Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant, T T T T T T T T T T T T T
which factor is the most important for the nurse to consider?
T T T T T T T T T T
a. African-American race T
b. Cigarette smoking T
c. Poor nutritional status T T
d. Limited maternal education T T
ANS: A T
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
T T T T T T T T T T T T T T
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential
T T T T T T T T T T T T T T
infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable
T T T T T T T T T T T T T T T
risk factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not
T T T T T T T T T T T T T T T T T
the most important. Additionally, nutritional status is a modifiable risk factor. Maternal
T T T T T T T T T T T T
education is an important factor in potential infant mortality rates, but it is not the most
T T T T T T T T T T T T T T T T
important. Additionally, maternal education is a modifiable risk factor.
T T T T T T T T
DIF: Cognitive Level: Understand REF: p. 6 T T T T T
TOP: Nursing Process: Assessment
T T T
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
T T T T T T T T
2. What is the primary role of practicing nurses in the research process?
T T T T T T T T T T T
a. Designing research studies T T
b. Collecting data for other researchers T T T T
c. Identifying researchable problems T T
d. Seeking funding to support research studies T T T T T
ANS: C T
When problems are identified, research can be properly conducted. Research of health care
T T T T T T T T T T T T T
issues leads to evidence-based practice guidelines. Designing research studies is only one
T T T T T T T T T T T T
factor of the research process. Data collection is another factor of research. Financial support
T T T T T T T T T T T T T T
is necessary to conduct research, but it is not the primary role of the nurse in the research
T T T T T T T T T T T T T T T T T T
process.
DIF: Cognitive Level: Understand REF: p. 14 T T TTT T TOP: Nursing Process: N/A
T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
T T T T T T T T T T T T T
statistics for infant mortality, which plan is most important for the nurse to implement?
T T T T T T T T T T T T T
,Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
a. Perform a nutrition assessment.
T T T
b. Refer the woman to a social worker.
T T T T T T
c. Advise the woman to see an obstetrician, not a midwife.
T T T T T T T T T
d. Explain to the woman the importance of keeping her prenatal care appointments.
T T T T T T T T T T T
ANS: DT
, Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
Consistent prenatal care is the best method of preventing or controlling risk factors associatedwith
T T T T T T T T T T T T T T T
infant mortality. Nutritional status is an important modifiable risk factor, but it is not themost
T T T T T T T T T T T T T T T T
important action a nurse should take in this situation. The client may need assistance from a social
T T T T T T T T T T T T T T T T T
worker at some time during her pregnancy, but a referral to a social worker is not the most important
T T T T T T T T T T T T T T T T T T T
aspect the nurse should address at this time. If the woman has identifiable high-risk problems, then her
T T T T T T T T T T T T T T T T T
health care may need to be provided by a physician. However, it cannot be assumed that all African-
T T T T T T T T T T T T T T T T T
American women have high-risk issues. In addition, advising the woman to see an obstetrician is not
T T T T T T T T T T T T T T T T
the most important aspect on whichthe nurse should focus at this time, and it is not appropriate for a
T T T T T T T T T T T T T T T T T T T T
nurse to advise or manage the type of care a client is to receive.
T T T T T T T T T T T T T
DIF: Cognitive Level: Understand REF: p. 6 T T TTT T TOP: Nursing Process: Planning T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
T T T T T T T T T T T T T T T
assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is
T T T T T T T T T T T T T
the most important for the nurse to perform?
T T T T T T T
a. Use maternity jargon to enable the client to become familiar with these terms.
