Maternity & Women’s Health Car 11th Edition Lowdermilk Test
n n n n n n n n
Bank Best Maternity Guide.
n n n n
, Maternityn and n Women'sn Healthn Caren 11thn Editionn Lowdermilkn Test n Bank
Chapter n01:n21stnCentury nMaternity nandnWomen’snHealthnNursing nLowder
milk:nMaternity n&nWomen’snHealthnCare,n11thnEdition
MULTIPLEnCHOICE
1. Inn evaluatingn then leveln of n an pregnant n woman’sn riskn of n havingn an low-birth-
weight n (LBW)n infant,nwhichn factorn isn then most n important n forn then nursen ton consider?
a. African-Americann race
b. Cigaretten smoking
c. Poorn nutritionaln status
d. Limited n maternaln education
ANS:n A
Forn African-
Americann births,n then incidencen of n LBWninfantsnisn twicen that n of n Caucasiann births.n Racen isn an non
modifiablen riskn factor.n Cigaretten smokingn isn ann important n factorn inn potentialn infantn mortalityn rat
es,n but n it n isn not nthenmost n important.nAdditionally,n smokingn isn an modifiablen riskn factor.n Poorn nutr
itionn isn ann important n factorn inn potentialn infant nmortalityn rates,n butn itn isn notnt hen most n important.n A
dditionally,n nutritionaln statusn isn an modifiablen riskn factor.n Maternaln educationnisn ann important nfac
torn inn potentialn infant n mortalityn rates,nbut nit n isn notnthenmost n important.nAdditionally,n maternaln ed
ucationn isn an modifiablen riskn factor.
DIF: Cognitiven Level:n Understand
REF:n p.n 6 nTOP:n Nursingn Process:n Assessment
MSC:n Clientn Needs:n Health n Promotion n and n Maintenance,n Antepartum n Care
2. What n isn then primaryn rolen of n pract icingn nursesn in the researchn process?
a. Designingn researchn studies N UR I G B.C OM
nS nN nT
b. Collectingn datan forn othern researchers
c. Identifyingn researchablen problems
d. Seekingn fundingn ton support n researchn studies
ANS:n C
Whenn problemsn aren identified,n researchn cann ben properlyn conducted.n Researchn of n healthn caren is
suesn leadsn ton evidence-
based n practicen guidelines.n Designingn researchn studiesn isn onlyn onen factornof n then researchn proces
s.n Datan collectionn isn anothern factornofn research.n Financialn support nisn necessaryn ton conductn resear
ch,n but n it n isn not n then primaryn rolen of n then nursen inn then researchn process.
DIF: Cognitiven Level:n Understand REF:nnn p.n 14
TOP:n NursingnProcess:nN/AnMSC:n Clientn Needs:n Safenandn Effectiven Caren Environment
3. A n 23-year-old n African-
Americann womann isn pregnant n withn hern first n child.nBasedn onnthenstatisticsn forninfant nmorta
lity,n whichn plann isn most n important n forn then nursen ton implement?
a. Performn an nutritionn assessment.
b. Refern then womann ton an socialn worker.
c. Advisen then womann ton seen ann obstetrician,n not n an midwife.
d. Explainn ton then womann then importancen of n keepingn hern prenataln caren appointments.
ANS:n D
NURSINGTB.COM
, Maternityn and n Women'sn Healthn Caren 11thn Editionn Lowdermilkn Test n Bank
Consistent n prenataln caren isn then best n method n of n preventingn orn controllingn riskn factorsn associated n
withn infant n mortality.n Nutritionaln statusn isn annimportant n modifiablen riskn factor,n butnit n isn notnthenm
ost n important n actionn an nursen should n taken innthisn situation.n Then client n mayn needn assistancen fromna
n socialn workern at n somen timen duringn hern pregnancy,n but nan referraln ton ansocialn workern isn not nthenmo
st n important n aspect n then nursen should n addressn at n thisn time.n If n then womann hasn identifiablen high-
riskn problems,n thenn hern healthn caren mayn need n ton benprovidednbyn anphysician.n However,n it ncannot
n ben assumed n that n alln African-Americann womenn haven high-
riskn issues.n Inn addition,n advisingn then womann tonseen annobstetriciann isn not nthenmost n important nasp
ect n onn whichnt hen nursen should nfocusnat nthisn time,n and nit nisn not nappropriaten fornan nursen tonadvisen or
n managen then typen of n caren an client n isn ton receive.
