Test Bank for Maternity and Women's Health Care|
13th Edition | All Chapters | A+ Graded | Solutions
with Rationales | 2026 Update
Deitra Leonard Lowdermilk, Kitty Cashion, Kathryn Rhodes Alden, Ellen
Olshansky, and Shannon E. Perry
,Table of Contents
Part 1: Introduction to Maternity and Women’s Health Care .................................................................. 4
Chapter 1: 21st-Century Maternity and Women’s Health Nursing ...................................................... 4
Chapter 2: Community Care: The Family and Culture ....................................................................... 17
Chapter 3: Nursing and Genomics ..................................................................................................... 30
Part 2: Women’s Health .......................................................................................................................... 44
Chapter 4: Assessment and Health Promotion.................................................................................. 44
Chapter 5: Violence Against Women ................................................................................................. 60
Chapter 6: Reproductive System Concerns ....................................................................................... 76
Chapter 7: Sexually Transmitted and Other Infections ..................................................................... 92
Chapter 8: Contraception and Abortion .......................................................................................... 107
Chapter 9: Infertility......................................................................................................................... 122
Chapter 10: Problems of the Breast ................................................................................................ 137
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System .............................. 152
Part 3: Pregnancy .................................................................................................................................. 167
Chapter 12: Conception and Fetal Development ............................................................................ 167
Chapter 13: Anatomy and Physiology of Pregnancy ........................................................................ 181
Chapter 14: Nursing Care of the Family During Pregnancy .............................................................. 196
Chapter 15: Maternal Nutrition ........................................................................................................ 211
Part 4: Anatomy and Physiology of Pregnancy ..................................................................................... 225
Chapter 16: Labor and Birth Processes ............................................................................................. 225
Chapter 17: Maximizing Comfort for the Laboring Person ............................................................... 240
Chapter 18: Fetal Assessment During Labor ..................................................................................... 254
Chapter 19: Nursing Care of the Family During Labor and Birth ...................................................... 269
Part 5: Postpartum ................................................................................................................................ 284
Chapter 20: Postpartum Anatomical and Physiologic Changes ........................................................ 284
Chapter 21: Nursing Care of the Family During the Postpartum Period .......................................... 299
Chapter 22: Transition to Parenthood .............................................................................................. 315
Part 6: The Newborn ............................................................................................................................. 330
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn ............................................ 330
Chapter 24: Nursing Care of the Newborn and Family ..................................................................... 345
Chapter 25: Newborn Nutrition and Feeding ................................................................................... 359
Part 7: Complications of Pregnancy ...................................................................................................... 374
, Chapter 26: Assessment of High-Risk Pregnancy.............................................................................. 374
Chapter 27: Hypertensive Disorders ................................................................................................. 389
Chapter 28: Hemorrhagic Disorders ................................................................................................. 403
Chapter 29: Endocrine and Metabolic Disorders .............................................................................. 417
Chapter 30: Medical-Surgical Disorders............................................................................................ 431
Chapter 31: Mental Health Disorders and Substance Abuse ............................................................ 445
Chapter 32: Labor and Birth at Risk .................................................................................................. 459
Chapter 33: Postpartum Complications ............................................................................................ 473
Part 8: Newborn Complications ............................................................................................................ 486
Chapter 34: Nursing Care of the High-Risk Newborn ....................................................................... 486
Chapter 35: Acquired Problems of the Newborn ............................................................................. 499
Chapter 36: Hemolytic Disorders and Congenital Anomalies ........................................................... 512
Chapter 37: Perinatal Loss, Bereavement, and Grief ........................................................................ 525
, Part 1: Introduction to Maternity and Women’s Health Care
Chapter 1: 21st-Century Maternity and Women’s Health Nursing
1. A nurse in a prenatal clinic is implementing a 21st century model of maternity care. A pregnant
client at 10 weeks’ gestation reports limited transportation and difficulty attending
appointments. Which intervention best reflects a contemporary approach to improving
maternal outcomes?
A. Scheduling all visits at standard 4 week intervals
B. Referring the client to emergency services for all future concerns
C. Coordinating telehealth visits and community resource linkage
D. Advising the client to transfer to a tertiary care center
ANS: C
Rationale: Contemporary maternity care emphasizes accessibility, care coordination, and reduction of
disparities. Telehealth integration and connection with community resources address social
determinants of health and improve continuity of care. Standard scheduling without accommodation
does not address barriers. Emergency services are not appropriate for routine care. Automatic transfer
to tertiary care is unnecessary without clinical indication.
2. A nurse reviews state data showing higher maternal mortality among Black women compared
with White women. Which nursing action best aligns with equity focused maternity care?
A. Providing identical education materials to all clients
B. Screening for implicit bias and advocating for culturally responsive care
C. Avoiding discussions about race during visits
D. Referring all high risk clients to obstetricians only
ANS: B
Rationale: Addressing disparities requires recognition of structural inequities and implicit bias. Culturally
responsive care and advocacy reduce inequitable treatment and improve outcomes. Identical materials
may not meet diverse needs. Avoiding discussions ignores disparities. Referral to obstetricians alone
does not address systemic bias.
3. A labor unit adopts a patient centered care model. Which nursing behavior best reflects this
model?
A. Limiting support persons to reduce infection risk
B. Encouraging shared decision making regarding pain management
C. Assigning standardized birth plans to all patients
D. Prioritizing physician directives over patient preferences
ANS: B
Rationale: Patient centered maternity care promotes shared decision making, informed consent, and
respect for patient preferences. Limiting support persons without clinical reason undermines autonomy.
Standardized birth plans contradict individualized care. Automatically prioritizing physician directives
over patient preferences is inconsistent with collaborative practice.
