MaternitymandmWomen'smHealthmCarem13thmEditionmLowdermilkmTe
st
Maternity and m m
Women's Health m
Care13thEdit m m
ion m
Lowdermilk Test m
Bank
, MaternitymandmWomen'smHealthmCarem13thmEditionmLowdermilkmTe
st
Chapter m01:m21stmCentury mMaternity mandmWomen’smHealthmNursing mLowdermi
lk:mMaternity m&mWomen’smHealthmCare,m12thmEdition
MULTIPLEmCHOICE
1. Inmevaluatingmthemlevelmof mampregnant mwoman’smriskmof mhavingmamlow-birth-
weight m(LBW)minfant,mwhichmfactormismthemmost mimportant mformthemnursemtomconsider?
a. African-Americanmrace
b. Cigarettemsmoking
c. Poormnutritionalmstatus
d. Limited mmaternalmeducation
ANS:m A
ThemriseminmthemoverallmLBWmratesmweremduemtomincreases minmLBWmbirthsmtomnon-
Hispanicmblackmwomenm(13.35%)mand mHispanicmwomenm(7.21%);mnon-
Hispanicmblackminfantsmaremalmost mtwicemasmlikelymasmnon-
Hispanicmwhiteminfantsmtombemof mLBWmand mtomdieminmthemfirst myearmof mlife..mRacemismamnonmo
difiablemriskmfactor.mCigarettemsmokingmismanmimportant mfactorminmpotentialminfant mmortalitymr
ates,mbut mit mismnot mthemmost mimportant.mAdditionally,msmokingmismammodifiablemriskmfactor.mP
oormnutritionmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmo
st mimportant.mAdditionally,mnutritionalmstatusmismammodifiablemriskmfactor.mMaternalmeducatio
nmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmost mimportant
.mAdditionally,mmaternalmeducationmismammodifiablemriskmfactor.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mAssessment
MSC:m m Client m Need s:m HealtN
hUPrRoS
mI ioG
o tN nTanBd.MCaOinM
tenance,m Antepartum m Care
2. Am23-year-old mAfrican-
Americanmwoman mismpregnant mwithmhermfirst mchild.mBased monmcurrent mstatisticsmforminfant m
mortality,mwhichminterventionm ismmost mimportant mformthemnursemtomincludeminmthemclient’s mpl
anmof mcare?
a. Performmamnutritionmassessment.
b. Refermthemwomanmtomamsocialmworker.
c. Advisemthemwomanmtomseemanmobstetrician,mnot mammidwife.
d. Explainmtomthemwomanmthemimportancemof mkeepingmhermprenatalmcaremappointments.
ANS:m D
Consistent mprenatalmcaremismthembest mmethod mof mpreventingmormcontrollingmriskmfactorsmassoc
iated mwithminfant mmortality.mNutritionalmstatusmismanmimportant mmodifiablemriskmfactor,mbut mit m
ismnot mthemmost mimportant mactionmamnursemshould mtakeminmthismsituation.mThemclient mmaymnee
d massistancemfrommamsocialmworkermat msomemtimemduringmhermpregnancy,mbut mamreferralmtomams
ocialmworkermismnot mthemmost mimportant maspect mthemnursemshould maddressmat mthismtime.mIf mthe
mwomanmhasmidentifiablemhigh-
riskmproblems,mthenmhermhealthmcaremmaymneed mtombemprovided mbymamphysician. mHowever,mit m
cannot mbemassumed mthat mallmAfrican-Americanmwomenmhavemhigh-
riskmissues.mInmaddition,madvisingmthemwomanmtomseemanmobstetricianmismnot mthemmost mimport
ant maspect monmwhichmthemnursemshould mfocusmat mthismtime,mand mit mismnot mappropriatemformamnu
rsemtomadvisemormmanagemthemtypemof mcaremamclient mismtomreceive.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mPlanning
, MaternitymandmWomen'smHealthmCarem13thmEditionmLowdermilkmTe
st
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
3. Themnursesmworkingmat mamnewlymestablished mbirthingmcentermhavembegunmtomcomparemth
eirmperformanceminmprovidingmmaternal-
newbornmcaremagainst mclinicalmstandards.mThismcomparisonmprocessm ism most mcommonly
mknownmasmwhat?
