RRRR
MATERNITY & WOMEN’S HEALTH CARE
p p p p
Test Bank For Maternity & Women’s Health Care, 13th Edition,Lowdermilk.
p p p p p p p p p
UPDATED VERSION,2025/2026!!!! ALL CHAPTERS FULLY COVERED !!!! GET A
p p p p p p p p p
COPY,GET AN A+
p p p
,Chapter01:21stCentury Maternity andWomen’s HealthNursing
p p p p p p p p
pLowdermilk: Maternity & Women’s Health Care, 13th Edition
p p p p p p p
MULTIPLE CHOICE p
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
p p p p p p p p p p p p p
infant, which factor is the most important for the nurse to consider?
p p p p p p p p p p p p
a. African-American race p
b. Cigarette smoking p
c. Poor nutritional status p p
d. Limited maternal education p p
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
p p p p p p p p p p p p p p p p
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost
p p p p p p p p p p p
twice as likely as non-Hispanic white infants to be of LBW and to die in the first year of life..
p p p p p p p p p p p p p p p p p p p p
Race is anonmodifiable risk factor. Cigarette smokingis an important factor in potential
p p p p p p p p p p p p p p
infant mortality rates, but it is not the most important. Additionally, smoking is a
p p p p p p p p p p p p p p
modifiable risk factor. Poor nutrition is an important factor in potential infant mortality
p p p p p p p p p p p p p
rates, but it is not the most important. Additionally, nutritional status is a modifiable risk
p p p p p p p p p p p p p p p
factor. Maternal education is an important factor in potential infant mortality rates, but it is
p p p p p p p p p p p p p p p
not the most important. Additionally, maternal education is a modifiable risk factor.
p p p p p p p p p p p p
PTS: 1 DIF: Cognitive Level: Understand p p
TOP: Nursing Process: Assessment
p p p p
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTa nBd.MCaO
inM
tenance, Antepartum Care
p p p p
2. A 23-year-old African-American woman is pregnant with her first child. Based on
p p p p p p p p p p p
current statistics for infant mortality, which intervention is most important for the nurse to
p p p p p p p p p p p p p p
include in the client’s plan of care?
p p p p p p p
a. Perform anutrition assessment. p p p
b. Refer the woman to a social worker. p p p p p p
c. Advisethe woman to see an obstetrician, not a midwife. p p p p p p p p p
d. Explain to the woman the importance of keeping her prenatal care appointments.
p p p p p p p p p p p
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors
p p p p p p p p p p p p
associated with infant mortality. Nutritional status isan important modifiable risk factor, but it
p p p p p p p p p p p p p p
is not the most important action a nurse should take in this situation. The client may need
p p p p p p p p p p p p p p p p p
assistance from a social worker at some time during her pregnancy, but a referral to a social
p p p p p p p p p p p p p p p p p
worker is not the most important aspect the nurse should address at this time. If the
p p p p p p p p p p p p p p p p
woman has identifiable high-risk problems, then her health care may need to be provided
p p p p p p p p p p p p p p
pby a physician. However, it cannot be assumed that all African-American women have
p p p p p p p p p p p p
high-risk issues. In addition, advising the woman to see an obstetrician is not the
p p p p p p p p p p p p p p
most important aspect on which the nurse should focus at this time, and it is not appropriate
p p p p p p p p p p p p p p p p p
pfor a nurse to advise or manage the type of care a client is to receive.
p p p p p p p p p p p p p p p
PTS: 1 DIF: Cognitive Level: Understand p p
TOP: Nursing Process: Planning
p p p p
, MSC: Client Needs: Health Promotion and Maintenance
p p p p p p
3. Thenurses workingat a newlyestablished birthing center have begun to compare their
p p p p p p p p p p p
performance in providing maternal-newborn care against clinical standards. This
p p p p p p p p p
comparison process is most commonly known as what?
p p p p p p p p
a. Best practices network p p
b. Clinical benchmarking p
c. Outcomes-oriented pracNtiUc eRS p p p
d. Evidence-based practice p
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of p p p p p p p p p p
care against benchmarks or standards. Theterm best practice refers to a program or service
p p p p p p p p p p p p p p p
that has been recognized for its excellence. Clinical benchmarking is a process used to
p p p p p p p p p p p p p p
compare one’s own performance against the performance of the best in an area of
p p p p p p p p p p p p p p
service. The term evidence-based practice refers to the provision of care based on evidence
p p p p p p p p p p p p p p
gained through research and clinical trials.
