MATERNITY AND WOMEN'S HEALTH
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1.
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Advances in Care of Mothers and Infants
Stem: A 32-year-old G2P1 at 10 weeks’ gestation visits the clinic
for initial prenatal care. She has a history of poorly controlled
type 2 diabetes and limited transportation. The nurse notes she
missed several appointments the last pregnancy and expresses
concern about costs. Which nursing action most effectively
addresses maternal–infant health disparities for this patient?
A. Provide a printed handout about diabetes in pregnancy and
ask her to read it at home.
B. Refer her to a social worker to explore transportation
,assistance and connect with a diabetes education program.
C. Schedule all future prenatal visits during evening hours to
accommodate her work schedule.
D. Recommend she enroll in an online diabetes course and
follow up in three months.
Correct answer: B
Rationale — Correct: Referring to social work and connecting to
diabetes education addresses social determinants
(transportation, access, education) that directly impact glycemic
control and pregnancy outcomes. This action integrates
interprofessional resources to reduce barriers and supports
evidence-based care.
Rationale — Incorrect A: A handout alone does not overcome
access or literacy barriers and is passive.
Rationale — Incorrect C: Evening visits may help schedule
conflicts but do not address transportation or education needs
comprehensively.
Rationale — Incorrect D: An online course may not be
accessible given her limited resources and delays needed
intervention.
Teaching point: Address social determinants and link patients to
resources to reduce disparities.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
2.
,Reference: Ch. 1 — Trends in Nursing Practice —
Interprofessional Collaboration
Stem: During prenatal rounds, a nurse hears that the clinic’s
perinatal readmission rate has increased. The nurse believes
inconsistent discharge teaching is a factor. Which initial nursing-
led quality initiative is most appropriate to reduce
readmissions?
A. Create a one-page standardized discharge checklist and train
nursing staff to use it for all postpartum discharges.
B. Ask physicians to write longer discharge notes for patients.
C. Post educational posters in the waiting room about
postpartum warning signs.
D. Increase the number of postpartum follow-up phone calls to
every week for six months.
Correct answer: A
Rationale — Correct: Developing and implementing a
standardized discharge checklist is an evidence-based, nurse-led
quality improvement strategy that improves consistency in
teaching and identification of risk factors before discharge. It’s
practical, measurable, and fosters interprofessional adherence.
Rationale — Incorrect B: Physician notes alone won’t
standardize nursing teaching or patient comprehension.
Rationale — Incorrect C: Posters are passive and unlikely to
ensure individualized discharge teaching.
Rationale — Incorrect D: Weekly calls for six months are
resource-intensive and not targeted; earlier focused calls (48–
72 hours) are more effective.
, Teaching point: Standardized checklists improve discharge
consistency and patient safety.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
3.
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Cultural Competence
Stem: A 19-year-old pregnant woman from a refugee
background with limited English presents for prenatal care. She
prefers a female provider and requests traditional remedies.
Which nursing approach best balances cultural respect and safe
maternity care?
A. Allow unrestricted use of traditional remedies without
comment to respect cultural beliefs.
B. Decline to discuss traditional practices and insist on standard
medical plans.
C. Use a trained interpreter, ask about specific remedies, assess
for safety interactions, and collaborate on a plan that honors
choices while ensuring fetal safety.
D. Refer her to another clinic that specializes in culturally
traditional care.
Correct answer: C
Rationale — Correct: Using a trained interpreter and eliciting
specifics allows assessment of potential harms and
collaborative planning—respectful, patient-centered, and
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1.
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Advances in Care of Mothers and Infants
Stem: A 32-year-old G2P1 at 10 weeks’ gestation visits the clinic
for initial prenatal care. She has a history of poorly controlled
type 2 diabetes and limited transportation. The nurse notes she
missed several appointments the last pregnancy and expresses
concern about costs. Which nursing action most effectively
addresses maternal–infant health disparities for this patient?
A. Provide a printed handout about diabetes in pregnancy and
ask her to read it at home.
B. Refer her to a social worker to explore transportation
,assistance and connect with a diabetes education program.
C. Schedule all future prenatal visits during evening hours to
accommodate her work schedule.
D. Recommend she enroll in an online diabetes course and
follow up in three months.
Correct answer: B
Rationale — Correct: Referring to social work and connecting to
diabetes education addresses social determinants
(transportation, access, education) that directly impact glycemic
control and pregnancy outcomes. This action integrates
interprofessional resources to reduce barriers and supports
evidence-based care.
Rationale — Incorrect A: A handout alone does not overcome
access or literacy barriers and is passive.
Rationale — Incorrect C: Evening visits may help schedule
conflicts but do not address transportation or education needs
comprehensively.
Rationale — Incorrect D: An online course may not be
accessible given her limited resources and delays needed
intervention.
Teaching point: Address social determinants and link patients to
resources to reduce disparities.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
2.
,Reference: Ch. 1 — Trends in Nursing Practice —
Interprofessional Collaboration
Stem: During prenatal rounds, a nurse hears that the clinic’s
perinatal readmission rate has increased. The nurse believes
inconsistent discharge teaching is a factor. Which initial nursing-
led quality initiative is most appropriate to reduce
readmissions?
A. Create a one-page standardized discharge checklist and train
nursing staff to use it for all postpartum discharges.
B. Ask physicians to write longer discharge notes for patients.
C. Post educational posters in the waiting room about
postpartum warning signs.
D. Increase the number of postpartum follow-up phone calls to
every week for six months.
Correct answer: A
Rationale — Correct: Developing and implementing a
standardized discharge checklist is an evidence-based, nurse-led
quality improvement strategy that improves consistency in
teaching and identification of risk factors before discharge. It’s
practical, measurable, and fosters interprofessional adherence.
Rationale — Incorrect B: Physician notes alone won’t
standardize nursing teaching or patient comprehension.
Rationale — Incorrect C: Posters are passive and unlikely to
ensure individualized discharge teaching.
Rationale — Incorrect D: Weekly calls for six months are
resource-intensive and not targeted; earlier focused calls (48–
72 hours) are more effective.
, Teaching point: Standardized checklists improve discharge
consistency and patient safety.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
3.
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Cultural Competence
Stem: A 19-year-old pregnant woman from a refugee
background with limited English presents for prenatal care. She
prefers a female provider and requests traditional remedies.
Which nursing approach best balances cultural respect and safe
maternity care?
A. Allow unrestricted use of traditional remedies without
comment to respect cultural beliefs.
B. Decline to discuss traditional practices and insist on standard
medical plans.
C. Use a trained interpreter, ask about specific remedies, assess
for safety interactions, and collaborate on a plan that honors
choices while ensuring fetal safety.
D. Refer her to another clinic that specializes in culturally
traditional care.
Correct answer: C
Rationale — Correct: Using a trained interpreter and eliciting
specifics allows assessment of potential harms and
collaborative planning—respectful, patient-centered, and
