MATERNITY AND WOMEN'S HEALTH
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1⃣
Reference
Ch. 1 — 21st-Century Maternity and Women’s Health Nursing
— Advances in Care
Stem
A 28-year-old primigravida at 38 weeks asks the nurse about
continuous electronic fetal monitoring (EFM) because she’s
concerned about fetal safety during labor. She has an
uncomplicated pregnancy and requests mobility during early
labor. Which nursing response best balances evidence-based
safety and maternal comfort?
,A. Explain that continuous EFM is required for all labors and ask
her to remain in bed.
B. Offer intermittent auscultation for low-risk labor and
encourage ambulation as tolerated.
C. Schedule a planned cesarean to avoid potential fetal distress
during labor.
D. Apply continuous EFM only when she’s fully dilated to allow
ambulation earlier.
Correct answer
B
Rationale — Correct (B)
Intermittent auscultation is evidence-based for low-risk labors
and supports maternal mobility, which promotes labor progress
and decreases complications. It balances fetal assessment with
maternal comfort and autonomy. This aligns with contemporary
trends that individualize monitoring based on risk.
Rationale — Incorrect
A. Continuous EFM for all labors is not supported for low-risk
women and unnecessarily restricts mobility.
C. Scheduling cesarean without indication increases maternal
morbidity and is not appropriate.
D. Continuous EFM only when fully dilated both misses earlier
detection and is not standard practice.
Teaching point
Use intermittent auscultation for low-risk labors to support
mobility and safety.
,Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2️⃣
Reference
Ch. 1 — Efforts to Reduce Health Disparities — Contemporary
Issues
Stem
An obstetric unit has higher rates of preterm birth among Black
birthing people compared with other groups. As the charge
nurse, which first action demonstrates the best systems-level
approach to reduce this disparity?
A. Provide cultural sensitivity posters in patient rooms.
B. Convene a multidisciplinary review of care processes and
social determinants.
C. Offer optional childbirth classes exclusively to Black patients.
D. Increase staffing on night shifts to improve surveillance.
Correct answer
B
Rationale — Correct (B)
A multidisciplinary review identifies systemic factors (clinical,
social determinants, access) that contribute to disparities and
directs targeted interventions. Systems-level analysis is
, necessary before implementing changes to ensure equity and
effectiveness.
Rationale — Incorrect
A. Posters raise awareness but don’t change structural
contributors to disparities.
C. Segregated classes risk further inequity and don’t address
root causes.
D. Increased staffing may help safety but is not targeted to
underlying disparity drivers.
Teaching point
Address disparities with system reviews that include social
determinants and clinical practice patterns.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3⃣
Reference
Ch. 1 — Trends in Nursing Practice — Telehealth and Remote
Monitoring
Stem
A postpartum patient with a history of gestational hypertension
is discharged and offered remote BP monitoring at home. She
reports intermittent headaches at home. Which nurse action is
the most appropriate first step?
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1⃣
Reference
Ch. 1 — 21st-Century Maternity and Women’s Health Nursing
— Advances in Care
Stem
A 28-year-old primigravida at 38 weeks asks the nurse about
continuous electronic fetal monitoring (EFM) because she’s
concerned about fetal safety during labor. She has an
uncomplicated pregnancy and requests mobility during early
labor. Which nursing response best balances evidence-based
safety and maternal comfort?
,A. Explain that continuous EFM is required for all labors and ask
her to remain in bed.
B. Offer intermittent auscultation for low-risk labor and
encourage ambulation as tolerated.
C. Schedule a planned cesarean to avoid potential fetal distress
during labor.
D. Apply continuous EFM only when she’s fully dilated to allow
ambulation earlier.
Correct answer
B
Rationale — Correct (B)
Intermittent auscultation is evidence-based for low-risk labors
and supports maternal mobility, which promotes labor progress
and decreases complications. It balances fetal assessment with
maternal comfort and autonomy. This aligns with contemporary
trends that individualize monitoring based on risk.
Rationale — Incorrect
A. Continuous EFM for all labors is not supported for low-risk
women and unnecessarily restricts mobility.
C. Scheduling cesarean without indication increases maternal
morbidity and is not appropriate.
D. Continuous EFM only when fully dilated both misses earlier
detection and is not standard practice.
Teaching point
Use intermittent auscultation for low-risk labors to support
mobility and safety.
,Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2️⃣
Reference
Ch. 1 — Efforts to Reduce Health Disparities — Contemporary
Issues
Stem
An obstetric unit has higher rates of preterm birth among Black
birthing people compared with other groups. As the charge
nurse, which first action demonstrates the best systems-level
approach to reduce this disparity?
A. Provide cultural sensitivity posters in patient rooms.
B. Convene a multidisciplinary review of care processes and
social determinants.
C. Offer optional childbirth classes exclusively to Black patients.
D. Increase staffing on night shifts to improve surveillance.
Correct answer
B
Rationale — Correct (B)
A multidisciplinary review identifies systemic factors (clinical,
social determinants, access) that contribute to disparities and
directs targeted interventions. Systems-level analysis is
, necessary before implementing changes to ensure equity and
effectiveness.
Rationale — Incorrect
A. Posters raise awareness but don’t change structural
contributors to disparities.
C. Segregated classes risk further inequity and don’t address
root causes.
D. Increased staffing may help safety but is not targeted to
underlying disparity drivers.
Teaching point
Address disparities with system reviews that include social
determinants and clinical practice patterns.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3⃣
Reference
Ch. 1 — Trends in Nursing Practice — Telehealth and Remote
Monitoring
Stem
A postpartum patient with a history of gestational hypertension
is discharged and offered remote BP monitoring at home. She
reports intermittent headaches at home. Which nurse action is
the most appropriate first step?
