,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 dnurse dmakes dan derror dof domission. dWhat dis dan dexample dof dan derror dof
domission?
a. placing dthe dfetal dmonitor dincorrectly
b. not drecording dinput/output damounts
c. not dcovering dthe dcomputer dscreen dwhen ddocumenting
d. removing dan dIV
[Answer: dB]
15. What dis da dgood dexample dof dinformed dconsent?
a. The dnurse dhands dthe dpatient dthe dstack dof dconsents dand dasks dthem dto dsign dthem.
b. The dnurse dtells dthe dpatient dnot dto dworry dabout dreading dthe dconsents.
c. The dnurse dalerts dthe dOB dthat dthe dpatient dhas dquestions dabout dthe dcesarean
dconsent.
d. The dnurse dexplains dthat dit dis dnot dtheir djob dto danswer dquestions.
[Answer: dC]
17. dWhat dis dan dexample dof dmaternal-fetal dconflict?
a. The dpregnant dperson dagrees dto dtreatment dno dmatter dwhat dhappens dto dthem.
b. The dpregnant dperson dhas dcancer dbut dcannot dstart dtreatment duntil dthe dfetus dis
ddelivered.
c. The dfetus dis din ddistress, dand dthe dpregnant dperson dagrees dto da dcesarean dbirth.
d. The dparents dof da dfetus dagree dto da dlabor dinduction.
[Answer: dB]
Check dYour dUnderstanding dQuestions
1. How dcan dnurses duse dthe dHealthy dPeople d2030 dobjectives dto dadvance dthe dhealth dof
dtheir dpatients?
[Answer: dAnswers dmay dvary dbut dshould dinclude dthat dthe dnurse duses dthese dobjectives dto
dhelp deducate dpeople dregarding dhealth dpromotion dand ddisease dprevention. dPatient
deducation dbased don dthese dobjectives dcan dhelp dprevent dcervical dcancer, dheart ddisease,
dand dadolescent dpregnancies, dand dcan delevate dthe dhealth dand dwellness dof dpeople
dassigned dfemale dat dbirth.]
3. Name dthree dcore dconcepts dof dwomen’s dhealth dnursing.
[Answer: dAnswers dmay dvary dbut dshould dinclude dany dthree dfrom dthis dlist.
• recognizing dthe ddiversity dof dwomen’s dhealth dneeds
• emphasizing dempowerment dthrough dinformed dparticipation din done’s dhealth
dcare
• acknowledging dthe dimportance dof dresearch din dgender ddifferences din ddisease
dand dresponse dto ddrugs
• recognizing dthe dneed dfor da dmultidisciplinary dteam dapproach
• striving dfor dsymmetry din dprovider-patient drelationships
• providing daccess dto dinformation d
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 dnurse dmakes dan derror dof domission. dWhat dis dan dexample dof dan derror dof
domission?
a. placing dthe dfetal dmonitor dincorrectly
b. not drecording dinput/output damounts
c. not dcovering dthe dcomputer dscreen dwhen ddocumenting
d. removing dan dIV
[Answer: dB]
15. What dis da dgood dexample dof dinformed dconsent?
a. The dnurse dhands dthe dpatient dthe dstack dof dconsents dand dasks dthem dto dsign dthem.
b. The dnurse dtells dthe dpatient dnot dto dworry dabout dreading dthe dconsents.
c. The dnurse dalerts dthe dOB dthat dthe dpatient dhas dquestions dabout dthe dcesarean
dconsent.
d. The dnurse dexplains dthat dit dis dnot dtheir djob dto danswer dquestions.
[Answer: dC]
17. dWhat dis dan dexample dof dmaternal-fetal dconflict?
a. The dpregnant dperson dagrees dto dtreatment dno dmatter dwhat dhappens dto dthem.
b. The dpregnant dperson dhas dcancer dbut dcannot dstart dtreatment duntil dthe dfetus dis
ddelivered.
c. The dfetus dis din ddistress, dand dthe dpregnant dperson dagrees dto da dcesarean dbirth.
d. The dparents dof da dfetus dagree dto da dlabor dinduction.
[Answer: dB]
Check dYour dUnderstanding dQuestions
1. How dcan dnurses duse dthe dHealthy dPeople d2030 dobjectives dto dadvance dthe dhealth dof
dtheir dpatients?
[Answer: dAnswers dmay dvary dbut dshould dinclude dthat dthe dnurse duses dthese dobjectives dto
dhelp deducate dpeople dregarding dhealth dpromotion dand ddisease dprevention. dPatient
deducation dbased don dthese dobjectives dcan dhelp dprevent dcervical dcancer, dheart ddisease,
dand dadolescent dpregnancies, dand dcan delevate dthe dhealth dand dwellness dof dpeople
dassigned dfemale dat dbirth.]
3. Name dthree dcore dconcepts dof dwomen’s dhealth dnursing.
[Answer: dAnswers dmay dvary dbut dshould dinclude dany dthree dfrom dthis dlist.
• recognizing dthe ddiversity dof dwomen’s dhealth dneeds
• emphasizing dempowerment dthrough dinformed dparticipation din done’s dhealth
dcare
• acknowledging dthe dimportance dof dresearch din dgender ddifferences din ddisease
dand dresponse dto ddrugs
• recognizing dthe dneed dfor da dmultidisciplinary dteam dapproach
• striving dfor dsymmetry din dprovider-patient drelationships
• providing daccess dto dinformation d
4
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
