MATERNITY AND WOMEN'S HEALTH
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1
Reference
Ch. 1 — Introduction to Maternity and Women’s Health Care —
Efforts to Reduce Health Disparities
Stem
A 28-year-old primigravida at 36 weeks' gestation presents for a
routine visit. She is uninsured, speaks limited English, and says
she missed prior prenatal visits because she “couldn’t get time
off work.” Her blood pressure is 132/86 mm Hg and fundal
height is appropriate. The community clinic has a limited
budget for social work. As the nurse, which action best
,addresses maternal health disparities while promoting safe
perinatal outcomes?
Options
A. Refer her to local emergency department services for
prenatal care because she is uninsured.
B. Offer enrollment in the clinic’s sliding-scale prenatal program
and arrange interpreter and social work support.
C. Provide written prenatal handouts in English and ask her to
bring a relative to interpret.
D. Schedule her next appointment in 4 weeks and advise she
call if she notices any problems.
Correct answer
B
Rationales
Correct: Enrolling her in a sliding-scale prenatal program and
arranging interpreter and social work support directly addresses
social determinants (access, language, finances) that contribute
to disparities and improves engagement, continuity, and safety.
This aligns with contemporary efforts to reduce disparities and
is evidence-based for improved perinatal outcomes.
A: Referring to an ED is not continuity care, may increase costs
and does not address access barriers or needed social supports.
C: Written English materials and using a relative for
interpretation risk misunderstanding, poor health literacy
support, and confidentiality issues.
,D: Delaying follow-up risks missed complications, and passive
advice fails to address structural barriers that cause disparities.
Teaching Point
Address language, financial, and access barriers proactively to
reduce perinatal disparities.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference
Ch. 1 — Advances in the Care of Mothers and Infants — Trends
in Nursing Practice
Stem
An experienced labor nurse is teaching a newly hired nurse
about current trends in maternity care. The unit has
implemented a nurse-driven protocol to promote early skin-to-
skin contact for stable newborns. A woman with an
uncomplicated vaginal birth asks if skin-to-skin is necessary.
Which explanation by the nurse best reflects contemporary
evidence-based practice?
Options
A. Skin-to-skin is optional and mainly for parent comfort; it has
no measurable physiologic benefit.
B. Immediate skin-to-skin supports thermal stability,
, breastfeeding initiation, and maternal–infant bonding and is
recommended when newborn and mother are stable.
C. Skin-to-skin should be delayed until after the newborn has
had routine procedures and bath to keep the infant clean.
D. Skin-to-skin is contraindicated if the mother plans to
breastfeed later.
Correct answer
B
Rationales
Correct: Immediate skin-to-skin for stable dyads is supported by
evidence for thermal regulation, earlier breastfeeding initiation,
and better maternal–infant attachment; current maternity
nursing practice promotes it as a standard of care when no
contraindication exists.
A: Incorrect—this minimizes physiologic benefits supported by
research.
C: Incorrect—delaying skin-to-skin for routine procedures is
counter to recommendations when dyad is stable; many
procedures can be postponed.
D: Incorrect—skin-to-skin supports breastfeeding, not
contraindicates it.
Teaching Point
Immediate skin-to-skin for stable mother–infant dyads supports
thermoregulation and breastfeeding.
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1
Reference
Ch. 1 — Introduction to Maternity and Women’s Health Care —
Efforts to Reduce Health Disparities
Stem
A 28-year-old primigravida at 36 weeks' gestation presents for a
routine visit. She is uninsured, speaks limited English, and says
she missed prior prenatal visits because she “couldn’t get time
off work.” Her blood pressure is 132/86 mm Hg and fundal
height is appropriate. The community clinic has a limited
budget for social work. As the nurse, which action best
,addresses maternal health disparities while promoting safe
perinatal outcomes?
Options
A. Refer her to local emergency department services for
prenatal care because she is uninsured.
B. Offer enrollment in the clinic’s sliding-scale prenatal program
and arrange interpreter and social work support.
C. Provide written prenatal handouts in English and ask her to
bring a relative to interpret.
D. Schedule her next appointment in 4 weeks and advise she
call if she notices any problems.
Correct answer
B
Rationales
Correct: Enrolling her in a sliding-scale prenatal program and
arranging interpreter and social work support directly addresses
social determinants (access, language, finances) that contribute
to disparities and improves engagement, continuity, and safety.
This aligns with contemporary efforts to reduce disparities and
is evidence-based for improved perinatal outcomes.
A: Referring to an ED is not continuity care, may increase costs
and does not address access barriers or needed social supports.
C: Written English materials and using a relative for
interpretation risk misunderstanding, poor health literacy
support, and confidentiality issues.
,D: Delaying follow-up risks missed complications, and passive
advice fails to address structural barriers that cause disparities.
Teaching Point
Address language, financial, and access barriers proactively to
reduce perinatal disparities.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference
Ch. 1 — Advances in the Care of Mothers and Infants — Trends
in Nursing Practice
Stem
An experienced labor nurse is teaching a newly hired nurse
about current trends in maternity care. The unit has
implemented a nurse-driven protocol to promote early skin-to-
skin contact for stable newborns. A woman with an
uncomplicated vaginal birth asks if skin-to-skin is necessary.
Which explanation by the nurse best reflects contemporary
evidence-based practice?
Options
A. Skin-to-skin is optional and mainly for parent comfort; it has
no measurable physiologic benefit.
B. Immediate skin-to-skin supports thermal stability,
, breastfeeding initiation, and maternal–infant bonding and is
recommended when newborn and mother are stable.
C. Skin-to-skin should be delayed until after the newborn has
had routine procedures and bath to keep the infant clean.
D. Skin-to-skin is contraindicated if the mother plans to
breastfeed later.
Correct answer
B
Rationales
Correct: Immediate skin-to-skin for stable dyads is supported by
evidence for thermal regulation, earlier breastfeeding initiation,
and better maternal–infant attachment; current maternity
nursing practice promotes it as a standard of care when no
contraindication exists.
A: Incorrect—this minimizes physiologic benefits supported by
research.
C: Incorrect—delaying skin-to-skin for routine procedures is
counter to recommendations when dyad is stable; many
procedures can be postponed.
D: Incorrect—skin-to-skin supports breastfeeding, not
contraindicates it.
Teaching Point
Immediate skin-to-skin for stable mother–infant dyads supports
thermoregulation and breastfeeding.
