Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Based Care
Stem: A postpartum client requests delayed cord clamping after
a term vaginal birth. Which nursing action best supports this
evidence-based practice while ensuring newborn safety?
A. Inform the parents delayed clamping is experimental and
obtain written consent.
B. Support delayed cord clamping for at least 60 seconds while
monitoring infant tone and respiration.
C. Clamp the cord immediately to expedite routine newborn
care in the delivery room.
D. Delay clamping only if the newborn requires resuscitation.
Correct answer: B
Rationale (correct): Delayed cord clamping for term infants
(≈30–60+ seconds) is evidence-based to improve neonatal iron
stores; the nurse supports the practice and observes neonatal
adaptation.
,Rationales (incorrect):
A. Delayed cord clamping is not experimental for term infants;
framing it as experimental may undermine informed decision-
making.
C. Immediate clamping when not indicated misses an evidence-
based opportunity to improve neonatal outcomes.
D. If the newborn requires resuscitation, immediate
intervention takes priority; otherwise, delaying is appropriate.
Teaching point: Support delayed cord clamping (30–60+ sec)
while monitoring neonatal transition.
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
— Skin-to-Skin & Kangaroo Care
Stem: A nurse on a Level II nursery is planning kangaroo (skin-
to-skin) care for a stable late preterm infant. Which nursing
assessment best determines readiness to initiate kangaroo
care?
A. Maternal willingness to hold the infant even if the infant’s
temperature is borderline low.
B. Infant respiratory stability with no need for supplemental
oxygen or continuous positive pressure.
C. Whether the infant has completed all metabolic laboratory
,testing.
D. The availability of the neonatologist for bedside presence.
Correct answer: B
Rationale (correct): Kangaroo care is appropriate for
physiologically stable preterm infants; respiratory stability
without supplemental support is a primary readiness criterion.
Rationales (incorrect):
A. Maternal willingness is necessary but not sufficient if the
infant is thermally or respiratorily unstable.
C. Routine labs are not a prerequisite for kangaroo care if infant
is otherwise stable.
D. Neonatologist presence is not required for routine kangaroo
care of a stable infant.
Teaching point: Initiate kangaroo care for thermally and
respiratorily stable infants to promote physiologic benefits.
Citation: Lowdermilk et al., 2023, Ch. 2: Advances in the Care of
Mothers and Infants.
3
Reference: Ch. 3: Efforts to Reduce Health Disparities — Social
Determinants & Discharge Planning
Stem: A nurse preparing discharge for a postpartum client who
reports no personal vehicle, limited funds, and upcoming
, pediatric follow-up in 2 days. Which plan is the most
appropriate nursing intervention?
A. Discharge as planned and advise the client to call public
services if needed.
B. Arrange a social work referral to coordinate transportation
and community resources before discharge.
C. Delay discharge until the client secures private
transportation.
D. Provide printed lists of community clinics and leave follow-up
coordination to the client.
Correct answer: B
Rationale (correct): Addressing social determinants
(transportation, finances) is part of safe discharge planning;
referral to social work can coordinate resources to ensure
timely pediatric follow-up.
Rationales (incorrect):
A. Passive advice risks missed follow-up and adverse outcomes.
C. Unnecessarily delaying discharge may cause system strain
and is not always feasible; instead, coordinate supports.
D. Handouts alone often fail to resolve access barriers; active
coordination is preferred.
Teaching point: Proactively address social determinants during
discharge planning to ensure follow-up access.
Citation: Lowdermilk et al., 2023, Ch. 3: Efforts to Reduce
Health Disparities.
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Based Care
Stem: A postpartum client requests delayed cord clamping after
a term vaginal birth. Which nursing action best supports this
evidence-based practice while ensuring newborn safety?
A. Inform the parents delayed clamping is experimental and
obtain written consent.
B. Support delayed cord clamping for at least 60 seconds while
monitoring infant tone and respiration.
C. Clamp the cord immediately to expedite routine newborn
care in the delivery room.
D. Delay clamping only if the newborn requires resuscitation.
Correct answer: B
Rationale (correct): Delayed cord clamping for term infants
(≈30–60+ seconds) is evidence-based to improve neonatal iron
stores; the nurse supports the practice and observes neonatal
adaptation.
,Rationales (incorrect):
A. Delayed cord clamping is not experimental for term infants;
framing it as experimental may undermine informed decision-
making.
C. Immediate clamping when not indicated misses an evidence-
based opportunity to improve neonatal outcomes.
D. If the newborn requires resuscitation, immediate
intervention takes priority; otherwise, delaying is appropriate.
Teaching point: Support delayed cord clamping (30–60+ sec)
while monitoring neonatal transition.
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
— Skin-to-Skin & Kangaroo Care
Stem: A nurse on a Level II nursery is planning kangaroo (skin-
to-skin) care for a stable late preterm infant. Which nursing
assessment best determines readiness to initiate kangaroo
care?
A. Maternal willingness to hold the infant even if the infant’s
temperature is borderline low.
B. Infant respiratory stability with no need for supplemental
oxygen or continuous positive pressure.
C. Whether the infant has completed all metabolic laboratory
,testing.
D. The availability of the neonatologist for bedside presence.
Correct answer: B
Rationale (correct): Kangaroo care is appropriate for
physiologically stable preterm infants; respiratory stability
without supplemental support is a primary readiness criterion.
Rationales (incorrect):
A. Maternal willingness is necessary but not sufficient if the
infant is thermally or respiratorily unstable.
C. Routine labs are not a prerequisite for kangaroo care if infant
is otherwise stable.
D. Neonatologist presence is not required for routine kangaroo
care of a stable infant.
Teaching point: Initiate kangaroo care for thermally and
respiratorily stable infants to promote physiologic benefits.
Citation: Lowdermilk et al., 2023, Ch. 2: Advances in the Care of
Mothers and Infants.
3
Reference: Ch. 3: Efforts to Reduce Health Disparities — Social
Determinants & Discharge Planning
Stem: A nurse preparing discharge for a postpartum client who
reports no personal vehicle, limited funds, and upcoming
, pediatric follow-up in 2 days. Which plan is the most
appropriate nursing intervention?
A. Discharge as planned and advise the client to call public
services if needed.
B. Arrange a social work referral to coordinate transportation
and community resources before discharge.
C. Delay discharge until the client secures private
transportation.
D. Provide printed lists of community clinics and leave follow-up
coordination to the client.
Correct answer: B
Rationale (correct): Addressing social determinants
(transportation, finances) is part of safe discharge planning;
referral to social work can coordinate resources to ensure
timely pediatric follow-up.
Rationales (incorrect):
A. Passive advice risks missed follow-up and adverse outcomes.
C. Unnecessarily delaying discharge may cause system strain
and is not always feasible; instead, coordinate supports.
D. Handouts alone often fail to resolve access barriers; active
coordination is preferred.
Teaching point: Proactively address social determinants during
discharge planning to ensure follow-up access.
Citation: Lowdermilk et al., 2023, Ch. 3: Efforts to Reduce
Health Disparities.
