l Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l l
Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l
Chapterl1:l21stlCenturylMaternitylandlWomen’slHealthlNursing
MULTIPLElCHOICE
1. Inlevaluatinglthellevelloflalpregnantlwomanslriskloflhavinglallow-birth-
weightl(LBW)linfant,lwhichlfactorlislthelmostlimportantlforlthelnurseltolconsider?
a. African-Americanlrace
b. Cigarettelsmoking
c. Poorlnutritionallstatus
d. Limitedlmaternalleducation
ANS:lA
ForlAfrican-
Americanlbirths,lthelincidenceloflLBWlinfantslisltwicelthatloflCaucasianlbirths.lRacelislalnonmodifia
blelrisklfactor.lCigarettelsmokinglislanlimportantlfactorlinlpotentiallinfantlmortalitylrates,lbutlitlislnotlt
helmostlimportant.lAdditionally,lsmokinglislalmodifiablelrisklfactor.lPoorlnutritionlislanlimportantlfa
ctorlinlpotentiallinfantlmortalitylrates,lbutlitlislnotlthelmostlimportant.lAdditionally,lnutritionallstatusl
islalmodifiablelrisklfactor.lMaternalleducationlislanlimportantlfactorlinlpotentiallinfantlmortalitylrates
,lbutlitlislnotlthelmostlimportant.lAdditionally,lmaternalleducationlislalmodifiablelrisklfactor.
DIF:lCognitivelLevel:lUnderstandlREF:lIM:
TOP:lNursinglProcess:lAssessment
MSC:lClientlNeeds:lHealthlPromotionlandlMaintenance,lAntepartumlCare
2. Whatlislthelprimarylroleloflpracticinglnurseslinlthelresearchlprocess?
a. Designinglresearchlstudies
b. Collectingldatalforlotherlresearchers
c. Identifyinglresearchablelproblems
,l Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l l
d. Seekinglfundingltolsupportlresearchlstudies
ANS:lC
Whenlproblemslarelidentified,lresearchlcanlbelproperlylconducted.lResearchloflhealthlcarelissueslle
adsltolevidence-
basedlpracticelguidelines.lDesigninglresearchlstudieslislonlylonelfactorloflthelresearchlprocess.lDatal
collectionlislanotherlfactorloflresearch.lFinanciallsupportlislnecessaryltolconductlresearch,lbutlitlisln
otlthelprimarylroleloflthelnurselinlthelresearchlprocess.
DIF:lCognitivelLevel:lUnderstandlREF:lim:l14lTOP:lNursinglProcess:lN/AlM
SC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment
3. Al23-year-oldlAfrican-
Americanlwomanlislpregnantlwithlherlfirstlchild.lBasedlonlthelstatisticslforlinfantlmortality,l
whichlplanlislmostlimportantlforlthelnurseltolimplement?
a. Performlalnutritionlassessment.
b. Referlthelwomanltolalsociallworker.
c. Adviselthelwomanltolseelanlobstetrician,lnotlalmidwife.
d. Explainltolthelwomanlthelimportanceloflkeepinglherlprenatallcarelappointments.
ANS:lD
Consistentlprenatallcarelislthelbestlmethodloflpreventinglorlcontrollinglrisklfactorslassociatedlwithlinf
antlmortality.lNutritionallstatuslislanlimportantlmodifiablelrisklfactor,lbutlitlislnotlthelmostlimportantl
actionlalnurselshouldltakelinlthislsituation.lThelclientlmaylneedlassistancelfromlalsociallworkerlatlsom
eltimelduringlherlpregnancy,lbutlalreferralltolalsociallworkerlislnotlthelmostlimportantlaspectlthelnursel
shouldladdresslatlthisltime.lIflthelwomanlhaslidentifiablelhigh-
risklproblems,lthenlherlhealthlcarelmaylneedltolbelprovidedlbylalphysician.lHowever,litlcannotlbelassu
medlthatlalllAfrican-Americanlwomenlhavelhigh-
risklissues.lInladdition,ladvisinglthelwomanltolseelanlobstetricianlislnotlthelmostlimportantlaspectlonl
whichlthelnurselshouldlfocuslatlthisltime,landlitlislnotlappropriatelforlalnurseltoladviselorlmanagelthelty
peloflcarelalclientlisltolreceive.
