MaternityuanduWomen'suHealthuCareu13thuEditionuLowdermilkuTest
, MaternityuanduWomen'suHealthuCareu13thuEditionuLowdermilkuTest
Chapter 01: 21st Century Maternity and Women’s Health Nursing
u u u u u u u u u
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
u u u u u u u
MULTIPLEuCHOICE
1. Inuevaluatingutheuleveluofuaupregnantuwoman’suriskuofuhavinguaulow-birth-
weightu(LBW)uinfant,uwhichufactoruisutheu mostuimportantu forutheunurseutouconsider?
a. African-Americanurace
b. Cigaretteusmoking
c. Poorunutritionalustatus
d. Limitedumaternalueducation
ANS:u A
TheuriseuinutheuoveralluLBWuratesuwereudueutouincreasesuinuLBWubirthsutounon-
Hispanicublackuwomenu(13.35%)uanduHispanicuwomenu(7.21%);unon-
Hispanicublackuinfantsuareualmostutwiceuasulikelyuasunon-
HispanicuwhiteuinfantsutoubeuofuLBWuandutoudieuinutheufirstuyearuofulife..uRaceuisuaunonmodifiab
leuriskufactor.uCigaretteusmokinguisuanuimportantufactoruinupotentialuinfantumortalityurates,ubutuit
uisunotutheumostuimportant.uAdditionally,usmokinguisuaumodifiableuriskufactor.uPoorunutritionuis
uanuimportantufactoruinupotentialuinfantumortalityurates,ubutuituisunotutheumostuimportant.uAdditi
onally,unutritionalustatusuisuaumodifiableuriskufactor.uMaternalueducationuisuanuimportantufactor
uinupotentialuinfantumortalityurates,ubutuituisunotutheumostuimportant.uAdditionally,u maternalued
ucationuisuaumodifiableuriskufactor.
PTS: 1 DIF:
CognitiveuLevel:uUnderstanduTOP:
NursinguProcess:uAssessment
MSC:uuuClientu Needs:u HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,uAntepartumuCare
2. Au23-year-olduAfrican-
Americanuwomanuisupregnantuwithuherufirstuchild.uBaseduonucurrentustatisticsuforuinfantumort
ality,uwhichuinterventionuisumostuimportantuforutheunurseutouincludeuinutheuclient’suplanuofucar
e?
a. Performuaunutritionuassessment.
b. Referutheuwomanutouausocialuworker.
c. Adviseutheuwomanutouseeuanuobstetrician,unotuaumidwife.
d. Explainutoutheuwomanutheuimportanceuofukeepinguheruprenatalucareuappointments.
ANS:u D
Consistentuprenatalucareuisutheubestumethoduofupreventinguorucontrollingurisku factorsuassociate
duwithuinfantumortality.uNutritionalustatusuisuanuimportantumodifiableuriskufactor,ubutuituisunotuth
eumostuimportantuactionuaunurseushouldutakeuinuthisusituation.uTheuclientumayuneeduassistanceufr
omuausocialuworkeruatusomeutimeuduringuherupregnancy,ubutuaureferralutouausocialuworkeruisunotu
theumostuimportantuaspectutheunurseushoulduaddressuatuthisutime.uIfutheuwomanuhasuidentifiable
uhigh-
riskuproblems,uthenuheruhealthucareumayuneedutoubeuprovidedubyuauphysician.uHowever,uitucann
otubeuassumeduthatualluAfrican-Americanuwomenuhaveuhigh-
riskuissues.uInuaddition,uadvisingutheuwomanutouseeuanuobstetricianuisunotutheumostuimportantuas
pectuonuwhichutheunurseushouldufocusuatuthisutime,uanduituisunotuappropriateuforuaunurseutouadvis
euorumanageutheutypeuofucareuauclientu isutoureceive.
