,OpenStax Maternal-Newborn Nursing Student Answer Guide
OpenStax Maternal-Newborn Nursing
Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing .............................. 3
Chapter 2: Culturally Competent Nursing Care ............................................................................ 11
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 17
Chapter 4: Influences on Fertility ................................................................................................. 26
Chapter 5: Family Planning ........................................................................................................... 32
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 42
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 47
Chapter 8: Disorders of the Breast ............................................................................................... 52
Chapter 9: Violence Against Women ............................................................................................ 55
Chapter 10: Pregnancy .................................................................................................................. 63
Chapter 11: Prenatal Care ............................................................................................................. 71
Chapter 12: Pregnancy at Risk ...................................................................................................... 76
Chapter 13: Prenatal Testing ........................................................................................................ 82
Chapter 14: Childbirth Education Options .................................................................................... 86
Chapter 15: Process of Labor and Birth ........................................................................................ 93
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring .............................................. 98
Chapter 17: Pain Management During Labor and Birth ............................................................. 104
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 109
Chapter 19: Complications of Labor and Birth ........................................................................... 115
Chapter 20: Postpartum Care ..................................................................................................... 123
Chapter 21: Postpartum Complications...................................................................................... 128
Chapter 22: Immediate Care of the Newborn ............................................................................ 133
Chapter 23: Newborn Assessment ............................................................................................. 138
Chapter 24: Care of the Typical Newborn .................................................................................. 143
Chapter 25: Care of the Newborn at Risk ................................................................................... 147
Chapter 26: Perinatal Bereavement ........................................................................................... 152
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 156
2
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
,OpenStax Maternal-Newborn Nursing Student Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health
Nursing
Review Questions
1. What is one purpose of the Healthy People 2030 objectives?
a. Stop world hunger.
b. Prevent conflict and war in other countries.
c. Address issues in health care to solve cancer.
d. Recommend changes to increase health promotion and disease prevention.
[Answer: D]
3. The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient
has any problems with sexual dysfunction. Why is it important for the nurse to ask all
people this question?
a. Some people may not bring up the topic of sex due to taboos and stigma.
b. All patients will eventually have sexual problems.
c. Nurses should ask because other health-care providers are not trained to ask those
questions.
d. Sexual dysfunction is a taboo only for people AFAB.
[Answer: A]
5. The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic
provider see a person at this age?
a. The person’s partner desires permanent sterilization.
b. Their family told the person they had to get a Pap smear.
c. The person was late starting care because the first visit should be before the age of 13.
d. The person may want to discuss their menstrual cycle and hormonal changes.
[Answer: D]
7. What occurred after childbirth migrated from the home to the hospital?
a. Infection rates dropped in the hospital.
b. Laboring people were given greater support in labor.
c. The childbirth model became a medical model.
d. Pain relief allowed laboring people to spend more time with their partners in labor.
[Answer: C]
9. A community health nurse recognizes an increase in maternal mortality in the
neighborhood. What could the community health nurse do?
a. Conduct weekly prenatal appointments in their home.
b. Draw blood on all pregnant people to look for anemia.
c. Assess the health of a baby using an ultrasound.
d. Develop an educational pamphlet discussing signs of preeclampsia.
[Answer: D]
11. What is the purpose of the standards of care for nurses?
a. to guide hospital administration to promote nurses
b. to ensure nurses are assessing patients
c. to protect the public’s safety
d. to protect the health-care providers
3
, OpenStax Maternal-Newborn Nursing Student Answer Guide
[Answer: C]
13. The anurse amakes aan aerror aof aomission. aWhat ais aan aexample aof aan aerror aof aomission?
a. placing athe afetal amonitor aincorrectly
b. not arecording ainput/output aamounts
c. not acovering athe acomputer ascreen awhen adocumenting
d. removing aan aIV
[Answer: aB]
15. What ais aa agood aexample aof ainformed aconsent?
a. The anurse ahands athe apatient athe astack aof aconsents aand aasks athem ato asign athem.
b. The anurse atells athe apatient anot ato aworry aabout areading athe aconsents.
c. The anurse aalerts athe aOB athat athe apatient ahas aquestions aabout athe acesarean
aconsent.
d. The anurse aexplains athat ait ais anot atheir ajob ato aanswer aquestions.
