,OpenStax Maternal-Newborn Nursing Student Answer Guide
sx sx sx sx sx
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 ............................................................................ 11
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 18
Chapter 4: Influences on Fertility ................................................................................................. 27
Chapter 5: Family Planning ........................................................................................................... 33
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 44
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 49
Chapter 8: Disorders of the Breast ............................................................................................... 54
Chapter 9: Violence Against Women ............................................................................................ 57
Chapter 10: Pregnancy .................................................................................................................. 66
Chapter 11: Prenatal Care ............................................................................................................. 74
Chapter 12: Pregnancy at Risk ...................................................................................................... 80
Chapter 13: Prenatal Testing ........................................................................................................ 86
Chapter 14: Childbirth Education Options .................................................................................... 90
Chapter 15: Process of Labor and Birth ........................................................................................ 98
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring ............................................ 104
Chapter 17: Pain Management During Labor and Birth ............................................................. 111
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 116
Chapter 19: Complications of Labor and Birth ........................................................................... 122
Chapter 20: Postpartum Care ..................................................................................................... 130
Chapter 21: Postpartum Complications...................................................................................... 135
Chapter 22: Immediate Care of the Newborn ............................................................................ 140
Chapter 23: Newborn Assessment ............................................................................................. 145
Chapter 24: Care of the Typical Newborn .................................................................................. 150
Chapter 25: Care of the Newborn at Risk ................................................................................... 155
Chapter 26: Perinatal Bereavement ........................................................................................... 160
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 164
2
Forsxmoresxfree,sxpeer-reviewed,sxopenlysxlicensedsxresourcessxvisitsxOpenStax.org.sxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsx
10/3/2026
,OpenStax Maternal-Newborn Nursing Student Answer Guide
sx sx sx sx sx
Chapter 1: Foundations in Maternal-sx sx sx sx
Newborn and Women’s Health Nursing sx sx sx sx
Review Questions sx
1. What is one purpose of the Healthy People 2030 objectives?
sx sx sx sx sx sx sx sx sx
a. Stop world hunger. sx sx
b. Prevent conflict and war in other countries. sx sx sx sx sx sx
c. Address issues in health care to solve cancer. sx sx sx sx sx sx sx
d. Recommend changes to increase health promotion and disease prevention. sx sx sx sx sx sx sx sx
[Answer: D] sx
3. The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patie
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
nt has any problems with sexual dysfunction. Why is it important for the nurse to ask all p
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
eople this question? sx sx
a. Some people may not bring up the topic of sex due to taboos and stigma.
sx sx sx sx sx sx sx sx sx sx sx sx sx sx
b. All patients will eventually have sexual problems.
sx sx sx sx sx sx
c. Nurses should ask because other health- sx sx sx sx sx
care providers are not trained to ask those questions.
sx sx sx sx sx sx sx sx
d. Sexual dysfunction is a taboo only for people AFAB.
sx sx sx sx sx sx sx sx
[Answer: A] sx
5. The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic provi
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
der see a person at this age?
sx sx sx sx sx sx
a. The person’s partner desires permanent sterilization.
sx sx sx sx sx
b. Their family told the person they had to get a Pap smear.
sx sx sx sx sx sx sx sx sx sx sx
c. The person was late starting care because the first visit should be before the age of 13
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
.
d. The person may want to discuss their menstrual cycle and hormonal changes.
sx sx sx sx sx sx sx sx sx sx sx
[Answer: D] sx
7. What occurred after childbirth migrated from the home to the hospital?
sx sx sx sx sx sx sx sx sx sx
a. Infection rates dropped in the hospital. sx sx sx sx sx
b. Laboring people were given greater support in labor. sx sx sx sx sx sx sx
c. The childbirth model became a medical model.
sx sx sx sx sx sx
d. Pain relief allowed laboring people to spend more time with their partners in labor.
sx sx sx sx sx sx sx sx sx sx sx sx sx
[Answer: C] sx
9. A community health nurse recognizes an increase in maternal mortality in the neighborho
sx sx sx sx sx sx sx sx sx sx sx sx
od. What could the community health nurse do?
sx sx sx sx sx sx sx
a. Conduct weekly prenatal appointments in their home. sx sx sx sx sx sx
b. Draw blood on all pregnant people to look for anemia.
sx sx sx sx sx sx sx sx sx
c. Assess the health of a baby using an ultrasound.sx sx sx sx sx sx sx sx
d. Develop an educational pamphlet discussing signs of preeclampsia.