PTS: 1 DIF:
CognitiveuLevel:uUnderstanduTOP:
NursinguProcess:uPlanning
, MaternityuanduWomen'suHealthuCareu13thuEditionuLowdermilkuTest
MSC:u ClientuNeeds:uHealthuPromotionuanduMaintenance
3. Theunursesuworkinguatuaunewlyuestablishedubirthingucenteruhaveubegunutoucompareutheirup
erformanceuinuprovidingumaternal-
newbornucareuagainstuclinicalustandards.uThisucomparisonuprocessuisumostu commonlyukn
ownuasuwhat?
a. Bestupracticesunetwork
b. Clinicalubenchmarking
c. Outcomes-orientedupracNtiU
ceRS
d. Evidence-basedupractice
ANS:u C
Outcomes-
orientedupracticeumeasuresutheueffectivenessuofutheuinterventionsuanduqualityuofucareuagainstub
enchmarksuorustandards.uTheutermubestupracticeurefersutouauprogramuoruserviceuthatuhasubeenurec
ognizeduforuitsuexcellence.uClinicalubenchmarkinguisuauprocessuusedutoucompareuone’suownupe
rformanceuagainstutheuperformanceuofutheubestuinuanuareauofuservice.uTheutermuevidence-
basedupracticeurefersutoutheuprovisionuofucareubaseduonuevidenceugaineduthroughuresearchuandu
clinicalutrials.
PTS: 1 DIF:
CognitiveuLevel:uUnderstanduTOP:
NursinguProcess:uEvaluation
MSC:u ClientuNeeds:uSafeuanduEffectiveuCareuEnvironment
4. Duringuauprenataluintakeuinterview,utheunurseuisuinutheuprocessuofuobtaininguanuinitialua
ssessmentuofuau21-year-
olduHispanicuclientuwithulimiteduEnglishuproficiency.u Whichuinterventionuisutheumostu i
mportantuforutheunurseutou implement?
a. Useumaternityujargonutouenableutheuclientutoubecomeufamiliaruwithutheseuterms.
b. Speakuquicklyuanduefficientlyutouexpediteutheuvisit.
c. Provideutheuclientuwithuhandouts.
d. Assessuwhetherutheuclientuunderstandsutheudiscussion.
ANS:u D
Nursesucontributeutouhealthuliteracyubyuusingusimple,ucommonuwords,uavoidingujargon,uandue
valuatinguwhetherutheuclientuunderstandsutheudiscussion.uSpeakinguslowlyuanduclearlyuandufo
cusinguonuwhatuisuimportantuwilluincreaseuunderstanding.uMostuclientueducationumaterialsuare
uwrittenuatuaulevelutoouhighuforutheuaverageuadultuandumayunotubeuusefuluforuauclientuwithulimit
eduEnglishuproficiency.
PTS: 1 DIF:
CognitiveuLevel:uApplyuTOP:
NursinguProcess:u Implementation
MSC:u ClientuNeeds:uHealthuPromotionuanduMaintenance
5. Whichustatementubestuexemplifiesucontemporaryumaternityunursing?
a. Useuofumidwivesuforualluvaginaludeliveries
b. Family-centereducare
c. Free-standingubirthuclinics
d. Physician-
drivenucareuANS:u B
, MaternityuanduWomen'suHealthuCareu13thuEditionuLowdermilkuTest
Contemporaryumaternityunursingufocusesuonutheufamily’suneedsuandudesires.uFathers,upartners
,ugrandparents,uandusiblingsumayubeupresentuforutheubirthuanduparticipateuinuactivitiesusuchuasucu
ttingutheubaby’suumbilicalucord.uBothumidwivesuanduphysiciansuperformuvaginaludeliveries.uFr
ee-
standinguclinicsuareuanuexampleuofualternativeubirthuoptions.uContemporaryumaternityunursingu
isudrivenubyutheurelationshipubetweenunursesuandutheiruclients.
PTS: 1 DIF:
CognitiveuLevel:uUnderstanduTOP:
NursinguProcess:uPlanning
MSC:u ClientuNeeds:uHealthuPromotionuanduMaintenance
6. Au38-year-olduHispanicuwomanuvaginallyudelivereduau9-pound,u6-
ounceubabyugirluafterubeinguinulaboruforu43uhours.uTheubabyudiedu3udaysulaterufromusepsis.uOnu
whatugroundsucouldutheuwomanuhaveuaulegitimateu legalucaseu forunegligence?
a. Inexperiencedumaternityunurseuwasuassignedutoucareuforutheuclient.
b. Clientuwasupastuherudueudateubyu3udays.
c. Standarduofucareuwasunotumet.
d. Clienturefuseduelectronicufetalumonitoring.
