MATERNITY AND WOMEN'S
HEALTH CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Advances in the Care of Mothers and Infants
Stem: A postpartum nurse on a high-risk maternal unit is
preparing discharge teaching for a 34-year-old who had a
cesarean birth for placental previa. The nurse knows advances
in perinatal care have improved outcomes for such cases. Which
teaching point best reflects an evidence-based advance the
nurse should emphasize?
A. “You won't need a follow-up appointment unless you feel
,unwell.”
B. “Call your provider if you have heavy bleeding, fever, or
incision redness.”
C. “You should avoid ambulation for at least 6 weeks to prevent
hemorrhage.”
D. “Breastfeeding must be postponed for 2 weeks after a
cesarean.”
Correct Answer: B
Rationale — Correct (B): Prompt recognition of infection or
hemorrhage improves maternal outcomes; advising earlier
contact for heavy bleeding, fever, or incision changes aligns with
evidence-based postpartum surveillance. This teaching
supports safety and timely intervention.
Rationale — Incorrect:
A. Incorrect — Routine follow-up is recommended; waiting until
feeling unwell delays detection of complications.
C. Incorrect — Early ambulation is encouraged to reduce
thromboembolism risk unless contraindicated.
D. Incorrect — Breastfeeding is usually encouraged soon after
birth; cesarean alone is not a reason for routine 2-week delay.
Teaching Point: Teach early warning signs and prompt reporting
to reduce morbidity.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
,2
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Access and Outcomes
Stem: A community health nurse is planning outreach for
prenatal care after data show increased late entry to prenatal
care among local immigrant women. Which intervention should
the nurse prioritize to reduce disparities in access?
A. Provide printed prenatal guidelines in English only.
B. Arrange culturally appropriate prenatal classes with
interpreters.
C. Require online registration with a government ID for all
attendees.
D. Schedule classes only during standard 9–5 clinic hours.
Correct Answer: B
Rationale — Correct (B): Culturally appropriate classes with
interpreters reduce language/cultural barriers and increase
early prenatal engagement—an evidence-based strategy to
reduce disparities and improve outcomes.
Rationale — Incorrect:
A. Incorrect — English-only materials exclude non-English
speakers.
C. Incorrect — Requiring government ID may create barriers for
undocumented immigrants.
D. Incorrect — Limiting to 9–5 excludes working or caregiver
populations; flexible timing increases access.
, Teaching Point: Use culturally tailored, language-accessible
services to improve prenatal access.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3
Reference: Ch. 1 — Contemporary Issues and Trends —
Maternal Mortality
Stem: On a postpartum unit, a nurse reviews maternal mortality
data showing an increase related to hypertensive disorders.
Which nursing action most directly addresses this trend?
A. Teach patients that headaches are normal in late pregnancy.
B. Monitor BP and assess for visual changes and severe
headaches.
C. Advise all postpartum patients to restrict fluid intake to
reduce BP.
D. Delay antihypertensive therapy until BP exceeds 180/120 mm
Hg.
Correct Answer: B
Rationale — Correct (B): Early detection through regular BP
monitoring and assessment for severe preeclampsia symptoms
allows timely management and reduces mortality risk; this is a
core nursing responsibility.
Rationale — Incorrect:
A. Incorrect — Headaches may signal severe preeclampsia;
HEALTH CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Advances in the Care of Mothers and Infants
Stem: A postpartum nurse on a high-risk maternal unit is
preparing discharge teaching for a 34-year-old who had a
cesarean birth for placental previa. The nurse knows advances
in perinatal care have improved outcomes for such cases. Which
teaching point best reflects an evidence-based advance the
nurse should emphasize?
A. “You won't need a follow-up appointment unless you feel
,unwell.”
B. “Call your provider if you have heavy bleeding, fever, or
incision redness.”
C. “You should avoid ambulation for at least 6 weeks to prevent
hemorrhage.”
D. “Breastfeeding must be postponed for 2 weeks after a
cesarean.”
Correct Answer: B
Rationale — Correct (B): Prompt recognition of infection or
hemorrhage improves maternal outcomes; advising earlier
contact for heavy bleeding, fever, or incision changes aligns with
evidence-based postpartum surveillance. This teaching
supports safety and timely intervention.
Rationale — Incorrect:
A. Incorrect — Routine follow-up is recommended; waiting until
feeling unwell delays detection of complications.
C. Incorrect — Early ambulation is encouraged to reduce
thromboembolism risk unless contraindicated.
D. Incorrect — Breastfeeding is usually encouraged soon after
birth; cesarean alone is not a reason for routine 2-week delay.
Teaching Point: Teach early warning signs and prompt reporting
to reduce morbidity.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
,2
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Access and Outcomes
Stem: A community health nurse is planning outreach for
prenatal care after data show increased late entry to prenatal
care among local immigrant women. Which intervention should
the nurse prioritize to reduce disparities in access?
A. Provide printed prenatal guidelines in English only.
B. Arrange culturally appropriate prenatal classes with
interpreters.
C. Require online registration with a government ID for all
attendees.
D. Schedule classes only during standard 9–5 clinic hours.
Correct Answer: B
Rationale — Correct (B): Culturally appropriate classes with
interpreters reduce language/cultural barriers and increase
early prenatal engagement—an evidence-based strategy to
reduce disparities and improve outcomes.
Rationale — Incorrect:
A. Incorrect — English-only materials exclude non-English
speakers.
C. Incorrect — Requiring government ID may create barriers for
undocumented immigrants.
D. Incorrect — Limiting to 9–5 excludes working or caregiver
populations; flexible timing increases access.
, Teaching Point: Use culturally tailored, language-accessible
services to improve prenatal access.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3
Reference: Ch. 1 — Contemporary Issues and Trends —
Maternal Mortality
Stem: On a postpartum unit, a nurse reviews maternal mortality
data showing an increase related to hypertensive disorders.
Which nursing action most directly addresses this trend?
A. Teach patients that headaches are normal in late pregnancy.
B. Monitor BP and assess for visual changes and severe
headaches.
C. Advise all postpartum patients to restrict fluid intake to
reduce BP.
D. Delay antihypertensive therapy until BP exceeds 180/120 mm
Hg.
Correct Answer: B
Rationale — Correct (B): Early detection through regular BP
monitoring and assessment for severe preeclampsia symptoms
allows timely management and reduces mortality risk; this is a
core nursing responsibility.
Rationale — Incorrect:
A. Incorrect — Headaches may signal severe preeclampsia;
