Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Lowdermilk et al., 2023, Ch. 1: 21st-Century
Maternity and Women’s Health Nursing — Efforts to Reduce
Health Disparities.
Stem: A 28-year-old Black pregnant woman at 28 weeks tells
the nurse she missed two prenatal visits because public transit
was unreliable. Which nursing action best addresses the root
cause of her missed care and reduces disparity risk?
A. Remind her of the importance of prenatal visits and rebook
appointments.
B. Refer her to a social worker to arrange transportation
assistance and community resources.
C. Document missed visits as noncompliance and notify the
provider.
D. Offer to increase the frequency of telehealth visits instead of
in-person care.
Correct Answer: B
,Rationale (correct): Referring to a social worker to secure
transportation and community supports addresses a social
determinant of health and reduces barriers to care, aligning
with disparity-reduction strategies.
Rationale (incorrect):
A — Education alone does not remove structural barriers like
lack of transportation.
C — Labeling as noncompliance risks blame and worsens access
disparities.
D — Telehealth may help but may not be equivalent (e.g., if
physical assessment or technology access are required/limited);
social resource referral addresses the immediate barrier.
Teaching Point: Address social determinants (transportation,
housing, income) to reduce maternal care disparities.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing.
2
Reference: Lowdermilk et al., 2023, Ch. 1: 21st-Century
Maternity and Women’s Health Nursing — Contemporary Issues
and Trends.
Stem: A hospital implements a maternal early warning system
(MEWS) for postpartum patients. Which measurement should
the nurse prioritize for immediate notification of the rapid-
response team?
,A. Heart rate 90 bpm, BP 128/76 mm Hg, respirations 18/min.
B. Respiratory rate 30/min with oxygen saturation 90% on room
air.
C. Temperature 37.2 °C and pain score 4/10.
D. Urine output 60 mL over 2 hours.
Correct Answer: B
Rationale (correct): A respiratory rate of 30/min with sat 90%
signals acute respiratory compromise; MEWS is designed to
detect deterioration and prompt rapid-response activation.
Rationale (incorrect):
A — Vital signs are within acceptable ranges.
C — Mild temperature and moderate pain merit reassessment
but not immediate MEWS escalation.
D — Urine output of 60 mL/2 hr is marginal but less critical than
hypoxemia.
Teaching Point: Use MEWS triggers (vital sign/oxygenation
changes) to detect early deterioration.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing.
3
Reference: Lowdermilk et al., 2023, Ch. 2: Community Care —
Family and Culture.
, Stem: A pregnant woman who recently immigrated reports she
plans to use a traditional herb during labor that may interact
with oxytocic agents. What is the nurse’s best initial action?
A. Tell her traditional remedies are unsafe and must be stopped
immediately.
B. Explore the cultural meaning of the herb and discuss
potential interactions with the provider.
C. Assume it’s harmless and document her plan only.
D. Advise substitution with a readily available over-the-counter
alternative.
Correct Answer: B
Rationale (correct): Exploring cultural context shows respect,
allows assessment of safety, and facilitates collaboration with
the provider to evaluate herb-drug interactions and create a
culturally safe plan.
Rationale (incorrect):
A — Dismissive instruction risks alienating the patient and
reduces trust.
C — Assuming harmlessness neglects safety assessment for
interactions.
D — Suggesting a substitute without assessment or cultural
negotiation is inappropriate.
Teaching Point: Assess cultural practices, evaluate safety, and
collaborate on culturally sensitive care plans.
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Lowdermilk et al., 2023, Ch. 1: 21st-Century
Maternity and Women’s Health Nursing — Efforts to Reduce
Health Disparities.
Stem: A 28-year-old Black pregnant woman at 28 weeks tells
the nurse she missed two prenatal visits because public transit
was unreliable. Which nursing action best addresses the root
cause of her missed care and reduces disparity risk?
A. Remind her of the importance of prenatal visits and rebook
appointments.
B. Refer her to a social worker to arrange transportation
assistance and community resources.
C. Document missed visits as noncompliance and notify the
provider.
D. Offer to increase the frequency of telehealth visits instead of
in-person care.
Correct Answer: B
,Rationale (correct): Referring to a social worker to secure
transportation and community supports addresses a social
determinant of health and reduces barriers to care, aligning
with disparity-reduction strategies.
Rationale (incorrect):
A — Education alone does not remove structural barriers like
lack of transportation.
C — Labeling as noncompliance risks blame and worsens access
disparities.
D — Telehealth may help but may not be equivalent (e.g., if
physical assessment or technology access are required/limited);
social resource referral addresses the immediate barrier.
Teaching Point: Address social determinants (transportation,
housing, income) to reduce maternal care disparities.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing.
2
Reference: Lowdermilk et al., 2023, Ch. 1: 21st-Century
Maternity and Women’s Health Nursing — Contemporary Issues
and Trends.
Stem: A hospital implements a maternal early warning system
(MEWS) for postpartum patients. Which measurement should
the nurse prioritize for immediate notification of the rapid-
response team?
,A. Heart rate 90 bpm, BP 128/76 mm Hg, respirations 18/min.
B. Respiratory rate 30/min with oxygen saturation 90% on room
air.
C. Temperature 37.2 °C and pain score 4/10.
D. Urine output 60 mL over 2 hours.
Correct Answer: B
Rationale (correct): A respiratory rate of 30/min with sat 90%
signals acute respiratory compromise; MEWS is designed to
detect deterioration and prompt rapid-response activation.
Rationale (incorrect):
A — Vital signs are within acceptable ranges.
C — Mild temperature and moderate pain merit reassessment
but not immediate MEWS escalation.
D — Urine output of 60 mL/2 hr is marginal but less critical than
hypoxemia.
Teaching Point: Use MEWS triggers (vital sign/oxygenation
changes) to detect early deterioration.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing.
3
Reference: Lowdermilk et al., 2023, Ch. 2: Community Care —
Family and Culture.
, Stem: A pregnant woman who recently immigrated reports she
plans to use a traditional herb during labor that may interact
with oxytocic agents. What is the nurse’s best initial action?
A. Tell her traditional remedies are unsafe and must be stopped
immediately.
B. Explore the cultural meaning of the herb and discuss
potential interactions with the provider.
C. Assume it’s harmless and document her plan only.
D. Advise substitution with a readily available over-the-counter
alternative.
Correct Answer: B
Rationale (correct): Exploring cultural context shows respect,
allows assessment of safety, and facilitates collaboration with
the provider to evaluate herb-drug interactions and create a
culturally safe plan.
Rationale (incorrect):
A — Dismissive instruction risks alienating the patient and
reduces trust.
C — Assuming harmlessness neglects safety assessment for
interactions.
D — Suggesting a substitute without assessment or cultural
negotiation is inappropriate.
Teaching Point: Assess cultural practices, evaluate safety, and
collaborate on culturally sensitive care plans.