ANS:u C
Notumeetingutheustandarduofucareuisuaulegitimateufactoruforuaucaseuofunegligence.uAnuinexperi
encedumaternityunurseuwoulduneedutoudisplayucompetencyubeforeubeinguassignedutoucareuforuc
lientsuonuhisuoruheruown.uThisuclientumayuhaveubeenupastuherudueudate;uhowever,uautermupregn
ancyuoftenugoesubeyondu40uweeksuofugestation.uAlthoughufetalumonitoringuisutheustandarduofu
care,utheuclientuhasutheurightutourefuseutreatment.uThisurefusaluisunotuaucaseuforunegligence,ubu
tuinformeduconsentushouldubeuproperlyuobtained,uandutheuclientushoulduhaveusigneduanuagain
stumedicaluadviceuformuwhenurefusinguanyutreatmentuthatuisuwithinutheustandarduofucare.
PTS: 1 DIF:
CognitiveuLevel:uAnalyzeuTOP:
NursinguProcess:u Implementation
MSC:u ClientuNeeds:uSafeuanduEffectiveuCareuEnvironment
7. Whenutheunurseuisuunsureuhowutouperformuauclientucareuprocedureuthatuisuhighuriskuandulowuv
olume,uhisuoruherubestuactionuinuthisusituationuwouldubeuwhat?
a. Askuanotherunurse.
b. Discussutheuprocedureuwithutheuclient’suphysician.
c. Lookuuputheuprocedureuinuaunursingutextbook.
d. Firstuconsultutheuagencyuprocedureumanual
ANS:u D
Followingutheuagency’supoliciesuanduproceduresumanualuisualwaysubestuwhenuseekinguinforma
tionuonucorrectuclientuprocedures.uTheseupoliciesushouldureflectutheucurrentustandardsuofucareuan
dutheuindividualustate’suguidelines.uEachunurseuisuresponsibleuforuhisuoruheruownupractice.uRely
inguonuanotherunurseumayunotualwaysubeuausafeupractice.uEachunurseuisuobligatedutoufollowutheu
standardsuofucareuforusafeuclientucareudelivery.uPhysiciansuareuresponsibleuforutheiruownuclientu
careuactivity.uNursesumayufollowusafeuordersufromuphysicians,ubututheyuareualsouresponsibleufo
rutheuactivitiesuthatuthey,uasunurses,uareutoucarryuout.uInformationuprovideduinuaunursingutextboo
kuisubasicuinformationuforugeneraluknowledge.uFurthermore,utheuinformationuinuautextbookumay
unotureflectutheucurrentustandarduofucareuorutheuindividualustateuoruhospitalupolicies.
, MaternityuanduWomen'suHealthuCareu13thuEditionuLowdermilkuTest
Chapter 01: 21st Century Maternity and Women’s Health Nursing
u u u u u u u u u
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
u u u u u u u
MULTIPLEuCHOICE
1. Inuevaluatingutheuleveluofuaupregnantuwoman’suriskuofuhavinguaulow-birth-
weightu(LBW)uinfant,uwhichufactoruisutheu mostuimportantu forutheunurseutouconsider?
a. African-Americanurace
b. Cigaretteusmoking
c. Poorunutritionalustatus
d. Limitedumaternalueducation
ANS:u A
TheuriseuinutheuoveralluLBWuratesuwereudueutouincreasesuinuLBWubirthsutounon-
Hispanicublackuwomenu(13.35%)uanduHispanicuwomenu(7.21%);unon-
Hispanicublackuinfantsuareualmostutwiceuasulikelyuasunon-
HispanicuwhiteuinfantsutoubeuofuLBWuandutoudieuinutheufirstuyearuofulife..uRaceuisuaunonmodifiab
leuriskufactor.uCigaretteusmokinguisuanuimportantufactoruinupotentialuinfantumortalityurates,ubutuit
uisunotutheumostuimportant.uAdditionally,usmokinguisuaumodifiableuriskufactor.uPoorunutritionuis
uanuimportantufactoruinupotentialuinfantumortalityurates,ubutuituisunotutheumostuimportant.uAdditi
onally,unutritionalustatusuisuaumodifiableuriskufactor.uMaternalueducationuisuanuimportantufactor
uinupotentialuinfantumortalityurates,ubutuituisunotutheumostuimportant.uAdditionally,u maternalued
ucationuisuaumodifiableuriskufactor.
PTS: 1 DIF:
CognitiveuLevel:uUnderstanduTOP:
NursinguProcess:uAssessment
MSC:uuuClientu Needs:u HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,uAntepartumuCare
2. Au23-year-olduAfrican-
Americanuwomanuisupregnantuwithuherufirstuchild.uBaseduonucurrentustatisticsuforuinfantumort
ality,uwhichuinterventionuisumostuimportantuforutheunurseutouincludeuinutheuclient’suplanuofucar
e?
a. Performuaunutritionuassessment.
b. Referutheuwomanutouausocialuworker.
c. Adviseutheuwomanutouseeuanuobstetrician,unotuaumidwife.
d. Explainutoutheuwomanutheuimportanceuofukeepinguheruprenatalucareuappointments.
