VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
MULTIPLE CHOICE
• In evaluating the level of a pregnant woman’s 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: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
• While obtaining a detailed history from a woman who has recently immigrated from Somalia,
the nurse realizes that the client has undergone female genital mutilation. What is the nurse’s
most appropriate response in this situation?
a. “This is a very abnormal practice and rarely seen in the United States.”
b. “Are you aware of who performed this mutilation so that it can be reported to the
authorities?”
c. “We will be able to restore fully your circumcision after delivery.”
d. “The extent of your circumcision will affect the potential for complications.”
VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
,VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
ANS: D
The extent of the circumcision is important. The client may experience pain, bleeding,
scarring, or infection and may require surgery before childbirth. Although this practice is not
prevalent in the United States, it is very common in many African and Middle Eastern
countries for religious reasons. Mentioning that the practice is abnormal and rarely seen in the
United States is culturally insensitive. The infibulation may have occurred during infancy or
childhood; consequently, the client will have little to no recollection of the event. She would
have considered this to be a normal milestone during her growth and development. The
International Council of Nurses has spoken out against this procedure as harmful to a
woman’s health.
DIF: Cognitive Level: Analyze REF: p. 9
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
• To ensure client safety, the practicing nurse must have knowledge of The Joint Commission’s
current “Do Not Use” list of abbreviations. Which term is acceptable for use regarding
medication administration?
a. q.o.d. or Q.O.D.
b. MSO4 or MgSO4
c. International Unit
d. Lack of a leading zero
ANS: C
“I.U.” and “i.u.” are no longer acceptable because they could be misread as “I.V.” or the
number “10.” “Q.O.D.” should be written out as “every other day.” The period after the “Q”
could be mistaken for an “I” and the “o” could also be mistaken for an “i.” Confusing one
medication for another is too easy. Medications are used for very different purposes and could
place a client at risk for an adverse outcome. For example, these medications should be
written as morphine sulfate and magnesium sulfate. The decimal point should never be missed
before a number (e.g., 0.4 rather than .4). A leading zero is the preferred form.
DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
• Maternity nurses can enhance communication among health care providers by using the
SBAR technique. The acronym SBAR stands for what?
a. Situation, background, assessment, recommendation
b. Situation, baseline, assessment, recommendation
c. Subjective, background, analysis, recommendation
d. Subjective, background, analysis, review
ANS: A
SBAR is an easy-to-remember, useful, and concrete mechanism for communicating important
information that requires a clinician’s immediate attention. Baseline is not discussed as part of
SBAR. Subjective and analysis are not specific to the SBAR acronym. Subjective, analysis,
VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
,VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
and review are not specific to the SBAR acronym.
DIF: Cognitive Level: Apply REF: p. 14
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
• Healthy People 2020 has established national health priorities that focus on a number of
maternal-child health indicators. Nurses are assuming greater roles in assessing family health
and are providing care across the perinatal continuum. Which of these priorities has made the
most significant progress?
a. Reduction of fetal deaths and use of prenatal care
b. LBW infants and preterm births
c. Elimination of health disparities based on race
d. Infant mortality and the prevention of birth defects
ANS: A
Trends in maternal child health indicate that progress has been made in relation to reduced
infant and fetal deaths and increased prenatal care. Notable gaps remain in the rates of LBW
infants and preterm births. According to the March of Dimes, persistent disparities still exist
between African-Americans and non-Hispanic Caucasians. Many of these negative outcomes
are preventable through access to prenatal care and the use of preventive health practices.
These preventable negative outcomes demonstrate the need for comprehensive
community-based care for all mothers, infants, and families.
DIF: Cognitive Level: Remember REF: pp. 3, 4
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
• 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: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
• 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.
VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
, VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
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
VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
MULTIPLE CHOICE
• In evaluating the level of a pregnant woman’s 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: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
• While obtaining a detailed history from a woman who has recently immigrated from Somalia,
the nurse realizes that the client has undergone female genital mutilation. What is the nurse’s
most appropriate response in this situation?
a. “This is a very abnormal practice and rarely seen in the United States.”
b. “Are you aware of who performed this mutilation so that it can be reported to the
authorities?”
c. “We will be able to restore fully your circumcision after delivery.”
d. “The extent of your circumcision will affect the potential for complications.”
VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
,VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
ANS: D
The extent of the circumcision is important. The client may experience pain, bleeding,
scarring, or infection and may require surgery before childbirth. Although this practice is not
prevalent in the United States, it is very common in many African and Middle Eastern
countries for religious reasons. Mentioning that the practice is abnormal and rarely seen in the
United States is culturally insensitive. The infibulation may have occurred during infancy or
childhood; consequently, the client will have little to no recollection of the event. She would
have considered this to be a normal milestone during her growth and development. The
International Council of Nurses has spoken out against this procedure as harmful to a
woman’s health.
DIF: Cognitive Level: Analyze REF: p. 9
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
• To ensure client safety, the practicing nurse must have knowledge of The Joint Commission’s
current “Do Not Use” list of abbreviations. Which term is acceptable for use regarding
medication administration?
a. q.o.d. or Q.O.D.
b. MSO4 or MgSO4
c. International Unit
d. Lack of a leading zero
ANS: C
“I.U.” and “i.u.” are no longer acceptable because they could be misread as “I.V.” or the
number “10.” “Q.O.D.” should be written out as “every other day.” The period after the “Q”
could be mistaken for an “I” and the “o” could also be mistaken for an “i.” Confusing one
medication for another is too easy. Medications are used for very different purposes and could
place a client at risk for an adverse outcome. For example, these medications should be
written as morphine sulfate and magnesium sulfate. The decimal point should never be missed
before a number (e.g., 0.4 rather than .4). A leading zero is the preferred form.
DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
• Maternity nurses can enhance communication among health care providers by using the
SBAR technique. The acronym SBAR stands for what?
a. Situation, background, assessment, recommendation
b. Situation, baseline, assessment, recommendation
c. Subjective, background, analysis, recommendation
d. Subjective, background, analysis, review
ANS: A
SBAR is an easy-to-remember, useful, and concrete mechanism for communicating important
information that requires a clinician’s immediate attention. Baseline is not discussed as part of
SBAR. Subjective and analysis are not specific to the SBAR acronym. Subjective, analysis,
VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
,VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
and review are not specific to the SBAR acronym.
DIF: Cognitive Level: Apply REF: p. 14
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
• Healthy People 2020 has established national health priorities that focus on a number of
maternal-child health indicators. Nurses are assuming greater roles in assessing family health
and are providing care across the perinatal continuum. Which of these priorities has made the
most significant progress?
a. Reduction of fetal deaths and use of prenatal care
b. LBW infants and preterm births
c. Elimination of health disparities based on race
d. Infant mortality and the prevention of birth defects
ANS: A
Trends in maternal child health indicate that progress has been made in relation to reduced
infant and fetal deaths and increased prenatal care. Notable gaps remain in the rates of LBW
infants and preterm births. According to the March of Dimes, persistent disparities still exist
between African-Americans and non-Hispanic Caucasians. Many of these negative outcomes
are preventable through access to prenatal care and the use of preventive health practices.
These preventable negative outcomes demonstrate the need for comprehensive
community-based care for all mothers, infants, and families.
DIF: Cognitive Level: Remember REF: pp. 3, 4
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
• 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: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
• 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.
VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
, VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
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
VNSG MISC Lowdermilk-Maternity and Women’s Health Care
EXAM Q&A TEST RATED A+ NEW UPDATE 2022