DIF:lCognitivelLevel:lUnderstandlREF:lIM:lTOP:lNursinglProcess:lPlanning
,l Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l l
MSC:lClientlNeeds:lHealthlPromotionlandlMaintenance
4. Duringlalprenatallintakelinterview,lthelnurselislinlthelprocessloflobtaininglanlinitiallassessmentloflal
21-year-
oldlHispaniclclientlwithllimitedlEnglishlproficiency.lWhichlactionlislthelmostlimportantlforlthelnurselt
olperform?
a. Uselmaternityljargonltolenablelthelclientltolbecomelfamiliarlwithltheselterms.
b. Speaklquicklylandlefficientlyltolexpeditelthelvisit.
c. Providelthelclientlwithlhandouts.
d. Assesslwhetherlthelclientlunderstandsltheldiscussion.
ANS:lD
Nurseslcontributeltolhealthlliteracylbylusinglsimple,lcommonlwords,lavoidingljargon,landlevaluati
nglwhetherlthelclientlunderstandsltheldiscussion.lSpeakinglslowlylandlclearlylandlfocusinglonlwh
atlislimportantlwilllincreaselunderstanding.lMostlclientleducationlmaterialslarelwrittenlatlallevellto
olhighlforlthelaverageladultlandlmaylnotlbelusefullforlalclientlwithllimitedlEnglishlproficiency.
DIF:lCognitivelLevel:lApplylREF:lim:l5lTOP:lNursinglProcess:lEvaluationlMS
C:lClientlNeeds:lHealthlPromotionlandlMaintenance
5. Thelnurseslworkinglatlalnewlylestablishedlbirthinglcenterlhavelbegunltolcompareltheirlperfor
mancelinlprovidinglmaternal-
newbornlcarelagainstlclinicallstandards.lThislcomparisonlprocesslislmostlcommonlylknownlaslw
hat?
a. Bestlpracticeslnetwork
b. Clinicallbenchmarking
c. Outcomes-orientedlpractice
d. Evidence-
basedlpracticelANS:lC
, l Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l l
Outcomes-
orientedlpracticelmeasuresltheleffectivenessloflthelinterventionslandlqualityloflcarelagainstlbenchmar
kslorlstandards.lTheltermlbestlpracticelrefersltolalprogramlorlservicelthatlhaslbeenlrecognizedlforlitslex
cellence.lClinicallbenchmarkinglislalprocesslusedltolcompareloneslownlperformancelagainstlthelperfo
rmanceloflthelbestlinlanlarealoflservice.lTheltermlevidence-
basedlpracticelrefersltolthelprovisionloflcarelbasedlonlevidencelgainedlthroughlresearchlandlclinicalltr
ials.
DIF:lCognitivelLevel:lUnderstandlREF:lim:l11lTOP:lNursinglProcess:lEvaluationlM
SC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment
6. Whichlstatementlbestlexemplifieslcontemporarylmaternitylnursing?
a. Useloflmidwiveslforlalllvaginalldeliveries
b. Family-centeredlcare
c. Free-standinglbirthlclinics
d. Physician-drivenlcare
ANS:lB
Contemporarylmaternitylnursinglfocuseslonlthelfamilyslneedslandldesires.lFathers,lpartners,lgra
ndparents,landlsiblingslmaylbelpresentlforlthelbirthlandlparticipatelinlactivitieslsuchlaslcuttinglth
elbabyslumbilicallcord.lBothlmidwiveslandlphysicianslperformlvaginalldeliveries.lFree-
standinglclinicslarelanlexampleloflalternativelbirthloptions.lContemporarylmaternitylnursinglisld
rivenlbylthelrelationshiplbetweenlnurseslandltheirlclients.
DIF:lCognitivelLevel:lUnderstandlREF:lpp.l8-
9lTOP:lNursinglProcess:lPlanninglMSC:lClientlNeeds:lHealthlPromotionlandlMaint
enance
7. Al38-year-oldlHispaniclwomanlvaginallyldeliveredlal9-pound,l6-
ouncelbabylgirllafterlbeinglinllaborlforl43lhours.lThelbabyldiedl3ldaysllaterlfromlsepsis.lOnlwhatlgroun
dslcouldlthelwomanlhavelallegitimatellegallcaselforlnegligence?
a. Inexperiencedlmaternitylnurselwaslassignedltolcarelforlthelclient.
