Elitestudyvault
,TABLE OF CONTENT
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: .....................................................................3
Chapter 02: Community Care: The Family and Culture...........................................................................................................13
Chapter 03: Nursing and Genomics..........................................................................................................................................24
Chapter 04: Assessment and Health Promotion .......................................................................................................................32
Chapter 05: Violence Against Women .....................................................................................................................................46
Chapter 06: Reproductive System Concerns ............................................................................................................................55
Chapter 07: Sexually Transmitted and Other Infections ..........................................................................................................65
Chapter 08: Contraception and Abortion..................................................................................................................................75
Chapter 09: Infertility ...............................................................................................................................................................87
Chapter 10: Problems of the Breast ..........................................................................................................................................97
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System Lowdermilk .................................................107
Chapter 12: Conception and Fetal Development ....................................................................................................................116
Chapter 13: Anatomy and Physiology of Pregnancy ..............................................................................................................126
Chapter 14: Nursing Care of the Family During Pregnancy ..................................................................................................139
Chapter 15: Maternal and Fetal Nutrition ...............................................................................................................................156
Chapter 16: Labor and Birth Processes ..................................................................................................................................170
Chapter 17: Maximizing Comfort for the Laboring Woman ..................................................................................................181
Chapter 18: Fetal Assessment During Labor ..........................................................................................................................195
Chapter 19: Nursing Care of the Family During Labor and Birth Lowdermilk: Maternity & Women’s ...............................210
Chapter 20: Postpartum Physiologic Changes ........................................................................................................................228
Chapter 21: Nursing Care of the Family During the Postpartum Period Lowdermilk: Maternity &......................................238
Chapter 22: Transition to Parenthood .....................................................................................................................................249
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn Lowdermilk: Maternity ............................................261
Chapter 24: Nursing Care of the Newborn and Family ..........................................................................................................277
Chapter 25: Newborn Nutrition and Feeding .........................................................................................................................290
Chapter 26: Assessment of High Risk Pregnancy ..................................................................................................................303
Chapter 27: Hypertensive Disorders.......................................................................................................................................315
Chapter 28: Hemorrhagic Disorders .......................................................................................................................................324
Chapter 29: Endocrine and Metabolic Disorders....................................................................................................................335
Chapter 30: Medical-Surgical Disorders ................................................................................................................................345
Chapter 31: Mental Health Disorders and Substance Abuse ..................................................................................................355
Chapter 32: Labor and Birth Complications ...........................................................................................................................362
Chapter 33: Postpartum Complications ..................................................................................................................................374
Chapter 34: Nursing Care of the High Risk Newborn Lowdermilk: Maternity & Women’s Health .....................................382
Chapter 35: Acquired Problems of the Newborn ...................................................................................................................394
Chapter 36: Hemolytic Disorders and Congenital Anomalies ................................................................................................402
Chapter 37: Perinatal Loss, Bereavement, and Grief .............................................................................................................409
Elitestudyvault
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th 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
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: p. 6
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
ANS: 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.
DIF: Cognitive Level: Understand REF: p. 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.
ANS: D
Elitestudyvault
, 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: p. 6 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
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.
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: p. 5 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
5. 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
one’s 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: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
Elitestudyvault
,TABLE OF CONTENT
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: .....................................................................3
Chapter 02: Community Care: The Family and Culture...........................................................................................................13
Chapter 03: Nursing and Genomics..........................................................................................................................................24
Chapter 04: Assessment and Health Promotion .......................................................................................................................32
Chapter 05: Violence Against Women .....................................................................................................................................46
Chapter 06: Reproductive System Concerns ............................................................................................................................55
Chapter 07: Sexually Transmitted and Other Infections ..........................................................................................................65
Chapter 08: Contraception and Abortion..................................................................................................................................75
Chapter 09: Infertility ...............................................................................................................................................................87
Chapter 10: Problems of the Breast ..........................................................................................................................................97
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System Lowdermilk .................................................107
Chapter 12: Conception and Fetal Development ....................................................................................................................116
Chapter 13: Anatomy and Physiology of Pregnancy ..............................................................................................................126
Chapter 14: Nursing Care of the Family During Pregnancy ..................................................................................................139
Chapter 15: Maternal and Fetal Nutrition ...............................................................................................................................156
Chapter 16: Labor and Birth Processes ..................................................................................................................................170
Chapter 17: Maximizing Comfort for the Laboring Woman ..................................................................................................181
Chapter 18: Fetal Assessment During Labor ..........................................................................................................................195
Chapter 19: Nursing Care of the Family During Labor and Birth Lowdermilk: Maternity & Women’s ...............................210
Chapter 20: Postpartum Physiologic Changes ........................................................................................................................228
Chapter 21: Nursing Care of the Family During the Postpartum Period Lowdermilk: Maternity &......................................238
Chapter 22: Transition to Parenthood .....................................................................................................................................249
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn Lowdermilk: Maternity ............................................261
Chapter 24: Nursing Care of the Newborn and Family ..........................................................................................................277
Chapter 25: Newborn Nutrition and Feeding .........................................................................................................................290
Chapter 26: Assessment of High Risk Pregnancy ..................................................................................................................303
Chapter 27: Hypertensive Disorders.......................................................................................................................................315
Chapter 28: Hemorrhagic Disorders .......................................................................................................................................324
Chapter 29: Endocrine and Metabolic Disorders....................................................................................................................335
Chapter 30: Medical-Surgical Disorders ................................................................................................................................345
Chapter 31: Mental Health Disorders and Substance Abuse ..................................................................................................355
Chapter 32: Labor and Birth Complications ...........................................................................................................................362
Chapter 33: Postpartum Complications ..................................................................................................................................374
Chapter 34: Nursing Care of the High Risk Newborn Lowdermilk: Maternity & Women’s Health .....................................382
Chapter 35: Acquired Problems of the Newborn ...................................................................................................................394
Chapter 36: Hemolytic Disorders and Congenital Anomalies ................................................................................................402
Chapter 37: Perinatal Loss, Bereavement, and Grief .............................................................................................................409
Elitestudyvault
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th 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
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: p. 6
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
ANS: 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.
DIF: Cognitive Level: Understand REF: p. 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.
ANS: D
Elitestudyvault
, 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: p. 6 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
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.
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: p. 5 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
5. 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
one’s 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: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
Elitestudyvault
