,OpenStaxtrMaternal-NewborntrNursingtrStudenttrAnswertrGuide
OpenStax Maternal-Newborn Nursing
Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing .............................. 3
Chapter 2: Culturally Competent Nursing Care ............................................................................ 12
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 19
Chapter 4: Influences on Fertility ................................................................................................. 28
Chapter 5: Family Planning ........................................................................................................... 34
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 45
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 51
Chapter 8: Disorders of the Breast ............................................................................................... 56
Chapter 9: Violence Against Women ............................................................................................ 59
Chapter 10: Pregnancy .................................................................................................................. 69
Chapter 11: Prenatal Care ............................................................................................................. 77
Chapter 12: Pregnancy at Risk ...................................................................................................... 83
Chapter 13: Prenatal Testing ........................................................................................................ 89
Chapter 14: Childbirth Education Options .................................................................................... 94
Chapter 15: Process of Labor and Birth ...................................................................................... 102
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring ............................................ 108
Chapter 17: Pain Management During Labor and Birth ............................................................. 115
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 120
Chapter 19: Complications of Labor and Birth ........................................................................... 126
Chapter 20: Postpartum Care ..................................................................................................... 134
Chapter 21: Postpartum Complications...................................................................................... 139
Chapter 22: Immediate Care of the Newborn ............................................................................ 144
Chapter 23: Newborn Assessment ............................................................................................. 149
Chapter 24: Care of the Typical Newborn .................................................................................. 154
Chapter 25: Care of the Newborn at Risk ................................................................................... 159
Chapter 26: Perinatal Bereavement ........................................................................................... 164
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 168
2
Fortrmoretrfree,trpeer-reviewed,tropenlytrlicensedtrresourcestrvisittrOpenStax.org.trtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtr
9/29/2026
,OpenStaxtrMaternal-NewborntrNursingtrStudenttrAnswertrGuide
Chapter 1: Foundations in Maternal-
tr tr tr tr
Newborn and Women’s Health Nursing
tr tr tr tr
ReviewtrQuestions
1. WhattristronetrpurposetroftrthetrHealthytrPeopletr2030trobjectives?
a. Stoptrworldtrhunger.
b. Preventtrconflicttrandtrwartrintrothertrcountries.
c. Addresstrissuestrintrhealthtrcaretrtotrsolvetrcancer.
d. Recommendtrchangestrtotrincreasetrhealthtrpromotiontrandtrdiseasetrprevention.
[Answer:trD]
3. Thetrnursetristrdoingtratrreviewtroftrsystemstrontratrpersontrintrthetrclinic.trThetrnursetraskstriftrthetrp
atienttrhastranytrproblemstrwithtrsexualtrdysfunction.trWhytristrittrimportanttrfortrthetrnursetrtotras
ktralltrpeopletrthistrquestion?
a. Sometrpeopletrmaytrnottrbringtruptrthetrtopictroftrsextrduetrtotrtaboostrandtrstigma.
b. Alltrpatientstrwilltreventuallytrhavetrsexualtrproblems.
c. Nursestrshouldtrasktrbecausetrothertrhealth-
caretrproviderstraretrnottrtrainedtrtotrasktrthosetrquestions.
d. SexualtrdysfunctiontristratrtabootronlytrfortrpeopletrAFAB.
[Answer:trA]
5. ThetrnursetristrcaringtrfortratrpersontrAFABtrwhotristr15tryearstrold.trWhytrwouldtratrgynecologictrpro
vidertrseetratrpersontrattrthistrage?
a. Thetrperson’strpartnertrdesirestrpermanenttrsterilization.
b. TheirtrfamilytrtoldtrthetrpersontrtheytrhadtrtotrgettratrPaptrsmear.
c. Thetrpersontrwastrlatetrstartingtrcaretrbecausetrthetrfirsttrvisittrshouldtrbetrbeforetrthetragetroftr
13.
d. Thetrpersontrmaytrwanttrtotrdiscusstrtheirtrmenstrualtrcycletrandtrhormonaltrchanges.
[Answer:trD]
7. Whattroccurredtraftertrchildbirthtrmigratedtrfromtrthetrhometrtotrthetrhospital?
a. Infectiontrratestrdroppedtrintrthetrhospital.
b. Laboringtrpeopletrweretrgiventrgreatertrsupporttrintrlabor.
c. Thetrchildbirthtrmodeltrbecametratrmedicaltrmodel.
d. Paintrrelieftrallowedtrlaboringtrpeopletrtotrspendtrmoretrtimetrwithtrtheirtrpartnerstrintrlabor.