ANS:u D
Consistentuprenatalucareuisutheubestumethoduofupreventinguorucontrollingurisku factorsuassociate
duwithuinfantumortality.uNutritionalustatusuisuanuimportantumodifiableuriskufactor,ubutuituisunotuth
eumostuimportantuactionuaunurseushouldutakeuinuthisusituation.uTheuclientumayuneeduassistanceufr
omuausocialuworkeruatusomeutimeuduringuherupregnancy,ubutuaureferralutouausocialuworkeruisunotu
theumostuimportantuaspectutheunurseushoulduaddressuatuthisutime.uIfutheuwomanuhasuidentifiable
uhigh-
riskuproblems,uthenuheruhealthucareumayuneedutoubeuprovidedubyuauphysician.uHowever,uitucann
otubeuassumeduthatualluAfrican-Americanuwomenuhaveuhigh-
riskuissues.uInuaddition,uadvisingutheuwomanutouseeuanuobstetricianuisunotutheumostuimportantuas
pectuonuwhichutheunurseushouldufocusuatuthisutime,uanduituisunotuappropriateuforuaunurseutouadvis
euorumanageutheutypeuofucareuauclientu isutoureceive.
PTS: 1 DIF:
CognitiveuLevel:uUnderstanduTOP:
NursinguProcess:uPlanning
, MaternityuanduWomen'suHealthuCareu13thuEditionuLowdermilkuTest
MSC:u ClientuNeeds:uHealthuPromotionuanduMaintenance
3. Theunursesuworkinguatuaunewlyuestablishedubirthingucenteruhaveubegunutoucompareutheirup
erformanceuinuprovidingumaternal-
newbornucareuagainstuclinicalustandards.uThisucomparisonuprocessuisumostu commonlyukn
ownuasuwhat?
a. Bestupracticesunetwork
b. Clinicalubenchmarking
c. Outcomes-orientedupracNtiU
ceRS
d. Evidence-basedupractice
ANS:u C
Outcomes-
orientedupracticeumeasuresutheueffectivenessuofutheuinterventionsuanduqualityuofucareuagainstub
enchmarksuorustandards.uTheutermubestupracticeurefersutouauprogramuoruserviceuthatuhasubeenurec
ognizeduforuitsuexcellence.uClinicalubenchmarkinguisuauprocessuusedutoucompareuone’suownupe
rformanceuagainstutheuperformanceuofutheubestuinuanuareauofuservice.uTheutermuevidence-
basedupracticeurefersutoutheuprovisionuofucareubaseduonuevidenceugaineduthroughuresearchuandu
clinicalutrials.
PTS: 1 DIF:
CognitiveuLevel:uUnderstanduTOP:
NursinguProcess:uEvaluation
MSC:u ClientuNeeds:uSafeuanduEffectiveuCareuEnvironment
4. Duringuauprenataluintakeuinterview,utheunurseuisuinutheuprocessuofuobtaininguanuinitialua
ssessmentuofuau21-year-
olduHispanicuclientuwithulimiteduEnglishuproficiency.u Whichuinterventionuisutheumostu i
mportantuforutheunurseutou implement?
a. Useumaternityujargonutouenableutheuclientutoubecomeufamiliaruwithutheseuterms.
b. Speakuquicklyuanduefficientlyutouexpediteutheuvisit.
c. Provideutheuclientuwithuhandouts.
d. Assessuwhetherutheuclientuunderstandsutheudiscussion.
ANS:u D
Nursesucontributeutouhealthuliteracyubyuusingusimple,ucommonuwords,uavoidingujargon,uandue
valuatinguwhetherutheuclientuunderstandsutheudiscussion.uSpeakinguslowlyuanduclearlyuandufo
cusinguonuwhatuisuimportantuwilluincreaseuunderstanding.uMostuclientueducationumaterialsuare
uwrittenuatuaulevelutoouhighuforutheuaverageuadultuandumayunotubeuusefuluforuauclientuwithulimit
eduEnglishuproficiency.
