Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Ch. 1 — 21st-Century Maternity Nursing:
Contemporary Roles & Health Equity
Stem: A postpartum client says she cannot attend follow-up
visits because public transit is unreliable. Which nursing action
best promotes equity and continuity of care?
A. Document the transportation barrier and schedule the next
clinic appointment.
B. Provide printed discharge instructions and advise the client
to call if needed.
C. Arrange a referral to community home-visiting services and
coordinate the first visit before discharge.
D. Recommend telehealth visits only and discharge as planned.
Correct Answer: C
Rationale (Correct): Coordinating community home-visiting
removes access barriers and provides continuity of care—an
equity-focused strategy supported in contemporary maternity
practice.
,Rationale (A): Documentation alone does not mitigate the
access barrier or ensure the visit will occur.
Rationale (B): Printed materials are helpful but insufficient
when transportation prevents care access.
Rationale (D): Telehealth may help, but it assumes reliable
technology access and may not meet all needs; it’s insufficient
alone.
Teaching Point: Proactively link patients to community services
to remove access barriers.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
Nursing
Q2
Reference: Ch. 2 — Advances in Care: Neonatal Transition &
Early Feeding
Stem: A late-preterm newborn (36 4/7 weeks) has mild nasal
flaring and a glucose of 38 mg/dL. What should the nurse do
first?
A. Place the infant under a radiant warmer and facilitate
immediate breastfeeding or expressed breast milk.
B. Obtain a chest radiograph to evaluate respiratory status.
C. Start an IV glucose bolus and notify the provider.
D. Schedule maternal glucose testing for gestational diabetes.
Correct Answer: A
Rationale (Correct): Thermoregulation and early, frequent
feeding are first-line measures to stabilize mild respiratory
,distress and borderline neonatal hypoglycemia.
Rationale (B): Imaging is not indicated before initial stabilization
in mild distress.
Rationale (C): IV glucose is reserved for severe or symptomatic
hypoglycemia; noninvasive measures are appropriate initially.
Rationale (D): Maternal testing is not an immediate
intervention for neonatal stabilization.
Teaching Point: Prioritize thermoregulation and early feeding
for mildly unstable late-preterm infants.
Citation: Lowdermilk et al., 2023, Ch. 2: Neonatal Transition and
Early Feeding
Q3
Reference: Ch. 3 — Reducing Disparities: Community
Partnerships & Access
Stem: A clinic serving pregnant adolescents wants to increase
prenatal engagement. Which program element best addresses
community-level disparities?
A. Host prenatal classes at the hospital twice a month.
B. Partner with a local youth center to provide on-site prenatal
education, case management, and childcare.
C. Launch a social media campaign encouraging early prenatal
care.
D. Provide free parking vouchers for the hospital clinic.
Correct Answer: B
Rationale (Correct): Co-locating services at a trusted
, community site with case management reduces access barriers
and fosters sustained engagement—key to reducing disparities.
Rationale (A): Hospital-based classes may remain inaccessible
to adolescents due to transportation, trust, or scheduling
barriers.
Rationale (C): Awareness campaigns help, but without service
linkage they may not change access or participation.
Rationale (D): Parking vouchers help some but do not address
broader barriers like trust, childcare, or scheduling.
Teaching Point: Bring services to trusted community sites to
reduce disparities.
Citation: Lowdermilk et al., 2023, Ch. 3: Community
Partnerships and Disparities
Q4
Reference: Ch. 1 — Trends in Nursing Practice: Interprofessional
Communication
Stem: Recurrent handoff errors are identified on the labor unit.
Which nurse-led intervention most effectively improves team
communication and patient safety?
A. Require written nurse reports at shift change.
B. Implement SBAR (Situation-Background-Assessment-
Recommendation) training for all team members.
C. Send a weekly email summarizing unit events.
D. Rotate nurses to different providers monthly.
Correct Answer: B
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Ch. 1 — 21st-Century Maternity Nursing:
Contemporary Roles & Health Equity
Stem: A postpartum client says she cannot attend follow-up
visits because public transit is unreliable. Which nursing action
best promotes equity and continuity of care?
A. Document the transportation barrier and schedule the next
clinic appointment.
B. Provide printed discharge instructions and advise the client
to call if needed.
C. Arrange a referral to community home-visiting services and
coordinate the first visit before discharge.
D. Recommend telehealth visits only and discharge as planned.
Correct Answer: C
Rationale (Correct): Coordinating community home-visiting
removes access barriers and provides continuity of care—an
equity-focused strategy supported in contemporary maternity
practice.
,Rationale (A): Documentation alone does not mitigate the
access barrier or ensure the visit will occur.
Rationale (B): Printed materials are helpful but insufficient
when transportation prevents care access.
Rationale (D): Telehealth may help, but it assumes reliable
technology access and may not meet all needs; it’s insufficient
alone.
Teaching Point: Proactively link patients to community services
to remove access barriers.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
Nursing
Q2
Reference: Ch. 2 — Advances in Care: Neonatal Transition &
Early Feeding
Stem: A late-preterm newborn (36 4/7 weeks) has mild nasal
flaring and a glucose of 38 mg/dL. What should the nurse do
first?
A. Place the infant under a radiant warmer and facilitate
immediate breastfeeding or expressed breast milk.
B. Obtain a chest radiograph to evaluate respiratory status.
C. Start an IV glucose bolus and notify the provider.
D. Schedule maternal glucose testing for gestational diabetes.
Correct Answer: A
Rationale (Correct): Thermoregulation and early, frequent
feeding are first-line measures to stabilize mild respiratory
,distress and borderline neonatal hypoglycemia.
Rationale (B): Imaging is not indicated before initial stabilization
in mild distress.
Rationale (C): IV glucose is reserved for severe or symptomatic
hypoglycemia; noninvasive measures are appropriate initially.
Rationale (D): Maternal testing is not an immediate
intervention for neonatal stabilization.
Teaching Point: Prioritize thermoregulation and early feeding
for mildly unstable late-preterm infants.
Citation: Lowdermilk et al., 2023, Ch. 2: Neonatal Transition and
Early Feeding
Q3
Reference: Ch. 3 — Reducing Disparities: Community
Partnerships & Access
Stem: A clinic serving pregnant adolescents wants to increase
prenatal engagement. Which program element best addresses
community-level disparities?
A. Host prenatal classes at the hospital twice a month.
B. Partner with a local youth center to provide on-site prenatal
education, case management, and childcare.
C. Launch a social media campaign encouraging early prenatal
care.
D. Provide free parking vouchers for the hospital clinic.
Correct Answer: B
Rationale (Correct): Co-locating services at a trusted
, community site with case management reduces access barriers
and fosters sustained engagement—key to reducing disparities.
Rationale (A): Hospital-based classes may remain inaccessible
to adolescents due to transportation, trust, or scheduling
barriers.
Rationale (C): Awareness campaigns help, but without service
linkage they may not change access or participation.
Rationale (D): Parking vouchers help some but do not address
broader barriers like trust, childcare, or scheduling.
Teaching Point: Bring services to trusted community sites to
reduce disparities.
Citation: Lowdermilk et al., 2023, Ch. 3: Community
Partnerships and Disparities
Q4
Reference: Ch. 1 — Trends in Nursing Practice: Interprofessional
Communication
Stem: Recurrent handoff errors are identified on the labor unit.
Which nurse-led intervention most effectively improves team
communication and patient safety?
A. Require written nurse reports at shift change.
B. Implement SBAR (Situation-Background-Assessment-
Recommendation) training for all team members.
C. Send a weekly email summarizing unit events.
D. Rotate nurses to different providers monthly.
Correct Answer: B