T T T T T T T T T T T T
b. Speak quickly and efficiently to expedite the visit. T T T T T T T
c. Provide the client with handouts. T T T T
d. Assess whether the client understands the discussion. T T T T T T
ANS: D T
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
T T T T T T T T T T T T T
evaluating whether the client understands the discussion. Speaking slowly and clearly and
T T T T T T T T T T T T
focusing on what is important will increase understanding. Most client education materials are
T T T T T T T T T T T T T
written at a level too high for the average adult and may not be useful for a client with limited
T T T T T T T T T T T T T T T T T T T T
English proficiency. T
DIF: Cognitive Level: Apply REF: p. 5 T T TTT T TOP: Nursing Process: Evaluation T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
5. The nurses working at a newly established birthing center have begun to compare their
T T T T T T T T T T T T T T
performance in providing maternal-newborn care against clinical standards. This comparison
T T T T T T T T T T
process is most commonly known as what? T T T T T T
a. Best practices network T T
b. Clinical benchmarking T
c. Outcomes-oriented practice T
d. Evidence-based practice T
ANS: C T
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care T T T T T T T T T T T T
against benchmarks or standards. The term best practice refers to a program or service that has
T T T T T T T T T T T T T T T T
been recognized for its excellence. Clinical benchmarking is a process used to compare one’s
T T T T T T T T T T T T T T
own performance against the performance of the best in an area of service. The term evidence-
T T T T T T T T T T T T T T T
based practice refers to the provision of care based on evidence gained through research and
T T T T T T T T T T T T T T T
clinical trials. T
DIF: Cognitive Level: Understand REF: p. 11 T T TTT T TOP: Nursing Process: Evaluation T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
, Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
6. Which statement best exemplifies contemporary maternity nursing?
T T T T T T
a. Use of midwives for all vaginal deliveries
T T T T T T
b. Family-centered care T
c. Free-standing birth clinics T T
d. Physician-driven care T
ANS: B T
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
T T T T T T T T T T T T
grandparents, and siblings may be present for the birth and participate in activities such as
T T T T T T T T T T T T T T T
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
T T T T T T T T T T T T
Free-standing clinics are an example of alternative birth options. Contemporary maternity
T T T T T T T T T T T
nursing is driven by the relationship between nurses and their clients.
T T T T T T T T T T
DIF: Cognitive Level: Understand REF: pp. 8-9 T T TTT T TOP: Nursing Process: Planning
T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being
T T T T T T T T T T T T T
in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
T T T T T T T T T T T T T T T T T T
woman have a legitimate legal case for negligence?
T T T T T T T
a. Inexperienced maternity nurse was assigned to care for the client. T T T T T T T T T
b. Client was past her due date by 3 days. T T T T T T T T
c. Standard of care was not met. T T T T T
d. Client refused electronic fetal monitoring. T T T T
ANS: C T
Not meeting the standard of care is a legitimate factor for a case of negligence. An
T T T T T T T T T T T T T T T T
inexperienced maternity nurse would need to display competency before being assigned to
T T T T T T T T T T T T
care for clients on his or her own. This client may have been past her due date; however, a term
T T T T T T T T T T T T T T T T T T T T
pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard
T T T T T T T T T T T T T T
of care, the client has the right to refuse treatment. This refusal is not a case for negligence, but
T T T T T T T T T T T T T T T T T T T
informed consent should be properly obtained, and the client should have signed an against
T T T T T T T T T T T T T T
medical advice form when refusing any treatment that is within the standardof care.
T T T T T T T T T T T T T
DIF: Cognitive Level: Analyze REF: p. 13 T T T T T
TOP: Nursing Process: Implementation
T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
8. When the nurse is unsure how to perform a client care procedure that is high risk and low
T T T T T T T T T T T T T T T T T T
volume, his or her best action in this situation would be what?
T T T T T T T T T T T
a. Ask another nurse. T T
b. Discuss the procedure with the client’s physician. T T T T T T
c. Look up the procedure in a nursing textbook.
T T T T T T T
d. Consult the agency procedure manual, and follow the guidelines for the procedure.
T T T T T T T T T T T
ANS: D T
Following the agency’s policies and procedures manual is always best when seeking
T T T T T T T T T T T T
information on correct client procedures. These policies should reflect the current standards of
T T T T T T T T T T T T T
care and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
T T T T T T T T T T T T T T T T
Relying on another nurse may not always be a safe practice. Each nurse is obligated to follow
T T T T T T T T T T T T T T T T T
the standards of care for safe client care delivery. Physicians are responsible for theirown client
T T T T T T T T T T T T T T T T
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant, T T T T T T T T T T T T T
which factor is the most important for the nurse to consider?
