MATERNITY & WOMEN’S HEALTH
CARE 12TH EDITION
LOWDERMILK TEST BANK|
Graded A+
,Contents
Chapter 1: Maternity and Women’s Health Nursing ........................................................................................ 3
Chapter 2: Community Care: The Family and Culture ................................................................................... 18
Chapter 3: Nursing and Genomics .................................................................................................................. 35
Chapter 4: Assessment and Health Promotion................................................................................................ 48
Chapter 5: Violence Against Women ............................................................................................................. 68
Chapter 6: Reproductive System Concerns .................................................................................................... 82
Chapter 7: Sexually Transmitted and Other Infections ................................................................................... 95
Chapter 8: Contraception and Abortion ........................................................................................................ 111
Chapter 9: Infertility ..................................................................................................................................... 130
Chapter 10: Problems of the Breast .............................................................................................................. 144
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System ............................................ 158
Chapter 12: Conception and Fetal Development .......................................................................................... 172
Chapter 13: Anatomy and Physiology of Pregnancy .................................................................................... 188
Chapter 14: Nursing Care of the Family During Pregnancy ......................................................................... 209
Chapter 15: Maternal and Fetal Nutrition ..................................................................................................... 234
Chapter 16: Labor and Birth Processes ......................................................................................................... 254
Chapter 17: Maximizing Comfort for the Laboring Woman ........................................................................ 271
Chapter 18: Fetal Assessment During Labor ................................................................................................ 293
Chapter 19: Nursing Care of the Family During Labor and Birth ................................................................ 315
Chapter 20: Postpartum Physiologic Changes .............................................................................................. 342
Chapter 21: Nursing Care of the Family During the Postpartum Period ...................................................... 354
Chapter 22: Transition to Parenthood ........................................................................................................... 370
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn ........................................................ 389
Chapter 24: Nursing Care of the Newborn and Family ................................................................................ 413
Chapter 25: Newborn Nutrition and Feeding................................................................................................ 434
Chapter 26: Assessment of High Risk Pregnancy ........................................................................................ 455
Chapter 27: Hypertensive Disorders ............................................................................................................. 473
Chapter 28: Hemorrhagic Disorders ............................................................................................................. 487
Chapter 29: Endocrine and Metabolic Disorders .......................................................................................... 504
Chapter 30: Medical-Surgical Disorders....................................................................................................... 517
Chapter 31: Mental Health Disorders and Substance Abuse ........................................................................ 531
Chapter 32: Labor and Birth Complications ................................................................................................. 542
Chapter 33: Postpartum Complications ........................................................................................................ 560
Chapter 34: Nursing Care of the High Risk Newborn .................................................................................. 570
Chapter 36: Hemolytic Disorders and Congenital Anomalies ...................................................................... 600
Chapter 37: Perinatal Loss, Bereavement, and Grief .................................................................................... 610
, Chapter 1: Maternity and Women’s Health Nursing
1. 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
2. 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
3. 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
4. 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.
CARE 12TH EDITION
LOWDERMILK TEST BANK|
Graded A+
,Contents
Chapter 1: Maternity and Women’s Health Nursing ........................................................................................ 3
Chapter 2: Community Care: The Family and Culture ................................................................................... 18
Chapter 3: Nursing and Genomics .................................................................................................................. 35
Chapter 4: Assessment and Health Promotion................................................................................................ 48
Chapter 5: Violence Against Women ............................................................................................................. 68
Chapter 6: Reproductive System Concerns .................................................................................................... 82
Chapter 7: Sexually Transmitted and Other Infections ................................................................................... 95
Chapter 8: Contraception and Abortion ........................................................................................................ 111
Chapter 9: Infertility ..................................................................................................................................... 130
Chapter 10: Problems of the Breast .............................................................................................................. 144
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System ............................................ 158
Chapter 12: Conception and Fetal Development .......................................................................................... 172
Chapter 13: Anatomy and Physiology of Pregnancy .................................................................................... 188
Chapter 14: Nursing Care of the Family During Pregnancy ......................................................................... 209
Chapter 15: Maternal and Fetal Nutrition ..................................................................................................... 234
Chapter 16: Labor and Birth Processes ......................................................................................................... 254
Chapter 17: Maximizing Comfort for the Laboring Woman ........................................................................ 271
Chapter 18: Fetal Assessment During Labor ................................................................................................ 293
Chapter 19: Nursing Care of the Family During Labor and Birth ................................................................ 315
Chapter 20: Postpartum Physiologic Changes .............................................................................................. 342
Chapter 21: Nursing Care of the Family During the Postpartum Period ...................................................... 354
Chapter 22: Transition to Parenthood ........................................................................................................... 370
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn ........................................................ 389
Chapter 24: Nursing Care of the Newborn and Family ................................................................................ 413
Chapter 25: Newborn Nutrition and Feeding................................................................................................ 434
Chapter 26: Assessment of High Risk Pregnancy ........................................................................................ 455
Chapter 27: Hypertensive Disorders ............................................................................................................. 473
Chapter 28: Hemorrhagic Disorders ............................................................................................................. 487
Chapter 29: Endocrine and Metabolic Disorders .......................................................................................... 504
Chapter 30: Medical-Surgical Disorders....................................................................................................... 517
Chapter 31: Mental Health Disorders and Substance Abuse ........................................................................ 531
Chapter 32: Labor and Birth Complications ................................................................................................. 542
Chapter 33: Postpartum Complications ........................................................................................................ 560
Chapter 34: Nursing Care of the High Risk Newborn .................................................................................. 570
Chapter 36: Hemolytic Disorders and Congenital Anomalies ...................................................................... 600
Chapter 37: Perinatal Loss, Bereavement, and Grief .................................................................................... 610
, Chapter 1: Maternity and Women’s Health Nursing
1. 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
2. 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
3. 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
4. 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.