[Answer: aC]
17. aWhat ais aan aexample aof amaternal-fetal aconflict?
a. The apregnant aperson aagrees ato atreatment ano amatter awhat ahappens ato athem.
b. The apregnant aperson ahas acancer abut acannot astart atreatment auntil athe afetus ais
adelivered.
c. The afetus ais ain adistress, aand athe apregnant aperson aagrees ato aa acesarean abirth.
d. The aparents aof aa afetus aagree ato aa alabor ainduction.
[Answer: aB]
Check aYour aUnderstanding aQuestions
1. How acan anurses ause athe aHealthy aPeople a2030 aobjectives ato aadvance athe ahealth aof
atheir apatients?
[Answer: aAnswers amay avary abut ashould ainclude athat athe anurse auses athese aobjectives ato
ahelp aeducate apeople aregarding ahealth apromotion aand adisease aprevention. aPatient
aeducation abased aon athese aobjectives acan ahelp aprevent acervical acancer, aheart adisease,
aand aadolescent apregnancies, aand acan aelevate athe ahealth aand awellness aof apeople
aassigned afemale aat abirth.]
3. Name athree acore aconcepts aof awomen’s ahealth anursing.
[Answer: aAnswers amay avary abut ashould ainclude aany athree afrom athis alist.
• recognizing athe adiversity aof awomen’s ahealth aneeds
• emphasizing aempowerment athrough ainformed aparticipation ain aone’s ahealth acare
• acknowledging athe aimportance aof aresearch ain agender adifferences ain adisease
aand aresponse ato adrugs
• recognizing athe aneed afor aa amultidisciplinary ateam aapproach
• striving afor asymmetry ain aprovider-patient arelationships
• providing aaccess ato ainformation a
• engaging ain ashared adecision amaking
• striving afor achange]
4
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
OpenStax Maternal-Newborn Nursing
Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing .............................. 3
Chapter 2: Culturally Competent Nursing Care ............................................................................ 11
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 17
Chapter 4: Influences on Fertility ................................................................................................. 26
Chapter 5: Family Planning ........................................................................................................... 32
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 42
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 47
Chapter 8: Disorders of the Breast ............................................................................................... 52
Chapter 9: Violence Against Women ............................................................................................ 55
Chapter 10: Pregnancy .................................................................................................................. 63
Chapter 11: Prenatal Care ............................................................................................................. 71
Chapter 12: Pregnancy at Risk ...................................................................................................... 76
Chapter 13: Prenatal Testing ........................................................................................................ 82
Chapter 14: Childbirth Education Options .................................................................................... 86
Chapter 15: Process of Labor and Birth ........................................................................................ 93
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring .............................................. 98
Chapter 17: Pain Management During Labor and Birth ............................................................. 104
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 109
Chapter 19: Complications of Labor and Birth ........................................................................... 115
Chapter 20: Postpartum Care ..................................................................................................... 123
Chapter 21: Postpartum Complications...................................................................................... 128
Chapter 22: Immediate Care of the Newborn ............................................................................ 133
Chapter 23: Newborn Assessment ............................................................................................. 138
Chapter 24: Care of the Typical Newborn .................................................................................. 143
Chapter 25: Care of the Newborn at Risk ................................................................................... 147
Chapter 26: Perinatal Bereavement ........................................................................................... 152
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 156
2
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
,OpenStax Maternal-Newborn Nursing Student Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health
Nursing
Review Questions
1. What is one purpose of the Healthy People 2030 objectives?
a. Stop world hunger.
b. Prevent conflict and war in other countries.
c. Address issues in health care to solve cancer.
d. Recommend changes to increase health promotion and disease prevention.