T T T T T T T T T T
a. African-American race T
b. Cigarette smoking T
c. Poor nutritional status T T
d. Limited maternal education T T
ANS: A T
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
T T T T T T T T T T T T T T
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential
T T T T T T T T T T T T T T
infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable
T T T T T T T T T T T T T T T
risk factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not
T T T T T T T T T T T T T T T T T
the most important. Additionally, nutritional status is a modifiable risk factor. Maternal
T T T T T T T T T T T T
education is an important factor in potential infant mortality rates, but it is not the most
T T T T T T T T T T T T T T T T
important. Additionally, maternal education is a modifiable risk factor.
T T T T T T T T
DIF: Cognitive Level: Understand REF: p. 6 T T T T T
TOP: Nursing Process: Assessment
T T T
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
T T T T T T T T
2. What is the primary role of practicing nurses in the research process?
T T T T T T T T T T T
a. Designing research studies T T
b. Collecting data for other researchers T T T T
c. Identifying researchable problems T T
d. Seeking funding to support research studies T T T T T
ANS: C T
When problems are identified, research can be properly conducted. Research of health care
T T T T T T T T T T T T T
issues leads to evidence-based practice guidelines. Designing research studies is only one
T T T T T T T T T T T T
factor of the research process. Data collection is another factor of research. Financial support
T T T T T T T T T T T T T T
is necessary to conduct research, but it is not the primary role of the nurse in the research
T T T T T T T T T T T T T T T T T T
process.
DIF: Cognitive Level: Understand REF: p. 14 T T TTT T TOP: Nursing Process: N/A
T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
T T T T T T T T T T T T T
statistics for infant mortality, which plan is most important for the nurse to implement?
T T T T T T T T T T T T T
,Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
a. Perform a nutrition assessment.
T T T
b. Refer the woman to a social worker.
T T T T T T
c. Advise the woman to see an obstetrician, not a midwife.
T T T T T T T T T
d. Explain to the woman the importance of keeping her prenatal care appointments.
T T T T T T T T T T T
ANS: DT
, Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
Consistent prenatal care is the best method of preventing or controlling risk factors associatedwith
T T T T T T T T T T T T T T T
infant mortality. Nutritional status is an important modifiable risk factor, but it is not themost
T T T T T T T T T T T T T T T T
important action a nurse should take in this situation. The client may need assistance from a social
T T T T T T T T T T T T T T T T T
worker at some time during her pregnancy, but a referral to a social worker is not the most important
T T T T T T T T T T T T T T T T T T T
aspect the nurse should address at this time. If the woman has identifiable high-risk problems, then her
T T T T T T T T T T T T T T T T T
health care may need to be provided by a physician. However, it cannot be assumed that all African-
T T T T T T T T T T T T T T T T T
American women have high-risk issues. In addition, advising the woman to see an obstetrician is not
T T T T T T T T T T T T T T T T
the most important aspect on whichthe nurse should focus at this time, and it is not appropriate for a
T T T T T T T T T T T T T T T T T T T T
nurse to advise or manage the type of care a client is to receive.
T T T T T T T T T T T T T
DIF: Cognitive Level: Understand REF: p. 6 T T TTT T TOP: Nursing Process: Planning T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
T T T T T T T T T T T T T T T
assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is
T T T T T T T T T T T T T
the most important for the nurse to perform?
T T T T T T T
a. Use maternity jargon to enable the client to become familiar with these terms.
