implementation hg hg
MSC: Client Needs: Safe and Effective Care Environment
hg hg hg hg hg hg hg
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
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volume, his or her best action in this situation would be what?
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a. Ask another nurse. hg hg
b. Discuss the procedure with the client’s physician. hg hg hg hg hg hg
c. Look up the procedure in a nursing textbook. hg hg hg hg hg hg hg
d. First consult the agency procedure manual hg hg hg hg hg
ANS: D h g
Following the agency’s policies and procedures manual is always best when seeking inform
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ation on correct client procedures. These policies should reflect the current standards of care
hg hg hg hg hg hg hg hg hg hg hg hg hg h
and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
g hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
Relying on another nurse may not always be a safe practice. Each nurse is obligated to follo
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
w the standards of care for safe client care delivery. Physicians are responsible for their ow
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
n client care activity. Nurses may follow safe orders from physicians, but they are also resp
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
onsible for the activities that they, as nurses, are to carry out. Information provided in a nurs
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ing textbook is basic information for general knowledge. Furthermore, the information in a t
hg hg hg hg hg hg hg hg hg hg hg hg hg
extbook may not reflect the current standard of care or the individual state or hospital polici
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
es.
Maternity and
Women's Health
Care 13th
Edition
Lowdermilk Test
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
hg hg hg hg hg hg hg hg
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
MULTIPLE CHOICE
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
ANS: 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 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.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Assessment
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.M
CaOinMtenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
statistics for infant mortality, which intervention is most important for the nurse to include
in the client’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.
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.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test hg hg hg hg hg hg hg hg
MSC: Client Needs: Health Promotion and Maintenance
hg hg hg hg hg hg
3. The nurses working at a newly established birthing center have begun to compare their
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
performance in providing maternal- hg hg hg
newborn care against clinical standards. This comparison process is most commonly k
hg hg hg hg hg hg hg hg hg hg hg
nown as what? hg hg
a. Best practices network hg hg
b. Clinical benchmarking hg
c. Outcomes-oriented pracNtiUceR S hg
d. Evidence-based practice hg
ANS: C h g
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
hg hg hg hg hg hg hg hg hg hg hg hg hg
benchmarks or standards. The term best practice refers to a program or service that has been
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
recognized for its excellence. Clinical benchmarking is a process used to compare one’s ow
hg hg hg hg hg hg hg hg hg hg hg hg hg
n performance against the performance of the best in an area of service. The term evidence-
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
based practice refers to the provision of care based on evidence gained through research an
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
d clinical trials.
hg hg
PTS: 1 DIF:
Cognitive Level: Understand TOP: hg hg hg
Nursing Process: Evaluation hg hg
MSC: Client Needs: Safe and Effective Care Environment
hg hg hg hg hg hg hg
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
hg hg hg hg hg hg hg hg hg hg hg hg hg hg h
assessment of a 21-year-
g hg hg hg
old Hispanic client with limited English proficiency. Which intervention is the most
hg hg hg hg hg hg hg hg hg hg hg hg
important for the nurse to implement? hg hg hg hg hg
a. Use maternity jargon to enable the client to become familiar with these terms.
hg hg hg hg hg hg hg hg hg hg hg hg
b. Speak quickly and efficiently to expedite the visit.
hg hg hg hg hg hg hg
c. Provide the client with handouts. hg hg hg hg
d. Assess whether the client understands the discussion.
hg hg hg hg hg hg
ANS: D h g
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
hg hg hg hg hg hg hg hg hg hg hg hg hg
evaluating whether the client understands the discussion. Speaking slowly and clearly and
hg hg hg hg hg hg hg hg hg hg hg hg
focusing on what is important will increase understanding. Most client education materials
hg hg hg hg hg hg hg hg hg hg hg hg
are written at a level too high for the average adult and may not be useful for a client with
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
limited English proficiency. hg hg
PTS: 1 DIF:
Cognitive Level: Apply TOP: hg hg hg
Nursing Process: Implementation hg hg
MSC: Client Needs: Health Promotion and Maintenance
hg hg hg hg hg hg
5. Which statement best exemplifies contemporary maternity nursing?
hg hg hg hg hg hg
a. Use of midwives for all vaginal deliveries
hg hg hg hg hg hg
b. Family-centered care hg
c. Free-standing birth clinics hg hg
d. Physician-
driven care ANS: B hg hg h g
, Maternity and Women's Health Care 13th Edition Lowdermilk Test hg hg hg hg hg hg hg hg
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner hg hg hg hg hg hg hg hg hg hg hg
s, grandparents, and siblings may be present for the birth and participate in activities such as
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries
hg hg hg hg hg hg hg hg hg hg hg
. Free-
hg
standing clinics are an example of alternative birth options. Contemporary maternity nursin
hg hg hg hg hg hg hg hg hg hg hg
g is driven by the relationship between nurses and their clients.
hg hg hg hg hg hg hg hg hg hg
PTS: 1 DIF:
Cognitive Level: Understand TOP: hg hg hg
Nursing Process: Planning hg hg
MSC: Client Needs: Health Promotion and Maintenance
hg hg hg hg hg hg
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
hg hg hg hg hg hg hg hg
ounce baby girl after being in labor for 43 hours. The baby died 3 days later from sepsis. On
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg h
what grounds could the woman have a legitimate legal case for negligence?
g hg hg hg hg hg hg hg hg hg hg hg
a. Inexperienced maternity nurse was assigned to care for the client. hg hg hg hg hg hg hg hg hg
b. Client was past her due date by 3 days. hg hg hg hg hg hg hg hg
c. Standard of care was not met. hg hg hg hg hg
d. Client refused electronic fetal monitoring. hg hg hg hg
ANS: C h g
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperi
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
enced maternity nurse would need to display competency before being assigned to care for cl
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ients on his or her own. This client may have been past her due date; however, a term pregn
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard of
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
care, the client has the right to refuse treatment. This refusal is not a case for negligence, bu
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
t informed consent should be properly obtained, and the client should have signed an again
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
st medical advice form when refusing any treatment that is within the standard of care.
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
PTS: 1 DIF:
Cognitive Level: Analyze TOP: hg hg hg
Nursing Process: Implementation hg hg
MSC: Client Needs: Safe and Effective Care Environment
hg hg hg hg hg hg hg
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
volume, his or her best action in this situation would be what?
hg hg hg hg hg hg hg hg hg hg hg
a. Ask another nurse. hg hg
b. Discuss the procedure with the client’s physician. hg hg hg hg hg hg
c. Look up the procedure in a nursing textbook. hg hg hg hg hg hg hg
d. First consult the agency procedure manual hg hg hg hg hg
ANS: D h g
Following the agency’s policies and procedures manual is always best when seeking inform
hg hg hg hg hg hg hg hg hg hg hg hg
ation on correct client procedures. These policies should reflect the current standards of care
hg hg hg hg hg hg hg hg hg hg hg hg hg h
and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
g hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
Relying on another nurse may not always be a safe practice. Each nurse is obligated to follo
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
w the standards of care for safe client care delivery. Physicians are responsible for their ow
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
n client care activity. Nurses may follow safe orders from physicians, but they are also resp
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
onsible for the activities that they, as nurses, are to carry out. Information provided in a nurs
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ing textbook is basic information for general knowledge. Furthermore, the information in a t
hg hg hg hg hg hg hg hg hg hg hg hg hg
extbook may not reflect the current standard of care or the individual state or hospital polici
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
es.
