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 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: IM: TOP: Nursing Process:
Planning
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 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: IM: TOP: Nursing Process:
Planning
