Lowdermilk: Maternity Womens Health Care, 10th Edition

Lowdermilk: Maternity & Women’s Health Care, 10th Edition

Chapter 01: 21st Century Maternity and Women’s Health Nursing

• To assess a mother’s risk of having a low-birth-weight (LBW) infant, what is the

most important factor for the nurse to consider?

• African-American race
• Cigarette smoking
• Poor nutritional status
• Limited maternal education

ANS: A

• What is the primary role of practicing nurses in the research process?
• Designing research studies
• Collecting data for other researchers
• Identifying researchable problems
• Seeking funding to support research studies

ANS: C

• The nurse should be aware that a statistic widely used to compare the health status

of different populations is the:

• Incidence of specific infections, such as acquired immunodeficiency

syndrome (AIDS) and tuberculosis

• Infant mortality rate
• Maternal morbidity rate
• Incidence of low-birth-weight (LBW) infants

ANS: B

• Alternative and complementary therapies: 1 / 4

• Replace conventional Western modalities of treatment
• Are used by only a small number of American adults
• Allow for more client autonomy
• Focus primarily on the disease an individual is experiencing

ANS: C

• 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, designed to improve the quality of client care, is called:

• Best practices network
• Clinical benchmarking
• Outcomes-oriented care
• Evidence-based practice

ANS: C

6. Contemporary maternity nursing is exemplified by:

• The use of midwives for all vaginal deliveries
• Family-centered care
• Free-standing birth clinics
• Physician-driven care

ANS: B

• A 38-year-old Hispanic woman delivered a 9-lb, 6-oz baby girl vaginally 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?

• She is Hispanic.
• She delivered a girl.
• If the standards of care were not met. 2 / 4

• She refused fetal monitoring.

ANS: C

• The National Quality Forum has issued a list of “never events” pertaining

specifically to maternal and child health. These include all except:

• Infant discharged to the wrong person
• Kernicterus associated with failure to identify and treat

hyperbilirubinemia

• Artificial insemination with wrong donor sperm or egg
• Foreign object retained after surgery

ANS: D

• An important development that concerns maternity nursing is integrative health

care, which:

• Seeks to provide the same health care for all racial and ethnic groups
• Blends complementary and alternative therapies with conventional

Western treatment

• Focuses on the disease or condition rather than the client’s background
• Has been mandated by Congress

ANS: B

• A nurse caring for a pregnant client should be aware that the U.S. birth rate shows

what trend?

• Births to unmarried women are more likely to have less favorable

outcomes.

• Birth rates for women 40 to 44 years of age are declining.
• Cigarette smoking among pregnant women continues to increase.
• The rates of pregnancy and abortion among teens are lower in the

United States than in any other industrialized country. 3 / 4

ANS: A

• The high cost of health care in the United States is most likely a result of:
• Early postpartum discharge policies
• Midwifery care
• The involvement of nurses in the politics of cost containment
• An emphasis on the use of advanced technology in care

ANS: D

• Maternity nursing care that is based on knowledge gained through research and

clinical trials is:

• Derived from the Nursing Intervention Classification
• Known as evidence-based practice
• At odds with the Cochrane School of traditional nursing
• An outgrowth of telemedicine

ANS: B

13. The level of practice a reasonably prudent nurse provides is called:

• The standard of care
• Risk management
• A sentinel event
• Failure to rescue

ANS: A

• During a prenatal intake interview, the client informs the nurse that she would

prefer a midwife to provide both her care during pregnancy and deliver her infant.What information is most appropriate for the nurse to share with this client?

• / 4