p p p p p p
PTS: 1 DIF: Cognitive Level: Understand p p
TOP: Nursing Process: Evaluation
p p p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p
4. During a prenatal intake interview, the nurse is in the process of obtaining
p p p p p p p p p p p p
an initial assessment of a 21-year-old Hispanic client with limited English
p p p p p p p p p p p
proficiency. Which intervention is the most important for the nurse to implement?
p p p p p p p p p p p p
a. Usematernityjargon to enable the client to become familiar with these terms.
p p p p p p p p p p p
b. Speak quickly and efficientlyto expedite the visit.
p p p p p p p
c. Providethe client with handouts. p p p p
d. Assess whether the client understands the discussion.
p p p p p p
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
p p p p p p p p p p p
and evaluating whether the client understands the discussion. Speaking slowly and
p p p p p p p p p p p
pclearly and focusing on what is important will increase understanding. Most client
p p p p p p p p p p p
education materials are written at a level too high for the average adult and may not be
p p p p p p p p p p p p p p p p p
useful for a client with limited English proficiency.
p p p p p p p p
PTS: 1 DIF: CognitiveLevel:Apply p p
TOP: Nursing Process: Implementation
p p p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p
5. Which statement best exemplifies contemporarymaternity nursing?
p p p p p
a. Useof midwives for all vaginal deliveries
p p p p p
b. Family-centered care p
c. Free-standingbirth clinics p p
d. Physician-driven
care ANS: B
p p p
, Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, p p p p p p p p p p
partners, grandparents, and siblings maybe present forthe birth and participate in activities
p p p p p p p p p p p p p
such as cutting the baby’s umbilical cord. Both midwives and physicians perform
p p p p p p p p p p p p
vaginal deliveries. Free-standing clinics are an example of alternative birth options.
p p p p p p p p p p p
Contemporary maternity nursing is driven by the relationship between nurses and their p p p p p p p p p p p
clients.
p
PTS: 1 DIF: Cognitive Level: Understand p p
TOP: Nursing Process: Planning
p p p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p
6. A38-year-old Hispanic woman vaginallydelivered a 9-pound, 6-ounce baby girl after being in
p p p p p p p p p p p p
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could
p p p p p p p p p p p p p p p p
the woman have a legitimate legal case for negligence?
p p p p p p p p p
a. Inexperienced maternity nursewas assigned to care for the client. p p p p p p p p
b. Client was past her due date by3 days. p p p p p p p
c. Standard of care was not met. p p p p p
d. Client refused electronic fetal monitoring. p p p p
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
p p p p p p p p p p p p p p p
inexperienced maternity nurse would need to displaycompetencybefore being assigned to
p p p p p p p p p p
care for clients on his or her own. This client may have been past her due date; however, a
p p p p p p p p p p p p p p p p p p p
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
p p p p p p p p p p p p p p
standard of care, the client has the right to refuse treatment. This refusal is not a case for
p p p p p p p p p p p p p p p p p p
negligence, but informed consent should be properly obtained, and the client should have
p p p p p p p p p p p p p
signed an against medical advice form when refusing any treatment that is within the
p p p p p p p p p p p p p p
standard of care.
p p p
PTS: 1 DIF: CognitiveLevel: Analyze p p
TOP: Nursing Process: Implementation
p p p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
p p p p p p p p p p p p p p p p p
volume, his or her best action in this situation would be what?
p p p p p p p p p p p p
a. Ask another nurse. p p
b. Discuss the procedure with the client’s physician. p p p p p p
c. Look up the procedure in a nursing textbook.
p p p p p p p
d. First consult the agencyprocedure manual
p p p p p
ANS: D
Following the agency’s policies and procedures manual is always best when seeking
p p p p p p p p p p p
information on correct client procedures. These policies should reflect the current standards of
p p p p p p p p p p p p p
care and the individual state’s guidelines. Each nurse is responsible for his or her own
p p p p p p p p p p p p p p p
practice. Relying on another nurse may not always be a safe practice. Each nurse is
p p p p p p p p p p p p p p p
obligated to follow the standards of care for safe client care delivery. Physicians are
p p p p p p p p p p p p p p
responsible for their own client care activity. Nurses may follow safe orders from
p p p p p p p p p p p p p
physicians, but they are also responsible for the activities that they, as nurses, are
p p p p p p p p p p p p p p
to carry out. Information provided in a nursing textbook is basic information for general
p p p p p p p p p p p p p p
knowledge. Furthermore, the information in a textbook may not reflect the current standard
p p p p p p p p p p p p p
of care or the individual state or hospital policies.
