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Test Bank for Maternity and Women's Health Care 13th Edition by Lowdermilk, Cashion, Alden, Olshanky, and Perry (STUVIA) $18.99
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Test Bank for Maternity and Women's Health Care 13th Edition by Lowdermilk, Cashion, Alden, Olshanky, and Perry (STUVIA)

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Test Bank for Maternity and Women's Health Care 13th Edition by Lowdermilk,Cashion, Alden, Olshanky, and Perry (STUVIA)

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  • September 5, 2024
  • February 14, 2025
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  • 2024/2025
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Test Bank for Maternity and Women's Health Care 13th Edition by Lowdermilk,
Cashion, Alden, Olshanky, and Perry (STUVIA)

, Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th Edition



MULTIPLE CHOICE

1. When assessing the risk of a pregnant woman delivering a low-birth-weight (LBW) infant, which factor is most
critical for the nurse to consider?

a. African-American ethnicity
b. Smoking
c. Poor nutrition
d. Low maternal education
Correct Answer: A
LBW rates have increased primarily among non-Hispanic black women, who have a higher likelihood of
delivering LBW infants compared to non-Hispanic white women. Race is an unchangeable risk factor, while
smoking, nutrition, and education are modifiable risk factors.

2. A 23-year-old African-American woman, pregnant with her first child, is seeking care. Which action should the
nurse prioritize in her plan of care based on infant mortality statistics? a. Perform a nutritional assessment
b. Refer the patient to a social worker
c. Recommend the patient consult an obstetrician instead of a midwife
d. Stress the importance of attending prenatal appointments
Correct Answer: D
Consistent prenatal care is the most effective way to manage risk factors and reduce infant mortality. Other factors
like nutrition and social work referrals are important but secondary to ensuring ongoing prenatal care.
3. Nurses at a new birthing center are comparing their performance with clinical standards. What is this process
commonly called? a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice
Correct Answer: C
Outcomes-oriented practice evaluates the effectiveness and quality of care against established standards. Best
practices refer to recognized excellent programs, while clinical benchmarking compares performance against the
best. Evidence-based practice focuses on care backed by research.
4. In a prenatal intake interview, a 21-year-old Hispanic patient with limited English proficiency is being assessed.
What is the most important action the nurse should take? a. Use medical jargon to familiarize the patient with
terms

, b. Speak quickly to save time
c. Provide informational handouts
d. Ensure the patient understands the discussion
Correct Answer: D
Ensuring the patient’s understanding is vital. Simple, clear language and checking for comprehension improve
communication, especially with patients who have limited English proficiency.
5. Which statement best represents modern maternity nursing care? a. All vaginal deliveries should be managed by
midwives
b. Family-centered care
c. Standalone birth centers
d. Care is primarily physician-driven
Correct Answer: B
Contemporary maternity nursing emphasizes family-centered care, where all family members can be involved in
the birth process. It allows for the presence of loved ones and shared decision-making during labor and delivery.
6. A 38-year-old Hispanic woman gave birth to a 9-pound, 6-ounce baby after a 43-hour labor, but the baby died
from sepsis three days later. On what grounds could the woman have a valid legal case for negligence? a. An
inexperienced nurse cared for the patient
b. The patient was only 3 days past her due date
c. The standard of care was not followed
d. The patient refused electronic fetal monitoring
Correct Answer: C
Negligence claims are based on failure to meet the standard of care. Inexperienced staff or a patient's refusal of
certain treatments is not, in itself, grounds for negligence unless it results in harm due to failure to adhere to
appropriate care standards.
7. When a nurse is uncertain about performing a high-risk, low-volume procedure, what is the best course of action?
a. Ask another nurse
b. Discuss it with the patient’s physician
c. Look up the procedure in a textbook
d. Consult the agency procedure manual
Correct Answer: D
Referring to the agency’s procedure manual ensures adherence to current standards of care. Textbooks and
consultations with other staff may not reflect the latest guidelines or institutional policies.
8. A nurse caring for a pregnant patient should be aware of the current trend in U.S. birth rates. Which trend should
be prioritized? a. Births to unmarried women are more likely to result in poor outcomes
b. Birth rates for women aged 40-44 are decreasing
c. Smoking rates among pregnant women are rising
d. Teen pregnancy and abortion rates are the lowest among industrialized nations

, Correct Answer: A
Births to unmarried women are associated with higher rates of low-birth-weight infants and preterm births. Rates
for older women, smoking, and teen pregnancy vary, with the U.S. having higher teen pregnancy and abortion
rates compared to other industrialized nations.
9. A new nurse is exploring why healthcare costs are rising in the United States. Which reason best explains the
increased spending compared to other developed countries? a. Higher obesity rates among pregnant women
b. Limited access to technology
c. Increased use of healthcare services at lower costs
d. Homogeneity of the population
Correct Answer: A
Obesity is a major contributor to rising healthcare costs, especially among women, contributing to higher rates of
medical complications and longer hospital stays. Access to technology and the variety of the U.S. population also
play roles but are secondary to obesity in explaining the cost increases.
10. Which statement describes maternity nursing care based on research and clinical trial evidence? a. Maternity
nursing care follows the Nursing Intervention Classification
b. Maternity nursing care is based on evidence-based practice
c. Maternity care contradicts traditional nursing models
d. Maternity care originates from telemedicine
Correct Answer: B
Evidence-based practice in maternity nursing ensures that care is grounded in research findings and clinical trials
to provide the best outcomes for patients.
11. What is the minimum level of care that a cautious nurse is expected to provide? a. Standard of care
b. Risk management
c. Sentinel event
d. Failure to rescue
Correct Answer: A
The standard of care is the baseline expected from a nurse, outlining the essential level of competence in patient
care. Risk management identifies potential risks, while sentinel events and failure to rescue are processes used to
evaluate care outcomes.
12. When using social media, what is the most significant risk for nurses? a. Breaching patient privacy and
confidentiality
b. Institutions or colleagues being negatively portrayed
c. Unforeseen negative consequences of social media use
d. Lack of institutional guidelines for online interactions
Correct Answer: A
The most significant risk of social media use for nurses is violating patient confidentiality and privacy, which can
lead to professional and legal consequences.

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