13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1
Reference: Ch. 1: 21st-Century Maternity and
Women’s Health Nursing — Role of the Nurse in
Family-Centered Care
Question stem: A 28-year-old primigravida at
36 weeks expresses anxiety about labor and
asks how the nurse will involve her partner in
decisions. Which nursing response best
demonstrates family-centered, 21st-century
maternity care?
A. “I’ll just update your partner after each stage
of labor.”
,B. “Tell me how you and your partner want to
make decisions during labor.”
C. “We usually limit partners to the waiting
room to reduce stress.”
D. “Your provider decides what’s best — you
can ask questions later.”
Correct answer: B
Rationales:
• Correct (B): Engages the woman and
partner to elicit preferences and supports
shared decision-making, aligning with
family-centered care and patient autonomy.
• A: Passive information flow to partner is not
collaborative and may exclude the patient
from decision processes.
• C: Default exclusion contradicts modern
practice that supports partner presence and
involvement when desired.
, • D: Defers to provider and undermines
patient autonomy and nursing advocacy
role.
Teaching Point: Ask and honor
patient/family preferences to support
shared decision-making.
Citation: Lowdermilk et al., 2023, Ch. 1:
21st-Century Maternity and Women’s
Health Nursing
2
Reference: Ch. 2: Advances in the Care of
Mothers and Infants — Use of Telehealth in
Prenatal Care
Question stem: A clinic adopts telehealth visits
for low-risk prenatal patients. Which nurse
action best ensures safety and quality during a
remote prenatal visit?
A. Ask the patient only yes/no questions to save
, time.
B. Use standardized checklists and verify home
measurement accuracy.
C. Schedule telehealth visits only when the
provider is unavailable.
D. Advise patients to come to clinic only if they
request it.
Correct answer: B
Rationales:
• Correct (B): Using standardized checklists
and verifying accuracy of patient-obtained
vitals (weight, BP) maintains quality, safety,
and documentation with telehealth.
• A: Yes/no questioning limits assessment
depth and may miss subtle concerns.
• C: Telehealth should be planned as an
alternative, not emergency backup; limiting
to provider unavailability undermines
quality.