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 29-year-old pregnant woman at 28 weeks expresses
concern about accessing prenatal care because her rural clinic
closed and public transport is unreliable. As the maternity nurse
in a community health clinic, which intervention most directly
addresses this barrier while supporting evidence-based prenatal
care access?
A. Schedule the woman for the next available appointment at
,the distant county hospital.
B. Enroll her in a telehealth prenatal program and arrange an
initial home-visit by a community health nurse.
C. Advise her to use rideshare apps and provide a list of local
drivers.
D. Give printed prenatal education materials and ask her to call
if she has questions.
Correct Answer: B
Rationale — Correct: Enrolling the woman in telehealth and
arranging an initial home visit addresses access barriers,
maintains continuity of evidence-based care, and uses
community nursing to assess needs in person. This combined
approach reduces disparities for rural patients.
Rationale — Incorrect:
A. Scheduling at a distant hospital does not solve transportation
barriers and may delay care.
C. Rideshare options may be unreliable or unaffordable for rural
patients.
D. Printed materials alone do not ensure assessment,
individualized care, or access.
Teaching Point: Combine telehealth with community nursing to
reduce rural prenatal access gaps.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
,2)
Reference: Ch. 1 — Contemporary Issues and Trends — Health
Disparities in Maternal Outcomes
Stem: A laboring patient with multiple social stressors is
admitted; her chart notes she’s part of a population with higher
maternal mortality rates. Which nursing action best
demonstrates culturally sensitive, evidence-based practice to
reduce her risk?
A. Focus solely on physiologic monitoring and defer
psychosocial assessment to social work.
B. Ask about social support, screen for intimate partner
violence, and coordinate interdisciplinary resources.
C. Reassure the patient that mortality is rare and focus on
routine labor care.
D. Refer her to community resources after discharge planning is
complete.
Correct Answer: B
Rationale — Correct: Screening for psychosocial risk factors and
coordinating interdisciplinary resources addresses known
contributors to disparities and supports immediate safety and
outcomes. Nursing assessment is essential to reduce maternal
risk.
Rationale — Incorrect:
A. Deferring psychosocial assessment overlooks modifiable risk
factors and delays interventions.
C. Minimizing risk ignores social determinants that increase
, maternal mortality.
D. Postponing referrals until discharge misses opportunities to
intervene during hospitalization.
Teaching Point: Early screening and interdisciplinary
coordination reduce disparity-related maternal risks.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3)
Reference: Ch. 1 — Trends in Nursing Practice — Expanded
Roles & Interprofessional Care
Stem: The obstetric unit is implementing a nurse-led
postpartum telephone follow-up program for vulnerable
patients. Which outcome measure best evaluates program
effectiveness at improving maternal health equity?
A. Percentage of postpartum calls completed within 48 hours.
B. Number of calls documented in the electronic health record
(EHR).
C. Rate of postpartum emergency department visits among
enrolled high-risk mothers within 6 weeks.
D. Patient satisfaction scores for the hospital stay.
Correct Answer: C
Rationale — Correct: A decrease in postpartum ED visits among
high-risk mothers indicates improved access, early problem
recognition, and effective nursing follow-up — directly
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 29-year-old pregnant woman at 28 weeks expresses
concern about accessing prenatal care because her rural clinic
closed and public transport is unreliable. As the maternity nurse
in a community health clinic, which intervention most directly
addresses this barrier while supporting evidence-based prenatal
care access?
A. Schedule the woman for the next available appointment at
,the distant county hospital.
B. Enroll her in a telehealth prenatal program and arrange an
initial home-visit by a community health nurse.
C. Advise her to use rideshare apps and provide a list of local
drivers.
D. Give printed prenatal education materials and ask her to call
if she has questions.
Correct Answer: B
Rationale — Correct: Enrolling the woman in telehealth and
arranging an initial home visit addresses access barriers,
maintains continuity of evidence-based care, and uses
community nursing to assess needs in person. This combined
approach reduces disparities for rural patients.
Rationale — Incorrect:
A. Scheduling at a distant hospital does not solve transportation
barriers and may delay care.
C. Rideshare options may be unreliable or unaffordable for rural
patients.
D. Printed materials alone do not ensure assessment,
individualized care, or access.
Teaching Point: Combine telehealth with community nursing to
reduce rural prenatal access gaps.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
,2)
Reference: Ch. 1 — Contemporary Issues and Trends — Health
Disparities in Maternal Outcomes
Stem: A laboring patient with multiple social stressors is
admitted; her chart notes she’s part of a population with higher
maternal mortality rates. Which nursing action best
demonstrates culturally sensitive, evidence-based practice to
reduce her risk?
A. Focus solely on physiologic monitoring and defer
psychosocial assessment to social work.
B. Ask about social support, screen for intimate partner
violence, and coordinate interdisciplinary resources.
C. Reassure the patient that mortality is rare and focus on
routine labor care.
D. Refer her to community resources after discharge planning is
complete.
Correct Answer: B
Rationale — Correct: Screening for psychosocial risk factors and
coordinating interdisciplinary resources addresses known
contributors to disparities and supports immediate safety and
outcomes. Nursing assessment is essential to reduce maternal
risk.
Rationale — Incorrect:
A. Deferring psychosocial assessment overlooks modifiable risk
factors and delays interventions.
C. Minimizing risk ignores social determinants that increase
, maternal mortality.
D. Postponing referrals until discharge misses opportunities to
intervene during hospitalization.
Teaching Point: Early screening and interdisciplinary
coordination reduce disparity-related maternal risks.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3)
Reference: Ch. 1 — Trends in Nursing Practice — Expanded
Roles & Interprofessional Care
Stem: The obstetric unit is implementing a nurse-led
postpartum telephone follow-up program for vulnerable
patients. Which outcome measure best evaluates program
effectiveness at improving maternal health equity?
A. Percentage of postpartum calls completed within 48 hours.
B. Number of calls documented in the electronic health record
(EHR).
C. Rate of postpartum emergency department visits among
enrolled high-risk mothers within 6 weeks.
D. Patient satisfaction scores for the hospital stay.
Correct Answer: C
Rationale — Correct: A decrease in postpartum ED visits among
high-risk mothers indicates improved access, early problem
recognition, and effective nursing follow-up — directly