a. Best mpracticesmnetwork
b. Clinicalmbenchmarking
c. Outcomes-oriented mpracNtiUceR S
d. Evidence-based mpractice
ANS:m C
Outcomes-
oriented mpracticemmeasuresmthemeffectivenessmof mtheminterventionsmand mqualitymof mcaremagain
st mbenchmarksmormstandards.mThemtermmbestmpracticemrefersmtomamprogrammormservicemthat mhas
mbeenmrecognized mformitsmexcellence.mClinicalmbenchmarking misma mprocessmused mtomcomparem
one’smownmperformancemagainst mthemperformancemof mthembest minmanmareamof mservice.m Themter
mmevidence-
basedmpracticemrefersmtomthemprovisionmof mcarembased monmevidencemgained mthroughmresearchm
and mclinicalmtrials.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mEvaluation
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
4. Duringmamprenatal mintakeminterview,mthemnursem ismin mthemprocess mof mobtainingmanminit
ialmassessment mof mam21-year-
old mHispanic mclient mwithmlimited mEnglishmproficiency.mWhichm interventionmismthemmo
st mimportant mformthemnursemtomimplement?
a. Usemmaternitymjargonmtomenablemthemclient mtombecomemfamiliarmwithmthesemterms.
b. Speakmquicklymand mefficientlymtomexpeditemthemvisit.
c. Providemthemclient mwithmhandouts.
d. Assessmwhethermthemclient munderstandsmthemdiscussion.
ANS:m D
Nursesmcontributemtomhealthmliteracymbymusingmsimple,mcommonmwords,mavoidingmjargon,ma
nd mevaluatingmwhethermthemclient munderstandsmthemdiscussion.mSpeakingm slowlymand mclearl
ymand mfocusingmonmwhat mismimportant mwillmincrease munderstanding.mMost mclient meducationm
materialsmare mwrittenmat mamlevelmtoomhighmformthemaveragemadult mand mmaymnot mbemusefulmfor
mamclient mwithmlimited mEnglishmproficiency.
PTS: 1 DIF:
CognitivemLevel:mApplymTOP:
NursingmProcess:mImplementation
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
5. Whichmstatement mbest mexemplifiesmcontemporarymmaternitymnursing?
a. Usemof mmidwivesmformallmvaginalmdeliveries
b. Family-centered mcare
c. Free-standingmbirthmclinics
d. Physician-
drivenmcaremANS:m B
, MaternitymandmWomen'smHealthmCarem13thmEditionmLowdermilkmTe
st
Contemporarymmaternitymnursingmfocusesmonmthemfamily’smneedsmand mdesires.mFathers,mpartn
ers,mgrandparents,mand msiblingsmmaymbempresent mformthembirthmand mparticipateminmactivitiesmsu
chmasmcuttingmthembaby’smumbilicalmcord.mBothmmidwivesmand mphysiciansmperformmvaginalmd
eliveries.mFree-
standingmclinicsmaremanmexamplemof malternativembirthmoptions.mContemporary mmaternitymnurs
ingmismdrivenmbymthemrelationshipmbetweenmnursesmand mtheirmclients.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mPlanning
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
6. Am38-year-old mHispanicmwomanmvaginallymdelivered mam9-pound,m6-
ouncembabymgirlmaftermbeingminmlabormform43mhours.mThembabymdied m3mdaysmlatermfrommsepsis.
mOnmwhat mgroundsmcould mthemwomanmhavemamlegitimatemlegalmcasemformnegligence?
a. Inexperienced mmaternitymnursemwasmassigned mtomcaremformthemclient.
b. Client mwasmpast mhermduemdatembym3mdays.
c. Standard mof mcaremwasmnot mmet.
d. Client mrefused melectronicmfetalmmonitoring.
