Maternity.and.Women's.Health.Care.13th.Edition.Lowdermilk.Test
Test.Bank
For.Maternity.and.Women's.Health.Car
e.13th.Edition.Lowdermilk
, Maternity.and.Women's.Health.Care.13th.Edition.Lowdermilk.Test.Chapte
Bank
r.0 1 : 2 1 s t .Century.Maternity.and.Women’s.Health.Nursing.Lowdermilk:.Mate
rnity.&.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
CORRECT.ANSWER:. 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.nonmodifi
able.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.nutr
ition.is.an.important.factor.in.potential.infant.mortality.rates,.but.it.is.not.the.most.importan
t..Additionally,.nutritional.status.is.a.modifiable.risk.factor..Maternal.education.is.an.impor
tant.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.mo
rtality,.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.
CORRECT.ANSWER:. D
Consistent.prenatal.care.is.the.best.method.of.preventing.or.controlling.risk.factors.associat
ed.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.assista
nce.from.a.social.worker.at.some.time.during.her.pregnancy,.but.a.referral.to.a.social.worke
r.is.not.the.most.important.aspect.the.nurse.should.address.at.this.time..If.the.woman.has.id
entifiable.high-
risk.problems,.then.her.health.care.may.need.to.be.provided.by.a.physician..However,.it.ca
nnot.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.a
dvise.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
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.k
nown.as.what?
a. Best.practices.network
b. Clinical.benchmarking
c. Outcomes-oriented.pracNtiUceR S
d. Evidence-based.practice
CORRECT.ANSWER:. 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.one’s.o
wn.performance.against.the.performance.of.the.best.in.an.area.of.service..The.term.evidenc
e-
based.practice.refers.to.the.provision.of.care.based.on.evidence.gained.through.research.an
d.clinical.trials.
PTS: 1 DIF:
Cognitive.Level:.Understand.TOP:
Nursing.Process:.Evaluation
MSC:.Client.Needs:.Safe.and.Effective.Care.Environment
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.intervention.is.the.most
.important.for.the.nurse.to.implement?
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.an
d.focusing.on.what.is.important.will.increase.understanding..Most.client.education.materia
ls.are.written.at.a.level.too.high.for.the.average.adult.and.may.not.be.useful.for.a.client.wi
th.limited.English.proficiency.
PTS: 1 DIF:
Cognitive.Level:.Apply.TOP:
Nursing.Process:.Implementation
MSC:.Client.Needs:.Health.Promotion.and.Maintenance
5. 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.CORRECT.
, Maternity.and.Women's.Health.Care.13th.Edition.Lowdermilk.Test
ANSWER:. B
Test.Bank
For.Maternity.and.Women's.Health.Car
e.13th.Edition.Lowdermilk
, Maternity.and.Women's.Health.Care.13th.Edition.Lowdermilk.Test.Chapte
Bank
r.0 1 : 2 1 s t .Century.Maternity.and.Women’s.Health.Nursing.Lowdermilk:.Mate
rnity.&.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
CORRECT.ANSWER:. 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.nonmodifi
able.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.nutr
ition.is.an.important.factor.in.potential.infant.mortality.rates,.but.it.is.not.the.most.importan
t..Additionally,.nutritional.status.is.a.modifiable.risk.factor..Maternal.education.is.an.impor
tant.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.mo
rtality,.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.
CORRECT.ANSWER:. D
Consistent.prenatal.care.is.the.best.method.of.preventing.or.controlling.risk.factors.associat
ed.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.assista
nce.from.a.social.worker.at.some.time.during.her.pregnancy,.but.a.referral.to.a.social.worke
r.is.not.the.most.important.aspect.the.nurse.should.address.at.this.time..If.the.woman.has.id
entifiable.high-
risk.problems,.then.her.health.care.may.need.to.be.provided.by.a.physician..However,.it.ca
nnot.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.a
dvise.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
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.k
nown.as.what?
a. Best.practices.network
b. Clinical.benchmarking
c. Outcomes-oriented.pracNtiUceR S
d. Evidence-based.practice
CORRECT.ANSWER:. 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.one’s.o
wn.performance.against.the.performance.of.the.best.in.an.area.of.service..The.term.evidenc
e-
based.practice.refers.to.the.provision.of.care.based.on.evidence.gained.through.research.an
d.clinical.trials.
PTS: 1 DIF:
Cognitive.Level:.Understand.TOP:
Nursing.Process:.Evaluation
MSC:.Client.Needs:.Safe.and.Effective.Care.Environment
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.intervention.is.the.most
.important.for.the.nurse.to.implement?
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.an
d.focusing.on.what.is.important.will.increase.understanding..Most.client.education.materia
ls.are.written.at.a.level.too.high.for.the.average.adult.and.may.not.be.useful.for.a.client.wi
th.limited.English.proficiency.
PTS: 1 DIF:
Cognitive.Level:.Apply.TOP:
Nursing.Process:.Implementation
MSC:.Client.Needs:.Health.Promotion.and.Maintenance
5. 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.CORRECT.
, Maternity.and.Women's.Health.Care.13th.Edition.Lowdermilk.Test
ANSWER:. B
