MATERNITY AND WOMEN'S HEALTH
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
Ch. 1 — Introduction: 21st-Century Maternity and Women’s
Health Nursing (20 MCQs)
1)
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Health Disparities
Stem: A 32-year-old G2P1 Black woman at 34 weeks’ gestation
presents for a routine visit. She reports difficulty scheduling
appointments due to work and lack of reliable transportation;
her blood pressure today is 138/86 mm Hg. As the nurse, which
action best addresses both her clinical risk and social barriers?
,Options:
A. Ask her to monitor her blood pressure at the clinic weekly
and return if it worsens.
B. Provide a referral to a community prenatal transportation
program and arrange a same-day nursing follow-up for BP
recheck.
C. Advise strict bed rest at home and schedule the next
appointment in four weeks.
D. Inform her that elevated BP is common in late pregnancy and
document the finding.
Correct answer: B
Rationale — Correct: Arranging resources (transportation)
addresses social determinants that impede access while the
same-day nursing follow-up allows timely clinical reassessment
of elevated BP, reducing risk of progression to preeclampsia.
This integrates social needs with clinical surveillance—best
practice in disparity-sensitive care.
Rationale — Incorrect:
A. Weekly clinic BP alone may be inadequate if she cannot
reliably attend; it doesn’t address access barriers.
C. Bed rest lacks evidence for prevention of hypertensive
complications and four-week interval is too long for elevated BP.
D. Minimizing the finding risks missed deterioration and fails to
address access issues that limit care.
Teaching point: Address social barriers while ensuring timely
clinical reassessment for elevated pregnancy BP.
,Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
2)
Reference: Ch. 1 — Advances in Care of Mothers and Infants —
Technology & Telehealth
Stem: A 28-year-old primigravida at 30 weeks with a low-risk
pregnancy prefers telehealth visits because she lives 90 minutes
from the clinic. Today she reports mild swelling in her hands.
Which nursing action best balances safety and patient-centered
care?
Options:
A. Schedule the next routine telehealth visit in four weeks and
reassure her swelling is typical.
B. Arrange an in-person assessment within 48 hours to evaluate
for preeclampsia while continuing telehealth for other visits.
C. Tell her to go to the emergency department immediately for
all telehealth visits.
D. Ask her to discontinue telehealth for the remainder of
pregnancy and switch to in-person weekly visits.
Correct answer: B
Rationale — Correct: Mild hand swelling can be normal, but
because preeclampsia can present with edema, an in-person
assessment is prudent while preserving telehealth for other
visits—this is patient-centered, evidence-based balancing of
safety and access.
, Rationale — Incorrect:
A. Waiting four weeks could delay detection of hypertensive
disorders.
C. Immediate ED referral is excessive unless she has severe
symptoms (headache, visual changes).
D. Switching to weekly in-person visits unnecessarily burdens
the patient given her distance and low-risk status.
Teaching point: Use telehealth flexibly—escalate to timely in-
person assessment when safety concerns arise.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
3)
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Cultural Competence
Stem: A pregnant woman who prefers not to receive certain
routine prenatal blood tests due to cultural beliefs declines
testing. She is at 12 weeks’ gestation and requests alternatives.
What is the most appropriate nursing response?
Options:
A. Inform her testing is mandatory and proceed without
discussion.
B. Respect her refusal, document it, and explore her beliefs
while offering culturally acceptable alternatives and education.
C. Discharge her from prenatal care for noncompliance.
D. Tell her refusal increases fetal risk and insist she accept
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
Ch. 1 — Introduction: 21st-Century Maternity and Women’s
Health Nursing (20 MCQs)
1)
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Health Disparities
Stem: A 32-year-old G2P1 Black woman at 34 weeks’ gestation
presents for a routine visit. She reports difficulty scheduling
appointments due to work and lack of reliable transportation;
her blood pressure today is 138/86 mm Hg. As the nurse, which
action best addresses both her clinical risk and social barriers?
,Options:
A. Ask her to monitor her blood pressure at the clinic weekly
and return if it worsens.
B. Provide a referral to a community prenatal transportation
program and arrange a same-day nursing follow-up for BP
recheck.
C. Advise strict bed rest at home and schedule the next
appointment in four weeks.
D. Inform her that elevated BP is common in late pregnancy and
document the finding.
Correct answer: B
Rationale — Correct: Arranging resources (transportation)
addresses social determinants that impede access while the
same-day nursing follow-up allows timely clinical reassessment
of elevated BP, reducing risk of progression to preeclampsia.
This integrates social needs with clinical surveillance—best
practice in disparity-sensitive care.
Rationale — Incorrect:
A. Weekly clinic BP alone may be inadequate if she cannot
reliably attend; it doesn’t address access barriers.
C. Bed rest lacks evidence for prevention of hypertensive
complications and four-week interval is too long for elevated BP.
D. Minimizing the finding risks missed deterioration and fails to
address access issues that limit care.
Teaching point: Address social barriers while ensuring timely
clinical reassessment for elevated pregnancy BP.
,Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
2)
Reference: Ch. 1 — Advances in Care of Mothers and Infants —
Technology & Telehealth
Stem: A 28-year-old primigravida at 30 weeks with a low-risk
pregnancy prefers telehealth visits because she lives 90 minutes
from the clinic. Today she reports mild swelling in her hands.
Which nursing action best balances safety and patient-centered
care?
Options:
A. Schedule the next routine telehealth visit in four weeks and
reassure her swelling is typical.
B. Arrange an in-person assessment within 48 hours to evaluate
for preeclampsia while continuing telehealth for other visits.
C. Tell her to go to the emergency department immediately for
all telehealth visits.
D. Ask her to discontinue telehealth for the remainder of
pregnancy and switch to in-person weekly visits.
Correct answer: B
Rationale — Correct: Mild hand swelling can be normal, but
because preeclampsia can present with edema, an in-person
assessment is prudent while preserving telehealth for other
visits—this is patient-centered, evidence-based balancing of
safety and access.
, Rationale — Incorrect:
A. Waiting four weeks could delay detection of hypertensive
disorders.
C. Immediate ED referral is excessive unless she has severe
symptoms (headache, visual changes).
D. Switching to weekly in-person visits unnecessarily burdens
the patient given her distance and low-risk status.
Teaching point: Use telehealth flexibly—escalate to timely in-
person assessment when safety concerns arise.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
3)
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Cultural Competence
Stem: A pregnant woman who prefers not to receive certain
routine prenatal blood tests due to cultural beliefs declines
testing. She is at 12 weeks’ gestation and requests alternatives.
What is the most appropriate nursing response?
Options:
A. Inform her testing is mandatory and proceed without
discussion.
B. Respect her refusal, document it, and explore her beliefs
while offering culturally acceptable alternatives and education.
C. Discharge her from prenatal care for noncompliance.
D. Tell her refusal increases fetal risk and insist she accept
