Maternity and Women's Health Care 13th Edition Lowdermilk Test
TEST BANK
FOR MATERNITY AND WOMEN'S
HEALTHCARE 13TH EDITION
LOWDERMILK
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Maternity And Women'S Health Care 13th Edition Lowdermilk Test
bA n k
Chapter 0 1 : 2 1 s t Century Maternity And Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
Multiple Choice
1. 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
ANSWER: A
The Rise In The Overall Lbw Rates Were Due To Increases In Lbw Births To Non-
Hispanic Black Women (13.35%) And Hispanic Women (7.21%); Non-Hispanic Black
Infants Are Almost Twice As Likely As Non-Hispanic White Infants To Be Of Lbw
And To Die In The First Year Of Life.. 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.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Assessment
Msc: Client Needs: Heal, Antepartum Care
2. A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based
On Current Statistics For Infant Mortality, Which Intervention Is Most Important For
The Nurse To Include The Client’s Plan Of Care?
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.
ANSWER: D
Consistent Prenatal Care Is The Best Method Of Preventing Or Controlling Risk
Factors Associated With Infant Mortality. Nutritional Status Is An Important
Modifiable Risk Factor, But It Is Not The Most Important 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 The 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 Assumed That All African-American Women
Have High-Risk Issues. In Addition, Advising The Woman To See An Obstetrician Is
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Not The Most Important Aspect On Which The Nurse Should Focus At This Time,
And It Is Not Appropriate For A Nurse To Advise Or Manage The Type Of Care A
Client Is To Receive.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Planning
Msc: Client Needs: Health Promotion And Maintenance
3. The Nurses Working At A Newly Established Birthing Center Have Begun To
Compare Their Performance 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
ANSWER: C
Outcomes-Oriented Practice Measures The Effectiveness Of The Interventions And
Quality Of Care Against Benchmarks Or Standards. The Term Best Practice Refers
To A Program Or Service That Has Been Recognized For Its Excellence. Clinical
Benchmarking Is A Process Used To Compare One’s Own Performance Against The
Performance Of The Best In An Area Of Service. The Term Evidence-Based Practice
Refers To The Provision Of Care Based On Evidence Gained Through Research And
Clinical Trials.
Pts: 1 Dif: Cognitive Level:
Understand Top: Nursing Process: Evaluation
Msc: Client Needs: Safe And Effective Care Environment
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 Intervention Is The Most Important For The Nurse To
Implement?
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.
ANSWER: D
Nurses Contribute To Health Literacy By Using Simple, Common Words, Avoiding
Jargon, And Evaluating Whether The Client Understands The Discussion. Speaking
Slowly And Clearly And Focusing On What Is Important Will Increase Understanding.
Most Client Education Materials Are Written At A Level Too High For The Average
Adult And May Not Be Useful For A Client With Limited English Proficiency.
Pts: 1 Dif: Cognitive Level:
Apply Top: Nursing Process:
Implementation
Msc: Client Needs: Health Promotion And Maintenance
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
5. Which Statement Best Exemplifies Contemporary Maternity Nursing?
a. Use Of Midwives For All Vaginal Deliveries
b. Family-Centered Care
c. Free-Standing Birth Clinics
d. Physician-
Driven Care ANSWER: B
Contemporary Maternity Nursing Focuses On The Family’s Needs And Desires.
Fathers, Partners, Grandparents, And Siblings May Be Present For The Birth And
Participate In Activities Such As Cutting The Baby’s Umbilical Cord. Both Midwives
And Physics ANSWER Perform Vaginal Deliveries. Free-Standing Clinics Are An
Example Of Alternative Birth Options. Contemporary Maternity Nursing Is Driven By
The Relationship Between Nurses And Their Clients.
Pts: 1 Dif: Cognitive Level:
Understand Top: Nursing Process: Planning
Msc: Client Needs: Health Promotion And Maintenance
6. A 38-Year-Old Hispanic Woman Vaginally Delivered A 9-Pound, 6-Ounce Baby Girl
After Being In Labor For 43 Hours. The Baby Died 3 Days Later From Sepsis. On What
Grounds Could The Woman Have A Legitimate Legal Case For Negligence?
a. Inexperienced Maternity Nurse Was Assigned To Care For The Client.
b. Client Was Past Her Due Date By 3 Days.
c. Standard Of Care Was Not Met.
d. Client Refused Electronic Fetal Monitoring.
ANSWER: C
Not Meeting The Standard Of Care Is A Legitimate Factor For A Case Of
Negligence. An Inexperienced Maternity Nurse Would Need To Display
Competency Before Being Assigned To Care For Clients On His Or Her Own. This
Client May Have Been Past Her Due Date; However, A Term Pregnancy Often Goes
Beyond 40 Weeks Of Gestation.
Although Fetal Monitoring Is The Standard Of Care, The Client Has The Right To
Refuse Treatment. This Refusal Is Not A Case For Negligence, But Informed
Consent Should Be Properly Obtained, And The Client Should Have Signed An
Against Medical Advice Form When Refusing Any Treatment That Is Within The
Standard Of Care.
Pts: 1 Dif: Cognitive Level:
Analyze Top: Nursing Process:
Implementation
Msc: Client Needs: Safe And Effective Care Environment
7. When The Nurse Is Unsure How To Perform A Client Care Procedure That Is High
Risk And Low Volume, His Or Her Best Action In This Situation Would Be What?
a. Ask Another Nurse.
b. Discuss The Procedure With The Client’s Physician.
c. Look Up The Procedure In A Nursing Textbook.