l l l l l l l l l l
Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l
Chapterl1:l21stlCenturylMaternitylandlWomen’slHealthlNursing
MULTIPLElCHOICE
1. Inlevaluatinglthellevelloflalpregnantlwomanslriskloflhavinglallow-birth-
weightl(LBW)linfant,lwhichlfactorlislthelmostlimportantlforlthelnurseltolconsider?
a. African-Americanlrace
b. Cigarettelsmoking
c. Poorlnutritionallstatus
d. Limitedlmaternalleducation
ANS:lA
ForlAfrican-
Americanlbirths,lthelincidenceloflLBWlinfantslisltwicelthatloflCaucasianlbirths.lRacelislalnonmodifia
blelrisklfactor.lCigarettelsmokinglislanlimportantlfactorlinlpotentiallinfantlmortalitylrates,lbutlitlislnotlt
helmostlimportant.lAdditionally,lsmokinglislalmodifiablelrisklfactor.lPoorlnutritionlislanlimportantlfa
ctorlinlpotentiallinfantlmortalitylrates,lbutlitlislnotlthelmostlimportant.lAdditionally,lnutritionallstatusl
islalmodifiablelrisklfactor.lMaternalleducationlislanlimportantlfactorlinlpotentiallinfantlmortalitylrates
,lbutlitlislnotlthelmostlimportant.lAdditionally,lmaternalleducationlislalmodifiablelrisklfactor.
DIF:lCognitivelLevel:lUnderstandlREF:lIM:
TOP:lNursinglProcess:lAssessment
MSC:lClientlNeeds:lHealthlPromotionlandlMaintenance,lAntepartumlCare
2. Whatlislthelprimarylroleloflpracticinglnurseslinlthelresearchlprocess?
a. Designinglresearchlstudies
b. Collectingldatalforlotherlresearchers
c. Identifyinglresearchablelproblems
,l Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l l
d. Seekinglfundingltolsupportlresearchlstudies
ANS:lC
Whenlproblemslarelidentified,lresearchlcanlbelproperlylconducted.lResearchloflhealthlcarelissueslle
adsltolevidence-
basedlpracticelguidelines.lDesigninglresearchlstudieslislonlylonelfactorloflthelresearchlprocess.lDatal
collectionlislanotherlfactorloflresearch.lFinanciallsupportlislnecessaryltolconductlresearch,lbutlitlisln
otlthelprimarylroleloflthelnurselinlthelresearchlprocess.
DIF:lCognitivelLevel:lUnderstandlREF:lim:l14lTOP:lNursinglProcess:lN/AlM
SC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment
3. Al23-year-oldlAfrican-
Americanlwomanlislpregnantlwithlherlfirstlchild.lBasedlonlthelstatisticslforlinfantlmortality,l
whichlplanlislmostlimportantlforlthelnurseltolimplement?
a. Performlalnutritionlassessment.
b. Referlthelwomanltolalsociallworker.
c. Adviselthelwomanltolseelanlobstetrician,lnotlalmidwife.
d. Explainltolthelwomanlthelimportanceloflkeepinglherlprenatallcarelappointments.
ANS:lD
Consistentlprenatallcarelislthelbestlmethodloflpreventinglorlcontrollinglrisklfactorslassociatedlwithlinf
antlmortality.lNutritionallstatuslislanlimportantlmodifiablelrisklfactor,lbutlitlislnotlthelmostlimportantl
actionlalnurselshouldltakelinlthislsituation.lThelclientlmaylneedlassistancelfromlalsociallworkerlatlsom
eltimelduringlherlpregnancy,lbutlalreferralltolalsociallworkerlislnotlthelmostlimportantlaspectlthelnursel
shouldladdresslatlthisltime.lIflthelwomanlhaslidentifiablelhigh-
risklproblems,lthenlherlhealthlcarelmaylneedltolbelprovidedlbylalphysician.lHowever,litlcannotlbelassu
medlthatlalllAfrican-Americanlwomenlhavelhigh-
risklissues.lInladdition,ladvisinglthelwomanltolseelanlobstetricianlislnotlthelmostlimportantlaspectlonl
whichlthelnurselshouldlfocuslatlthisltime,landlitlislnotlappropriatelforlalnurseltoladviselorlmanagelthelty
peloflcarelalclientlisltolreceive.
