TEST BANK FOR MATERNITY & WOMEN’S
HEALTH CARE 11TH EDITION BY
LOWDERMILK WITH 37 CHAPTERS ALL
COMPLETE EXAM QUESTIONS AND
ANSWERS WITH RATIONALES 2026 LATEST
UPDATE
21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s Health
Care, 11th Edition: Chapter 01
1. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what
trend?
a. Births to unmarried women are more likely to have less favorable outcomes.
b. Birth rates for women 40 to 44 years of age are declining.
c. Cigarette smoking among pregnant women continues to increase.
d. Rates of pregnancy and abortion among teenagers are lower in the United States than in
any other industrialized country.
CORRECT ANSWER: A
LBW infants and preterm births are more likely because of the large number of teenagers in
the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer
pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States
than in any other industrial country.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
Page 1 of 572
,2. A recently graduated nurse is attempting to understand the reason for increasing health
care spending in the United States. Which information gathered from her research best
explains the rationale for these higher costs compared with other developed countries?
a. Higher rate of obesity among pregnant women
b. Limited access to technology
c. Increased use of health care services along with lower prices
d. Homogeneity of the population
CORRECT ANSWER: A
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the
gross domestic product is spent on health care. Higher spending in the United States, as
compared with 12 other industrialized countries, is related to higher prices and readily
accessible technology along with greater obesity rates among women. More than one third of
women in the United States are obese. In the population in the United States, 16% are
uninsured and have limited access to health care. Maternal morbidity and mortality are directly
related to racial disparities.
DIF: Cognitive Level: Understand REF: p. 5 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. Which statement best describes maternity nursing care that is based on knowledge gained
through research and clinical trials?
a. Maternity nursing care is derived from the Nursing Intervention Classification.
b. Maternity nursing care is known as evidence-based practice.
c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
d. Maternity nursing care is an outgrowth of telemedicine.
CORRECT ANSWER: B
Evidence-based practice is based on knowledge gained from research and clinical trials. The
Nursing Intervention Classification is a method of standardizing language and categorizing
care. Dr. Cochrane systematically reviewed research trials and is part of the evidence-based
practice movement. Telemedicine uses communication technologies to support health care.
DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Diagnosis MSC:
Client Needs: Safe and Effective Care Environment
,4. What is the minimum level of practice that a reasonably prudent nurse is expected to
provide? a. Standard of care
a. Risk management
b. Sentinel event
c. Failure to rescue
CORRECT ANSWER: A
Guidelines for standards of care are published by various professional nursing organizations.
Risk management identifies risks and establishes preventive practices, but it does not define
the standard of care. Sentinel events are unexpected negative occurrences. They do not
establish the standard of care. Failure to rescue is an evaluative process for nursing, but it does
not define the standard of care.
DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
5. Through the use of social media technology, nurses can link with other nurses who may
share similar interests, insights about practice, and advocate for clients. Which factor is the
most concerning pitfall for nurses using this technology? a. Violation of client privacy and
confidentiality
a. Institutions and colleagues who may be cast in an unfavorable light
b. Unintended negative consequences for using social media
c. Lack of institutional policy governing online contact
CORRECT ANSWER: A
The most significant pitfall for nurses using this technology is the violation of client privacy
and confidentiality. Furthermore, institutions and colleagues can be cast in an unfavorable
light with negative consequences for those posting information. Nursing students have been
expelled from school and nurses have been fired or reprimanded by their Board of Nursing for
injudicious posts. The American Nurses Association has published six principles for social
networking and the nurse. All institutions should have policies guiding the use of social media,
and the nurse should be familiar with these guidelines.
DIF: Cognitive Level: Analyze REF: p. 8
TOP: Nursing Process: Implementation
, MSC: Client Needs: Safe and Effective Care Environment
15. During a prenatal intake interview, the client informs the nurse that she would prefer a
midwife to provide both her care during pregnancy and deliver her infant. Which information
is most appropriate for the nurse to share with this client?
a. Midwifery care is only available to clients who are uninsured because their services are
less expensive than an obstetrician.
b. She will receive fewer interventions during the birth process.
c. She should be aware that midwives are not certified.
d. Her delivery can take place only at home or in a birth center.
CORRECT ANSWER: B
This client will be able to participate actively in all decisions related to the birth process and is
likely to receive fewer interventions during the birth process. Midwifery services are available
to all low-risk pregnant women, regardless of the type of insurance they have. Midwifery care
in all developed countries is strictly regulated by a governing body to ensure that core
competencies are met. In the United States, this body is the American College of
Nurse-Midwives (ACNM). Midwives can provide care and delivery at home, in freestanding
birth centers, and in community and teaching hospitals.