[Answer:trC]
9. Atrcommunitytrhealthtrnursetrrecognizestrantrincreasetrintrmaternaltrmortalitytrintrthetrneighborh
ood.trWhattrcouldtrthetrcommunitytrhealthtrnursetrdo?
a. Conducttrweeklytrprenataltrappointmentstrintrtheirtrhome.
b. Drawtrbloodtrontralltrpregnanttrpeopletrtotrlooktrfortranemia.
c. Assesstrthetrhealthtroftratrbabytrusingtrantrultrasound.
d. Developtrantreducationaltrpamphlettrdiscussingtrsignstroftrpreeclampsia.
[Answer:trD]
11. Whattristrthetrpurposetroftrthetrstandardstroftrcaretrfortrnurses?
a. totrguidetrhospitaltradministrationtrtotrpromotetrnurses
3
, OpenStaxtrMaternal-NewborntrNursingtrStudenttrAnswertrGuide
b. totrensuretrnursestraretrassessingtrpatients
c. totrprotecttrthetrpublic’strsafety
d. totrprotecttrthetrhealth-caretrproviders
[Answer:trC]
13. Thetrnursetrmakestrantrerrortroftromission.trWhattristrantrexampletroftrantrerrortroftromission?
a. placingtrthetrfetaltrmonitortrincorrectly
b. nottrrecordingtrinput/outputtramounts
c. nottrcoveringtrthetrcomputertrscreentrwhentrdocumenting
d. removingtrantrIV
[Answer:trB]
15. Whattristratrgoodtrexampletroftrinformedtrconsent?
a. Thetrnursetrhandstrthetrpatienttrthetrstacktroftrconsentstrandtraskstrthemtrtotrsigntrthem.
b. Thetrnursetrtellstrthetrpatienttrnottrtotrworrytrabouttrreadingtrthetrconsents.
c. ThetrnursetralertstrthetrOBtrthattrthetrpatienttrhastrquestionstrabouttrthetrcesareantrconsent.
d. Thetrnursetrexplainstrthattrittristrnottrtheirtrjobtrtotranswertrquestions.
[Answer:trC]
17. trWhattristrantrexampletroftrmaternal-fetaltrconflict?
a. Thetrpregnanttrpersontragreestrtotrtreatmenttrnotrmattertrwhattrhappenstrtotrthem.
b. Thetrpregnanttrpersontrhastrcancertrbuttrcannottrstarttrtreatmenttruntiltrthetrfetustristrdelivere
d.
c. Thetrfetustristrintrdistress,trandtrthetrpregnanttrpersontragreestrtotratrcesareantrbirth.
d. Thetrparentstroftratrfetustragreetrtotratrlabortrinduction.
[Answer:trB]
ChecktrYourtrUnderstandingtrQuestions
1. HowtrcantrnursestrusetrthetrHealthytrPeopletr2030trobjectivestrtotradvancetrthetrhealthtroftrtheirtrp
atients?
[Answer:trAnswerstrmaytrvarytrbuttrshouldtrincludetrthattrthetrnursetrusestrthesetrobjectivestrtotrhelptr
educatetrpeopletrregardingtrhealthtrpromotiontrandtrdiseasetrprevention.trPatienttreducationtrbased
trontrthesetrobjectivestrcantrhelptrpreventtrcervicaltrcancer,trhearttrdisease,trandtradolescenttrpregna
ncies,trandtrcantrelevatetrthetrhealthtrandtrwellnesstroftrpeopletrassignedtrfemaletrattrbirth.]
3. Nametrthreetrcoretrconceptstroftrwomen’strhealthtrnursing.
[Answer:trAnswerstrmaytrvarytrbuttrshouldtrincludetranytrthreetrfromtrthistrlist.
