MaternityvandvWomen'svHealthvCarev13thvEditionvLowdermilkvTest
, MaternityvandvWomen'svHealthvCarev13thvEditionvLowdermilkvTest
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
v v v v v v v v v v
Maternity & Women’s Health Care, 13th Edition
v v v v v v
MULTIPLEvCHOICE
1. Invevaluatingvthevlevelvofvavpregnantvwoman’svriskvofvhavingvavlow-birth-
weightv(LBW)vinfant,vwhichvfactorvisvthevmostvimportantvforvthevnursevtovconsider?
a. African-Americanv race
b. Cigarettevsmoking
c. Poorvnutritionalvstatus
d. Limitedvmaternalveducation
ANS:v A
ThevrisevinvthevoverallvLBWvratesvwerevduevtovincreasesvinvLBWvbirthsvtovnon-
Hispanicvblackvwomenv(13.35%)vandvHispanicvwomenv(7.21%);vnon-
Hispanicvblackvinfantsvarevalmostvtwicevasvlikelyvasvnon-
HispanicvwhitevinfantsvtovbevofvLBWvandvtovdievinvthevfirstvyearvofvlife..vRacevisvavnonmodifiab
levriskvfactor.vCigarettevsmokingvisvanvimportantvfactorvinvpotentialvinfantvmortalityvrates,vbutvi
tvisvnotvthevmostvimportant.vAdditionally,vsmokingvisvavmodifiablevriskvfactor.vPoorvnutritionvi
svanvimportantvfactorvinvpotentialvinfantvmortalityvrates,vbutvitvisvnotvthevmostvimportant.vAddit
ionally,vnutritionalvstatusvisvavmodifiablevriskvfactor.vMaternalveducationvisvanvimportantvfacto
rvinvpotentialvinfantvmortalityvrates,vbutvitvisvnotvthevmostvimportant.vAdditionally,vmaternalved
ucationvisvavmodifiablevriskvfactor.
PTS: 1 DIF:
CognitivevLevel:vUnderstandvTOP:
NursingvProcess:vAssessment
MSC:v v Clientv Needs:v HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,v Antepartumv Care
2. Av23-year-oldvAfrican-
Americanvwomanvisvpregnantvwithvhervfirstvchild.vBasedvonvcurrentvstatisticsvforvinfantvmort
ality,vwhichvinterventionvisvmostvimportantvforvthevnursevtovincludevinvthevclient’svplanvofvcar
e?
a. Performvavnutritionvassessment.
b. Refervthevwomanvtovavsocialvworker.
c. Advisevthevwomanvtovseevanvobstetrician,vnotvavmidwife.
d. Explainvtovthevwomanvthevimportancevofvkeepingvhervprenatalvcarevappointments.
ANS:v D
Consistentvprenatalvcarevisvthevbestvmethodvofvpreventingvorvcontrollingvriskvfactorsvassociate
dvwithvinfantvmortality.vNutritionalvstatusvisvanvimportantvmodifiablevriskvfactor,vbutvitvisvnotvth
evmostvimportantvactionvavnursevshouldvtakevinvthisvsituation.vThevclientvmayvneedvassistancevf
romvavsocialvworkervatvsomevtimevduringvhervpregnancy,vbutvavreferralvtovavsocialvworkervisvnot
vthevmostvimportantvaspectvthevnursevshouldvaddress vatvthisvtime.vIfvthevwomanvhasvidentifiabl
evhigh-
riskvproblems,vthenvhervhealthvcarevmayvneedvtovbevprovidedvbyvavphysician.vHowever,vitvcann
otvbevassumedvthatvallvAfrican-Americanvwomenvhavevhigh-
riskvissues.vInvaddition,vadvisingvthevwomanvtovseevanvobstetricianvisvnotvthevmostvimportantva
spectvonvwhichvthevnursevshouldvfocusvatvthisvtime,vandvitvisvnotvappropriatevforvavnursevtovadvi
sevorvmanagevthevtypevofvcarevavclientvisvtovreceive.