ANS:m C
Not mmeetingmthemstandard mof mcaremismamlegitimatemfactormformamcasemof mnegligence.mAnminexp
erienced mmaternitymnursemwould mneed mtomdisplaymcompetencymbeforembeingmassigned mtomcare
mformclientsmonmhismormhermown.mThismclient mmaymhavembeenmpast mhermduemdate;mhowever,mamte
rmmpregnancymoftenmgoesmbeyond m40mweeksmof mgestation.mAlthoughmfetalmmonitoringmismthem
standard mof mcare,mthemclient mhasmthemright mtomrefusemtreatment.mThismrefusalmismnot mamcasemfor
mnegligence,mbut minformed mconsent mshould mbemproperlymobtained,mand mthemclient mshould mhav
emsigned manmagainstmmedicalmadvicemformmwhenmrefusingmanymtreatment mthat mismwithinmthemst
andard mof mcare.
PTS: 1 DIF:
CognitivemLevel:mAnalyzemTOP:
NursingmProcess:mImplementation
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
7. Whenmthemnursemismunsuremhow mtomperformmamclient mcaremproceduremthat mismhighmriskmand ml
owmvolume,mhismormhermbest mactionminmthismsituationmwould mbemwhat?
a. Askmanothermnurse.
b. Discussmthemproceduremwithmthemclient’smphysician.
c. Lookmupmthemprocedureminmamnursingmtextbook.
d. First mconsult mthemagencymproceduremmanual
ANS:m D
Followingmthemagency’smpoliciesmand mproceduresmmanualmis malwaysmbest mwhenmseekingm info
rmationmonmcorrect mclient mprocedures.mThesempoliciesmshould mreflect mthemcurrent mstandardsmo
f mcaremand mthemindividualmstate’smguidelines.mEachmnursemismresponsiblemformhismormhermownm
practice.mRelyingmonmanothermnursemmaymnot malwaysmbemamsafempractice.mEach mnursem ismoblig
ated mtomfollow mthemstandardsmof mcaremformsafemclient mcaremdelivery.mPhysiciansmaremresponsib
lemformtheirmownmclient mcaremactivity.mNursesmmaymfollow msafemordersmfrommphysicians,mbut mt
heymaremalsomresponsiblemformthemactivitiesmthat mthey,masmnurses,maremtomcarry mout.mInformatio
nmprovided minmamnursingmtextbookmismbasicminformationmformgeneralmknowledge.mFurthermore
,mtheminformationminmamtextbookmmaymnot mreflect mthemcurrent mstandard mof mcaremormthemindivid
ualmstatemormhospitalmpolicies.
st
Maternity and m m
Women's Health m
Care13thEdit m m
ion m
Lowdermilk Test m
Bank
, MaternitymandmWomen'smHealthmCarem13thmEditionmLowdermilkmTe
st
Chapter m01:m21stmCentury mMaternity mandmWomen’smHealthmNursing mLowdermi
lk:mMaternity m&mWomen’smHealthmCare,m12thmEdition
MULTIPLEmCHOICE
1. Inmevaluatingmthemlevelmof mampregnant mwoman’smriskmof mhavingmamlow-birth-
weight m(LBW)minfant,mwhichmfactormismthemmost mimportant mformthemnursemtomconsider?
a. African-Americanmrace
b. Cigarettemsmoking
c. Poormnutritionalmstatus
d. Limited mmaternalmeducation
ANS:m A
ThemriseminmthemoverallmLBWmratesmweremduemtomincreases minmLBWmbirthsmtomnon-
Hispanicmblackmwomenm(13.35%)mand mHispanicmwomenm(7.21%);mnon-
Hispanicmblackminfantsmaremalmost mtwicemasmlikelymasmnon-
Hispanicmwhiteminfantsmtombemof mLBWmand mtomdieminmthemfirst myearmof mlife..mRacemismamnonmo
difiablemriskmfactor.mCigarettemsmokingmismanmimportant mfactorminmpotentialminfant mmortalitymr
ates,mbut mit mismnot mthemmost mimportant.mAdditionally,msmokingmismammodifiablemriskmfactor.mP
oormnutritionmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmo
st mimportant.mAdditionally,mnutritionalmstatusmismammodifiablemriskmfactor.mMaternalmeducatio
nmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmost mimportant
.mAdditionally,mmaternalmeducationmismammodifiablemriskmfactor.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mAssessment
MSC:m m Client m Need s:m HealtN
hUPrRoS
mI ioG
o tN nTanBd.MCaOinM
tenance,m Antepartum m Care
2. Am23-year-old mAfrican-
Americanmwoman mismpregnant mwithmhermfirst mchild.mBased monmcurrent mstatisticsmforminfant m
mortality,mwhichminterventionm ismmost mimportant mformthemnursemtomincludeminmthemclient’s mpl
anmof mcare?
a. Performmamnutritionmassessment.
b. Refermthemwomanmtomamsocialmworker.
c. Advisemthemwomanmtomseemanmobstetrician,mnot mammidwife.
d. Explainmtomthemwomanmthemimportancemof mkeepingmhermprenatalmcaremappointments.
