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 postpartum nurse on a medical-surgical unit is
developing a discharge teaching plan for a 28-year-old first-time
mother who delivered at 39 weeks and is planned to
breastfeed. Recent hospital initiatives emphasize evidence-
based breastfeeding support. Which nursing action best aligns
,with contemporary evidence to improve breastfeeding initiation
and continuation?
A. Encourage the mother to exclusively formula feed for the first
48 hours to allow rest.
B. Arrange immediate skin-to-skin contact and assist with the
first latch in the birthing room.
C. Provide a pamphlet about breastfeeding and advise follow-up
with a lactation group in two weeks.
D. Recommend scheduled feeding every 3–4 hours starting the
second day postpartum.
Correct answer: B
Rationale — Correct (2–4 sentences): Immediate skin-to-skin
contact and assistance with the first latch promote neonatal
rooting reflexes, maternal oxytocin release, and early milk
production—interventions shown to increase breastfeeding
initiation and duration. This aligns with evidence-based hospital
practices that prioritize early breastfeeding support.
Rationale — Incorrect:
A. Discouraging early breastfeeding is contrary to evidence and
undermines lactation establishment.
C. Pamphlets alone without hands-on support are insufficient;
delayed group follow-up misses the critical early window.
D. Rigid scheduled feeding can interfere with demand feeding
and breastfeeding establishment in the immediate postpartum
period.
,Teaching point: Immediate skin-to-skin and first-latch assistance
improve breastfeeding outcomes.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Social Determinants of Health
Stem: During a prenatal visit, the nurse learns the patient lives
in a neighborhood with limited transportation, variable food
access, and unstable housing. Which nursing intervention most
directly addresses social determinants to reduce pregnancy-
related health disparities?
A. Provide standard prenatal educational materials focused on
fetal development.
B. Refer the patient to community resources for transportation,
WIC, and housing assistance.
C. Schedule the next prenatal visit three months later to reduce
clinic burden.
D. Recommend exercising at home and counting fetal
movements daily.
Correct answer: B
Rationale — Correct (2–4 sentences): Referring to community
resources addresses upstream social determinants
, (transportation, nutrition, housing) that directly influence
maternal and fetal outcomes, thereby reducing disparities.
Effective nursing care includes linking patients to supports that
remove barriers to care.
Rationale — Incorrect:
A. Educational materials are useful but do not resolve structural
barriers.
C. Extending visit intervals risks missed complications and
worsens access problems.
D. Advising self-management without addressing access issues
overlooks the root causes affecting health.
Teaching point: Address social determinants by connecting
patients to community resources.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3
Reference: Ch. 1 — Contemporary Issues and Trends —
Maternal Mortality
Stem: A unit quality meeting reviews a recent increase in severe
maternal morbidity in the institution. As the maternity nurse
leader, which action best reflects evidence-based practice to
lower maternal mortality and morbidity?
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 postpartum nurse on a medical-surgical unit is
developing a discharge teaching plan for a 28-year-old first-time
mother who delivered at 39 weeks and is planned to
breastfeed. Recent hospital initiatives emphasize evidence-
based breastfeeding support. Which nursing action best aligns
,with contemporary evidence to improve breastfeeding initiation
and continuation?
A. Encourage the mother to exclusively formula feed for the first
48 hours to allow rest.
B. Arrange immediate skin-to-skin contact and assist with the
first latch in the birthing room.
C. Provide a pamphlet about breastfeeding and advise follow-up
with a lactation group in two weeks.
D. Recommend scheduled feeding every 3–4 hours starting the
second day postpartum.
Correct answer: B
Rationale — Correct (2–4 sentences): Immediate skin-to-skin
contact and assistance with the first latch promote neonatal
rooting reflexes, maternal oxytocin release, and early milk
production—interventions shown to increase breastfeeding
initiation and duration. This aligns with evidence-based hospital
practices that prioritize early breastfeeding support.
Rationale — Incorrect:
A. Discouraging early breastfeeding is contrary to evidence and
undermines lactation establishment.
C. Pamphlets alone without hands-on support are insufficient;
delayed group follow-up misses the critical early window.
D. Rigid scheduled feeding can interfere with demand feeding
and breastfeeding establishment in the immediate postpartum
period.
,Teaching point: Immediate skin-to-skin and first-latch assistance
improve breastfeeding outcomes.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Social Determinants of Health
Stem: During a prenatal visit, the nurse learns the patient lives
in a neighborhood with limited transportation, variable food
access, and unstable housing. Which nursing intervention most
directly addresses social determinants to reduce pregnancy-
related health disparities?
A. Provide standard prenatal educational materials focused on
fetal development.
B. Refer the patient to community resources for transportation,
WIC, and housing assistance.
C. Schedule the next prenatal visit three months later to reduce
clinic burden.
D. Recommend exercising at home and counting fetal
movements daily.
Correct answer: B
Rationale — Correct (2–4 sentences): Referring to community
resources addresses upstream social determinants
, (transportation, nutrition, housing) that directly influence
maternal and fetal outcomes, thereby reducing disparities.
Effective nursing care includes linking patients to supports that
remove barriers to care.
Rationale — Incorrect:
A. Educational materials are useful but do not resolve structural
barriers.
C. Extending visit intervals risks missed complications and
worsens access problems.
D. Advising self-management without addressing access issues
overlooks the root causes affecting health.
Teaching point: Address social determinants by connecting
patients to community resources.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3
Reference: Ch. 1 — Contemporary Issues and Trends —
Maternal Mortality
Stem: A unit quality meeting reviews a recent increase in severe
maternal morbidity in the institution. As the maternity nurse
leader, which action best reflects evidence-based practice to
lower maternal mortality and morbidity?