PTS: 1 DIF:
CognitiveuLevel:uApplyuTOP:
NursinguProcess:u Implementation
MSC:u ClientuNeeds:uHealthuPromotionuanduMaintenance
5. Whichustatementubestuexemplifiesucontemporaryumaternityunursing?
a. Useuofumidwivesuforualluvaginaludeliveries
b. Family-centereducare
c. Free-standingubirthuclinics
d. Physician-
drivenucareuANS:u B
, MaternityuanduWomen'suHealthuCareu13thuEditionuLowdermilkuTest
Contemporaryumaternityunursingufocusesuonutheufamily’suneedsuandudesires.uFathers,upartners
,ugrandparents,uandusiblingsumayubeupresentuforutheubirthuanduparticipateuinuactivitiesusuchuasucu
ttingutheubaby’suumbilicalucord.uBothumidwivesuanduphysiciansuperformuvaginaludeliveries.uFr
ee-
standinguclinicsuareuanuexampleuofualternativeubirthuoptions.uContemporaryumaternityunursingu
isudrivenubyutheurelationshipubetweenunursesuandutheiruclients.
PTS: 1 DIF:
CognitiveuLevel:uUnderstanduTOP:
NursinguProcess:uPlanning
MSC:u ClientuNeeds:uHealthuPromotionuanduMaintenance
6. Au38-year-olduHispanicuwomanuvaginallyudelivereduau9-pound,u6-
ounceubabyugirluafterubeinguinulaboruforu43uhours.uTheubabyudiedu3udaysulaterufromusepsis.uOnu
whatugroundsucouldutheuwomanuhaveuaulegitimateu legalucaseu forunegligence?
a. Inexperiencedumaternityunurseuwasuassignedutoucareuforutheuclient.
b. Clientuwasupastuherudueudateubyu3udays.
c. Standarduofucareuwasunotumet.
d. Clienturefuseduelectronicufetalumonitoring.
ANS:u C
Notumeetingutheustandarduofucareuisuaulegitimateufactoruforuaucaseuofunegligence.uAnuinexperi
encedumaternityunurseuwoulduneedutoudisplayucompetencyubeforeubeinguassignedutoucareuforuc
lientsuonuhisuoruheruown.uThisuclientumayuhaveubeenupastuherudueudate;uhowever,uautermupregn
ancyuoftenugoesubeyondu40uweeksuofugestation.uAlthoughufetalumonitoringuisutheustandarduofu
care,utheuclientuhasutheurightutourefuseutreatment.uThisurefusaluisunotuaucaseuforunegligence,ubu
tuinformeduconsentushouldubeuproperlyuobtained,uandutheuclientushoulduhaveusigneduanuagain
stumedicaluadviceuformuwhenurefusinguanyutreatmentuthatuisuwithinutheustandarduofucare.
PTS: 1 DIF:
CognitiveuLevel:uAnalyzeuTOP:
NursinguProcess:u Implementation
MSC:u ClientuNeeds:uSafeuanduEffectiveuCareuEnvironment
7. Whenutheunurseuisuunsureuhowutouperformuauclientucareuprocedureuthatuisuhighuriskuandulowuv
olume,uhisuoruherubestuactionuinuthisusituationuwouldubeuwhat?
a. Askuanotherunurse.
b. Discussutheuprocedureuwithutheuclient’suphysician.
c. Lookuuputheuprocedureuinuaunursingutextbook.
d. Firstuconsultutheuagencyuprocedureumanual
ANS:u D
Followingutheuagency’supoliciesuanduproceduresumanualuisualwaysubestuwhenuseekinguinforma
tionuonucorrectuclientuprocedures.uTheseupoliciesushouldureflectutheucurrentustandardsuofucareuan
dutheuindividualustate’suguidelines.uEachunurseuisuresponsibleuforuhisuoruheruownupractice.uRely
inguonuanotherunurseumayunotualwaysubeuausafeupractice.uEachunurseuisuobligatedutoufollowutheu
standardsuofucareuforusafeuclientucareudelivery.uPhysiciansuareuresponsibleuforutheiruownuclientu
careuactivity.uNursesumayufollowusafeuordersufromuphysicians,ubututheyuareualsouresponsibleufo
rutheuactivitiesuthatuthey,uasunurses,uareutoucarryuout.uInformationuprovideduinuaunursingutextboo
kuisubasicuinformationuforugeneraluknowledge.uFurthermore,utheuinformationuinuautextbookumay
unotureflectutheucurrentustandarduofucareuorutheuindividualustateuoruhospitalupolicies.
