Test Bank Maternity & Women’s Health Care 12th Edition
by Lowdermilk
All Chapters | Verified Answers
ISBN 9780275972264
~1~
, TABLE OF CONTENTS
Chapter 1: 21st Century Maternity and Women's Health Nursing ......................................................................................... 3
Chapter 2: Community Care: The Family and Culture .............................................................................................................. 17
Chapter 3: Nursing and Genomics ................................................................................................................................................... 38
Chapter 4: Assessment and Health Promotion ........................................................................................................................... 56
Chapter 5: Violence Against Women ............................................................................................................................................... 84
Chapter 6: Reproductive System Concerns................................................................................................................................. 103
Chapter 7: Sexually Transmitted and Other Infections ......................................................................................................... 120
Chapter 8: Contraception and Abortion ...................................................................................................................................... 142
Chapter 9: Infertility ........................................................................................................................................................................... 168
Chapter 10: Problems of the Breast .............................................................................................................................................. 187
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System ........................................................... 206
Chapter 12: Conception and Fetal Development ...................................................................................................................... 224
Chapter 13: Anatomy and Physiology of Pregnancy ............................................................................................................... 247
Chapter 14: Nursing Care of the Family During Pregnancy ................................................................................................. 275
Chapter 15: Maternal and Fetal Nutrition .................................................................................................................................. 307
Chapter 16: Labor and Birth Processes ....................................................................................................................................... 332
Chapter 17: Maximizing Comfort for the Laboring Woman ................................................................................................. 356
Chapter 18: Fetal Assessment During Labor ............................................................................................................................. 386
Chapter 19: Nursing Care of the Family During Labor and Birth ....................................................................................... 416
Chapter 20: Postpartum Physiologic Changes .......................................................................................................................... 452
Chapter 21: Nursing Care of the Family During the Postpartum Period ......................................................................... 469
Chapter 22: Transition to Parenthood ......................................................................................................................................... 489
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn ............................................................................ 515
Chapter 24: Nursing Care of the Newborn and Family........................................................................................................... 548
Chapter 25: Newborn Nutrition and Feeding ............................................................................................................................ 576
Chapter 26: Assessment of High Risk Pregnancy .................................................................................................................... 603
Chapter 27: Hypertensive Disorders ............................................................................................................................................ 628
Chapter 28: Hemorrhagic Disorders ............................................................................................................................................ 646
Chapter 29: Endocrine and Metabolic Disorders..................................................................................................................... 669
Chapter 30: Medical-Surgical Disorders ..................................................................................................................................... 686
Chapter 31: Mental Health Disorders and Substance Abuse ............................................................................................... 704
Chapter 32: Labor and Birth Complications .............................................................................................................................. 719
Chapter 33: Postpartum Complications ...................................................................................................................................... 743
Chapter 34: Nursing Care of the High Risk Newborn ............................................................................................................. 757
Chapter 35: Acquired Problems of the Newborn ..................................................................................................................... 780
Chapter 36: Hemolytic Disorders and Congenital Anomalies ............................................................................................. 796
Chapter 37: Perinatal Loss, Bereavement, and Grief .............................................................................................................. 809
~2~
,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
CORRECT ANSWER: 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
CORRECT ANSWER: 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.
~3~
, 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.
CORRECT ANSWER: 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 Maintenanc
4. During a prenatal intake interview, the nurse is in the process of obtaining an
initial assessment of a 21-year-old Hispanic client with limited English proficiency.
Which action is the most important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion.
CORRECT ANSWER: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
and evaluating whether the client understands the discussion. Speaking slowly and
clearly and focusing on what is important will increase understanding. Most client
~4~
by Lowdermilk
All Chapters | Verified Answers
ISBN 9780275972264
~1~
, TABLE OF CONTENTS
Chapter 1: 21st Century Maternity and Women's Health Nursing ......................................................................................... 3
Chapter 2: Community Care: The Family and Culture .............................................................................................................. 17
Chapter 3: Nursing and Genomics ................................................................................................................................................... 38
Chapter 4: Assessment and Health Promotion ........................................................................................................................... 56
Chapter 5: Violence Against Women ............................................................................................................................................... 84
Chapter 6: Reproductive System Concerns................................................................................................................................. 103
Chapter 7: Sexually Transmitted and Other Infections ......................................................................................................... 120
Chapter 8: Contraception and Abortion ...................................................................................................................................... 142
Chapter 9: Infertility ........................................................................................................................................................................... 168
Chapter 10: Problems of the Breast .............................................................................................................................................. 187
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System ........................................................... 206
Chapter 12: Conception and Fetal Development ...................................................................................................................... 224
Chapter 13: Anatomy and Physiology of Pregnancy ............................................................................................................... 247
Chapter 14: Nursing Care of the Family During Pregnancy ................................................................................................. 275
Chapter 15: Maternal and Fetal Nutrition .................................................................................................................................. 307
Chapter 16: Labor and Birth Processes ....................................................................................................................................... 332
Chapter 17: Maximizing Comfort for the Laboring Woman ................................................................................................. 356
Chapter 18: Fetal Assessment During Labor ............................................................................................................................. 386
Chapter 19: Nursing Care of the Family During Labor and Birth ....................................................................................... 416
Chapter 20: Postpartum Physiologic Changes .......................................................................................................................... 452
Chapter 21: Nursing Care of the Family During the Postpartum Period ......................................................................... 469
Chapter 22: Transition to Parenthood ......................................................................................................................................... 489
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn ............................................................................ 515
Chapter 24: Nursing Care of the Newborn and Family........................................................................................................... 548
Chapter 25: Newborn Nutrition and Feeding ............................................................................................................................ 576
Chapter 26: Assessment of High Risk Pregnancy .................................................................................................................... 603
Chapter 27: Hypertensive Disorders ............................................................................................................................................ 628
Chapter 28: Hemorrhagic Disorders ............................................................................................................................................ 646
Chapter 29: Endocrine and Metabolic Disorders..................................................................................................................... 669
Chapter 30: Medical-Surgical Disorders ..................................................................................................................................... 686
Chapter 31: Mental Health Disorders and Substance Abuse ............................................................................................... 704
Chapter 32: Labor and Birth Complications .............................................................................................................................. 719
Chapter 33: Postpartum Complications ...................................................................................................................................... 743
Chapter 34: Nursing Care of the High Risk Newborn ............................................................................................................. 757
Chapter 35: Acquired Problems of the Newborn ..................................................................................................................... 780
Chapter 36: Hemolytic Disorders and Congenital Anomalies ............................................................................................. 796
Chapter 37: Perinatal Loss, Bereavement, and Grief .............................................................................................................. 809
~2~
,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
CORRECT ANSWER: 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
CORRECT ANSWER: 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.
~3~
, 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.
CORRECT ANSWER: 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 Maintenanc
4. During a prenatal intake interview, the nurse is in the process of obtaining an
initial assessment of a 21-year-old Hispanic client with limited English proficiency.
Which action is the most important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion.
CORRECT ANSWER: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
and evaluating whether the client understands the discussion. Speaking slowly and
clearly and focusing on what is important will increase understanding. Most client
~4~