DIF: Cognitiven Level:n Understand REF:nnn p.n 6
TOP:n NursingnProcess:nPlanningnMSC:n Clientn Needs:n Health n Promotion n and n Maintenance
4. Duringn an prenataln intaken interview,n then nursen isn inn then processn of n obtainingn ann initialn assessmen
t n of n an 21-year-
old n Hispanicn client n withn limited n Englishn proficiency.n Whichn actionn isnt henmost n important nfornthe
n nursen ton perform?
a. Usen maternityn jargonn ton enablen then client n ton becomen familiarn withn thesen terms.
b. Speakn quicklyn and n efficientlyn ton expediten then visit.
c. Providen then client n withn handouts.
d. Assessn whethern then client n understandsn then discussion.
ANS:n D
Nursesn contributen ton healthn literacyn byn usingn simple,n commonn words,n avoidingn jargon,n and n eval
uatingn whethern then client n understandsn then discussion.n Speakingn slowlyn and nclearlyn and n focusingn
onn what n isn important n willn increasen understanding.n Most n client n educationn materialsn arenwrittenn at n
an leveln toon highn forNtheRaveIragG en adB
ul.
tnC
and M
mayn not n ben usefuln forn an clientn w ithn limited
Englishn proficiency. UnSnNnT O
DIF: Cognitiven Level:n Apply REF:nnn p.n 5
TOP:n Nursingn Process:n EvaluationnMSC:n Clientn Needs:n Health n Promotion n and n Maintenance
5. Then nursesn workingn at n an newlyn established n birthingn centern haven begunn ton comparen theirn perfor
mancen inn providingn maternal-
newbornn caren against n clinicaln standards.n Thisn comparisonnprocessn isn most n commonlyn knownn as
n what?
a. Best n practicesn network
b. Clinicaln benchmarking
c. Outcomes-oriented n practice
d. Evidence-based n practice
ANS:n C
Outcomes-
oriented n practicen measuresn then effectivenessn ofnthen interventionsn and n qualityn of n carenagainst n ben
chmarksn orn standards.n Then termn bestn practicen refersn ton an programn orn servicen that n hasn beenn recog
nized n forn itsn excellence.n Clinicaln benchmarkingn isn an processn used n ton comparen one’sn ownn perfor
mancen against n then performancen of n then best n inn ann arean of n service.n Then termn evidence-
basedn practicen refersn ton then provisionn of n caren based nonnevidencen gainedn throughn researchn and ncli
nicaln trials.
DIF: Cognitiven Level:n Understand REF:nnn p.n 11
TOP:n Nursingn Process:n EvaluationnMSC:n ClientnNeeds:nSafen andnEffectiven Caren Environment
NURSINGTB.COM
, Maternityn and n Women'sn Healthn Caren 11thn Editionn Lowdermilkn Test n Bank
6. Whichn statement n best n exemplifiesn contemporaryn maternityn nursing?
a. Usen of n midwivesn forn alln vaginaln deliveries
b. Family-centered n care
c. Free-standingn birthn clinics
d. Physician-drivenn care
ANS:n B
Contemporaryn maternityn nursingn focusesn onn then family’sn needsn andndesires.n Fathers,n partners,ng
randparents,n and n siblingsn mayn ben present n forn then birthn and n participaten inn activitiesn suchn asn cutti
ngn then baby’sn umbilicaln cord.n Bothn midwivesn and n physiciansn performn vaginaln deliveries.n Free-
standingn clinicsn aren ann examplen of n alternativen birthn options.n Contemporaryn maternityn nursingn i
sn drivenn byn then relationshipn betweenn nursesn and n theirn clients.
