MATERNITY AND WOMEN'S
HEALTH CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
Q1
Reference: Maternity and Women’s Health Care — 13th Edition
— Ch. 1 — 21st-Century Maternity and Women’s Health
Nursing — Advances in the Care of Mothers and Infants
Stem: A postpartum nurse on a med-surg unit reviews
discharge plans for a 24-hour postpartum patient who had an
uncomplicated vaginal birth but lives in a neighborhood with
limited prenatal services and unreliable transportation. The
patient expresses concern about follow-up for her newborn’s
hearing screen and immunizations. Which nursing action best
,addresses the priority need?
A. Provide written discharge instructions and advise the patient
to call the clinic to schedule appointments.
B. Arrange a follow-up appointment before discharge and
document transportation barriers in the plan.
C. Ask the patient to bring a family member to the clinic for
support at the next visit.
D. Refer the patient to online scheduling resources and give her
the clinic phone number.
Correct answer: B
Rationales
Correct (B): Arranging the follow-up appointment before
discharge and documenting transportation barriers applies care
coordination and systems-based thinking to reduce gaps in care.
Scheduling removes a practical barrier and ensures newborn
screenings and immunizations occur—key actions shown to
improve neonatal outcomes.
A: Providing written instructions alone is insufficient
because social determinants (transportation, access) make
follow-up unlikely; passive education often fails for vulnerable
populations.
C: Asking for a family member’s presence is non-specific
and doesn’t solve access or scheduling problems; it may
inadvertently shift responsibility to others.
D: Referring to online resources assumes internet access
and digital literacy, which may not exist; it’s not a prioritized,
,proactive solution.
Teaching point: Schedule critical newborn follow-up before
discharge and document access barriers.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
Q2
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Contemporary Issues and Trends
Stem: In a community prenatal clinic, the nurse notes that Black
patients have a higher rate of missed prenatal visits than other
groups. The nurse is asked to recommend one evidence-based
system change to reduce disparities. Which recommendation is
best?
A. Increase clinic hours two evenings per week and monitor
appointment attendance by race/ethnicity.
B. Provide culturally neutral educational brochures during visits
for all patients.
C. Ask staff to call patients more frequently to remind them of
appointments.
D. Require all patients to attend an educational group the week
before their scheduled visit.
Correct answer: A
Rationales
Correct (A): Extending clinic hours reduces structural
barriers (work schedules, transportation) and tracking
, attendance by race/ethnicity enables measurement of impact—
an evidence-based quality improvement approach to reduce
disparities.
B: "Culturally neutral" materials risk irrelevance; culturally
tailored interventions are more effective for engagement.
C: Reminder calls can help but do not address structural
access issues like work hours or transportation; alone they’re
less effective.
D: Mandating group attendance creates additional barriers
and may deter attendance; it’s not patient-centered.
Teaching point: Reduce structural barriers (hours,
transportation) and measure outcomes by population.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
Q3
Reference: Ch. 1 — Trends in Nursing Practice — 21st-Century
Maternity Nursing
Stem: A charge nurse must assign tasks on a busy labor and
delivery unit. A newly hired ADN experienced in med-surg is
available; which assignment best matches scope, safety, and
current trends in nurse preparation?
A. Assign the ADN to manage a patient in active second-stage
labor requiring continuous fetal monitoring and potential
immediate intervention.
B. Assign the ADN to provide initial triage assessment and notify
HEALTH CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
Q1
Reference: Maternity and Women’s Health Care — 13th Edition
— Ch. 1 — 21st-Century Maternity and Women’s Health
Nursing — Advances in the Care of Mothers and Infants
Stem: A postpartum nurse on a med-surg unit reviews
discharge plans for a 24-hour postpartum patient who had an
uncomplicated vaginal birth but lives in a neighborhood with
limited prenatal services and unreliable transportation. The
patient expresses concern about follow-up for her newborn’s
hearing screen and immunizations. Which nursing action best
,addresses the priority need?
A. Provide written discharge instructions and advise the patient
to call the clinic to schedule appointments.
B. Arrange a follow-up appointment before discharge and
document transportation barriers in the plan.
C. Ask the patient to bring a family member to the clinic for
support at the next visit.
D. Refer the patient to online scheduling resources and give her
the clinic phone number.
Correct answer: B
Rationales
Correct (B): Arranging the follow-up appointment before
discharge and documenting transportation barriers applies care
coordination and systems-based thinking to reduce gaps in care.
Scheduling removes a practical barrier and ensures newborn
screenings and immunizations occur—key actions shown to
improve neonatal outcomes.
A: Providing written instructions alone is insufficient
because social determinants (transportation, access) make
follow-up unlikely; passive education often fails for vulnerable
populations.
C: Asking for a family member’s presence is non-specific
and doesn’t solve access or scheduling problems; it may
inadvertently shift responsibility to others.
D: Referring to online resources assumes internet access
and digital literacy, which may not exist; it’s not a prioritized,
,proactive solution.
Teaching point: Schedule critical newborn follow-up before
discharge and document access barriers.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
Q2
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Contemporary Issues and Trends
Stem: In a community prenatal clinic, the nurse notes that Black
patients have a higher rate of missed prenatal visits than other
groups. The nurse is asked to recommend one evidence-based
system change to reduce disparities. Which recommendation is
best?
A. Increase clinic hours two evenings per week and monitor
appointment attendance by race/ethnicity.
B. Provide culturally neutral educational brochures during visits
for all patients.
C. Ask staff to call patients more frequently to remind them of
appointments.
D. Require all patients to attend an educational group the week
before their scheduled visit.
Correct answer: A
Rationales
Correct (A): Extending clinic hours reduces structural
barriers (work schedules, transportation) and tracking
, attendance by race/ethnicity enables measurement of impact—
an evidence-based quality improvement approach to reduce
disparities.
B: "Culturally neutral" materials risk irrelevance; culturally
tailored interventions are more effective for engagement.
C: Reminder calls can help but do not address structural
access issues like work hours or transportation; alone they’re
less effective.
D: Mandating group attendance creates additional barriers
and may deter attendance; it’s not patient-centered.
Teaching point: Reduce structural barriers (hours,
transportation) and measure outcomes by population.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
Q3
Reference: Ch. 1 — Trends in Nursing Practice — 21st-Century
Maternity Nursing
Stem: A charge nurse must assign tasks on a busy labor and
delivery unit. A newly hired ADN experienced in med-surg is
available; which assignment best matches scope, safety, and
current trends in nurse preparation?
A. Assign the ADN to manage a patient in active second-stage
labor requiring continuous fetal monitoring and potential
immediate intervention.
B. Assign the ADN to provide initial triage assessment and notify
