MATERNITY AND WOMEN'S
HEALTH CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
Question 1
Reference: Ch. 1 — Advances in Care & Health Disparities
Scenario: A 30-year-old G1P0 at 28 weeks gestation presents to
the clinic for her first prenatal visit. She recently immigrated
from Central America, speaks limited English, and has a history
of poorly controlled hypertension. The nurse notes she has not
received any prenatal care prior to today. Based on the trends
in 21st-century maternity nursing, what is the priority nursing
action?
,A. Refer the patient to a social worker for financial assistance.
B. Provide written discharge instructions in English for her to
translate later.
C. Assess for cultural beliefs and barriers that may have delayed
her care.
D. Schedule her for an immediate non-stress test due to her
hypertension.
Correct Answer: C
Rationales:
• Correct Answer C: Assessing for cultural beliefs and
barriers is the priority to understand why the patient
delayed care. This aligns with the 21st-century focus on
reducing health disparities by providing culturally
competent, patient-centered care that addresses social
determinants of health.
• Option A: While a social work referral may eventually
be needed, it is not the immediate priority. The nurse must
first establish rapport and assess the root causes of the
lack of care.
• Option B: Providing discharge instructions in a
language the patient does not understand is ineffective
and unsafe. It violates principles of culturally competent
care and informed consent. An interpreter must be used.
, • Option D: While her history of hypertension warrants
fetal assessment, scheduling a test is premature. The
priority is to establish a therapeutic relationship and
gather comprehensive data through an interpreter.
Teaching Point: The first step in reducing health disparities is
performing a culturally sensitive assessment to identify and
understand barriers to care.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
Question 2
Reference: Ch. 1 — Contemporary Issues and Trends
Scenario: A newly licensed nurse is orienting to the labor and
birth unit. The nurse confides in their preceptor that they have
strong personal beliefs against abortion and feel uncomfortable
caring for a patient scheduled for an elective termination.
Which response by the preceptor reflects the standard of care
in nursing practice?
A. "I will ask the charge nurse to assign you to different patients
for now."
B. "You have the right to refuse to participate in this procedure
based on your moral beliefs."
C. "You must set aside your personal feelings; this is your
assigned patient."
, D. "Let's discuss how we can transfer this patient to another
facility."
Correct Answer: B
Rationales:
• Correct Answer B: The preceptor's response correctly
identifies the nurse's right to conscientious objection.
Nurses have the right to refuse to participate in procedures
that conflict with their moral or ethical beliefs, provided
they do not abandon the patient and ensure patient safety
by handing off care to a qualified colleague.
• Option A: While the outcome (reassignment) is
correct, this response does not educate the new nurse on
their right to refuse or the ethical principle behind it,
missing a key teaching opportunity.
• Option C: This response is incorrect and dismissive of
the nurse's ethical dilemma. While nurses must be
professional, they are not required to violate their personal
moral integrity by directly participating in procedures they
find objectionable.
• Option D: Transferring the patient is unnecessary and
disruptive. The standard of care is to transfer
the assignment of care to a willing provider within the
same facility, not transfer the patient.
HEALTH CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
Question 1
Reference: Ch. 1 — Advances in Care & Health Disparities
Scenario: A 30-year-old G1P0 at 28 weeks gestation presents to
the clinic for her first prenatal visit. She recently immigrated
from Central America, speaks limited English, and has a history
of poorly controlled hypertension. The nurse notes she has not
received any prenatal care prior to today. Based on the trends
in 21st-century maternity nursing, what is the priority nursing
action?
,A. Refer the patient to a social worker for financial assistance.
B. Provide written discharge instructions in English for her to
translate later.
C. Assess for cultural beliefs and barriers that may have delayed
her care.
D. Schedule her for an immediate non-stress test due to her
hypertension.
Correct Answer: C
Rationales:
• Correct Answer C: Assessing for cultural beliefs and
barriers is the priority to understand why the patient
delayed care. This aligns with the 21st-century focus on
reducing health disparities by providing culturally
competent, patient-centered care that addresses social
determinants of health.
• Option A: While a social work referral may eventually
be needed, it is not the immediate priority. The nurse must
first establish rapport and assess the root causes of the
lack of care.
• Option B: Providing discharge instructions in a
language the patient does not understand is ineffective
and unsafe. It violates principles of culturally competent
care and informed consent. An interpreter must be used.
, • Option D: While her history of hypertension warrants
fetal assessment, scheduling a test is premature. The
priority is to establish a therapeutic relationship and
gather comprehensive data through an interpreter.
Teaching Point: The first step in reducing health disparities is
performing a culturally sensitive assessment to identify and
understand barriers to care.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
Question 2
Reference: Ch. 1 — Contemporary Issues and Trends
Scenario: A newly licensed nurse is orienting to the labor and
birth unit. The nurse confides in their preceptor that they have
strong personal beliefs against abortion and feel uncomfortable
caring for a patient scheduled for an elective termination.
Which response by the preceptor reflects the standard of care
in nursing practice?
A. "I will ask the charge nurse to assign you to different patients
for now."
B. "You have the right to refuse to participate in this procedure
based on your moral beliefs."
C. "You must set aside your personal feelings; this is your
assigned patient."
, D. "Let's discuss how we can transfer this patient to another
facility."
Correct Answer: B
Rationales:
• Correct Answer B: The preceptor's response correctly
identifies the nurse's right to conscientious objection.
Nurses have the right to refuse to participate in procedures
that conflict with their moral or ethical beliefs, provided
they do not abandon the patient and ensure patient safety
by handing off care to a qualified colleague.
• Option A: While the outcome (reassignment) is
correct, this response does not educate the new nurse on
their right to refuse or the ethical principle behind it,
missing a key teaching opportunity.
• Option C: This response is incorrect and dismissive of
the nurse's ethical dilemma. While nurses must be
professional, they are not required to violate their personal
moral integrity by directly participating in procedures they
find objectionable.
• Option D: Transferring the patient is unnecessary and
disruptive. The standard of care is to transfer
the assignment of care to a willing provider within the
same facility, not transfer the patient.