13th Edition | All Chapters | A+ Graded | Solutions
with Rationales | 2026 Update
Deitra Leonard Lowdermilk, Kitty Cashion, Kathryn Rhodes Alden, Ellen
Olshansky, and Shannon E. Perry
,Table of Contents
Part 1: Introduction to Maternity and Women’s Health Care .................................................................. 4
Chapter 1: 21st-Century Maternity and Women’s Health Nursing ...................................................... 4
Chapter 2: Community Care: The Family and Culture ....................................................................... 17
Chapter 3: Nursing and Genomics ..................................................................................................... 30
Part 2: Women’s Health .......................................................................................................................... 44
Chapter 4: Assessment and Health Promotion.................................................................................. 44
Chapter 5: Violence Against Women ................................................................................................. 60
Chapter 6: Reproductive System Concerns ....................................................................................... 76
Chapter 7: Sexually Transmitted and Other Infections ..................................................................... 92
Chapter 8: Contraception and Abortion .......................................................................................... 107
Chapter 9: Infertility......................................................................................................................... 122
Chapter 10: Problems of the Breast ................................................................................................ 137
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System .............................. 152
Part 3: Pregnancy .................................................................................................................................. 167
Chapter 12: Conception and Fetal Development ............................................................................ 167
Chapter 13: Anatomy and Physiology of Pregnancy ........................................................................ 181
Chapter 14: Nursing Care of the Family During Pregnancy .............................................................. 196
Chapter 15: Maternal Nutrition ........................................................................................................ 211
Part 4: Anatomy and Physiology of Pregnancy ..................................................................................... 225
Chapter 16: Labor and Birth Processes ............................................................................................. 225
Chapter 17: Maximizing Comfort for the Laboring Person ............................................................... 240
Chapter 18: Fetal Assessment During Labor ..................................................................................... 254
Chapter 19: Nursing Care of the Family During Labor and Birth ...................................................... 269
Part 5: Postpartum ................................................................................................................................ 284
Chapter 20: Postpartum Anatomical and Physiologic Changes ........................................................ 284
Chapter 21: Nursing Care of the Family During the Postpartum Period .......................................... 299
Chapter 22: Transition to Parenthood .............................................................................................. 315
Part 6: The Newborn ............................................................................................................................. 330
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn ............................................ 330
Chapter 24: Nursing Care of the Newborn and Family ..................................................................... 345
Chapter 25: Newborn Nutrition and Feeding ................................................................................... 359
Part 7: Complications of Pregnancy ...................................................................................................... 374
, Chapter 26: Assessment of High-Risk Pregnancy.............................................................................. 374
Chapter 27: Hypertensive Disorders ................................................................................................. 389
Chapter 28: Hemorrhagic Disorders ................................................................................................. 403
Chapter 29: Endocrine and Metabolic Disorders .............................................................................. 417
Chapter 30: Medical-Surgical Disorders............................................................................................ 431
Chapter 31: Mental Health Disorders and Substance Abuse ............................................................ 445
Chapter 32: Labor and Birth at Risk .................................................................................................. 459
Chapter 33: Postpartum Complications ............................................................................................ 473
Part 8: Newborn Complications ............................................................................................................ 486
Chapter 34: Nursing Care of the High-Risk Newborn ....................................................................... 486
Chapter 35: Acquired Problems of the Newborn ............................................................................. 499
Chapter 36: Hemolytic Disorders and Congenital Anomalies ........................................................... 512
Chapter 37: Perinatal Loss, Bereavement, and Grief ........................................................................ 525
, Part 1: Introduction to Maternity and Women’s Health Care
Chapter 1: 21st-Century Maternity and Women’s Health Nursing
1. A nurse in a prenatal clinic is implementing a 21st century model of maternity care. A pregnant
client at 10 weeks’ gestation reports limited transportation and difficulty attending
appointments. Which intervention best reflects a contemporary approach to improving
maternal outcomes?
A. Scheduling all visits at standard 4 week intervals
B. Referring the client to emergency services for all future concerns
C. Coordinating telehealth visits and community resource linkage
D. Advising the client to transfer to a tertiary care center
ANS: C
Rationale: Contemporary maternity care emphasizes accessibility, care coordination, and reduction of
disparities. Telehealth integration and connection with community resources address social
determinants of health and improve continuity of care. Standard scheduling without accommodation
does not address barriers. Emergency services are not appropriate for routine care. Automatic transfer
to tertiary care is unnecessary without clinical indication.
2. A nurse reviews state data showing higher maternal mortality among Black women compared
with White women. Which nursing action best aligns with equity focused maternity care?
A. Providing identical education materials to all clients
B. Screening for implicit bias and advocating for culturally responsive care
C. Avoiding discussions about race during visits
D. Referring all high risk clients to obstetricians only
ANS: B
Rationale: Addressing disparities requires recognition of structural inequities and implicit bias. Culturally
responsive care and advocacy reduce inequitable treatment and improve outcomes. Identical materials
may not meet diverse needs. Avoiding discussions ignores disparities. Referral to obstetricians alone
does not address systemic bias.
3. A labor unit adopts a patient centered care model. Which nursing behavior best reflects this
model?
A. Limiting support persons to reduce infection risk
B. Encouraging shared decision making regarding pain management
C. Assigning standardized birth plans to all patients
D. Prioritizing physician directives over patient preferences
ANS: B
Rationale: Patient centered maternity care promotes shared decision making, informed consent, and
respect for patient preferences. Limiting support persons without clinical reason undermines autonomy.
Standardized birth plans contradict individualized care. Automatically prioritizing physician directives
over patient preferences is inconsistent with collaborative practice.
