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OpenStax Maternal-Newborn Nursing Instructor Answer Guide
OpenStax Maternal-Newborn Nursing
Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing .............................. 3
Chapter 2: Culturally Competent Nursing Care ............................................................................ 15
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 25
Chapter 4: Influences on Fertility ................................................................................................. 40
Chapter 5: Family Planning ........................................................................................................... 49
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 66
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 74
Chapter 8: Disorders of the Breast ............................................................................................... 81
Chapter 9: Violence Against Women ............................................................................................ 87
Chapter 10: Pregnancy ................................................................................................................ 102
Chapter 11: Prenatal Care ........................................................................................................... 115
Chapter 12: Pregnancy at Risk .................................................................................................... 125
Chapter 13: Prenatal Testing ...................................................................................................... 134
Chapter 14: Childbirth Education Options .................................................................................. 141
Chapter 15: Process of Labor and Birth ...................................................................................... 154
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring ............................................ 163
Chapter 17: Pain Management During Labor and Birth ............................................................. 174
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 183
Chapter 19: Complications of Labor and Birth ........................................................................... 193
Chapter 20: Postpartum Care ..................................................................................................... 208
Chapter 21: Postpartum Complications...................................................................................... 217
Chapter 22: Immediate Care of the Newborn ............................................................................ 226
Chapter 23: Newborn Assessment ............................................................................................. 234
Chapter 24: Care of the Typical Newborn .................................................................................. 243
Chapter 25: Care of the Newborn at Risk ................................................................................... 251
Chapter 26: Perinatal Bereavement ........................................................................................... 259
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 266
2
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OpenStax Maternal-Newborn Nursing Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health
Nursing
Review Questions
1. What is one purpose of the Healthy People 2030 objectives?
a. Stop world hunger.
b. Prevent conflict and war in other countries.
c. Address issues in health care to solve cancer.
d. Recommend changes to increase health promotion and disease prevention.
[Answer: D]
2. The nurse is caring for a pregnant person who is living in a poor area of town with a history
of childhood abuse, opioid use disorder, and asthma. What can the nurse do to decrease
the risk of maternal mortality?
a. Connect the patient to a counselor.
b. Educate the patient on the risk factors for maternal mortality.
c. Give prn albuterol for asthma.
d. Discuss how they need to move out of the poor area of town.
[Answer: B]
3. The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient
has any problems with sexual dysfunction. Why is it important for the nurse to ask all
people this question?
a. Some people may not bring up the topic of sex due to taboos and stigma.
b. All patients will eventually have sexual problems.
c. Nurses should ask because other health-care providers are not trained to ask those
questions.
d. Sexual dysfunction is a taboo only for people AFAB.
[Answer: A]
4. The nurse is answering the phone in the OB-GYN clinic. The person asks, “I am a lesbian. Can
an OB-GYN provider care for me?” What is the nurse’s best response?
a. “All LGBTQIA+ people are welcome and can be treated by an OB-GYN provider.”
b. “We can see you if you will be the person in the relationship that will get pregnant.”
c. “We suggest you see a provider that specializes in LGBTQIA people.”
d. “Our OB-GYN provider can give you gynecologic care but not pregnancy care.”
[Answer: A]
5. The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic
provider see a person at this age?
a. The person’s partner desires permanent sterilization.
b. Their family told the person they had to get a Pap smear.
c. The person was late starting care because the first visit should be before the age of 13.
d. The person may want to discuss their menstrual cycle and hormonal changes.
[Answer: D]
6. What is the best description of the history of gynecologic care in the United States over the
past century?
a. Reproductive health care has been under control of people AFAB since the 1900s.
3
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OpenStax Maternal-Newborn Nursing Instructor Answer Guide
b. The health-care system has always been fair to people AFAB with regard to shared
decision making.
c. Activist groups are fighting sexism in health care.
d. Researchers had to stop including people AFAB in pharmacologic research trials.
[Answer: C]
7. What occurred after childbirth migrated from the home to the hospital?
a. Infection rates dropped in the hospital.
b. Laboring people were given greater support in labor.
c. The childbirth model became a medical model.
d. Pain relief allowed laboring people to spend more time with their partners in labor.
[Answer: C]
8. A nurse is working in a Level 4 hospital. What type of patient would the nurse expect to
see?
a. a first-time pregnant person with good fetal movement
b. a pregnant person who needs neurosurgery
c. a postpartum person with asthma
d. a pregnant person who plans to birth in a birth center
[Answer: B]
9. A community health nurse recognizes an increase in maternal mortality in the
neighborhood. What could the community health nurse do?
a. Conduct weekly prenatal appointments in their home.
b. Draw blood on all pregnant people to look for anemia.
c. Assess the health of a baby using an ultrasound.
d. Develop an educational pamphlet discussing signs of preeclampsia.
[Answer: D]
10. The nurse is describing the difference between community-based nursing and community
health nursing. What response best describes the difference?
a. A community-based nurse would provide care in a mobile unit in the neighborhood.
b. A community-based nurse only provides education.
c. A community health nurse performs cardiac assessments.
d. A community health nurse only provides hands-on care.