[Answer: D]
3. The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient
has any problems with sexual dysfunction. Why is it important for the nurse to ask all
people this question?
a. Some people may not bring up the topic of sex due to taboos and stigma.
b. All patients will eventually have sexual problems.
c. Nurses should ask because other health-care providers are not trained to ask those
questions.
d. Sexual dysfunction is a taboo only for people AFAB.
[Answer: A]
5. The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic
provider see a person at this age?
a. The person’s partner desires permanent sterilization.
b. Their family told the person they had to get a Pap smear.
c. The person was late starting care because the first visit should be before the age of 13.
d. The person may want to discuss their menstrual cycle and hormonal changes.
[Answer: D]
7. What occurred after childbirth migrated from the home to the hospital?
a. Infection rates dropped in the hospital.
b. Laboring people were given greater support in labor.
c. The childbirth model became a medical model.
d. Pain relief allowed laboring people to spend more time with their partners in labor.
[Answer: C]
9. A community health nurse recognizes an increase in maternal mortality in the
neighborhood. What could the community health nurse do?
a. Conduct weekly prenatal appointments in their home.
b. Draw blood on all pregnant people to look for anemia.
c. Assess the health of a baby using an ultrasound.
d. Develop an educational pamphlet discussing signs of preeclampsia.
[Answer: D]
11. What is the purpose of the standards of care for nurses?
a. to guide hospital administration to promote nurses
b. to ensure nurses are assessing patients
c. to protect the public’s safety
d. to protect the health-care providers
3
, OpenStax Maternal-Newborn Nursing Student Answer Guide
[Answer: C]
13. The anurse amakes aan aerror aof aomission. aWhat ais aan aexample aof aan aerror aof aomission?
a. placing athe afetal amonitor aincorrectly
b. not arecording ainput/output aamounts
c. not acovering athe acomputer ascreen awhen adocumenting
d. removing aan aIV
[Answer: aB]
15. What ais aa agood aexample aof ainformed aconsent?
a. The anurse ahands athe apatient athe astack aof aconsents aand aasks athem ato asign athem.
b. The anurse atells athe apatient anot ato aworry aabout areading athe aconsents.
c. The anurse aalerts athe aOB athat athe apatient ahas aquestions aabout athe acesarean
aconsent.
d. The anurse aexplains athat ait ais anot atheir ajob ato aanswer aquestions.
[Answer: aC]
17. aWhat ais aan aexample aof amaternal-fetal aconflict?
a. The apregnant aperson aagrees ato atreatment ano amatter awhat ahappens ato athem.
b. The apregnant aperson ahas acancer abut acannot astart atreatment auntil athe afetus ais
adelivered.
c. The afetus ais ain adistress, aand athe apregnant aperson aagrees ato aa acesarean abirth.
d. The aparents aof aa afetus aagree ato aa alabor ainduction.
[Answer: aB]
Check aYour aUnderstanding aQuestions
1. How acan anurses ause athe aHealthy aPeople a2030 aobjectives ato aadvance athe ahealth aof
atheir apatients?
[Answer: aAnswers amay avary abut ashould ainclude athat athe anurse auses athese aobjectives ato
ahelp aeducate apeople aregarding ahealth apromotion aand adisease aprevention. aPatient
aeducation abased aon athese aobjectives acan ahelp aprevent acervical acancer, aheart adisease,
aand aadolescent apregnancies, aand acan aelevate athe ahealth aand awellness aof apeople
aassigned afemale aat abirth.]
3. Name athree acore aconcepts aof awomen’s ahealth anursing.
[Answer: aAnswers amay avary abut ashould ainclude aany athree afrom athis alist.
• recognizing athe adiversity aof awomen’s ahealth aneeds
• emphasizing aempowerment athrough ainformed aparticipation ain aone’s ahealth acare
• acknowledging athe aimportance aof aresearch ain agender adifferences ain adisease
aand aresponse ato adrugs
• recognizing athe aneed afor aa amultidisciplinary ateam aapproach
• striving afor asymmetry ain aprovider-patient arelationships
• providing aaccess ato ainformation a
• engaging ain ashared adecision amaking
• striving afor achange]
4
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
