Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Item 1 — Priority nursing action / clinical judgment
(Application)
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Role of the Nurse in Contemporary Care
Stem: A 28-year-old woman in early labor with her first
pregnancy tells the nurse she’s concerned about navigating
prenatal genetic testing and social supports because she moved
states recently. Which nursing action is the highest priority?
A. Teach the woman about all available prenatal genetic tests.
B. Connect the woman with local public health resources and
her prenatal care clinic.
C. Provide a pamphlet that lists national genetic testing
laboratories.
D. Schedule an immediate ultrasound to assess fetal status.
Correct answer: B
Rationale (correct): Connecting the client with local prenatal
care and public-health resources addresses immediate access
,barriers and continuity of care—foundational for safe maternity
outcomes. This is a priority because access affects timely
screening and social supports.
Rationale (incorrect):
A. Education about testing is important but secondary if the
client lacks local access or an established care provider.
C. A pamphlet is impersonal and may not resolve access or
continuity issues.
D. An immediate ultrasound is not indicated solely for
relocation concerns and does not address access to coordinated
care.
Teaching point: Prioritize establishing local access and
continuity of care for safe maternity outcomes.
Citation: Lowdermilk et al., 2023, Ch. 1: Role of the nurse in
contemporary care
Item 2 — Patient teaching / discharge planning (Application)
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Health Literacy and Patient Education
Stem: A postpartum client with limited English proficiency is
being discharged after an uncomplicated vaginal birth. Which
action by the nurse best promotes safe discharge teaching?
A. Provide bilingual written materials and arrange a trained
medical interpreter for discharge instructions.
B. Ask a family member to translate the discharge teaching to
speed the process.
,C. Give simplified English instructions and ask the client to sign
that she understands.
D. Delay discharge until the client demonstrates perfect English
comprehension.
Correct answer: A
Rationale (correct): Using bilingual materials plus a trained
medical interpreter ensures accurate communication, supports
health literacy, and reduces risk of misunderstanding during
transitions of care.
Rationale (incorrect):
B. Family members may inaccurately translate or omit
information and may not be culturally neutral.
C. Simplified English without interpreter support risks
miscommunication if the client does not read English well.
D. Delaying discharge due to language skills is inappropriate;
instead ensure effective communication and supports before
discharge.
Teaching point: Use professional interpreters and appropriate
language materials for safe discharge.
Citation: Lowdermilk et al., 2023, Ch. 1: Health literacy and
patient education
Item 3 — Pathophysiology / therapeutic reasoning
(Application)
Reference: Ch. 2: Advances in the Care of Mothers and Infants
— Perinatal Mortality and Morbidity Trends
, Stem: A public health nurse reviews county data showing rising
rates of preterm birth in communities with limited prenatal
access. Which intervention should the nurse prioritize to reduce
preterm birth risk at the community level?
A. Offer late-pregnancy childbirth education classes.
B. Implement a program to improve early prenatal access and
screening.
C. Increase availability of infant formula at community centers.
D. Provide home visitation only after 36 weeks’ gestation.
Correct answer: B
Rationale (correct): Early prenatal access and screening allow
identification and management of risk factors (e.g.,
hypertension, infection, substance use) that contribute to
preterm birth. Community-level prevention targets upstream
determinants.
Rationale (incorrect):
A. Late-pregnancy education may help coping but does not
prevent early preterm births driven by earlier risk factors.
C. Access to formula does not address causes of preterm
delivery and is unrelated to prevention.
D. Home visitation only after 36 weeks misses earlier
opportunities to intervene on risk factors.
Teaching point: Improve early prenatal access and screening to
prevent preterm births.
Citation: Lowdermilk et al., 2023, Ch. 2: Perinatal mortality and
morbidity trends
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Item 1 — Priority nursing action / clinical judgment
(Application)
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Role of the Nurse in Contemporary Care
Stem: A 28-year-old woman in early labor with her first
pregnancy tells the nurse she’s concerned about navigating
prenatal genetic testing and social supports because she moved
states recently. Which nursing action is the highest priority?
A. Teach the woman about all available prenatal genetic tests.
B. Connect the woman with local public health resources and
her prenatal care clinic.
C. Provide a pamphlet that lists national genetic testing
laboratories.
D. Schedule an immediate ultrasound to assess fetal status.
Correct answer: B
Rationale (correct): Connecting the client with local prenatal
care and public-health resources addresses immediate access
,barriers and continuity of care—foundational for safe maternity
outcomes. This is a priority because access affects timely
screening and social supports.
Rationale (incorrect):
A. Education about testing is important but secondary if the
client lacks local access or an established care provider.
C. A pamphlet is impersonal and may not resolve access or
continuity issues.
D. An immediate ultrasound is not indicated solely for
relocation concerns and does not address access to coordinated
care.
Teaching point: Prioritize establishing local access and
continuity of care for safe maternity outcomes.
Citation: Lowdermilk et al., 2023, Ch. 1: Role of the nurse in
contemporary care
Item 2 — Patient teaching / discharge planning (Application)
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Health Literacy and Patient Education
Stem: A postpartum client with limited English proficiency is
being discharged after an uncomplicated vaginal birth. Which
action by the nurse best promotes safe discharge teaching?
A. Provide bilingual written materials and arrange a trained
medical interpreter for discharge instructions.
B. Ask a family member to translate the discharge teaching to
speed the process.
,C. Give simplified English instructions and ask the client to sign
that she understands.
D. Delay discharge until the client demonstrates perfect English
comprehension.
Correct answer: A
Rationale (correct): Using bilingual materials plus a trained
medical interpreter ensures accurate communication, supports
health literacy, and reduces risk of misunderstanding during
transitions of care.
Rationale (incorrect):
B. Family members may inaccurately translate or omit
information and may not be culturally neutral.
C. Simplified English without interpreter support risks
miscommunication if the client does not read English well.
D. Delaying discharge due to language skills is inappropriate;
instead ensure effective communication and supports before
discharge.
Teaching point: Use professional interpreters and appropriate
language materials for safe discharge.
Citation: Lowdermilk et al., 2023, Ch. 1: Health literacy and
patient education
Item 3 — Pathophysiology / therapeutic reasoning
(Application)
Reference: Ch. 2: Advances in the Care of Mothers and Infants
— Perinatal Mortality and Morbidity Trends
, Stem: A public health nurse reviews county data showing rising
rates of preterm birth in communities with limited prenatal
access. Which intervention should the nurse prioritize to reduce
preterm birth risk at the community level?
A. Offer late-pregnancy childbirth education classes.
B. Implement a program to improve early prenatal access and
screening.
C. Increase availability of infant formula at community centers.
D. Provide home visitation only after 36 weeks’ gestation.
Correct answer: B
Rationale (correct): Early prenatal access and screening allow
identification and management of risk factors (e.g.,
hypertension, infection, substance use) that contribute to
preterm birth. Community-level prevention targets upstream
determinants.
Rationale (incorrect):
A. Late-pregnancy education may help coping but does not
prevent early preterm births driven by earlier risk factors.
C. Access to formula does not address causes of preterm
delivery and is unrelated to prevention.
D. Home visitation only after 36 weeks misses earlier
opportunities to intervene on risk factors.
Teaching point: Improve early prenatal access and screening to
prevent preterm births.
Citation: Lowdermilk et al., 2023, Ch. 2: Perinatal mortality and
morbidity trends