DIF: Cognitive Level: Understand REF: p. 8 TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
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
CORRECT ANSWER:
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
HEALTH CARE 11TH EDITION BY
LOWDERMILK WITH 37 CHAPTERS ALL
COMPLETE EXAM QUESTIONS AND
ANSWERS WITH RATIONALES 2026 LATEST
UPDATE
21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity & Women’s Health
Care, 11th Edition: Chapter 01
1. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what
trend?
a. Births to unmarried women are more likely to have less favorable outcomes.
b. Birth rates for women 40 to 44 years of age are declining.
c. Cigarette smoking among pregnant women continues to increase.
d. Rates of pregnancy and abortion among teenagers are lower in the United States than in
any other industrialized country.
CORRECT ANSWER: A
LBW infants and preterm births are more likely because of the large number of teenagers in
the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer
pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States
than in any other industrial country.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
Page 1 of 572
,2. A recently graduated nurse is attempting to understand the reason for increasing health
care spending in the United States. Which information gathered from her research best
explains the rationale for these higher costs compared with other developed countries?
a. Higher rate of obesity among pregnant women
b. Limited access to technology
c. Increased use of health care services along with lower prices
d. Homogeneity of the population
CORRECT ANSWER: A
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the
gross domestic product is spent on health care. Higher spending in the United States, as
compared with 12 other industrialized countries, is related to higher prices and readily
accessible technology along with greater obesity rates among women. More than one third of
women in the United States are obese. In the population in the United States, 16% are
uninsured and have limited access to health care. Maternal morbidity and mortality are directly
related to racial disparities.
DIF: Cognitive Level: Understand REF: p. 5 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. Which statement best describes maternity nursing care that is based on knowledge gained
through research and clinical trials?
a. Maternity nursing care is derived from the Nursing Intervention Classification.
b. Maternity nursing care is known as evidence-based practice.
c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
d. Maternity nursing care is an outgrowth of telemedicine.
CORRECT ANSWER: B
Evidence-based practice is based on knowledge gained from research and clinical trials. The
Nursing Intervention Classification is a method of standardizing language and categorizing
care. Dr. Cochrane systematically reviewed research trials and is part of the evidence-based
practice movement. Telemedicine uses communication technologies to support health care.
DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Diagnosis MSC:
Client Needs: Safe and Effective Care Environment
,4. What is the minimum level of practice that a reasonably prudent nurse is expected to
provide? a. Standard of care
a. Risk management
b. Sentinel event
c. Failure to rescue
CORRECT ANSWER: A
Guidelines for standards of care are published by various professional nursing organizations.
Risk management identifies risks and establishes preventive practices, but it does not define
the standard of care. Sentinel events are unexpected negative occurrences. They do not
establish the standard of care. Failure to rescue is an evaluative process for nursing, but it does
not define the standard of care.
DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
5. Through the use of social media technology, nurses can link with other nurses who may
share similar interests, insights about practice, and advocate for clients. Which factor is the
most concerning pitfall for nurses using this technology? a. Violation of client privacy and
confidentiality
a. Institutions and colleagues who may be cast in an unfavorable light
b. Unintended negative consequences for using social media
c. Lack of institutional policy governing online contact
CORRECT ANSWER: A
The most significant pitfall for nurses using this technology is the violation of client privacy
and confidentiality. Furthermore, institutions and colleagues can be cast in an unfavorable
light with negative consequences for those posting information. Nursing students have been
expelled from school and nurses have been fired or reprimanded by their Board of Nursing for
injudicious posts. The American Nurses Association has published six principles for social
networking and the nurse. All institutions should have policies guiding the use of social media,
and the nurse should be familiar with these guidelines.
DIF: Cognitive Level: Analyze REF: p. 8
TOP: Nursing Process: Implementation
, MSC: Client Needs: Safe and Effective Care Environment
15. During a prenatal intake interview, the client informs the nurse that she would prefer a
midwife to provide both her care during pregnancy and deliver her infant. Which information
is most appropriate for the nurse to share with this client?
a. Midwifery care is only available to clients who are uninsured because their services are
less expensive than an obstetrician.
b. She will receive fewer interventions during the birth process.
c. She should be aware that midwives are not certified.
d. Her delivery can take place only at home or in a birth center.
CORRECT ANSWER: B
This client will be able to participate actively in all decisions related to the birth process and is
likely to receive fewer interventions during the birth process. Midwifery services are available
to all low-risk pregnant women, regardless of the type of insurance they have. Midwifery care
in all developed countries is strictly regulated by a governing body to ensure that core
competencies are met. In the United States, this body is the American College of
Nurse-Midwives (ACNM). Midwives can provide care and delivery at home, in freestanding
birth centers, and in community and teaching hospitals.
DIF: Cognitive Level: Understand REF: p. 8 TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
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
CORRECT ANSWER:
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