TEST BANK
FOR MATERNITY AND WOMEN'S
HEALTHCARE 13TH EDITION
LOWDERMILK
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Maternity And Women'S Health Care 13th Edition Lowdermilk Test
bA n k
Chapter 0 1 : 2 1 s t Century Maternity And Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
Multiple Choice
1. 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
ANSWER: A
The Rise In The Overall Lbw Rates Were Due To Increases In Lbw Births To Non-
Hispanic Black Women (13.35%) And Hispanic Women (7.21%); Non-Hispanic Black
Infants Are Almost Twice As Likely As Non-Hispanic White Infants To Be Of Lbw
And To Die In The First Year Of Life.. 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.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Assessment
Msc: Client Needs: Heal, Antepartum Care
2. A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based
On Current Statistics For Infant Mortality, Which Intervention Is Most Important For
The Nurse To Include The Client’s Plan Of Care?
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.
ANSWER: D
Consistent Prenatal Care Is The Best Method Of Preventing Or Controlling Risk
Factors Associated With Infant Mortality. Nutritional Status Is An Important
Modifiable Risk Factor, But It Is Not The Most Important 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 The 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 Assumed That All African-American Women
Have High-Risk Issues. In Addition, Advising The Woman To See An Obstetrician Is
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Not The Most Important Aspect On Which The Nurse Should Focus At This Time,
And It Is Not Appropriate For A Nurse To Advise Or Manage The Type Of Care A
Client Is To Receive.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Planning
Msc: Client Needs: Health Promotion And Maintenance
3. The Nurses Working At A Newly Established Birthing Center Have Begun To
Compare Their Performance 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
ANSWER: C
Outcomes-Oriented Practice Measures The Effectiveness Of The Interventions And
Quality Of Care Against Benchmarks Or Standards. The Term Best Practice Refers
To A Program Or Service That Has Been Recognized For Its Excellence. Clinical
Benchmarking Is A Process Used To Compare One’s Own Performance Against The
Performance Of The Best In An Area Of Service. The Term Evidence-Based Practice
Refers To The Provision Of Care Based On Evidence Gained Through Research And
Clinical Trials.
Pts: 1 Dif: Cognitive Level:
Understand Top: Nursing Process: Evaluation
Msc: Client Needs: Safe And Effective Care Environment
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 Intervention Is The Most Important For The Nurse To
Implement?
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.
ANSWER: D
Nurses Contribute To Health Literacy By Using Simple, Common Words, Avoiding
Jargon, And Evaluating Whether The Client Understands The Discussion. Speaking
Slowly And Clearly And Focusing On What Is Important Will Increase Understanding.
Most Client Education Materials Are Written At A Level Too High For The Average
Adult And May Not Be Useful For A Client With Limited English Proficiency.
Pts: 1 Dif: Cognitive Level:
Apply Top: Nursing Process:
Implementation
Msc: Client Needs: Health Promotion And Maintenance
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
5. Which Statement Best Exemplifies Contemporary Maternity Nursing?
a. Use Of Midwives For All Vaginal Deliveries
b. Family-Centered Care
c. Free-Standing Birth Clinics
d. Physician-
Driven Care ANSWER: B
Contemporary Maternity Nursing Focuses On The Family’s Needs And Desires.
Fathers, Partners, Grandparents, And Siblings May Be Present For The Birth And
Participate In Activities Such As Cutting The Baby’s Umbilical Cord. Both Midwives
And Physics ANSWER Perform Vaginal Deliveries. Free-Standing Clinics Are An
Example Of Alternative Birth Options. Contemporary Maternity Nursing Is Driven By
The Relationship Between Nurses And Their Clients.
Pts: 1 Dif: Cognitive Level:
Understand Top: Nursing Process: Planning
Msc: Client Needs: Health Promotion And Maintenance
6. A 38-Year-Old Hispanic Woman Vaginally Delivered A 9-Pound, 6-Ounce Baby Girl
After Being In Labor For 43 Hours. The Baby Died 3 Days Later From Sepsis. On What
Grounds Could The Woman Have A Legitimate Legal Case For Negligence?
a. Inexperienced Maternity Nurse Was Assigned To Care For The Client.
b. Client Was Past Her Due Date By 3 Days.
c. Standard Of Care Was Not Met.
d. Client Refused Electronic Fetal Monitoring.
ANSWER: C
Not Meeting The Standard Of Care Is A Legitimate Factor For A Case Of
Negligence. An Inexperienced Maternity Nurse Would Need To Display
Competency Before Being Assigned To Care For Clients On His Or Her Own. This
Client May Have Been Past Her Due Date; However, A Term Pregnancy Often Goes
Beyond 40 Weeks Of Gestation.
Although Fetal Monitoring Is The Standard Of Care, The Client Has The Right To
Refuse Treatment. This Refusal Is Not A Case For Negligence, But Informed
Consent Should Be Properly Obtained, And The Client Should Have Signed An
Against Medical Advice Form When Refusing Any Treatment That Is Within The
Standard Of Care.
Pts: 1 Dif: Cognitive Level:
Analyze Top: Nursing Process:
Implementation
Msc: Client Needs: Safe And Effective Care Environment
7. When The Nurse Is Unsure How To Perform A Client Care Procedure That Is High
Risk And Low Volume, His Or Her Best Action In This Situation Would Be What?
a. Ask Another Nurse.
b. Discuss The Procedure With The Client’s Physician.
c. Look Up The Procedure In A Nursing Textbook.