DIF:lCognitivelLevel:lUnderstandlREF:lIM:lTOP:lNursinglProcess:lPlanning
,l Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l l
MSC:lClientlNeeds:lHealthlPromotionlandlMaintenance
4. Duringlalprenatallintakelinterview,lthelnurselislinlthelprocessloflobtaininglanlinitiallassessmentloflal
21-year-
oldlHispaniclclientlwithllimitedlEnglishlproficiency.lWhichlactionlislthelmostlimportantlforlthelnurselt
olperform?
a. Uselmaternityljargonltolenablelthelclientltolbecomelfamiliarlwithltheselterms.
b. Speaklquicklylandlefficientlyltolexpeditelthelvisit.
c. Providelthelclientlwithlhandouts.
d. Assesslwhetherlthelclientlunderstandsltheldiscussion.
ANS:lD
Nurseslcontributeltolhealthlliteracylbylusinglsimple,lcommonlwords,lavoidingljargon,landlevaluati
nglwhetherlthelclientlunderstandsltheldiscussion.lSpeakinglslowlylandlclearlylandlfocusinglonlwh
atlislimportantlwilllincreaselunderstanding.lMostlclientleducationlmaterialslarelwrittenlatlallevellto
olhighlforlthelaverageladultlandlmaylnotlbelusefullforlalclientlwithllimitedlEnglishlproficiency.
DIF:lCognitivelLevel:lApplylREF:lim:l5lTOP:lNursinglProcess:lEvaluationlMS
C:lClientlNeeds:lHealthlPromotionlandlMaintenance
5. Thelnurseslworkinglatlalnewlylestablishedlbirthinglcenterlhavelbegunltolcompareltheirlperfor
mancelinlprovidinglmaternal-
newbornlcarelagainstlclinicallstandards.lThislcomparisonlprocesslislmostlcommonlylknownlaslw
hat?
a. Bestlpracticeslnetwork
b. Clinicallbenchmarking
c. Outcomes-orientedlpractice
d. Evidence-
basedlpracticelANS:lC
, l Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank
l l l l l l l l l l
Outcomes-
orientedlpracticelmeasuresltheleffectivenessloflthelinterventionslandlqualityloflcarelagainstlbenchmar
kslorlstandards.lTheltermlbestlpracticelrefersltolalprogramlorlservicelthatlhaslbeenlrecognizedlforlitslex
cellence.lClinicallbenchmarkinglislalprocesslusedltolcompareloneslownlperformancelagainstlthelperfo
rmanceloflthelbestlinlanlarealoflservice.lTheltermlevidence-
basedlpracticelrefersltolthelprovisionloflcarelbasedlonlevidencelgainedlthroughlresearchlandlclinicalltr
ials.
DIF:lCognitivelLevel:lUnderstandlREF:lim:l11lTOP:lNursinglProcess:lEvaluationlM
SC:lClientlNeeds:lSafelandlEffectivelCarelEnvironment
6. Whichlstatementlbestlexemplifieslcontemporarylmaternitylnursing?
a. Useloflmidwiveslforlalllvaginalldeliveries
b. Family-centeredlcare
c. Free-standinglbirthlclinics
d. Physician-drivenlcare
ANS:lB
Contemporarylmaternitylnursinglfocuseslonlthelfamilyslneedslandldesires.lFathers,lpartners,lgra
ndparents,landlsiblingslmaylbelpresentlforlthelbirthlandlparticipatelinlactivitieslsuchlaslcuttinglth
elbabyslumbilicallcord.lBothlmidwiveslandlphysicianslperformlvaginalldeliveries.lFree-
standinglclinicslarelanlexampleloflalternativelbirthloptions.lContemporarylmaternitylnursinglisld
rivenlbylthelrelationshiplbetweenlnurseslandltheirlclients.
DIF:lCognitivelLevel:lUnderstandlREF:lpp.l8-
9lTOP:lNursinglProcess:lPlanninglMSC:lClientlNeeds:lHealthlPromotionlandlMaint
enance
7. Al38-year-oldlHispaniclwomanlvaginallyldeliveredlal9-pound,l6-
ouncelbabylgirllafterlbeinglinllaborlforl43lhours.lThelbabyldiedl3ldaysllaterlfromlsepsis.lOnlwhatlgroun
dslcouldlthelwomanlhavelallegitimatellegallcaselforlnegligence?
a. Inexperiencedlmaternitylnurselwaslassignedltolcarelforlthelclient.