PTS: 1 DIF:
CognitivevLevel:vUnderstandvTOP:
NursingvProcess:vPlanning
, MaternityvandvWomen'svHealthvCarev13thvEditionvLowdermilkvTest
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance
3. Thevnursesvworkingvatvavnewlyvestablishedvbirthingvcentervhavevbegunvtovcomparevtheirvp
erformancevinvprovidingvmaternal-
newbornvcarevagainstvclinicalvstandards.vThisvcomparisonvprocessvisvmostvcommonlyvk
nownvasvwhat?
a. Bestvpracticesvnetwork
b. Clinicalvbenchmarking
c. Outcomes-orientedv pracNt iU
ceR S
d. Evidence-basedvpractice
ANS:v C
Outcomes-
orientedvpracticevmeasuresvtheveffectivenessvofvthevinterventionsvandvqualityvofvcarevagainstvb
enchmarksvorvstandards.vThevtermvbestvpracticevrefersvtovavprogramvorvservicevthatvhasvbeenvre
cognizedvforvitsvexcellence.vClinicalvbenchmarkingvisvavprocessvusedvtovcomparevone’svownvp
erformancevagainstvthevperformancevofvthevbestvinvanvareavofvservice.vThevtermvevidence-
basedvpracticevrefersvtovthevprovisionvofvcarevbasedvonvevidencevgainedvthroughvresearchvandv
clinicalvtrials.
PTS: 1 DIF:
CognitivevLevel:vUnderstandvTOP:
NursingvProcess:vEvaluation
MSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvironment
4. Duringvavprenatalvintakevinterview,vthevnursevisvinvthevprocessvofvobtainingvanvinitialva
ssessmentvofvav21-year-
oldvHispanicvclientvwithvlimitedvEnglishvproficiency.vWhichvinterventionvisvthevmostvi
mportantvforvthevnursevtovimplement?
a. Usevmaternityvjargonvtovenablevthevclientvtovbecomevfamiliarvwithvthesevterms.
b. Speakvquicklyvandvefficientlyvtovexpeditevthevvisit.
c. Providevthevclientvwithvhandouts.
d. Assessvwhethervthevclientvunderstandsvthevdiscussion.
ANS:v D
Nursesvcontributevtovhealthvliteracyvbyvusingvsimple,vcommonvwords,vavoidingvjargon,vandve
valuatingvwhethervthevclientvunderstandsvthevdiscussion.vSpeakingvslowlyvandvclearlyvandvfo
cusingvonvwhatvisvimportantvwillvincreasevunderstanding.vMostvclientveducationvmaterialsvare
vwrittenvatvavlevelvtoovhighvforvthevaveragevadultvandvmayvnotvbevusefulvforvavclientvwithvlimit
edvEnglishvproficiency.
PTS: 1 DIF:
CognitivevLevel:vApplyvTOP:
NursingvProcess:vImplementation
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance
5. Whichvstatementvbestvexemplifiesvcontemporaryvmaternityvnursing?
a. Usevofvmidwivesvforvallvvaginalvdeliveries
b. Family-centeredvcare
c. Free-standingvbirthvclinics
d. Physician-
drivenvcarevANS:v B
, MaternityvandvWomen'svHealthvCarev13thvEditionvLowdermilkvTest
Contemporaryvmaternityvnursingvfocusesvonvthevfamily’svneedsvandvdesires.vFathers,vpartners
,vgrandparents,vandvsiblingsvmayvbevpresentvforvthevbirthvandvparticipatevinvactivitiesvsuchvasvcu
ttingvthevbaby’svumbilicalvcord.vBothvmidwivesvandvphysiciansvperformvvaginalvdeliveries.vFr
ee-
standingvclinicsvarevanvexamplevofvalternativevbirthvoptions.vContemporaryvmaternityvnursingv
isvdrivenvbyvthevrelationshipvbetweenvnursesvandvtheirvclients.
PTS: 1 DIF:
CognitivevLevel:vUnderstandvTOP:
NursingvProcess:vPlanning
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance
6. Av38-year-oldvHispanicvwomanvvaginallyvdeliveredvav9-pound,v6-
ouncevbabyvgirlvaftervbeingvinvlaborvforv43vhours.vThevbabyvdiedv3vdaysvlatervfromvsepsis.vOnv
whatvgroundsvcouldvthevwomanvhavevavlegitimatevlegalvcasevforvnegligence?
a. Inexperiencedvmaternityvnursevwasvassignedvtovcarevforvthevclient.
b. Clientvwasvpastvhervduevdatevbyv3vdays.
c. Standardvofvcarevwasvnotvmet.
d. Clientvrefusedvelectronicvfetalvmonitoring.
