MATERNITY AND WOMEN'S HEALTH
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
Q1
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Advances in the Care of Mothers and Infants
Stem: A 28-year-old G1 at 38 weeks arrives reporting decreased
fetal movement for 18 hours. She is anxious and asks whether
advances in perinatal care will change next steps. As the labor-
and-delivery nurse, which initial action best aligns with
contemporary, evidence-based maternal–fetal safety practices?
A. Reassure her that decreased movement late in pregnancy is
common and ask her to return if movements stop completely.
B. Perform a nonstress test (NST) immediately and notify the
obstetric provider of the results.
,C. Schedule a fetal kick-count education session for next week
and discharge her home.
D. Send her for an immediate ultrasound without first
performing an NST.
Correct answer: B
Rationale (correct): Performing an NST immediately follows
evidence-based practice for decreased fetal movement at term;
it provides rapid assessment of fetal well-being and guides
timely interventions while involving the provider as needed.
This action prioritizes maternal–fetal safety and uses available
perinatal monitoring advances.
Incorrect options:
A. Reassurance alone delays assessment and risks missing fetal
compromise.
C. Postponing education and discharge is inappropriate when
decreased movement is reported — immediate evaluation is
required.
D. Ultrasound may be useful but NST is the faster first-line,
noninvasive evaluation for fetal reactivity; skipping NST may
delay appropriate triage.
Teaching point: Decreased fetal movement → immediate NST
and provider notification.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
,Q2
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Contemporary Issues and Trends
Stem: A 34-year-old Black woman at 12 weeks expresses
distrust of the healthcare system and declines several
recommended prenatal labs. She cites prior negative
experiences. As the nurse, which approach best addresses
disparities and promotes equitable prenatal care?
A. Tell her the tests are mandatory and arrange them without
further discussion.
B. Explore her concerns empathetically, provide clear
information about risks/benefits, and offer culturally
concordant resources.
C. Accept her refusal without further discussion to avoid
upsetting her.
D. Document refusal and schedule a routine follow-up without
offering additional education.
Correct answer: B
Rationale (correct): Empathic exploration of mistrust, clear
risk/benefit education, and offering culturally appropriate
resources aligns with strategies to reduce disparities by building
trust and informed decision-making. This patient-centered
approach may improve uptake of recommended care.
Incorrect options:
A. Coercion undermines trust and worsens disparities.
C. Accepting refusal without dialogue misses opportunity to
, address barriers and educate.
D. Passive documentation without education or resource
provision fails to mitigate underlying causes of refusal.
Teaching point: Address mistrust with empathy, education, and
culturally appropriate resources.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
Q3
Reference: Ch. 1 — Trends in Nursing Practice — Telehealth and
Remote Monitoring
Stem: A postpartum nurse coordinates care for a new mother
with gestational hypertension discharged 24 hours after vaginal
birth. The patient lives in a rural area and has limited travel
options. Which nursing plan best uses contemporary trends to
ensure safe follow-up?
A. Encourage return to the clinic in 1 week for blood pressure
checks only.
B. Arrange telehealth visits with home blood pressure
monitoring and daily virtual check-ins for the first week.
C. Provide written instructions and rely on the patient to
contact the clinic if symptoms occur.
D. Refer the patient to the emergency department for daily in-
person assessment.
Correct answer: B
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
Q1
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Advances in the Care of Mothers and Infants
Stem: A 28-year-old G1 at 38 weeks arrives reporting decreased
fetal movement for 18 hours. She is anxious and asks whether
advances in perinatal care will change next steps. As the labor-
and-delivery nurse, which initial action best aligns with
contemporary, evidence-based maternal–fetal safety practices?
A. Reassure her that decreased movement late in pregnancy is
common and ask her to return if movements stop completely.
B. Perform a nonstress test (NST) immediately and notify the
obstetric provider of the results.
,C. Schedule a fetal kick-count education session for next week
and discharge her home.
D. Send her for an immediate ultrasound without first
performing an NST.
Correct answer: B
Rationale (correct): Performing an NST immediately follows
evidence-based practice for decreased fetal movement at term;
it provides rapid assessment of fetal well-being and guides
timely interventions while involving the provider as needed.
This action prioritizes maternal–fetal safety and uses available
perinatal monitoring advances.
Incorrect options:
A. Reassurance alone delays assessment and risks missing fetal
compromise.
C. Postponing education and discharge is inappropriate when
decreased movement is reported — immediate evaluation is
required.
D. Ultrasound may be useful but NST is the faster first-line,
noninvasive evaluation for fetal reactivity; skipping NST may
delay appropriate triage.
Teaching point: Decreased fetal movement → immediate NST
and provider notification.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
,Q2
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Contemporary Issues and Trends
Stem: A 34-year-old Black woman at 12 weeks expresses
distrust of the healthcare system and declines several
recommended prenatal labs. She cites prior negative
experiences. As the nurse, which approach best addresses
disparities and promotes equitable prenatal care?
A. Tell her the tests are mandatory and arrange them without
further discussion.
B. Explore her concerns empathetically, provide clear
information about risks/benefits, and offer culturally
concordant resources.
C. Accept her refusal without further discussion to avoid
upsetting her.
D. Document refusal and schedule a routine follow-up without
offering additional education.
Correct answer: B
Rationale (correct): Empathic exploration of mistrust, clear
risk/benefit education, and offering culturally appropriate
resources aligns with strategies to reduce disparities by building
trust and informed decision-making. This patient-centered
approach may improve uptake of recommended care.
Incorrect options:
A. Coercion undermines trust and worsens disparities.
C. Accepting refusal without dialogue misses opportunity to
, address barriers and educate.
D. Passive documentation without education or resource
provision fails to mitigate underlying causes of refusal.
Teaching point: Address mistrust with empathy, education, and
culturally appropriate resources.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
Q3
Reference: Ch. 1 — Trends in Nursing Practice — Telehealth and
Remote Monitoring
Stem: A postpartum nurse coordinates care for a new mother
with gestational hypertension discharged 24 hours after vaginal
birth. The patient lives in a rural area and has limited travel
options. Which nursing plan best uses contemporary trends to
ensure safe follow-up?
A. Encourage return to the clinic in 1 week for blood pressure
checks only.
B. Arrange telehealth visits with home blood pressure
monitoring and daily virtual check-ins for the first week.
C. Provide written instructions and rely on the patient to
contact the clinic if symptoms occur.
D. Refer the patient to the emergency department for daily in-
person assessment.
Correct answer: B
