All cases for Lowdermilk Maternity and Women's Health
Care, 13th Edition Case
Question and Answer
Chapter 01: 21st Century Maternity and Women's Health
1. To assess a mother's risk of having a low-birth-weight (LBW) infant, what is the most important factor
for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education - answerANS: 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.
2. 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 - answerANS: 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.
3. The nurse should be aware that a statistic widely used to compare the health status of different
populations is the:
a. Incidence of specific infections, such as acquired immunodeficiency syndrome (AIDS) and tuberculosis
b. Infant mortality rate
c. Maternal morbidity rate
d. Incidence of low-birth-weight (LBW) infants - answerANS: B
City, county, and state health departments provide annual reports of births and deaths. Maternal and
infant death rates are particularly important because they reflect health outcomes that may be
preventable. Infant mortality continues to be a concern in all populations.
AIDS and tuberculosis may be the target of research studies; however, maternal and infant mortality
rates are particularly important in the evaluation of the health of a population.
The number of maternal deaths in the United States is small; however, worldwide many women die
each year from problems related to pregnancy and childbirth.
The incidence of LBW infants is monitored in order to determine risk factors such as racial disparity. It is
not as widely used as infant mortality.
4. Alternative and complementary therapies:
a. Replace conventional Western modalities of treatment
, b. Are used by only a small number of American adults
c. Allow for more client autonomy
d. Focus primarily on the disease an individual is experiencing - answerANS: C
City, county, and state health departments provide annual reports of births and deaths. Maternal and
infant death rates are particularly important because they reflect health outcomes that may be
preventable. Infant mortality continues to be a concern in all populations.
Alternative and complementary therapies are part of an integrative approach to health care.
An increasing number of American adults are seeking alternative and complementary health care
options.
Alternative healing modalities offer a holistic approach to health, focusing on the whole person and not
just the disease.
5. 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, designed to
improve the quality of client care, is called:
a.. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented care
d. Evidence-based practice - answerANS: C
Outcomes-oriented care measures effectiveness of interventions and quality of care against benchmarks
or standards.
The term best practice refers to a program or service that has been recognized for excellence.
Clinical benchmarking is a process used to compare one's own performance against the performance of
the best in an area of service.
Care, 13th Edition Case
Question and Answer
Chapter 01: 21st Century Maternity and Women's Health
1. To assess a mother's risk of having a low-birth-weight (LBW) infant, what is the most important factor
for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education - answerANS: 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.
2. 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 - answerANS: 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.
3. The nurse should be aware that a statistic widely used to compare the health status of different
populations is the:
a. Incidence of specific infections, such as acquired immunodeficiency syndrome (AIDS) and tuberculosis
b. Infant mortality rate
c. Maternal morbidity rate
d. Incidence of low-birth-weight (LBW) infants - answerANS: B
City, county, and state health departments provide annual reports of births and deaths. Maternal and
infant death rates are particularly important because they reflect health outcomes that may be
preventable. Infant mortality continues to be a concern in all populations.
AIDS and tuberculosis may be the target of research studies; however, maternal and infant mortality
rates are particularly important in the evaluation of the health of a population.
The number of maternal deaths in the United States is small; however, worldwide many women die
each year from problems related to pregnancy and childbirth.
The incidence of LBW infants is monitored in order to determine risk factors such as racial disparity. It is
not as widely used as infant mortality.
4. Alternative and complementary therapies:
a. Replace conventional Western modalities of treatment
, b. Are used by only a small number of American adults
c. Allow for more client autonomy
d. Focus primarily on the disease an individual is experiencing - answerANS: C
City, county, and state health departments provide annual reports of births and deaths. Maternal and
infant death rates are particularly important because they reflect health outcomes that may be
preventable. Infant mortality continues to be a concern in all populations.
Alternative and complementary therapies are part of an integrative approach to health care.
An increasing number of American adults are seeking alternative and complementary health care
options.
Alternative healing modalities offer a holistic approach to health, focusing on the whole person and not
just the disease.
5. 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, designed to
improve the quality of client care, is called:
a.. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented care
d. Evidence-based practice - answerANS: C
Outcomes-oriented care measures effectiveness of interventions and quality of care against benchmarks
or standards.
The term best practice refers to a program or service that has been recognized for excellence.
Clinical benchmarking is a process used to compare one's own performance against the performance of
the best in an area of service.
