TEST BANK
MATERNITY AND WOMEN'S
HEALTH CARE
11TH EDITION, LOWDERMILK
TEST BANK
,Lowdermilk: Maternity & Women’s Health Care, 11th Edition
Table of Contents:
Chapter 1. 21st Century Maternity and Women’s Health Nursing
Chapter 2. Community Care: The Family and Culture
Chapter 3. Nursing and Genomics
Chapter 4. Assessment and Health Promotion
Chapter 5. Violence Against Women
Chapter 6. Reproductive System Concerns
Chapter 7. Sexually Transmitted and Other Infections
Chapter 8. Contraception and Abortion
Chapter 9. Infertility
Chapter 10. Breast Disorders and Neoplasms
Chapter 11. Structural Disorders and Neoplasms of the Reproductive System
Chapter 12. Conception and Fetal Development
Chapter 13. Anatomy and Physiology of Pregnancy
Chapter 14. Nursing Care of the Family During Pregnancy
Chapter 15. Maternal and Fetal Nutrition
Chapter 16. Labor and Birth Processes
Chapter 17. Pain Management
Chapter 18. Fetal Assessment During Labor
Chapter 19. Nursing Care of the Family During Labor and Birth
Chapter 20. Postpartum Physiologic Changes
Chapter 21. Nursing Care of the Family During the Postpartum Period
Chapter 22. Transition to Parenthood
Chapter 23. Physiologic and Behavioral Adaptations of the Newborn
Chapter 24. Nursing Care of the Newborn and Family
Chapter 25. Newborn Nutrition and Feeding
Chapter 26. High Risk Pregnancy Assessment
Chapter 27. Hypertensive Disorders
Chapter 28. Hemorrhagic Disorders in Pregnancy
Chapter 29. Endocrine and Metabolic Disorders
Chapter 30. Medical-Surgical Disorders
Chapter 31. Mental Health Disorders and Substance Abuse
Chapter 32. Labor and Birth Complications
Chapter 33. Postpartum Complications
Chapter 34. Nursing Care of the High Risk Newborn and Family
Chapter 35. Acquired Problems of the Newborn
Chapter 36. Hemolytic Disorders and Congenital Anomalies
Chapter 37. Perinatal Loss and Grief
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th 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
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
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
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
3. 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.
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
, 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 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.
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
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 action is
the most important for the nurse to perform?
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.
ANS: 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.
DIF: Cognitive Level: Apply REF: p. 5 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
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 is most commonly known as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice
ANS: 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.
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
MATERNITY AND WOMEN'S
HEALTH CARE
11TH EDITION, LOWDERMILK
TEST BANK
,Lowdermilk: Maternity & Women’s Health Care, 11th Edition
Table of Contents:
Chapter 1. 21st Century Maternity and Women’s Health Nursing
Chapter 2. Community Care: The Family and Culture
Chapter 3. Nursing and Genomics
Chapter 4. Assessment and Health Promotion
Chapter 5. Violence Against Women
Chapter 6. Reproductive System Concerns
Chapter 7. Sexually Transmitted and Other Infections
Chapter 8. Contraception and Abortion
Chapter 9. Infertility
Chapter 10. Breast Disorders and Neoplasms
Chapter 11. Structural Disorders and Neoplasms of the Reproductive System
Chapter 12. Conception and Fetal Development
Chapter 13. Anatomy and Physiology of Pregnancy
Chapter 14. Nursing Care of the Family During Pregnancy
Chapter 15. Maternal and Fetal Nutrition
Chapter 16. Labor and Birth Processes
Chapter 17. Pain Management
Chapter 18. Fetal Assessment During Labor
Chapter 19. Nursing Care of the Family During Labor and Birth
Chapter 20. Postpartum Physiologic Changes
Chapter 21. Nursing Care of the Family During the Postpartum Period
Chapter 22. Transition to Parenthood
Chapter 23. Physiologic and Behavioral Adaptations of the Newborn
Chapter 24. Nursing Care of the Newborn and Family
Chapter 25. Newborn Nutrition and Feeding
Chapter 26. High Risk Pregnancy Assessment
Chapter 27. Hypertensive Disorders
Chapter 28. Hemorrhagic Disorders in Pregnancy
Chapter 29. Endocrine and Metabolic Disorders
Chapter 30. Medical-Surgical Disorders
Chapter 31. Mental Health Disorders and Substance Abuse
Chapter 32. Labor and Birth Complications
Chapter 33. Postpartum Complications
Chapter 34. Nursing Care of the High Risk Newborn and Family
Chapter 35. Acquired Problems of the Newborn
Chapter 36. Hemolytic Disorders and Congenital Anomalies
Chapter 37. Perinatal Loss and Grief
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th 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
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
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
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
3. 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.
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
, 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 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.
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
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 action is
the most important for the nurse to perform?
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.
ANS: 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.
DIF: Cognitive Level: Apply REF: p. 5 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
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 is most commonly known as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice
ANS: 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.
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
