MATERNITY AND WOMEN'S HEALTH CARE E-BOOK 13TH
EDITION, KINDLE EDITION BY DEITRA LEONARD
LOWDERMILK , KITTY CASHION, KATHRYN RHODES
ALDEN , ELLEN OLSHANSKY , SHANNON E. PERRY/ALL
CHAPTERS 1-37/COMPLETE GUIDE 2024
, Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
MULTIPLE CHOICE
1. In evaluating the level of an expectant woman’s risk of having a low-birth-weight (LBW)
infant, which factor is the most important for the nursing attendant to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ACCURATE CHOICE:->A
ELABORATION:->>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.
DIFFICULTY:
Cognitive Level: Understand REF: p. 6
TOPIC: Nursing Process: Assessment
MSC: Hospital client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nursing attendant s 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
ACCURATE CHOICE:->C
ELABORATION:->>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 nursing attendant in the research process.
DIFFICULTY: Cognitive Level: Understand REF: p. 14
TOPIC: Nursing Process: N/A MSC: Hospital client Needs: Safe and Effective Care
Environment
3. A 23-year-old African-American woman is expectant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nursing attendant 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.
ACCURATE CHOICE:->D
, ELABORATION:->>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 nursing attendant should take in this situation.
The hospital 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 nursing
attendant 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 nursing attendant should focus
at this time, and it is not appropriate for a nursing attendant to advise or manage the type of
care a hospital client is to receive.
DIFFICULTY: Cognitive Level: Understand REF: p. 6
TOPIC: Nursing Process: Planning MSC: Hospital client Needs: Health Promotion and
Maintenance
4. During a prenatal intake interview, the nursing attendant is in the process of obtaining an
initial assessment of a 21-year-old Hispanic hospital client with limited English proficiency.
Which action is the most important for the nursing attendant to perform?
a. Use maternity jargon to enable the hospital client to become familiar with
these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the hospital client with handouts.
d. Assess whether the hospital client understands the discussion.
ACCURATE CHOICE:->D
ELABORATION:->>Nursing attendant s contribute to health literacy by using simple,
common words, avoiding jargon, and evaluating whether the hospital client understands the
discussion. Speaking slowly and clearly and focusing on what is important will increase
understanding. Most hospital client education materials are written at a level too high for the
average adult and may not be useful for a hospital client with limited English proficiency.
DIFFICULTY: Cognitive Level: Apply REF: p. 5 TOPIC:
Nursing Process: Evaluation MSC: Hospital client Needs: Health Promotion and Maintenance
5. The nursing attendant s 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
ACCURATE CHOICE:->C
ELABORATION:->>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.
DIFFICULTY: Cognitive Level: Understand REF: p. 11
TOPIC: Nursing Process: Evaluation MSC: Hospital client Needs: Safe and Effective Care
Environment
, 6. 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
ACCURATE CHOICE:->B
ELABORATION:->>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 nursing
attendant s and their hospital client s.
DIFFICULTY: Cognitive Level: Understand REF: pp. 8-9
TOPIC: Nursing Process: Planning MSC: Hospital client Needs: Health Promotion and
Maintenance
7. 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 nursing attendant was assigned to care
for the hospital client .
b. Hospital client was past her due date by 3 days.
c. Standard of care was not met.
d. Hospital client refused electronic fetal monitoring.
ACCURATE CHOICE:->C
ELABORATION:->>Not meeting the standard of care is a legitimate factor for a case of
negligence. An inexperienced maternity nursing attendant would need to display competency
before being assigned to care for hospital client s on his or her own. This hospital 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 hospital client has the right to
refuse treatment. This refusal is not a case for negligence, but informed consent should be
properly obtained, and the hospital client should have signed an against medical advice form
when refusing any treatment that is within the standard of care.
DIFFICULTY: Cognitive
Level: Analyze REF: p. 13
TOPIC: Nursing Process: Implementation
MSC: Hospital client Needs: Safe and Effective Care Environment
8. When the nursing attendant is unsure how to perform a hospital client care procedure that
is high risk and low volume, his or her best action in this situation would be what?
a. Ask another nursing attendant .
b. Discuss the procedure with the hospital client ’s physician.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual, and follow the guidelines for the procedure.
ACCURATE CHOICE:->D