p p p p p p p p p
MATERNITY & WOMEN’S HEALTH CARE
p p p p
Test Bank For Maternity & Women’s Health Care, 13th Edition,Lowdermilk.
p p p p p p p p p
UPDATED VERSION,2025/2026!!!! ALL CHAPTERS FULLY COVERED !!!! GET A
p p p p p p p p p
COPY,GET AN A+
p p p
,Chapter01:21stCentury Maternity andWomen’s HealthNursing
p p p p p p p p
pLowdermilk: Maternity & Women’s Health Care, 13th Edition
p p p p p p p
MULTIPLE CHOICE p
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
p p p p p p p p p p p p p
infant, which factor is the most important for the nurse to consider?
p p p p p p p p p p p p
a. African-American race p
b. Cigarette smoking p
c. Poor nutritional status p p
d. Limited maternal education p p
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
p p p p p p p p p p p p p p p p
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost
p p p p p p p p p p p
twice as likely as non-Hispanic white infants to be of LBW and to die in the first year of life..
p p p p p p p p p p p p p p p p p p p p
Race is anonmodifiable risk factor. Cigarette smokingis an important factor in potential
p p p p p p p p p p p p p p
infant mortality rates, but it is not the most important. Additionally, smoking is a
p p p p p p p p p p p p p p
modifiable risk factor. Poor nutrition is an important factor in potential infant mortality
p p p p p p p p p p p p p
rates, but it is not the most important. Additionally, nutritional status is a modifiable risk
p p p p p p p p p p p p p p p
factor. Maternal education is an important factor in potential infant mortality rates, but it is
p p p p p p p p p p p p p p p
not the most important. Additionally, maternal education is a modifiable risk factor.
p p p p p p p p p p p p
PTS: 1 DIF: Cognitive Level: Understand p p
TOP: Nursing Process: Assessment
p p p p
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTa nBd.MCaO
inM
tenance, Antepartum Care
p p p p
2. A 23-year-old African-American woman is pregnant with her first child. Based on
p p p p p p p p p p p
current statistics for infant mortality, which intervention is most important for the nurse to
p p p p p p p p p p p p p p
include in the client’s plan of care?
p p p p p p p
a. Perform anutrition assessment. p p p
b. Refer the woman to a social worker. p p p p p p
c. Advisethe woman to see an obstetrician, not a midwife. p p p p p p p p p
d. Explain to the woman the importance of keeping her prenatal care appointments.
p p p p p p p p p p p
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors
p p p p p p p p p p p p
associated with infant mortality. Nutritional status isan important modifiable risk factor, but it
p p p p p p p p p p p p p p
is not the most important action a nurse should take in this situation. The client may need
p p p p p p p p p p p p p p p p p
assistance from a social worker at some time during her pregnancy, but a referral to a social
p p p p p p p p p p p p p p p p p
worker is not the most important aspect the nurse should address at this time. If the
p p p p p p p p p p p p p p p p
woman has identifiable high-risk problems, then her health care may need to be provided
p p p p p p p p p p p p p p
pby a physician. However, it cannot be assumed that all African-American women have
p p p p p p p p p p p p
high-risk issues. In addition, advising the woman to see an obstetrician is not the
p p p p p p p p p p p p p p
most important aspect on which the nurse should focus at this time, and it is not appropriate
p p p p p p p p p p p p p p p p p
pfor a nurse to advise or manage the type of care a client is to receive.
p p p p p p p p p p p p p p p
PTS: 1 DIF: Cognitive Level: Understand p p
TOP: Nursing Process: Planning
p p p p
, MSC: Client Needs: Health Promotion and Maintenance
p p p p p p
3. Thenurses workingat a newlyestablished birthing center have begun to compare their
p p p p p p p p p p p
performance in providing maternal-newborn care against clinical standards. This
p p p p p p p p p
comparison process is most commonly known as what?
p p p p p p p p
a. Best practices network p p
b. Clinical benchmarking p
c. Outcomes-oriented pracNtiUc eRS p p p
d. Evidence-based practice p
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of p p p p p p p p p p
care against benchmarks or standards. Theterm best practice refers to a program or service
p p p p p p p p p p p p p p p
that has been recognized for its excellence. Clinical benchmarking is a process used to
p p p p p p p p p p p p p p
compare one’s own performance against the performance of the best in an area of
p p p p p p p p p p p p p p
service. The term evidence-based practice refers to the provision of care based on evidence
p p p p p p p p p p p p p p
gained through research and clinical trials.