ANS:v C
Notvmeetingvthevstandardvofvcarevisvavlegitimatevfactorvforvavcasevofvnegligence.vAnvinexperie
ncedvmaternityvnursevwouldvneedvtovdisplayvcompetencyvbeforevbeingvassignedvtovcarevforvclie
ntsvonvhisvorvhervown.vThisvclientvmayvhavevbeenvpastvhervduevdate;vhowever,vavtermvpregnanc
yvoftenvgoesvbeyondv40vweeksvofvgestation.vAlthoughvfetalvmonitoringvisvthevstandardvofvcare,v
thevclientvhasvthevrightvtovrefusevtreatment.vThisvrefusalvisvnotvavcasevforvnegligence,vbutvinfor
medvconsentvshouldvbevproperlyvobtained,vandvthevclientvshouldvhavevsignedvanvagainstvmedic
alvadvicevformvwhenvrefusingvanyvtreatmentvthatvisvwithinvthevstandardvofvcare.
PTS: 1 DIF:
CognitivevLevel:vAnalyzevTOP:
NursingvProcess:vImplementation
MSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvironment
7. Whenvthevnursevisvunsurevhowvtovperformvavclientvcarevprocedurevthatvisvhighvriskvandvlowvv
olume,vhisvorvhervbestvactionvinvthisvsituationvwouldvbevwhat?
a. Askvanothervnurse.
b. Discussvthevprocedurevwithvthevclient’svphysician.
c. Lookvupvthevprocedurevinvavnursingvtextbook.
d. Firstvconsultvthevagencyvprocedurevmanual
ANS:v D
Followingvthevagency’svpoliciesvandvproceduresvmanualvisvalwaysvbestvwhenvseekingvinforma
tionvonvcorrectvclientvprocedures.vThesevpoliciesvshouldvreflectvthevcurrentvstandardsvofvcareva
ndvthevindividualvstate’svguidelines.vEachvnursevisvresponsiblevforvhisvorvhervownvpractice.vRel
yingvonvanothervnursevmayvnotvalwaysvbevavsafevpractice.vEachvnursevisvobligatedvtovfollowvth
evstandardsvofvcarevforvsafevclientvcarevdelivery.vPhysiciansvarevresponsiblevforvtheirvownvclien
tvcarevactivity.vNursesvmayvfollowvsafevordersvfromvphysicians,vbutvtheyvarevalsovresponsiblevf
orvthevactivitiesvthatvthey,vasvnurses,varevtovcarryvout.vInformationvprovidedvinvavnursingvtextbo
okvisvbasicvinformationvforvgeneralvknowledge.vFurthermore,vthevinformationvinvavtextbookvm
ayvnotvreflectvthevcurrentvstandardvofvcarevorvthevindividualvstatevorvhospitalvpolicies.
, MaternityvandvWomen'svHealthvCarev13thvEditionvLowdermilkvTest
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
v v v v v v v v v v
Maternity & Women’s Health Care, 13th Edition
v v v v v v
MULTIPLEvCHOICE
1. Invevaluatingvthevlevelvofvavpregnantvwoman’svriskvofvhavingvavlow-birth-
weightv(LBW)vinfant,vwhichvfactorvisvthevmostvimportantvforvthevnursevtovconsider?
a. African-Americanv race
b. Cigarettevsmoking
c. Poorvnutritionalvstatus
d. Limitedvmaternalveducation
ANS:v A
ThevrisevinvthevoverallvLBWvratesvwerevduevtovincreasesvinvLBWvbirthsvtovnon-
Hispanicvblackvwomenv(13.35%)vandvHispanicvwomenv(7.21%);vnon-
Hispanicvblackvinfantsvarevalmostvtwicevasvlikelyvasvnon-
HispanicvwhitevinfantsvtovbevofvLBWvandvtovdievinvthevfirstvyearvofvlife..vRacevisvavnonmodifiab
levriskvfactor.vCigarettevsmokingvisvanvimportantvfactorvinvpotentialvinfantvmortalityvrates,vbutvi
tvisvnotvthevmostvimportant.vAdditionally,vsmokingvisvavmodifiablevriskvfactor.vPoorvnutritionvi
svanvimportantvfactorvinvpotentialvinfantvmortalityvrates,vbutvitvisvnotvthevmostvimportant.vAddit
ionally,vnutritionalvstatusvisvavmodifiablevriskvfactor.vMaternalveducationvisvanvimportantvfacto
rvinvpotentialvinfantvmortalityvrates,vbutvitvisvnotvthevmostvimportant.vAdditionally,vmaternalved
ucationvisvavmodifiablevriskvfactor.
PTS: 1 DIF:
CognitivevLevel:vUnderstandvTOP:
NursingvProcess:vAssessment
MSC:v v Clientv Needs:v HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,v Antepartumv Care
2. Av23-year-oldvAfrican-
Americanvwomanvisvpregnantvwithvhervfirstvchild.vBasedvonvcurrentvstatisticsvforvinfantvmort
ality,vwhichvinterventionvisvmostvimportantvforvthevnursevtovincludevinvthevclient’svplanvofvcar
e?
a. Performvavnutritionvassessment.
b. Refervthevwomanvtovavsocialvworker.
c. Advisevthevwomanvtovseevanvobstetrician,vnotvavmidwife.
d. Explainvtovthevwomanvthevimportancevofvkeepingvhervprenatalvcarevappointments.
