MATERNITY & WOMEN’S HEALTH
Care 12th Edition Lowdermilk Test Bank
CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS LATEST UPDATE.
,Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. 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
2. 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.
ANS: 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 education materials are
written at a level too high for the average adult and may not be useful for a client with limited
English proficiency.
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation
MSC: Client 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 practice
d. Evidence-based practice
ANS: 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 ones 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.
, DIF: Cognitive Level: Understand REF: im: 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
4. 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
ANS: B
Contemporary maternity nursing focuses on the familys needs and desires. Fathers, partners,
grandparents, and siblings may be present for the birth and participate in activities such as
cutting the babys 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 clients.
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
5. 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 client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
ANS: C
Care 12th Edition Lowdermilk Test Bank
CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS LATEST UPDATE.
,Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. 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
2. 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.
ANS: 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 education materials are
written at a level too high for the average adult and may not be useful for a client with limited
English proficiency.
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation
MSC: Client 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 practice
d. Evidence-based practice
ANS: 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 ones 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.
, DIF: Cognitive Level: Understand REF: im: 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
4. 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
ANS: B
Contemporary maternity nursing focuses on the familys needs and desires. Fathers, partners,
grandparents, and siblings may be present for the birth and participate in activities such as
cutting the babys 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 clients.
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
5. 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 client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
ANS: C