• recognizingtrthetrdiversitytroftrwomen’strhealthtrneeds
• emphasizingtrempowermenttrthroughtrinformedtrparticipationtrintrone’strhealthtrcare
• acknowledgingtrthetrimportancetroftrresearchtrintrgendertrdifferencestrintrdiseasetrandtrr
esponsetrtotrdrugs
• recognizingtrthetrneedtrfortratrmultidisciplinarytrteamtrapproach
• strivingtrfortrsymmetrytrintrprovider-patienttrrelationships
• providingtraccesstrtotrinformationtr
• engagingtrintrsharedtrdecisiontrmaking
4
Fortrmoretrfree,trpeer-reviewed,tropenlytrlicensedtrresourcestrvisittrOpenStax.org.trtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtr
9/29/2026
OpenStax Maternal-Newborn Nursing
Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing .............................. 3
Chapter 2: Culturally Competent Nursing Care ............................................................................ 12
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 19
Chapter 4: Influences on Fertility ................................................................................................. 28
Chapter 5: Family Planning ........................................................................................................... 34
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 45
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 51
Chapter 8: Disorders of the Breast ............................................................................................... 56
Chapter 9: Violence Against Women ............................................................................................ 59
Chapter 10: Pregnancy .................................................................................................................. 69
Chapter 11: Prenatal Care ............................................................................................................. 77
Chapter 12: Pregnancy at Risk ...................................................................................................... 83
Chapter 13: Prenatal Testing ........................................................................................................ 89
Chapter 14: Childbirth Education Options .................................................................................... 94
Chapter 15: Process of Labor and Birth ...................................................................................... 102
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring ............................................ 108
Chapter 17: Pain Management During Labor and Birth ............................................................. 115
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 120
Chapter 19: Complications of Labor and Birth ........................................................................... 126
Chapter 20: Postpartum Care ..................................................................................................... 134
Chapter 21: Postpartum Complications...................................................................................... 139
Chapter 22: Immediate Care of the Newborn ............................................................................ 144
Chapter 23: Newborn Assessment ............................................................................................. 149
Chapter 24: Care of the Typical Newborn .................................................................................. 154
Chapter 25: Care of the Newborn at Risk ................................................................................... 159
Chapter 26: Perinatal Bereavement ........................................................................................... 164
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 168
2
Fortrmoretrfree,trpeer-reviewed,tropenlytrlicensedtrresourcestrvisittrOpenStax.org.trtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtr
9/29/2026
,OpenStaxtrMaternal-NewborntrNursingtrStudenttrAnswertrGuide
Chapter 1: Foundations in Maternal-
tr tr tr tr
Newborn and Women’s Health Nursing
tr tr tr tr
ReviewtrQuestions
1. WhattristronetrpurposetroftrthetrHealthytrPeopletr2030trobjectives?
a. Stoptrworldtrhunger.
b. Preventtrconflicttrandtrwartrintrothertrcountries.
c. Addresstrissuestrintrhealthtrcaretrtotrsolvetrcancer.
d. Recommendtrchangestrtotrincreasetrhealthtrpromotiontrandtrdiseasetrprevention.
[Answer:trD]
3. Thetrnursetristrdoingtratrreviewtroftrsystemstrontratrpersontrintrthetrclinic.trThetrnursetraskstriftrthetrp
atienttrhastranytrproblemstrwithtrsexualtrdysfunction.trWhytristrittrimportanttrfortrthetrnursetrtotras
ktralltrpeopletrthistrquestion?
a. Sometrpeopletrmaytrnottrbringtruptrthetrtopictroftrsextrduetrtotrtaboostrandtrstigma.
b. Alltrpatientstrwilltreventuallytrhavetrsexualtrproblems.
c. Nursestrshouldtrasktrbecausetrothertrhealth-
caretrproviderstraretrnottrtrainedtrtotrasktrthosetrquestions.
d. SexualtrdysfunctiontristratrtabootronlytrfortrpeopletrAFAB.
[Answer:trA]
5. ThetrnursetristrcaringtrfortratrpersontrAFABtrwhotristr15tryearstrold.trWhytrwouldtratrgynecologictrpro
vidertrseetratrpersontrattrthistrage?
a. Thetrperson’strpartnertrdesirestrpermanenttrsterilization.
b. TheirtrfamilytrtoldtrthetrpersontrtheytrhadtrtotrgettratrPaptrsmear.
c. Thetrpersontrwastrlatetrstartingtrcaretrbecausetrthetrfirsttrvisittrshouldtrbetrbeforetrthetragetroftr
13.
d. Thetrpersontrmaytrwanttrtotrdiscusstrtheirtrmenstrualtrcycletrandtrhormonaltrchanges.
[Answer:trD]
7. Whattroccurredtraftertrchildbirthtrmigratedtrfromtrthetrhometrtotrthetrhospital?
a. Infectiontrratestrdroppedtrintrthetrhospital.
b. Laboringtrpeopletrweretrgiventrgreatertrsupporttrintrlabor.
c. Thetrchildbirthtrmodeltrbecametratrmedicaltrmodel.
d. Paintrrelieftrallowedtrlaboringtrpeopletrtotrspendtrmoretrtimetrwithtrtheirtrpartnerstrintrlabor.