T T T T T T T T T T T T
b. Speak quickly and efficiently to expedite the visit. T T T T T T T
c. Provide the client with handouts. T T T T
d. Assess whether the client understands the discussion. T T T T T T
ANS: D T
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
T T T T T T T T T T T T T
evaluating whether the client understands the discussion. Speaking slowly and clearly and
T T T T T T T T T T T T
focusing on what is important will increase understanding. Most client education materials are
T T T T T T T T T T T T T
written at a level too high for the average adult and may not be useful for a client with limited
T T T T T T T T T T T T T T T T T T T T
English proficiency. T
DIF: Cognitive Level: Apply REF: p. 5 T T TTT T TOP: Nursing Process: Evaluation T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
5. The nurses working at a newly established birthing center have begun to compare their
T T T T T T T T T T T T T T
performance in providing maternal-newborn care against clinical standards. This comparison
T T T T T T T T T T
process is most commonly known as what? T T T T T T
a. Best practices network T T
b. Clinical benchmarking T
c. Outcomes-oriented practice T
d. Evidence-based practice T
ANS: C T
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care T T T T T T T T T T T T
against benchmarks or standards. The term best practice refers to a program or service that has
T T T T T T T T T T T T T T T T
been recognized for its excellence. Clinical benchmarking is a process used to compare one’s
T T T T T T T T T T T T T T
own performance against the performance of the best in an area of service. The term evidence-
T T T T T T T T T T T T T T T
based practice refers to the provision of care based on evidence gained through research and
T T T T T T T T T T T T T T T
clinical trials. T
DIF: Cognitive Level: Understand REF: p. 11 T T TTT T TOP: Nursing Process: Evaluation T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
, Maternity & Women’s Health Care 12th Edition Lowdermilk
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
ANSWERS}
6. Which statement best exemplifies contemporary maternity nursing?
T T T T T T
a. Use of midwives for all vaginal deliveries
T T T T T T
b. Family-centered care T
c. Free-standing birth clinics T T
d. Physician-driven care T
ANS: B T
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
T T T T T T T T T T T T
grandparents, and siblings may be present for the birth and participate in activities such as
T T T T T T T T T T T T T T T
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
T T T T T T T T T T T T
Free-standing clinics are an example of alternative birth options. Contemporary maternity
T T T T T T T T T T T
nursing is driven by the relationship between nurses and their clients.
T T T T T T T T T T
DIF: Cognitive Level: Understand REF: pp. 8-9 T T TTT T TOP: Nursing Process: Planning
T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being
T T T T T T T T T T T T T
in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
T T T T T T T T T T T T T T T T T T
woman have a legitimate legal case for negligence?
T T T T T T T
a. Inexperienced maternity nurse was assigned to care for the client. T T T T T T T T T
b. Client was past her due date by 3 days. T T T T T T T T
c. Standard of care was not met. T T T T T
d. Client refused electronic fetal monitoring. T T T T
ANS: C T
Not meeting the standard of care is a legitimate factor for a case of negligence. An
T T T T T T T T T T T T T T T T
inexperienced maternity nurse would need to display competency before being assigned to
T T T T T T T T T T T T
care for clients on his or her own. This client may have been past her due date; however, a term
T T T T T T T T T T T T T T T T T T T T
pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard
T T T T T T T T T T T T T T
of care, the client has the right to refuse treatment. This refusal is not a case for negligence, but
T T T T T T T T T T T T T T T T T T T
informed consent should be properly obtained, and the client should have signed an against
T T T T T T T T T T T T T T
medical advice form when refusing any treatment that is within the standardof care.
T T T T T T T T T T T T T
DIF: Cognitive Level: Analyze REF: p. 13 T T T T T
TOP: Nursing Process: Implementation
T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
8. When the nurse is unsure how to perform a client care procedure that is high risk and low
T T T T T T T T T T T T T T T T T T
volume, his or her best action in this situation would be what?
T T T T T T T T T T T
a. Ask another nurse. T T
b. Discuss the procedure with the client’s physician. T T T T T T
c. Look up the procedure in a nursing textbook.
T T T T T T T
d. Consult the agency procedure manual, and follow the guidelines for the procedure.
T T T T T T T T T T T
ANS: D T
Following the agency’s policies and procedures manual is always best when seeking
T T T T T T T T T T T T
information on correct client procedures. These policies should reflect the current standards of
T T T T T T T T T T T T T
care and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
T T T T T T T T T T T T T T T T
Relying on another nurse may not always be a safe practice. Each nurse is obligated to follow
T T T T T T T T T T T T T T T T T
the standards of care for safe client care delivery. Physicians are responsible for theirown client
T T T T T T T T T T T T T T T T