DIF: Cognitiven Level:n Understand REF:nnn pp.n 8-9
TOP:n NursingnProcess:nPlanningnMSC:n Clientn Needs:n Health n Promotion n and n Maintenance
7. A n 38-year-old n Hispanicn womann vaginallyn delivered n an 9-pound,n 6-
ouncen babyn girln aftern beingninn laborn forn 43n hours.n Then babyndied n3n daysnlatern fromn sepsis.n Onn w
hat n groundsn could n then womann haven an legitimaten legaln casen forn negligence?
a. Inexperienced n maternityn nursen wasn assigned n ton caren forn then client.
b. Client n wasn past n hern duen daten byn 3n days.
c. Standard n of n caren wasn not n met.
d. Client n refused n electronicn fetaln monitoring.
ANS:n C
Not n meetingn then standardn ofncaren isn an legitimaten factorn forn an casen of n negligence.n Ann inexperi
enced n maternityn nursen would nneedn tondisplayn competencyn beforenbeingn assigned n toncaren forn c
lientsn onn hisn orn hern N
owUnR ShIisNcGlien
.n T TBtn.
mC
ayOhMaven beenn pastn hern duen date;n however,n a
termn pregnancyn oftenn goesn beyond n 40n weeksn of n gestation.n Althoughn fetaln monitoringn isn the
standard n of ncare,n thenclient n hasn then right ntonrefusentreatment.nThisn refusaln isn not n ancasen forn neglige
nce,n but n informed n consent n shouldn benproperlyn obtained,nandn thenclient n should n haven signed n ann ag
ainstn medicaln advicen formn whenn refusingn anyn treatment n that n isn withinn then standard nof n care.
DIF: Cognitiven Level:n Analyze
REF:n p.n 13nTOP:n NursingnProcess:nImplementatio
n
MSC:n Clientn Needs:n Safen and n Effective n Caren Environment
8. Whenn then nursen isn unsuren how n tonperformn anclient n caren procedurenthatnisn highn riskn and n low nv
olume,n hisn orn hern best n actionn inn thisn situationn would n ben what?
a. Askn anothern nurse.
b. Discussn then proceduren withn then client’sn physician.
c. Lookn upn then proceduren inn an nursingn textbook.
d. Consult n then agencyn proceduren manual,n and n follow n then guidelinesn forn then procedure.
ANS:n D
NURSINGTB.COM
n n n n n n n n
Bank Best Maternity Guide.
n n n n
, Maternityn and n Women'sn Healthn Caren 11thn Editionn Lowdermilkn Test n Bank
Chapter n01:n21stnCentury nMaternity nandnWomen’snHealthnNursing nLowder
milk:nMaternity n&nWomen’snHealthnCare,n11thnEdition
MULTIPLEnCHOICE
1. Inn evaluatingn then leveln of n an pregnant n woman’sn riskn of n havingn an low-birth-
weight n (LBW)n infant,nwhichn factorn isn then most n important n forn then nursen ton consider?
a. African-Americann race
b. Cigaretten smoking
c. Poorn nutritionaln status
d. Limited n maternaln education
ANS:n A
Forn African-
Americann births,n then incidencen of n LBWninfantsnisn twicen that n of n Caucasiann births.n Racen isn an non
modifiablen riskn factor.n Cigaretten smokingn isn ann important n factorn inn potentialn infantn mortalityn rat
es,n but n it n isn not nthenmost n important.nAdditionally,n smokingn isn an modifiablen riskn factor.n Poorn nutr
itionn isn ann important n factorn inn potentialn infant nmortalityn rates,n butn itn isn notnt hen most n important.n A
dditionally,n nutritionaln statusn isn an modifiablen riskn factor.n Maternaln educationnisn ann important nfac
torn inn potentialn infant n mortalityn rates,nbut nit n isn notnthenmost n important.nAdditionally,n maternaln ed
ucationn isn an modifiablen riskn factor.
DIF: Cognitiven Level:n Understand
REF:n p.n 6 nTOP:n Nursingn Process:n Assessment
MSC:n Clientn Needs:n Health n Promotion n and n Maintenance,n Antepartum n Care
2. What n isn then primaryn rolen of n pract icingn nursesn in the researchn process?
a. Designingn researchn studies N UR I G B.C OM
nS nN nT
b. Collectingn datan forn othern researchers
c. Identifyingn researchablen problems
d. Seekingn fundingn ton support n researchn studies
ANS:n C
Whenn problemsn aren identified,n researchn cann ben properlyn conducted.n Researchn of n healthn caren is
suesn leadsn ton evidence-
based n practicen guidelines.n Designingn researchn studiesn isn onlyn onen factornof n then researchn proces
s.n Datan collectionn isn anothern factornofn research.n Financialn support nisn necessaryn ton conductn resear
ch,n but n it n isn not n then primaryn rolen of n then nursen inn then researchn process.
