MATERNITY AND WOMENS HEALTH CARE
13TH EDITION LOWDERMILK ALL
CHAPTERS 1 THROUGH 37 COMPLETE
GUIDE ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ During prenatal classes the nurse teaches the difference between true
labor and false labor. How does the nurse explain the difference?
Answer: Cervix effaces and dilates during true labor.
⩥ A multipara is admitted to the birthing room in active labor. Her
temperature is 98° F (36.7° C), pulse 70 beats/min, respirations 18
breaths/min, and blood pressure 126/76 mm Hg. A vaginal examination
reveals a cervix that is 90% effaced and 7 cm dilated with the vertex
presenting at 2+ station. The client is complaining of pain and asks for
medication. Which medication should be avoided because it may cause
respiratory depression in the newborn? Answer: Meperidine (Demerol)
⩥ A woman has just received the news that she is pregnant. She is
ambivalent about the pregnancy because she had planned to go back to
work when her youngest child started school next year. What
developmental task of pregnancy must the woman accomplish in the
first trimester of pregnancy? Answer: Accept that she is pregnant
,⩥ A nurse understands the stages of parental adjustment that follow the
birth of an at-risk infant who is in the neonatal intensive care unit. To
better plan nursing care, the nurse bases observations and assessments
on the recognition that the: Answer: Mother should be reunited with her
infant as soon as possible to enhance adjustment
⩥ A young sexually active client at the family planning clinic is advised
to have a Papanicolaou (Pap) smear. She has never had a Pap smear
before. What should the nurse include in the explanation of this
procedure? Answer: The Pap smear can detect cancer of the cervix.
⩥ A nurse caring for a client who gave birth to a healthy neonate
evaluates the client's uterine tone 8 hours later. How does the nurse
determine that the uterus is demonstrating appropriate involution?
Answer: The amount of lochia rubra is moderate.
⩥ A client at 39 weeks' gestation arrives in the birthing suite reporting
that she is having regular contractions. A vaginal examination reveals
that the presentation is a double-footling breech. The practitioner decides
to proceed to a cesarean birth under regional anesthesia. What is an
important intervention to help prevent postoperative maternal
complications? Answer: Maintaining adequate hydration
⩥ A nurse is providing nutritional counseling to a low-income pregnant
client who has iron-deficiency anemia. What food should the nurse
encourage the client to include in her diet each day to best address this
problem? Answer: ½ cup of red kidney beans
, ⩥ What is the nurse's initial action immediately after assisting with a
precipitous birth in the triage area of the emergency department?
Answer: Warming the newborn
⩥ After being transported to the hospital by the ambulance, a pregnant
woman is brought into the emergency department on a stretcher. The
nurse notes that the fetus' head has emerged. How should the nurse assist
the mother in the birth of the fetus' anterior shoulder? Answer: Gently
guiding the head downward
⩥ A woman in active labor arrives at the birthing unit. She tells the nurse
that she was found to have a chlamydial infection the last time she
visited the clinic but that she stopped taking the antibiotic after 3 days
because she "felt better." What would the nurse anticipate as part of the
plan of care, in light of this history? Answer: Administration of
antibiotics before delivery
⩥ A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis).
What does a nurse identify as the cause of this complication? Answer:
An injury to the brachial plexus during birth
⩥ A woman who was discharged recently from the hospital after
undergoing a hysterectomy calls the clinic and states that she has
tenderness, redness, and swelling in her right calf. What should the nurse
instruct the client to do? Answer: Call an ambulance to go to the
emergency department.
13TH EDITION LOWDERMILK ALL
CHAPTERS 1 THROUGH 37 COMPLETE
GUIDE ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ During prenatal classes the nurse teaches the difference between true
labor and false labor. How does the nurse explain the difference?
Answer: Cervix effaces and dilates during true labor.
⩥ A multipara is admitted to the birthing room in active labor. Her
temperature is 98° F (36.7° C), pulse 70 beats/min, respirations 18
breaths/min, and blood pressure 126/76 mm Hg. A vaginal examination
reveals a cervix that is 90% effaced and 7 cm dilated with the vertex
presenting at 2+ station. The client is complaining of pain and asks for
medication. Which medication should be avoided because it may cause
respiratory depression in the newborn? Answer: Meperidine (Demerol)
⩥ A woman has just received the news that she is pregnant. She is
ambivalent about the pregnancy because she had planned to go back to
work when her youngest child started school next year. What
developmental task of pregnancy must the woman accomplish in the
first trimester of pregnancy? Answer: Accept that she is pregnant
,⩥ A nurse understands the stages of parental adjustment that follow the
birth of an at-risk infant who is in the neonatal intensive care unit. To
better plan nursing care, the nurse bases observations and assessments
on the recognition that the: Answer: Mother should be reunited with her
infant as soon as possible to enhance adjustment
⩥ A young sexually active client at the family planning clinic is advised
to have a Papanicolaou (Pap) smear. She has never had a Pap smear
before. What should the nurse include in the explanation of this
procedure? Answer: The Pap smear can detect cancer of the cervix.
⩥ A nurse caring for a client who gave birth to a healthy neonate
evaluates the client's uterine tone 8 hours later. How does the nurse
determine that the uterus is demonstrating appropriate involution?
Answer: The amount of lochia rubra is moderate.
⩥ A client at 39 weeks' gestation arrives in the birthing suite reporting
that she is having regular contractions. A vaginal examination reveals
that the presentation is a double-footling breech. The practitioner decides
to proceed to a cesarean birth under regional anesthesia. What is an
important intervention to help prevent postoperative maternal
complications? Answer: Maintaining adequate hydration
⩥ A nurse is providing nutritional counseling to a low-income pregnant
client who has iron-deficiency anemia. What food should the nurse
encourage the client to include in her diet each day to best address this
problem? Answer: ½ cup of red kidney beans
, ⩥ What is the nurse's initial action immediately after assisting with a
precipitous birth in the triage area of the emergency department?
Answer: Warming the newborn
⩥ After being transported to the hospital by the ambulance, a pregnant
woman is brought into the emergency department on a stretcher. The
nurse notes that the fetus' head has emerged. How should the nurse assist
the mother in the birth of the fetus' anterior shoulder? Answer: Gently
guiding the head downward
⩥ A woman in active labor arrives at the birthing unit. She tells the nurse
that she was found to have a chlamydial infection the last time she
visited the clinic but that she stopped taking the antibiotic after 3 days
because she "felt better." What would the nurse anticipate as part of the
plan of care, in light of this history? Answer: Administration of
antibiotics before delivery
⩥ A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis).
What does a nurse identify as the cause of this complication? Answer:
An injury to the brachial plexus during birth
⩥ A woman who was discharged recently from the hospital after
undergoing a hysterectomy calls the clinic and states that she has
tenderness, redness, and swelling in her right calf. What should the nurse
instruct the client to do? Answer: Call an ambulance to go to the
emergency department.
