, Maternity.&.Women’s.Health.Care.13th.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.nonmodif
iable.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.import
ant.factor.in.potential.infant.mortality.rates,.but.it.is.not.the.most.important..Additionally,.nutritiona
l.status.is.a.modifiable.risk.factor..Maternal.education.is.an.important.factor.in.potential.infant.mort
ality.rates,.but.it.is.not.the.most.important..Additionally,.maternal.education.is.a.modifiable.risk.fact
or.
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.l
eads.to.evidence-
based.practice.guidelines..Designing.research.studies.is.only.one.factor.of.the.research.process..Dat
a.collection.is.another.factor.of.research..Financial.support.is.necessary.to.conduct.research,.but.it.i
s.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.mortalit
y,.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.i
nfant.mortality..Nutritional.status.is.an.important.modifiable.risk.factor,.but.it.is.not.the.most.import
ant.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.th
e.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.as
sumed.that.all.African-American.women.have.high-
risk.issues..In.addition,.advising.the.woman.to.see.an.obstetrician.is.not.the.most.important.aspect.o
n.which.the.nurse.should.focus.at.this.time,.and.it.is.not.appropriate.for.a.nurse.to.advise.or.manage.t
he.type.of.care.a.client.is.to.receive.
DIF:.Cognitive.Level:.Understand.REF:.IM:.TOP:.Nursing.Process:.Planning
, MSC:.Client.Needs:.Health.Promotion.and.Maintenance
4. 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.nurs
e.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.evaluatin
g.whether.the.client.understands.the.discussion..Speaking.slowly.and.clearly.and.focusing.on.what.i
s.important.will.increase.understanding..Most.client.education.materials.are.written.at.a.level.too.hig
h.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
5. The.nurses.working.at.a.newly.established.birthing.center.have.begun.to.compare.their.perfo
rmance.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
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.nonmodif
iable.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.import
ant.factor.in.potential.infant.mortality.rates,.but.it.is.not.the.most.important..Additionally,.nutritiona
l.status.is.a.modifiable.risk.factor..Maternal.education.is.an.important.factor.in.potential.infant.mort
ality.rates,.but.it.is.not.the.most.important..Additionally,.maternal.education.is.a.modifiable.risk.fact
or.
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.l
eads.to.evidence-
based.practice.guidelines..Designing.research.studies.is.only.one.factor.of.the.research.process..Dat
a.collection.is.another.factor.of.research..Financial.support.is.necessary.to.conduct.research,.but.it.i
s.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.mortalit
y,.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.i
nfant.mortality..Nutritional.status.is.an.important.modifiable.risk.factor,.but.it.is.not.the.most.import
ant.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.th
e.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.as
sumed.that.all.African-American.women.have.high-
risk.issues..In.addition,.advising.the.woman.to.see.an.obstetrician.is.not.the.most.important.aspect.o
n.which.the.nurse.should.focus.at.this.time,.and.it.is.not.appropriate.for.a.nurse.to.advise.or.manage.t
he.type.of.care.a.client.is.to.receive.
DIF:.Cognitive.Level:.Understand.REF:.IM:.TOP:.Nursing.Process:.Planning
, MSC:.Client.Needs:.Health.Promotion.and.Maintenance
4. 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.nurs
e.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.evaluatin
g.whether.the.client.understands.the.discussion..Speaking.slowly.and.clearly.and.focusing.on.what.i
s.important.will.increase.understanding..Most.client.education.materials.are.written.at.a.level.too.hig
h.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
5. The.nurses.working.at.a.newly.established.birthing.center.have.begun.to.compare.their.perfo
rmance.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