DIF: Cognitiven Level:n Understand REF:nnn p.n 14
TOP:n NursingnProcess:nN/AnMSC:n Clientn Needs:n Safenandn Effectiven Caren Environment
3. A n 23-year-old n African-
Americann womann isn pregnant n withn hern first n child.nBasedn onnthenstatisticsn forninfant nmorta
lity,n whichn plann isn most n important n forn then nursen ton implement?
a. Performn an nutritionn assessment.
b. Refern then womann ton an socialn worker.
c. Advisen then womann ton seen ann obstetrician,n not n an midwife.
d. Explainn ton then womann then importancen of n keepingn hern prenataln caren appointments.
ANS:n D
NURSINGTB.COM
, Maternityn and n Women'sn Healthn Caren 11thn Editionn Lowdermilkn Test n Bank
Consistent n prenataln caren isn then best n method n of n preventingn orn controllingn riskn factorsn associated n
withn infant n mortality.n Nutritionaln statusn isn annimportant n modifiablen riskn factor,n butnit n isn notnthenm
ost n important n actionn an nursen should n taken innthisn situation.n Then client n mayn needn assistancen fromna
n socialn workern at n somen timen duringn hern pregnancy,n but nan referraln ton ansocialn workern isn not nthenmo
st n important n aspect n then nursen should n addressn at n thisn time.n If n then womann hasn identifiablen high-
riskn problems,n thenn hern healthn caren mayn need n ton benprovidednbyn anphysician.n However,n it ncannot
n ben assumed n that n alln African-Americann womenn haven high-
riskn issues.n Inn addition,n advisingn then womann tonseen annobstetriciann isn not nthenmost n important nasp
ect n onn whichnt hen nursen should nfocusnat nthisn time,n and nit nisn not nappropriaten fornan nursen tonadvisen or
n managen then typen of n caren an client n isn ton receive.
DIF: Cognitiven Level:n Understand REF:nnn p.n 6
TOP:n NursingnProcess:nPlanningnMSC:n Clientn Needs:n Health n Promotion n and n Maintenance
4. Duringn an prenataln intaken interview,n then nursen isn inn then processn of n obtainingn ann initialn assessmen
t n of n an 21-year-
old n Hispanicn client n withn limited n Englishn proficiency.n Whichn actionn isnt henmost n important nfornthe
n nursen ton perform?
a. Usen maternityn jargonn ton enablen then client n ton becomen familiarn withn thesen terms.
b. Speakn quicklyn and n efficientlyn ton expediten then visit.
c. Providen then client n withn handouts.
d. Assessn whethern then client n understandsn then discussion.
ANS:n D
Nursesn contributen ton healthn literacyn byn usingn simple,n commonn words,n avoidingn jargon,n and n eval
uatingn whethern then client n understandsn then discussion.n Speakingn slowlyn and nclearlyn and n focusingn
onn what n isn important n willn increasen understanding.n Most n client n educationn materialsn arenwrittenn at n
an leveln toon highn forNtheRaveIragG en adB
ul.
tnC
and M
mayn not n ben usefuln forn an clientn w ithn limited
Englishn proficiency. UnSnNnT O
DIF: Cognitiven Level:n Apply REF:nnn p.n 5
TOP:n Nursingn Process:n EvaluationnMSC:n Clientn Needs:n Health n Promotion n and n Maintenance
5. Then nursesn workingn at n an newlyn established n birthingn centern haven begunn ton comparen theirn perfor
mancen inn providingn maternal-
newbornn caren against n clinicaln standards.n Thisn comparisonnprocessn isn most n commonlyn knownn as
n what?
