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 the Care of Mothers and Infants
Stem
A 28-year-old G1 at 38 weeks’ gestation presents for a routine
prenatal visit. She reports access to remote prenatal visits
because she lives 90 minutes from the clinic. Blood pressure
and fetal heart rate tracing are normal today. She asks whether
telehealth visits are acceptable in late pregnancy. As the nurse,
,which response best addresses safety and evidence-based
practice while respecting access issues?
Options
A. Explain telehealth is unsafe after 36 weeks and insist on in-
person visits only.
B. Recommend a hybrid plan: alternate in-person visits (vital
signs, fundal height, fetal testing) with telehealth for education
and symptom checks.
C. Tell her telehealth is only for low-risk pregnancies and
discharge her from clinic if she prefers remote care.
D. Schedule weekly telehealth visits and no in-person
assessments until labor.
Correct Answer
B
Rationales
• Correct (B): A hybrid plan balances evidence supporting
telehealth for education and symptom monitoring with the
need for periodic in-person assessments (vitals, fetal
testing) late in pregnancy; it optimizes safety and access.
• Incorrect (A): Blanket prohibition is not evidence-based
and ignores patient access issues. It may cause care
avoidance.
• Incorrect (C): Telehealth can be appropriate for many
patients; automatic discharge is unsafe and non-
therapeutic.
, • Incorrect (D): Weekly telehealth alone omits essential in-
person assessments (e.g., BP, group B strep testing) and
increases risk.
Teaching Point
Combine telehealth with scheduled in-person assessments for
safe, accessible prenatal care.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference
Ch. 1 — 21st-Century Maternity and Women’s Health Nursing
— Efforts to Reduce Health Disparities
Stem
A clinic serves a diverse population with high rates of preterm
birth among Black patients. A 32-year-old Black multipara
requests community resources to reduce her risk in her new
pregnancy (10 weeks). Which nursing action most directly
targets health-disparity reduction?
Options
A. Provide a standard prenatal education packet and routine
follow-ups.
B. Refer her to a community doula program, local social
services, and a high-risk clinic that offers culturally competent
, care.
C. Advise bed rest and limit physical activity to minimize stress.
D. Encourage her to attend general childbirth classes offered in
English only.
Correct Answer
B
Rationales
• Correct (B): Referral to culturally competent, community-
based resources (doulas, social services, high-risk clinics)
addresses social determinants and evidence-based
interventions shown to reduce disparities and improve
outcomes.
• Incorrect (A): Generic education alone does not address
social determinants or cultural needs that drive disparities.
• Incorrect (C): Bed rest is not evidence-based for disparity
mitigation and can cause harm.
• Incorrect (D): Language-limited classes may exclude non-
English speakers and fail to address cultural relevance.
Teaching Point
Target social determinants and culturally competent supports to
reduce maternal health disparities.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1
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’ gestation presents for a routine
prenatal visit. She reports access to remote prenatal visits
because she lives 90 minutes from the clinic. Blood pressure
and fetal heart rate tracing are normal today. She asks whether
telehealth visits are acceptable in late pregnancy. As the nurse,
,which response best addresses safety and evidence-based
practice while respecting access issues?
Options
A. Explain telehealth is unsafe after 36 weeks and insist on in-
person visits only.
B. Recommend a hybrid plan: alternate in-person visits (vital
signs, fundal height, fetal testing) with telehealth for education
and symptom checks.
C. Tell her telehealth is only for low-risk pregnancies and
discharge her from clinic if she prefers remote care.
D. Schedule weekly telehealth visits and no in-person
assessments until labor.
Correct Answer
B
Rationales
• Correct (B): A hybrid plan balances evidence supporting
telehealth for education and symptom monitoring with the
need for periodic in-person assessments (vitals, fetal
testing) late in pregnancy; it optimizes safety and access.
• Incorrect (A): Blanket prohibition is not evidence-based
and ignores patient access issues. It may cause care
avoidance.
• Incorrect (C): Telehealth can be appropriate for many
patients; automatic discharge is unsafe and non-
therapeutic.
, • Incorrect (D): Weekly telehealth alone omits essential in-
person assessments (e.g., BP, group B strep testing) and
increases risk.
Teaching Point
Combine telehealth with scheduled in-person assessments for
safe, accessible prenatal care.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference
Ch. 1 — 21st-Century Maternity and Women’s Health Nursing
— Efforts to Reduce Health Disparities
Stem
A clinic serves a diverse population with high rates of preterm
birth among Black patients. A 32-year-old Black multipara
requests community resources to reduce her risk in her new
pregnancy (10 weeks). Which nursing action most directly
targets health-disparity reduction?
Options
A. Provide a standard prenatal education packet and routine
follow-ups.
B. Refer her to a community doula program, local social
services, and a high-risk clinic that offers culturally competent
, care.
C. Advise bed rest and limit physical activity to minimize stress.
D. Encourage her to attend general childbirth classes offered in
English only.
Correct Answer
B
Rationales
• Correct (B): Referral to culturally competent, community-
based resources (doulas, social services, high-risk clinics)
addresses social determinants and evidence-based
interventions shown to reduce disparities and improve
outcomes.
• Incorrect (A): Generic education alone does not address
social determinants or cultural needs that drive disparities.
• Incorrect (C): Bed rest is not evidence-based for disparity
mitigation and can cause harm.
• Incorrect (D): Language-limited classes may exclude non-
English speakers and fail to address cultural relevance.
Teaching Point
Target social determinants and culturally competent supports to
reduce maternal health disparities.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