p p p p p p
PTS: 1 DIF: Cognitive Level: Understand p p
TOP: Nursing Process: Evaluation
p p p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p
4. During a prenatal intake interview, the nurse is in the process of obtaining
p p p p p p p p p p p p
an initial assessment of a 21-year-old Hispanic client with limited English
p p p p p p p p p p p
proficiency. Which intervention is the most important for the nurse to implement?
p p p p p p p p p p p p
a. Usematernityjargon to enable the client to become familiar with these terms.
p p p p p p p p p p p
b. Speak quickly and efficientlyto expedite the visit.
p p p p p p p
c. Providethe client with handouts. p p p p
d. Assess whether the client understands the discussion.
p p p p p p
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
p p p p p p p p p p p
and evaluating whether the client understands the discussion. Speaking slowly and
p p p p p p p p p p p
pclearly and focusing on what is important will increase understanding. Most client
p p p p p p p p p p p
education materials are written at a level too high for the average adult and may not be
p p p p p p p p p p p p p p p p p
useful for a client with limited English proficiency.
p p p p p p p p
PTS: 1 DIF: CognitiveLevel:Apply p p
TOP: Nursing Process: Implementation
p p p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p
5. Which statement best exemplifies contemporarymaternity nursing?
p p p p p
a. Useof midwives for all vaginal deliveries
p p p p p
b. Family-centered care p
c. Free-standingbirth clinics p p
d. Physician-driven
care ANS: B
p p p
, Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, p p p p p p p p p p
partners, grandparents, and siblings maybe present forthe birth and participate in activities
p p p p p p p p p p p p p
such as cutting the baby’s umbilical cord. Both midwives and physicians perform
p p p p p p p p p p p p
vaginal deliveries. Free-standing clinics are an example of alternative birth options.
p p p p p p p p p p p
Contemporary maternity nursing is driven by the relationship between nurses and their p p p p p p p p p p p
clients.
p
PTS: 1 DIF: Cognitive Level: Understand p p
TOP: Nursing Process: Planning
p p p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p
6. A38-year-old Hispanic woman vaginallydelivered a 9-pound, 6-ounce baby girl after being in
p p p p p p p p p p p p
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could
p p p p p p p p p p p p p p p p
the woman have a legitimate legal case for negligence?
p p p p p p p p p
a. Inexperienced maternity nursewas assigned to care for the client. p p p p p p p p
b. Client was past her due date by3 days. p p p p p p p
c. Standard of care was not met. p p p p p
d. Client refused electronic fetal monitoring. p p p p
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
p p p p p p p p p p p p p p p
inexperienced maternity nurse would need to displaycompetencybefore being assigned to
p p p p p p p p p p
care for clients on his or her own. This client may have been past her due date; however, a
p p p p p p p p p p p p p p p p p p p
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
p p p p p p p p p p p p p p
standard of care, the client has the right to refuse treatment. This refusal is not a case for
p p p p p p p p p p p p p p p p p p
negligence, but informed consent should be properly obtained, and the client should have
p p p p p p p p p p p p p
signed an against medical advice form when refusing any treatment that is within the
p p p p p p p p p p p p p p
standard of care.
p p p
PTS: 1 DIF: CognitiveLevel: Analyze p p
TOP: Nursing Process: Implementation
p p p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
p p p p p p p p p p p p p p p p p
volume, his or her best action in this situation would be what?
p p p p p p p p p p p p
a. Ask another nurse. p p
b. Discuss the procedure with the client’s physician. p p p p p p
c. Look up the procedure in a nursing textbook.
p p p p p p p
d. First consult the agencyprocedure manual
p p p p p
ANS: D
Following the agency’s policies and procedures manual is always best when seeking
p p p p p p p p p p p
information on correct client procedures. These policies should reflect the current standards of
p p p p p p p p p p p p p
care and the individual state’s guidelines. Each nurse is responsible for his or her own
p p p p p p p p p p p p p p p
practice. Relying on another nurse may not always be a safe practice. Each nurse is
p p p p p p p p p p p p p p p
obligated to follow the standards of care for safe client care delivery. Physicians are
p p p p p p p p p p p p p p
responsible for their own client care activity. Nurses may follow safe orders from
p p p p p p p p p p p p p
physicians, but they are also responsible for the activities that they, as nurses, are
p p p p p p p p p p p p p p
to carry out. Information provided in a nursing textbook is basic information for general
p p p p p p p p p p p p p p
knowledge. Furthermore, the information in a textbook may not reflect the current standard
p p p p p p p p p p p p p
of care or the individual state or hospital policies.
p p p p p p p p p