ANS:m D
Consistent mprenatalmcaremismthembest mmethod mof mpreventingmormcontrollingmriskmfactorsmassoc
iated mwithminfant mmortality.mNutritionalmstatusmismanmimportant mmodifiablemriskmfactor,mbut mit m
ismnot mthemmost mimportant mactionmamnursemshould mtakeminmthismsituation.mThemclient mmaymnee
d massistancemfrommamsocialmworkermat msomemtimemduringmhermpregnancy,mbut mamreferralmtomams
ocialmworkermismnot mthemmost mimportant maspect mthemnursemshould maddressmat mthismtime.mIf mthe
mwomanmhasmidentifiablemhigh-
riskmproblems,mthenmhermhealthmcaremmaymneed mtombemprovided mbymamphysician. mHowever,mit m
cannot mbemassumed mthat mallmAfrican-Americanmwomenmhavemhigh-
riskmissues.mInmaddition,madvisingmthemwomanmtomseemanmobstetricianmismnot mthemmost mimport
ant maspect monmwhichmthemnursemshould mfocusmat mthismtime,mand mit mismnot mappropriatemformamnu
rsemtomadvisemormmanagemthemtypemof mcaremamclient mismtomreceive.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mPlanning
, MaternitymandmWomen'smHealthmCarem13thmEditionmLowdermilkmTe
st
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
3. Themnursesmworkingmat mamnewlymestablished mbirthingmcentermhavembegunmtomcomparemth
eirmperformanceminmprovidingmmaternal-
newbornmcaremagainst mclinicalmstandards.mThismcomparisonmprocessm ism most mcommonly
mknownmasmwhat?
a. Best mpracticesmnetwork
b. Clinicalmbenchmarking
c. Outcomes-oriented mpracNtiUceR S
d. Evidence-based mpractice
ANS:m C
Outcomes-
oriented mpracticemmeasuresmthemeffectivenessmof mtheminterventionsmand mqualitymof mcaremagain
st mbenchmarksmormstandards.mThemtermmbestmpracticemrefersmtomamprogrammormservicemthat mhas
mbeenmrecognized mformitsmexcellence.mClinicalmbenchmarking misma mprocessmused mtomcomparem
one’smownmperformancemagainst mthemperformancemof mthembest minmanmareamof mservice.m Themter
mmevidence-
basedmpracticemrefersmtomthemprovisionmof mcarembased monmevidencemgained mthroughmresearchm
and mclinicalmtrials.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mEvaluation
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
4. Duringmamprenatal mintakeminterview,mthemnursem ismin mthemprocess mof mobtainingmanminit
ialmassessment mof mam21-year-
old mHispanic mclient mwithmlimited mEnglishmproficiency.mWhichm interventionmismthemmo
st mimportant mformthemnursemtomimplement?
a. Usemmaternitymjargonmtomenablemthemclient mtombecomemfamiliarmwithmthesemterms.
b. Speakmquicklymand mefficientlymtomexpeditemthemvisit.
c. Providemthemclient mwithmhandouts.
d. Assessmwhethermthemclient munderstandsmthemdiscussion.
ANS:m D
Nursesmcontributemtomhealthmliteracymbymusingmsimple,mcommonmwords,mavoidingmjargon,ma
nd mevaluatingmwhethermthemclient munderstandsmthemdiscussion.mSpeakingm slowlymand mclearl
ymand mfocusingmonmwhat mismimportant mwillmincrease munderstanding.mMost mclient meducationm
materialsmare mwrittenmat mamlevelmtoomhighmformthemaveragemadult mand mmaymnot mbemusefulmfor
mamclient mwithmlimited mEnglishmproficiency.