ANS:v D
Consistentvprenatalvcarevisvthevbestvmethodvofvpreventingvorvcontrollingvriskvfactorsvassociate
dvwithvinfantvmortality.vNutritionalvstatusvisvanvimportantvmodifiablevriskvfactor,vbutvitvisvnotvth
evmostvimportantvactionvavnursevshouldvtakevinvthisvsituation.vThevclientvmayvneedvassistancevf
romvavsocialvworkervatvsomevtimevduringvhervpregnancy,vbutvavreferralvtovavsocialvworkervisvnot
vthevmostvimportantvaspectvthevnursevshouldvaddress vatvthisvtime.vIfvthevwomanvhasvidentifiabl
evhigh-
riskvproblems,vthenvhervhealthvcarevmayvneedvtovbevprovidedvbyvavphysician.vHowever,vitvcann
otvbevassumedvthatvallvAfrican-Americanvwomenvhavevhigh-
riskvissues.vInvaddition,vadvisingvthevwomanvtovseevanvobstetricianvisvnotvthevmostvimportantva
spectvonvwhichvthevnursevshouldvfocusvatvthisvtime,vandvitvisvnotvappropriatevforvavnursevtovadvi
sevorvmanagevthevtypevofvcarevavclientvisvtovreceive.
PTS: 1 DIF:
CognitivevLevel:vUnderstandvTOP:
NursingvProcess:vPlanning
, MaternityvandvWomen'svHealthvCarev13thvEditionvLowdermilkvTest
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance
3. Thevnursesvworkingvatvavnewlyvestablishedvbirthingvcentervhavevbegunvtovcomparevtheirvp
erformancevinvprovidingvmaternal-
newbornvcarevagainstvclinicalvstandards.vThisvcomparisonvprocessvisvmostvcommonlyvk
nownvasvwhat?
a. Bestvpracticesvnetwork
b. Clinicalvbenchmarking
c. Outcomes-orientedv pracNt iU
ceR S
d. Evidence-basedvpractice
ANS:v C
Outcomes-
orientedvpracticevmeasuresvtheveffectivenessvofvthevinterventionsvandvqualityvofvcarevagainstvb
enchmarksvorvstandards.vThevtermvbestvpracticevrefersvtovavprogramvorvservicevthatvhasvbeenvre
cognizedvforvitsvexcellence.vClinicalvbenchmarkingvisvavprocessvusedvtovcomparevone’svownvp
erformancevagainstvthevperformancevofvthevbestvinvanvareavofvservice.vThevtermvevidence-
basedvpracticevrefersvtovthevprovisionvofvcarevbasedvonvevidencevgainedvthroughvresearchvandv
clinicalvtrials.
PTS: 1 DIF:
CognitivevLevel:vUnderstandvTOP:
NursingvProcess:vEvaluation
MSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvironment
4. Duringvavprenatalvintakevinterview,vthevnursevisvinvthevprocessvofvobtainingvanvinitialva
ssessmentvofvav21-year-
oldvHispanicvclientvwithvlimitedvEnglishvproficiency.vWhichvinterventionvisvthevmostvi
mportantvforvthevnursevtovimplement?
a. Usevmaternityvjargonvtovenablevthevclientvtovbecomevfamiliarvwithvthesevterms.
b. Speakvquicklyvandvefficientlyvtovexpeditevthevvisit.
c. Providevthevclientvwithvhandouts.
d. Assessvwhethervthevclientvunderstandsvthevdiscussion.
ANS:v D
Nursesvcontributevtovhealthvliteracyvbyvusingvsimple,vcommonvwords,vavoidingvjargon,vandve
valuatingvwhethervthevclientvunderstandsvthevdiscussion.vSpeakingvslowlyvandvclearlyvandvfo
cusingvonvwhatvisvimportantvwillvincreasevunderstanding.vMostvclientveducationvmaterialsvare
vwrittenvatvavlevelvtoovhighvforvthevaveragevadultvandvmayvnotvbevusefulvforvavclientvwithvlimit
edvEnglishvproficiency.
