,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 ........................................................................................................ 81
Chapter 14: Childbirth Education Options .................................................................................... 85
Chapter 15: Process of Labor and Birth ........................................................................................ 92
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring .............................................. 97
Chapter 17: Pain Management During Labor and Birth ............................................................. 103
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 108
Chapter 19: Complications of Labor and Birth ........................................................................... 114
Chapter 20: Postpartum Care ..................................................................................................... 122
Chapter 21: Postpartum Complications...................................................................................... 127
Chapter 22: Immediate Care of the Newborn ............................................................................ 132
Chapter 23: Newborn Assessment ............................................................................................. 137
Chapter 24: Care of the Typical Newborn .................................................................................. 142
Chapter 25: Care of the Newborn at Risk ................................................................................... 146
Chapter 26: Perinatal Bereavement ........................................................................................... 151
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 155
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 snurse smakes san serror sof somission. sWhat sis san sexample sof san serror sof somission?
a. placing sthe sfetal smonitor sincorrectly
b. not srecording sinput/output samounts
c. not scovering sthe scomputer sscreen swhen sdocumenting
d. removing san sIV
[Answer: sB]
15. What sis sa sgood sexample sof sinformed sconsent?
a. The snurse shands sthe spatient sthe sstack sof sconsents sand sasks sthem sto ssign sthem.
b. The snurse stells sthe spatient snot sto sworry sabout sreading sthe sconsents.
c. The snurse salerts sthe sOB sthat sthe spatient shas squestions sabout sthe scesarean
sconsent.
d. The snurse sexplains sthat sit sis snot stheir sjob sto sanswer squestions.
[Answer: sC]
17. sWhat sis san sexample sof smaternal-fetal sconflict?
a. The spregnant sperson sagrees sto streatment sno smatter swhat shappens sto sthem.
b. The spregnant sperson shas scancer sbut scannot sstart streatment suntil sthe sfetus sis
sdelivered.
c. The sfetus sis sin sdistress, sand sthe spregnant sperson sagrees sto sa scesarean sbirth.
d. The sparents sof sa sfetus sagree sto sa slabor sinduction.
[Answer: sB]
Check sYour sUnderstanding sQuestions
1. How scan snurses suse sthe sHealthy sPeople s2030 sobjectives sto sadvance sthe shealth sof
stheir spatients?
[Answer: sAnswers smay svary sbut sshould sinclude sthat sthe snurse suses sthese sobjectives sto
shelp seducate speople sregarding shealth spromotion sand sdisease sprevention. sPatient
seducation sbased son sthese sobjectives scan shelp sprevent scervical scancer, sheart sdisease, sand
sadolescent spregnancies, sand scan selevate sthe shealth sand swellness sof speople sassigned
sfemale sat sbirth.]
3. Name sthree score sconcepts sof swomen’s shealth snursing.
[Answer: sAnswers smay svary sbut sshould sinclude sany sthree sfrom sthis slist.
• recognizing sthe sdiversity sof swomen’s shealth sneeds
• emphasizing sempowerment sthrough sinformed sparticipation sin sone’s shealth scare
• acknowledging sthe simportance sof sresearch sin sgender sdifferences sin sdisease sand
sresponse sto sdrugs
• recognizing sthe sneed sfor sa smultidisciplinary steam sapproach
• striving sfor ssymmetry sin sprovider-patient srelationships
• providing saccess sto sinformation s
• engaging sin sshared sdecision smaking
• striving sfor schange]
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 ........................................................................................................ 81
Chapter 14: Childbirth Education Options .................................................................................... 85
Chapter 15: Process of Labor and Birth ........................................................................................ 92
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring .............................................. 97
Chapter 17: Pain Management During Labor and Birth ............................................................. 103
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 108
Chapter 19: Complications of Labor and Birth ........................................................................... 114
Chapter 20: Postpartum Care ..................................................................................................... 122
Chapter 21: Postpartum Complications...................................................................................... 127
Chapter 22: Immediate Care of the Newborn ............................................................................ 132
Chapter 23: Newborn Assessment ............................................................................................. 137
Chapter 24: Care of the Typical Newborn .................................................................................. 142
Chapter 25: Care of the Newborn at Risk ................................................................................... 146
Chapter 26: Perinatal Bereavement ........................................................................................... 151
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 155
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 snurse smakes san serror sof somission. sWhat sis san sexample sof san serror sof somission?
a. placing sthe sfetal smonitor sincorrectly
b. not srecording sinput/output samounts
c. not scovering sthe scomputer sscreen swhen sdocumenting
d. removing san sIV
[Answer: sB]
15. What sis sa sgood sexample sof sinformed sconsent?
a. The snurse shands sthe spatient sthe sstack sof sconsents sand sasks sthem sto ssign sthem.
b. The snurse stells sthe spatient snot sto sworry sabout sreading sthe sconsents.
c. The snurse salerts sthe sOB sthat sthe spatient shas squestions sabout sthe scesarean
sconsent.
d. The snurse sexplains sthat sit sis snot stheir sjob sto sanswer squestions.
[Answer: sC]
17. sWhat sis san sexample sof smaternal-fetal sconflict?
a. The spregnant sperson sagrees sto streatment sno smatter swhat shappens sto sthem.
b. The spregnant sperson shas scancer sbut scannot sstart streatment suntil sthe sfetus sis
sdelivered.
c. The sfetus sis sin sdistress, sand sthe spregnant sperson sagrees sto sa scesarean sbirth.
d. The sparents sof sa sfetus sagree sto sa slabor sinduction.
[Answer: sB]
Check sYour sUnderstanding sQuestions
1. How scan snurses suse sthe sHealthy sPeople s2030 sobjectives sto sadvance sthe shealth sof
stheir spatients?
[Answer: sAnswers smay svary sbut sshould sinclude sthat sthe snurse suses sthese sobjectives sto
shelp seducate speople sregarding shealth spromotion sand sdisease sprevention. sPatient
seducation sbased son sthese sobjectives scan shelp sprevent scervical scancer, sheart sdisease, sand
sadolescent spregnancies, sand scan selevate sthe shealth sand swellness sof speople sassigned
sfemale sat sbirth.]
3. Name sthree score sconcepts sof swomen’s shealth snursing.
[Answer: sAnswers smay svary sbut sshould sinclude sany sthree sfrom sthis slist.
• recognizing sthe sdiversity sof swomen’s shealth sneeds
• emphasizing sempowerment sthrough sinformed sparticipation sin sone’s shealth scare
• acknowledging sthe simportance sof sresearch sin sgender sdifferences sin sdisease sand
sresponse sto sdrugs
• recognizing sthe sneed sfor sa smultidisciplinary steam sapproach
• striving sfor ssymmetry sin sprovider-patient srelationships
• providing saccess sto sinformation s
• engaging sin sshared sdecision smaking
• striving sfor schange]
4
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
