Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Q1 — Priority nursing action (Application/Analysis)
Reference: Lowdermilk et al., Ch. 1: 21st-Century Maternity and
Women’s Health Nursing — Early postpartum practices
Stem: A healthy mother in active labor requests immediate
skin-to-skin contact with her newborn after delivery. The
birthing unit routinely takes the newborn to the warmer for
assessment immediately post-birth. As the bedside nurse, what
is your best initial action?
A. Proceed with the unit’s routine: take the newborn to the
warmer for APGAR and assessment.
B. Explain benefits of skin-to-skin and facilitate immediate
maternal–infant contact while completing assessments at
bedside.
C. Obtain physician’s order before changing the unit’s routine
practice.
D. Delay skin-to-skin until after the newborn’s first feeding.
,Correct Answer: B
Rationale (correct): Evidence supports immediate skin-to-skin
contact to promote thermoregulation, early breastfeeding, and
bonding; assessments can be done at bedside without
interrupting contact.
Rationale (A): Taking the newborn away interrupts proven
beneficial early contact and may impede thermoregulation and
breastfeeding.
Rationale (C): Waiting for a physician’s order delays evidence-
based practice; nursing judgment can facilitate routine
implementation per unit policy.
Rationale (D): Delaying contact until after feeding misses the
critical early window for breastfeeding initiation and maternal-
infant attachment.
Teaching Point: Facilitate immediate skin-to-skin and perform
newborn assessments at the bedside.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing.
Q2 — Reducing disparities / cultural competence
(Application/Analysis)
Reference: Lowdermilk et al., Ch. 3: Efforts to Reduce Health
Disparities — Culturally competent care
Stem: A 19-year-old pregnant client from a recent immigrant
community shows distrust of the health care system and misses
,prenatal visits. Which nursing strategy best addresses health-
care disparities for this client?
A. Provide written prenatal education in English and ask her to
translate for family.
B. Refer her to a social worker and discharge planning.
C. Arrange culturally and linguistically appropriate prenatal
outreach (e.g., interpreter, community liaison, flexible
scheduling).
D. Document nonadherence and schedule standard follow-up
appointments.
Correct Answer: C
Rationale (correct): Culturally and linguistically tailored
outreach reduces barriers, improves access and adherence, and
addresses social determinants contributing to disparities.
Rationale (A): Written English materials are ineffective if the
client has limited English proficiency; relying on the client to
translate jeopardizes accuracy and privacy.
Rationale (B): A social worker may help, but referral alone
without culturally appropriate outreach may not engage the
client.
Rationale (D): Simply documenting and scheduling does not
address underlying barriers or build trust.
Teaching Point: Use culturally and linguistically appropriate
outreach to reduce care disparities.
, Citation: Lowdermilk et al., 2023, Ch. 3: Efforts to Reduce
Health Disparities.
Q3 — Patient teaching / discharge planning
(Application/Analysis)
Reference: Lowdermilk et al., Ch. 4: Contemporary Issues and
Trends — Patient education and health literacy
Stem: A postpartum client with limited health literacy is being
discharged after an uncomplicated vaginal birth. Which
teaching approach is most effective to ensure safe newborn
care at home?
A. Give standard discharge pamphlets and review them quickly
at the bedside.
B. Use teach-back with simple demonstrations (e.g., feeding,
cord care) and provide pictorial instructions.
C. Schedule a routine home-visit referral and provide written
instructions only.
D. Invite family to listen while you lecture about newborn care.
Correct Answer: B
Rationale (correct): Teach-back plus demonstrations and
pictorial aids confirm understanding and accommodate limited
literacy, improving safety and confidence.
Rationale (A): Standard pamphlets alone often fail for clients
with limited literacy; rapid review is insufficient.
Rationale (C): Home visits are helpful but written instructions
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Q1 — Priority nursing action (Application/Analysis)
Reference: Lowdermilk et al., Ch. 1: 21st-Century Maternity and
Women’s Health Nursing — Early postpartum practices
Stem: A healthy mother in active labor requests immediate
skin-to-skin contact with her newborn after delivery. The
birthing unit routinely takes the newborn to the warmer for
assessment immediately post-birth. As the bedside nurse, what
is your best initial action?
A. Proceed with the unit’s routine: take the newborn to the
warmer for APGAR and assessment.
B. Explain benefits of skin-to-skin and facilitate immediate
maternal–infant contact while completing assessments at
bedside.
C. Obtain physician’s order before changing the unit’s routine
practice.
D. Delay skin-to-skin until after the newborn’s first feeding.
,Correct Answer: B
Rationale (correct): Evidence supports immediate skin-to-skin
contact to promote thermoregulation, early breastfeeding, and
bonding; assessments can be done at bedside without
interrupting contact.
Rationale (A): Taking the newborn away interrupts proven
beneficial early contact and may impede thermoregulation and
breastfeeding.
Rationale (C): Waiting for a physician’s order delays evidence-
based practice; nursing judgment can facilitate routine
implementation per unit policy.
Rationale (D): Delaying contact until after feeding misses the
critical early window for breastfeeding initiation and maternal-
infant attachment.
Teaching Point: Facilitate immediate skin-to-skin and perform
newborn assessments at the bedside.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing.
Q2 — Reducing disparities / cultural competence
(Application/Analysis)
Reference: Lowdermilk et al., Ch. 3: Efforts to Reduce Health
Disparities — Culturally competent care
Stem: A 19-year-old pregnant client from a recent immigrant
community shows distrust of the health care system and misses
,prenatal visits. Which nursing strategy best addresses health-
care disparities for this client?
A. Provide written prenatal education in English and ask her to
translate for family.
B. Refer her to a social worker and discharge planning.
C. Arrange culturally and linguistically appropriate prenatal
outreach (e.g., interpreter, community liaison, flexible
scheduling).
D. Document nonadherence and schedule standard follow-up
appointments.
Correct Answer: C
Rationale (correct): Culturally and linguistically tailored
outreach reduces barriers, improves access and adherence, and
addresses social determinants contributing to disparities.
Rationale (A): Written English materials are ineffective if the
client has limited English proficiency; relying on the client to
translate jeopardizes accuracy and privacy.
Rationale (B): A social worker may help, but referral alone
without culturally appropriate outreach may not engage the
client.
Rationale (D): Simply documenting and scheduling does not
address underlying barriers or build trust.
Teaching Point: Use culturally and linguistically appropriate
outreach to reduce care disparities.
, Citation: Lowdermilk et al., 2023, Ch. 3: Efforts to Reduce
Health Disparities.
Q3 — Patient teaching / discharge planning
(Application/Analysis)
Reference: Lowdermilk et al., Ch. 4: Contemporary Issues and
Trends — Patient education and health literacy
Stem: A postpartum client with limited health literacy is being
discharged after an uncomplicated vaginal birth. Which
teaching approach is most effective to ensure safe newborn
care at home?
A. Give standard discharge pamphlets and review them quickly
at the bedside.
B. Use teach-back with simple demonstrations (e.g., feeding,
cord care) and provide pictorial instructions.
C. Schedule a routine home-visit referral and provide written
instructions only.
D. Invite family to listen while you lecture about newborn care.
Correct Answer: B
Rationale (correct): Teach-back plus demonstrations and
pictorial aids confirm understanding and accommodate limited
literacy, improving safety and confidence.
Rationale (A): Standard pamphlets alone often fail for clients
with limited literacy; rapid review is insufficient.
Rationale (C): Home visits are helpful but written instructions