PTS: 1 DIF:
CognitivevLevel:vApplyvTOP:
NursingvProcess:vImplementation
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance
5. Whichvstatementvbestvexemplifiesvcontemporaryvmaternityvnursing?
a. Usevofvmidwivesvforvallvvaginalvdeliveries
b. Family-centeredvcare
c. Free-standingvbirthvclinics
d. Physician-
drivenvcarevANS:v B
, MaternityvandvWomen'svHealthvCarev13thvEditionvLowdermilkvTest
Contemporaryvmaternityvnursingvfocusesvonvthevfamily’svneedsvandvdesires.vFathers,vpartners
,vgrandparents,vandvsiblingsvmayvbevpresentvforvthevbirthvandvparticipatevinvactivitiesvsuchvasvcu
ttingvthevbaby’svumbilicalvcord.vBothvmidwivesvandvphysiciansvperformvvaginalvdeliveries.vFr
ee-
standingvclinicsvarevanvexamplevofvalternativevbirthvoptions.vContemporaryvmaternityvnursingv
isvdrivenvbyvthevrelationshipvbetweenvnursesvandvtheirvclients.
PTS: 1 DIF:
CognitivevLevel:vUnderstandvTOP:
NursingvProcess:vPlanning
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance
6. Av38-year-oldvHispanicvwomanvvaginallyvdeliveredvav9-pound,v6-
ouncevbabyvgirlvaftervbeingvinvlaborvforv43vhours.vThevbabyvdiedv3vdaysvlatervfromvsepsis.vOnv
whatvgroundsvcouldvthevwomanvhavevavlegitimatevlegalvcasevforvnegligence?
a. Inexperiencedvmaternityvnursevwasvassignedvtovcarevforvthevclient.
b. Clientvwasvpastvhervduevdatevbyv3vdays.
c. Standardvofvcarevwasvnotvmet.
d. Clientvrefusedvelectronicvfetalvmonitoring.
ANS:v C
Notvmeetingvthevstandardvofvcarevisvavlegitimatevfactorvforvavcasevofvnegligence.vAnvinexperie
ncedvmaternityvnursevwouldvneedvtovdisplayvcompetencyvbeforevbeingvassignedvtovcarevforvclie
ntsvonvhisvorvhervown.vThisvclientvmayvhavevbeenvpastvhervduevdate;vhowever,vavtermvpregnanc
yvoftenvgoesvbeyondv40vweeksvofvgestation.vAlthoughvfetalvmonitoringvisvthevstandardvofvcare,v
thevclientvhasvthevrightvtovrefusevtreatment.vThisvrefusalvisvnotvavcasevforvnegligence,vbutvinfor
medvconsentvshouldvbevproperlyvobtained,vandvthevclientvshouldvhavevsignedvanvagainstvmedic
alvadvicevformvwhenvrefusingvanyvtreatmentvthatvisvwithinvthevstandardvofvcare.
PTS: 1 DIF:
CognitivevLevel:vAnalyzevTOP:
NursingvProcess:vImplementation
MSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvironment
7. Whenvthevnursevisvunsurevhowvtovperformvavclientvcarevprocedurevthatvisvhighvriskvandvlowvv
olume,vhisvorvhervbestvactionvinvthisvsituationvwouldvbevwhat?
a. Askvanothervnurse.
b. Discussvthevprocedurevwithvthevclient’svphysician.
c. Lookvupvthevprocedurevinvavnursingvtextbook.
d. Firstvconsultvthevagencyvprocedurevmanual
ANS:v D
Followingvthevagency’svpoliciesvandvproceduresvmanualvisvalwaysvbestvwhenvseekingvinforma
tionvonvcorrectvclientvprocedures.vThesevpoliciesvshouldvreflectvthevcurrentvstandardsvofvcareva
ndvthevindividualvstate’svguidelines.vEachvnursevisvresponsiblevforvhisvorvhervownvpractice.vRel
yingvonvanothervnursevmayvnotvalwaysvbevavsafevpractice.vEachvnursevisvobligatedvtovfollowvth
evstandardsvofvcarevforvsafevclientvcarevdelivery.vPhysiciansvarevresponsiblevforvtheirvownvclien
tvcarevactivity.vNursesvmayvfollowvsafevordersvfromvphysicians,vbutvtheyvarevalsovresponsiblevf
orvthevactivitiesvthatvthey,vasvnurses,varevtovcarryvout.vInformationvprovidedvinvavnursingvtextbo
okvisvbasicvinformationvforvgeneralvknowledge.vFurthermore,vthevinformationvinvavtextbookvm
ayvnotvreflectvthevcurrentvstandardvofvcarevorvthevindividualvstatevorvhospitalvpolicies.
