Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1
Reference: Lowdermilk et al., 2023, Ch. 1: 21st-
Century Maternity and Women’s Health Nursing
— Role of the RN in Maternity Care.
Stem: A 28-year-old pregnant client at 32 weeks
asks the nurse about the role of an RN versus
an advanced practice provider during labor.
Which response best reflects the RN’s primary
responsibility?
A. Performing independent deliveries when the
provider is unavailable.
B. Managing continuous assessment and
,implementing nursing interventions to ensure
maternal-fetal safety.
C. Prescribing tocolytics for preterm labor when
confirmed by bedside assessment.
D. Making decisions to transfer to a higher level
of care without consulting the team.
Correct Answer: B
Rationale (correct): RNs provide continuous
assessment, recognize changes, and implement
nursing interventions or escalate care — core to
maternity nursing practice. This emphasizes
monitoring and safety rather than independent
prescriptive authority.
Rationale (A): Incorrect — RNs do not perform
autonomous deliveries; scope requires
collaboration with provider/advanced practice.
Rationale (C): Incorrect — Prescribing
medications is outside the RN’s scope; RNs can
administer per orders and monitor response.
Rationale (D): Incorrect — Transfers require
,interprofessional decision-making and
appropriate consultations, not unilateral action.
Teaching Point: RNs continuously assess and
implement safety-focused interventions in
maternity care.
Citation: Lowdermilk et al., 2023, Ch. 1: Role of
the RN.
2
Reference: Lowdermilk et al., 2023, Ch. 1:
Advances in the Care of Mothers and Infants —
Perinatal Quality Initiatives.
Stem: A hospital quality committee is reviewing
rising postpartum hemorrhage rates. As the
maternity nurse representative, which action
best demonstrates evidence-based
involvement?
A. Suggest increasing nursing staff without
reviewing protocols.
, B. Lead a review of unit hemorrhage protocols,
drills, and blood-product access.
C. Decide to withhold oxytocin prophylaxis to
compare outcomes.
D. Recommend transferring all high-risk births
to another facility.
Correct Answer: B
Rationale (correct): Engaging in protocol
review, simulation drills, and ensuring timely
access to blood aligns with perinatal quality
improvement and reduces hemorrhage
morbidity.
Rationale (A): Incorrect — Staffing may help
but should follow analysis of systems and
protocols.
Rationale (C): Incorrect — Withholding
prophylactic oxytocin contradicts evidence for
hemorrhage prevention.
Rationale (D): Incorrect — Blanket transfer is
impractical and avoids addressing system-level
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1
Reference: Lowdermilk et al., 2023, Ch. 1: 21st-
Century Maternity and Women’s Health Nursing
— Role of the RN in Maternity Care.
Stem: A 28-year-old pregnant client at 32 weeks
asks the nurse about the role of an RN versus
an advanced practice provider during labor.
Which response best reflects the RN’s primary
responsibility?
A. Performing independent deliveries when the
provider is unavailable.
B. Managing continuous assessment and
,implementing nursing interventions to ensure
maternal-fetal safety.
C. Prescribing tocolytics for preterm labor when
confirmed by bedside assessment.
D. Making decisions to transfer to a higher level
of care without consulting the team.
Correct Answer: B
Rationale (correct): RNs provide continuous
assessment, recognize changes, and implement
nursing interventions or escalate care — core to
maternity nursing practice. This emphasizes
monitoring and safety rather than independent
prescriptive authority.
Rationale (A): Incorrect — RNs do not perform
autonomous deliveries; scope requires
collaboration with provider/advanced practice.
Rationale (C): Incorrect — Prescribing
medications is outside the RN’s scope; RNs can
administer per orders and monitor response.
Rationale (D): Incorrect — Transfers require
,interprofessional decision-making and
appropriate consultations, not unilateral action.
Teaching Point: RNs continuously assess and
implement safety-focused interventions in
maternity care.
Citation: Lowdermilk et al., 2023, Ch. 1: Role of
the RN.
2
Reference: Lowdermilk et al., 2023, Ch. 1:
Advances in the Care of Mothers and Infants —
Perinatal Quality Initiatives.
Stem: A hospital quality committee is reviewing
rising postpartum hemorrhage rates. As the
maternity nurse representative, which action
best demonstrates evidence-based
involvement?
A. Suggest increasing nursing staff without
reviewing protocols.
, B. Lead a review of unit hemorrhage protocols,
drills, and blood-product access.
C. Decide to withhold oxytocin prophylaxis to
compare outcomes.
D. Recommend transferring all high-risk births
to another facility.
Correct Answer: B
Rationale (correct): Engaging in protocol
review, simulation drills, and ensuring timely
access to blood aligns with perinatal quality
improvement and reduces hemorrhage
morbidity.
Rationale (A): Incorrect — Staffing may help
but should follow analysis of systems and
protocols.
Rationale (C): Incorrect — Withholding
prophylactic oxytocin contradicts evidence for
hemorrhage prevention.
Rationale (D): Incorrect — Blanket transfer is
impractical and avoids addressing system-level
