, Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant womans 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: IM:
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: im: 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
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
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant womans 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: IM:
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: im: 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
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