[Answer:trC]
9. Atrcommunitytrhealthtrnursetrrecognizestrantrincreasetrintrmaternaltrmortalitytrintrthetrneighborh
ood.trWhattrcouldtrthetrcommunitytrhealthtrnursetrdo?
a. Conducttrweeklytrprenataltrappointmentstrintrtheirtrhome.
b. Drawtrbloodtrontralltrpregnanttrpeopletrtotrlooktrfortranemia.
c. Assesstrthetrhealthtroftratrbabytrusingtrantrultrasound.
d. Developtrantreducationaltrpamphlettrdiscussingtrsignstroftrpreeclampsia.
[Answer:trD]
11. Whattristrthetrpurposetroftrthetrstandardstroftrcaretrfortrnurses?
a. totrguidetrhospitaltradministrationtrtotrpromotetrnurses
3
, OpenStaxtrMaternal-NewborntrNursingtrStudenttrAnswertrGuide
b. totrensuretrnursestraretrassessingtrpatients
c. totrprotecttrthetrpublic’strsafety
d. totrprotecttrthetrhealth-caretrproviders
[Answer:trC]
13. Thetrnursetrmakestrantrerrortroftromission.trWhattristrantrexampletroftrantrerrortroftromission?
a. placingtrthetrfetaltrmonitortrincorrectly
b. nottrrecordingtrinput/outputtramounts
c. nottrcoveringtrthetrcomputertrscreentrwhentrdocumenting
d. removingtrantrIV
[Answer:trB]
15. Whattristratrgoodtrexampletroftrinformedtrconsent?
a. Thetrnursetrhandstrthetrpatienttrthetrstacktroftrconsentstrandtraskstrthemtrtotrsigntrthem.
b. Thetrnursetrtellstrthetrpatienttrnottrtotrworrytrabouttrreadingtrthetrconsents.
c. ThetrnursetralertstrthetrOBtrthattrthetrpatienttrhastrquestionstrabouttrthetrcesareantrconsent.
d. Thetrnursetrexplainstrthattrittristrnottrtheirtrjobtrtotranswertrquestions.
[Answer:trC]
17. trWhattristrantrexampletroftrmaternal-fetaltrconflict?
a. Thetrpregnanttrpersontragreestrtotrtreatmenttrnotrmattertrwhattrhappenstrtotrthem.
b. Thetrpregnanttrpersontrhastrcancertrbuttrcannottrstarttrtreatmenttruntiltrthetrfetustristrdelivere
d.
c. Thetrfetustristrintrdistress,trandtrthetrpregnanttrpersontragreestrtotratrcesareantrbirth.
d. Thetrparentstroftratrfetustragreetrtotratrlabortrinduction.
[Answer:trB]
ChecktrYourtrUnderstandingtrQuestions
1. HowtrcantrnursestrusetrthetrHealthytrPeopletr2030trobjectivestrtotradvancetrthetrhealthtroftrtheirtrp
atients?
[Answer:trAnswerstrmaytrvarytrbuttrshouldtrincludetrthattrthetrnursetrusestrthesetrobjectivestrtotrhelptr
educatetrpeopletrregardingtrhealthtrpromotiontrandtrdiseasetrprevention.trPatienttreducationtrbased
trontrthesetrobjectivestrcantrhelptrpreventtrcervicaltrcancer,trhearttrdisease,trandtradolescenttrpregna
ncies,trandtrcantrelevatetrthetrhealthtrandtrwellnesstroftrpeopletrassignedtrfemaletrattrbirth.]
3. Nametrthreetrcoretrconceptstroftrwomen’strhealthtrnursing.
[Answer:trAnswerstrmaytrvarytrbuttrshouldtrincludetranytrthreetrfromtrthistrlist.
• recognizingtrthetrdiversitytroftrwomen’strhealthtrneeds
• emphasizingtrempowermenttrthroughtrinformedtrparticipationtrintrone’strhealthtrcare
• acknowledgingtrthetrimportancetroftrresearchtrintrgendertrdifferencestrintrdiseasetrandtrr
esponsetrtotrdrugs
• recognizingtrthetrneedtrfortratrmultidisciplinarytrteamtrapproach
• strivingtrfortrsymmetrytrintrprovider-patienttrrelationships
• providingtraccesstrtotrinformationtr
• engagingtrintrsharedtrdecisiontrmaking
4
Fortrmoretrfree,trpeer-reviewed,tropenlytrlicensedtrresourcestrvisittrOpenStax.org.trtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtr
9/29/2026