a. Best n practicesn network
b. Clinicaln benchmarking
c. Outcomes-oriented n practice
d. Evidence-based n practice
ANS:n C
Outcomes-
oriented n practicen measuresn then effectivenessn ofnthen interventionsn and n qualityn of n carenagainst n ben
chmarksn orn standards.n Then termn bestn practicen refersn ton an programn orn servicen that n hasn beenn recog
nized n forn itsn excellence.n Clinicaln benchmarkingn isn an processn used n ton comparen one’sn ownn perfor
mancen against n then performancen of n then best n inn ann arean of n service.n Then termn evidence-
basedn practicen refersn ton then provisionn of n caren based nonnevidencen gainedn throughn researchn and ncli
nicaln trials.
DIF: Cognitiven Level:n Understand REF:nnn p.n 11
TOP:n Nursingn Process:n EvaluationnMSC:n ClientnNeeds:nSafen andnEffectiven Caren Environment
NURSINGTB.COM
, Maternityn and n Women'sn Healthn Caren 11thn Editionn Lowdermilkn Test n Bank
6. Whichn statement n best n exemplifiesn contemporaryn maternityn nursing?
a. Usen of n midwivesn forn alln vaginaln deliveries
b. Family-centered n care
c. Free-standingn birthn clinics
d. Physician-drivenn care
ANS:n B
Contemporaryn maternityn nursingn focusesn onn then family’sn needsn andndesires.n Fathers,n partners,ng
randparents,n and n siblingsn mayn ben present n forn then birthn and n participaten inn activitiesn suchn asn cutti
ngn then baby’sn umbilicaln cord.n Bothn midwivesn and n physiciansn performn vaginaln deliveries.n Free-
standingn clinicsn aren ann examplen of n alternativen birthn options.n Contemporaryn maternityn nursingn i
sn drivenn byn then relationshipn betweenn nursesn and n theirn clients.
DIF: Cognitiven Level:n Understand REF:nnn pp.n 8-9
TOP:n NursingnProcess:nPlanningnMSC:n Clientn Needs:n Health n Promotion n and n Maintenance
7. A n 38-year-old n Hispanicn womann vaginallyn delivered n an 9-pound,n 6-
ouncen babyn girln aftern beingninn laborn forn 43n hours.n Then babyndied n3n daysnlatern fromn sepsis.n Onn w
hat n groundsn could n then womann haven an legitimaten legaln casen forn negligence?
a. Inexperienced n maternityn nursen wasn assigned n ton caren forn then client.
b. Client n wasn past n hern duen daten byn 3n days.
c. Standard n of n caren wasn not n met.
d. Client n refused n electronicn fetaln monitoring.
ANS:n C
Not n meetingn then standardn ofncaren isn an legitimaten factorn forn an casen of n negligence.n Ann inexperi
enced n maternityn nursen would nneedn tondisplayn competencyn beforenbeingn assigned n toncaren forn c
lientsn onn hisn orn hern N
owUnR ShIisNcGlien
.n T TBtn.
mC
ayOhMaven beenn pastn hern duen date;n however,n a
termn pregnancyn oftenn goesn beyond n 40n weeksn of n gestation.n Althoughn fetaln monitoringn isn the
standard n of ncare,n thenclient n hasn then right ntonrefusentreatment.nThisn refusaln isn not n ancasen forn neglige
nce,n but n informed n consent n shouldn benproperlyn obtained,nandn thenclient n should n haven signed n ann ag
ainstn medicaln advicen formn whenn refusingn anyn treatment n that n isn withinn then standard nof n care.
DIF: Cognitiven Level:n Analyze
REF:n p.n 13nTOP:n NursingnProcess:nImplementatio
n
MSC:n Clientn Needs:n Safen and n Effective n Caren Environment
8. Whenn then nursen isn unsuren how n tonperformn anclient n caren procedurenthatnisn highn riskn and n low nv
olume,n hisn orn hern best n actionn inn thisn situationn would n ben what?
a. Askn anothern nurse.
b. Discussn then proceduren withn then client’sn physician.
c. Lookn upn then proceduren inn an nursingn textbook.
d. Consult n then agencyn proceduren manual,n and n follow n then guidelinesn forn then procedure.
ANS:n D
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