Maternity “and “Women's “Health “Care “13th “Edition “Lowdermilk
Test
Maternity and
Women's
Health Care
13th Edition
Lowdermilk
Test
, Maternity “and “Women's “Health “Care “13th “Edition “Lowdermilk
Test
Chapter “01: “21st “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
ANS: ― 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: ― HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, ―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―in ―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.
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.
PTS: 1 DIF: Cognitive ―Level:
―Understand―TOP: Nursing ―Process: ―Planning
, Maternity “and “Women's “Health “Care “13th “Edition “Lowdermilk
Test
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 ―pracNtiU ceRS
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.
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.
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.
PTS: 1 DIF: Cognitive ―Level:
―Apply―TOP: Nursing ―Process:
― Implementation
MSC: ― Client ―Needs: ―Health ―Promotion ―and ―Maintenance
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―ANS: ― B
―
, Maternity “and “Women's “Health “Care “13th “Edition “Lowdermilk
Test
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 ―physicians
―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.
ANS: ― 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.
d. First ―consult ―the ―agency ―procedure ―manual
ANS: ― D
Following ―the ―agency’s ―policies ―and ―procedures ―manual ―is ―always ―best ―when ―seeking
―information ―on ―correct ―client ―procedures. ―These ―policies ―should ―reflect ―the ―current
―standards―of ―care ―and ―the ―individual ―state’s ―guidelines. ―Each ―nurse ―is ―responsible ―for
―his ―or ―her ―own ―practice. ―Relying ―on ―another ―nurse ―may ―not ―always ―be ―a ―safe ―practice.
―Each ―nurse ―is ―obligated ―to ―follow ―the ―standards ―of ―care ―for ―safe ―client ―care ―delivery.
―Physicians ―are ―responsible ―for ―their ―own ―client ―care ―activity. ―Nurses ―may ―follow ―safe
―orders ―from ―physicians, ―but ―they ―are ―also ―responsible ―for ―the ―activities ―that ―they, ―as
―nurses, ―are ―to ―carry ―out. ―Information ―provided ―in ―a ―nursing ―textbook ―is ―basic
―information ―for ―general ―knowledge.―Furthermore, ―the ―information ―in ―a ―textbook ―may ―not
―reflect ―the ―current ―standard ―of ―care ―or ―the ―individual ―state ―or ―hospital ―policies.