[Answer: A]
11. What is the purpose of the standards of care for nurses?
a. to guide hospital administration to promote nurses
b. to ensure nurses are assessing patients
c. to protect the public’s safety
d. to protect the health-care providers
[Answer: C]
12. What statement best describes risk management?
a. identifying risk factors by analyzing processes and procedures
b. creating disciplinary actions for nursing errors
c. identifying health-care providers who are derogatory to patients
4
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OpenStax Maternal-Newborn Nursing Instructor Answer Guide
OpenStax Maternal-Newborn Nursing
Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing .............................. 3
Chapter 2: Culturally Competent Nursing Care ............................................................................ 15
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 25
Chapter 4: Influences on Fertility ................................................................................................. 40
Chapter 5: Family Planning ........................................................................................................... 49
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 66
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 74
Chapter 8: Disorders of the Breast ............................................................................................... 81
Chapter 9: Violence Against Women ............................................................................................ 87
Chapter 10: Pregnancy ................................................................................................................ 102
Chapter 11: Prenatal Care ........................................................................................................... 115
Chapter 12: Pregnancy at Risk .................................................................................................... 125
Chapter 13: Prenatal Testing ...................................................................................................... 134
Chapter 14: Childbirth Education Options .................................................................................. 141
Chapter 15: Process of Labor and Birth ...................................................................................... 154
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring ............................................ 163
Chapter 17: Pain Management During Labor and Birth ............................................................. 174
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 183
Chapter 19: Complications of Labor and Birth ........................................................................... 193
Chapter 20: Postpartum Care ..................................................................................................... 208
Chapter 21: Postpartum Complications...................................................................................... 217
Chapter 22: Immediate Care of the Newborn ............................................................................ 226
Chapter 23: Newborn Assessment ............................................................................................. 234
Chapter 24: Care of the Typical Newborn .................................................................................. 243
Chapter 25: Care of the Newborn at Risk ................................................................................... 251
Chapter 26: Perinatal Bereavement ........................................................................................... 259
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 266
2
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OpenStax Maternal-Newborn Nursing Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health
Nursing
Review Questions
1. What is one purpose of the Healthy People 2030 objectives?
a. Stop world hunger.
b. Prevent conflict and war in other countries.
c. Address issues in health care to solve cancer.
d. Recommend changes to increase health promotion and disease prevention.
[Answer: D]
2. The nurse is caring for a pregnant person who is living in a poor area of town with a history
of childhood abuse, opioid use disorder, and asthma. What can the nurse do to decrease
the risk of maternal mortality?
a. Connect the patient to a counselor.
b. Educate the patient on the risk factors for maternal mortality.
c. Give prn albuterol for asthma.
d. Discuss how they need to move out of the poor area of town.
[Answer: B]
3. The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient
has any problems with sexual dysfunction. Why is it important for the nurse to ask all
people this question?
a. Some people may not bring up the topic of sex due to taboos and stigma.
b. All patients will eventually have sexual problems.
c. Nurses should ask because other health-care providers are not trained to ask those
questions.
d. Sexual dysfunction is a taboo only for people AFAB.
[Answer: A]
4. The nurse is answering the phone in the OB-GYN clinic. The person asks, “I am a lesbian. Can
an OB-GYN provider care for me?” What is the nurse’s best response?
a. “All LGBTQIA+ people are welcome and can be treated by an OB-GYN provider.”
b. “We can see you if you will be the person in the relationship that will get pregnant.”
c. “We suggest you see a provider that specializes in LGBTQIA people.”
d. “Our OB-GYN provider can give you gynecologic care but not pregnancy care.”
[Answer: A]
5. The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic
provider see a person at this age?
a. The person’s partner desires permanent sterilization.
b. Their family told the person they had to get a Pap smear.
c. The person was late starting care because the first visit should be before the age of 13.
d. The person may want to discuss their menstrual cycle and hormonal changes.
[Answer: D]
6. What is the best description of the history of gynecologic care in the United States over the
past century?
a. Reproductive health care has been under control of people AFAB since the 1900s.
3
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OpenStax Maternal-Newborn Nursing Instructor Answer Guide
b. The health-care system has always been fair to people AFAB with regard to shared
decision making.
c. Activist groups are fighting sexism in health care.
d. Researchers had to stop including people AFAB in pharmacologic research trials.
[Answer: C]
7. What occurred after childbirth migrated from the home to the hospital?
a. Infection rates dropped in the hospital.
b. Laboring people were given greater support in labor.
c. The childbirth model became a medical model.
d. Pain relief allowed laboring people to spend more time with their partners in labor.
[Answer: C]
8. A nurse is working in a Level 4 hospital. What type of patient would the nurse expect to
see?
a. a first-time pregnant person with good fetal movement
b. a pregnant person who needs neurosurgery
c. a postpartum person with asthma
d. a pregnant person who plans to birth in a birth center
[Answer: B]
9. A community health nurse recognizes an increase in maternal mortality in the
neighborhood. What could the community health nurse do?
a. Conduct weekly prenatal appointments in their home.
b. Draw blood on all pregnant people to look for anemia.
c. Assess the health of a baby using an ultrasound.
d. Develop an educational pamphlet discussing signs of preeclampsia.
[Answer: D]
10. The nurse is describing the difference between community-based nursing and community
health nursing. What response best describes the difference?
a. A community-based nurse would provide care in a mobile unit in the neighborhood.
b. A community-based nurse only provides education.
c. A community health nurse performs cardiac assessments.
d. A community health nurse only provides hands-on care.
[Answer: A]
11. What is the purpose of the standards of care for nurses?
a. to guide hospital administration to promote nurses
b. to ensure nurses are assessing patients
c. to protect the public’s safety
d. to protect the health-care providers
[Answer: C]
12. What statement best describes risk management?
a. identifying risk factors by analyzing processes and procedures
b. creating disciplinary actions for nursing errors
c. identifying health-care providers who are derogatory to patients
4
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1/11/2026