PTS: 1 DIF:
CognitivemLevel:mApplymTOP:
NursingmProcess:mImplementation
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
5. Whichmstatement mbest mexemplifiesmcontemporarymmaternitymnursing?
a. Usemof mmidwivesmformallmvaginalmdeliveries
b. Family-centered mcare
c. Free-standingmbirthmclinics
d. Physician-
drivenmcaremANS:m B
, MaternitymandmWomen'smHealthmCarem13thmEditionmLowdermilkmTe
st
Contemporarymmaternitymnursingmfocusesmonmthemfamily’smneedsmand mdesires.mFathers,mpartn
ers,mgrandparents,mand msiblingsmmaymbempresent mformthembirthmand mparticipateminmactivitiesmsu
chmasmcuttingmthembaby’smumbilicalmcord.mBothmmidwivesmand mphysiciansmperformmvaginalmd
eliveries.mFree-
standingmclinicsmaremanmexamplemof malternativembirthmoptions.mContemporary mmaternitymnurs
ingmismdrivenmbymthemrelationshipmbetweenmnursesmand mtheirmclients.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mPlanning
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
6. Am38-year-old mHispanicmwomanmvaginallymdelivered mam9-pound,m6-
ouncembabymgirlmaftermbeingminmlabormform43mhours.mThembabymdied m3mdaysmlatermfrommsepsis.
mOnmwhat mgroundsmcould mthemwomanmhavemamlegitimatemlegalmcasemformnegligence?
a. Inexperienced mmaternitymnursemwasmassigned mtomcaremformthemclient.
b. Client mwasmpast mhermduemdatembym3mdays.
c. Standard mof mcaremwasmnot mmet.
d. Client mrefused melectronicmfetalmmonitoring.
ANS:m C
Not mmeetingmthemstandard mof mcaremismamlegitimatemfactormformamcasemof mnegligence.mAnminexp
erienced mmaternitymnursemwould mneed mtomdisplaymcompetencymbeforembeingmassigned mtomcare
mformclientsmonmhismormhermown.mThismclient mmaymhavembeenmpast mhermduemdate;mhowever,mamte
rmmpregnancymoftenmgoesmbeyond m40mweeksmof mgestation.mAlthoughmfetalmmonitoringmismthem
standard mof mcare,mthemclient mhasmthemright mtomrefusemtreatment.mThismrefusalmismnot mamcasemfor
mnegligence,mbut minformed mconsent mshould mbemproperlymobtained,mand mthemclient mshould mhav
emsigned manmagainstmmedicalmadvicemformmwhenmrefusingmanymtreatment mthat mismwithinmthemst
andard mof mcare.
PTS: 1 DIF:
CognitivemLevel:mAnalyzemTOP:
NursingmProcess:mImplementation
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
7. Whenmthemnursemismunsuremhow mtomperformmamclient mcaremproceduremthat mismhighmriskmand ml
owmvolume,mhismormhermbest mactionminmthismsituationmwould mbemwhat?
a. Askmanothermnurse.
b. Discussmthemproceduremwithmthemclient’smphysician.
c. Lookmupmthemprocedureminmamnursingmtextbook.
d. First mconsult mthemagencymproceduremmanual
ANS:m D
Followingmthemagency’smpoliciesmand mproceduresmmanualmis malwaysmbest mwhenmseekingm info
rmationmonmcorrect mclient mprocedures.mThesempoliciesmshould mreflect mthemcurrent mstandardsmo
f mcaremand mthemindividualmstate’smguidelines.mEachmnursemismresponsiblemformhismormhermownm
practice.mRelyingmonmanothermnursemmaymnot malwaysmbemamsafempractice.mEach mnursem ismoblig
ated mtomfollow mthemstandardsmof mcaremformsafemclient mcaremdelivery.mPhysiciansmaremresponsib
lemformtheirmownmclient mcaremactivity.mNursesmmaymfollow msafemordersmfrommphysicians,mbut mt
heymaremalsomresponsiblemformthemactivitiesmthat mthey,masmnurses,maremtomcarry mout.mInformatio
nmprovided minmamnursingmtextbookmismbasicminformationmformgeneralmknowledge.mFurthermore
,mtheminformationminmamtextbookmmaymnot mreflect mthemcurrent mstandard mof mcaremormthemindivid
ualmstatemormhospitalmpolicies.
