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 in a tertiary hospital is caring for a
34-week preterm infant whose mother has stable vital signs but
limited prenatal care. The unit recently implemented
standardized early-feeding and kangaroo-care protocols to
improve outcomes. Which nursing action best reflects
implementation of a 21st-century, evidence-based approach to
improve neonatal outcomes?
,A. Encourage the mother to wait until discharge for skin-to-skin
contact to reduce infection risk.
B. Facilitate immediate and frequent kangaroo care combined
with lactation support.
C. Prioritize routine gavage feeding every three hours regardless
of maternal availability.
D. Recommend formula supplementation to ensure weight gain
before starting breastfeeding.
Correct answer: B
Rationale — Correct: Immediate and frequent kangaroo care
plus lactation support is evidence-based to stabilize
temperature, improve breastfeeding success, and reduce
neonatal morbidity, aligning with modern neonatal care
practices.
Rationale — Incorrect:
• A — Delaying skin-to-skin unnecessarily withholds
benefits; infection risk is low with appropriate precautions.
• C — Routine gavage without supporting maternal
involvement ignores benefits of maternal proximity and
breastfeeding promotion.
• D — Routine formula supplementation undermines
breastmilk establishment and increases infection risk
unless clinically indicated.
Teaching point: Early kangaroo care plus lactation support
improves preterm infant outcomes.
,Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference: Ch. 1 — Advances in the Care of Mothers and
Infants — Technology & Monitoring
Stem: A nurse on the antepartum unit is assessing a woman at
39 weeks with reduced fetal movement for 24 hours. The
facility recently upgraded to a computerized fetal heart rate
(FHR) tracing system with decision-support prompts. The
tracing shows late decelerations with decreased variability.
Which nursing action best demonstrates correct use of
technology plus clinical judgment?
A. Rely on the computer’s “nonreassuring” label and prepare
for immediate cesarean.
B. Document the computer output and continue routine
monitoring without intervention.
C. Perform immediate bedside assessment, initiate intrauterine
resuscitation, and notify the obstetrician.
D. Turn off the monitoring device and repeat tracing in two
hours to allow variability to normalize.
Correct answer: C
Rationale — Correct: Combining device data with bedside
assessment and prompt intrauterine resuscitation (oxygen,
position change, IV fluids) plus notifying the obstetrician is
, appropriate clinical judgment when late decelerations indicate
uteroplacental insufficiency.
Rationale — Incorrect:
• A — Device prompts inform but do not replace clinical
assessment; immediate cesarean may be premature
without resuscitation attempts.
• B — Ignoring abnormal decelerations risks fetal
compromise.
• D — Delaying response by turning off monitor risks missed
deterioration.
Teaching point: Use technology to prompt action—always
assess and intervene at the bedside first.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Access & Social Determinants
Stem: A community health nurse is planning outreach for
prenatal care in a neighborhood with high rates of late prenatal
entry. Data show transportation barriers, low health literacy,
and limited clinic hours. Which intervention most directly
addresses multiple social determinants to reduce disparities?
A. Provide a one-page pamphlet about pregnancy warning signs
in the clinic waiting room.
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 in a tertiary hospital is caring for a
34-week preterm infant whose mother has stable vital signs but
limited prenatal care. The unit recently implemented
standardized early-feeding and kangaroo-care protocols to
improve outcomes. Which nursing action best reflects
implementation of a 21st-century, evidence-based approach to
improve neonatal outcomes?
,A. Encourage the mother to wait until discharge for skin-to-skin
contact to reduce infection risk.
B. Facilitate immediate and frequent kangaroo care combined
with lactation support.
C. Prioritize routine gavage feeding every three hours regardless
of maternal availability.
D. Recommend formula supplementation to ensure weight gain
before starting breastfeeding.
Correct answer: B
Rationale — Correct: Immediate and frequent kangaroo care
plus lactation support is evidence-based to stabilize
temperature, improve breastfeeding success, and reduce
neonatal morbidity, aligning with modern neonatal care
practices.
Rationale — Incorrect:
• A — Delaying skin-to-skin unnecessarily withholds
benefits; infection risk is low with appropriate precautions.
• C — Routine gavage without supporting maternal
involvement ignores benefits of maternal proximity and
breastfeeding promotion.
• D — Routine formula supplementation undermines
breastmilk establishment and increases infection risk
unless clinically indicated.
Teaching point: Early kangaroo care plus lactation support
improves preterm infant outcomes.
,Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference: Ch. 1 — Advances in the Care of Mothers and
Infants — Technology & Monitoring
Stem: A nurse on the antepartum unit is assessing a woman at
39 weeks with reduced fetal movement for 24 hours. The
facility recently upgraded to a computerized fetal heart rate
(FHR) tracing system with decision-support prompts. The
tracing shows late decelerations with decreased variability.
Which nursing action best demonstrates correct use of
technology plus clinical judgment?
A. Rely on the computer’s “nonreassuring” label and prepare
for immediate cesarean.
B. Document the computer output and continue routine
monitoring without intervention.
C. Perform immediate bedside assessment, initiate intrauterine
resuscitation, and notify the obstetrician.
D. Turn off the monitoring device and repeat tracing in two
hours to allow variability to normalize.
Correct answer: C
Rationale — Correct: Combining device data with bedside
assessment and prompt intrauterine resuscitation (oxygen,
position change, IV fluids) plus notifying the obstetrician is
, appropriate clinical judgment when late decelerations indicate
uteroplacental insufficiency.
Rationale — Incorrect:
• A — Device prompts inform but do not replace clinical
assessment; immediate cesarean may be premature
without resuscitation attempts.
• B — Ignoring abnormal decelerations risks fetal
compromise.
• D — Delaying response by turning off monitor risks missed
deterioration.
Teaching point: Use technology to prompt action—always
assess and intervene at the bedside first.
Citation: Lowdermilk, D. (2023). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3
Reference: Ch. 1 — Efforts to Reduce Health Disparities —
Access & Social Determinants
Stem: A community health nurse is planning outreach for
prenatal care in a neighborhood with high rates of late prenatal
entry. Data show transportation barriers, low health literacy,
and limited clinic hours. Which intervention most directly
addresses multiple social determinants to reduce disparities?
A. Provide a one-page pamphlet about pregnancy warning signs
in the clinic waiting room.