sx sx sx sx sx sx sx
[Answer: D] sx
11. What is the purpose of the standards of care for nurses?
sx sx sx sx sx sx sx sx sx sx
a. to guide hospital administration to promote nurses
sx sx sx sx sx sx
3
, OpenStax Maternal-Newborn Nursing Student Answer Guide
sx sx sx sx sx
b. to ensure nurses are assessing patients
sx sx sx sx sx
c. to protect the public’s safety
sx sx sx sx
d. to protect the health-care providers
sx sx sx sx
[Answer: C] sx
13. The nurse makes an error of omission. What is an example of an error of omission?
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
a. placing the fetal monitor incorrectly sx sx sx sx
b. not recording input/output amounts
sx sx sx
c. not covering the computer screen when documenting
sx sx sx sx sx sx
d. removing an IV sx sx
[Answer: B] sx
15. What is a good example of informed consent?
sx sx sx sx sx sx sx
a. The nurse hands the patient the stack of consents and asks them to sign them.
sx sx sx sx sx sx sx sx sx sx sx sx sx sx
b. The nurse tells the patient not to worry about reading the consents.
sx sx sx sx sx sx sx sx sx sx sx
c. The nurse alerts the OB that the patient has questions about the cesarean consent.
sx sx sx sx sx sx sx sx sx sx sx sx sx
d. The nurse explains that it is not their job to answer questions.
sx sx sx sx sx sx sx sx sx sx sx
[Answer: C] sx
17. What is an example of maternal-fetal conflict?
sx sx sx sx sx sx sx
a. The pregnant person agrees to treatment no matter what happens to them.
sx sx sx sx sx sx sx sx sx sx sx
b. The pregnant person has cancer but cannot start treatment until the fetus is delivered.
sx sx sx sx sx sx sx sx sx sx sx sx sx
c. The fetus is in distress, and the pregnant person agrees to a cesarean birth.
sx sx sx sx sx sx sx sx sx sx sx sx sx
d. The parents of a fetus agree to a labor induction.
sx sx sx sx sx sx sx sx sx
[Answer: B] sx
Check Your Understanding Questions
sx sx sx
1. How can nurses use the Healthy People 2030 objectives to advance the health of their pati
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
ents?
[Answer: Answers may vary but should include that the nurse uses these objectives to help ed
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
ucate people regarding health promotion and disease prevention. Patient education based on
sx sx sx sx sx sx sx sx sx sx sx sx
these objectives can help prevent cervical cancer, heart disease, and adolescent pregnancies,
sx sx sx sx sx sx sx sx sx sx sx sx
and can elevate the health and wellness of people assigned female at birth.]
sx sx sx sx sx sx sx sx sx sx sx sx
3. Name three core concepts of women’s health nursing.
sx sx sx sx sx sx sx
[Answer: Answers may vary but should include any three from this list.
sx sx sx sx sx sx sx sx sx sx sx
• recognizing the diversity of women’s health needs sx sx sx sx sx sx
• emphasizing empowerment through informed participation in one’s health care sx sx sx sx sx sx sx sx
• acknowledging the importance of research in gender differences in disease and res sx sx sx sx sx sx sx sx sx sx sx
ponse to drugs sx sx
• recognizing the need for a multidisciplinary team approach sx sx sx sx sx sx sx
• striving for symmetry in provider-patient relationships sx sx sx sx sx
• providing access to information sx sx sx sx
• engaging in shared decision making sx sx sx sx
• striving for change] sx sx
4
Forsxmoresxfree,sxpeer-reviewed,sxopenlysxlicensedsxresourcessxvisitsxOpenStax.org.sxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsx
10/3/2026
sx sx sx sx sx
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 ............................................................................ 11
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 18
Chapter 4: Influences on Fertility ................................................................................................. 27
Chapter 5: Family Planning ........................................................................................................... 33
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 44
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 49
Chapter 8: Disorders of the Breast ............................................................................................... 54
Chapter 9: Violence Against Women ............................................................................................ 57
Chapter 10: Pregnancy .................................................................................................................. 66
Chapter 11: Prenatal Care ............................................................................................................. 74
Chapter 12: Pregnancy at Risk ...................................................................................................... 80
Chapter 13: Prenatal Testing ........................................................................................................ 86
Chapter 14: Childbirth Education Options .................................................................................... 90
Chapter 15: Process of Labor and Birth ........................................................................................ 98
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring ............................................ 104
Chapter 17: Pain Management During Labor and Birth ............................................................. 111
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 116
Chapter 19: Complications of Labor and Birth ........................................................................... 122
Chapter 20: Postpartum Care ..................................................................................................... 130
Chapter 21: Postpartum Complications...................................................................................... 135
Chapter 22: Immediate Care of the Newborn ............................................................................ 140
Chapter 23: Newborn Assessment ............................................................................................. 145
Chapter 24: Care of the Typical Newborn .................................................................................. 150
Chapter 25: Care of the Newborn at Risk ................................................................................... 155
Chapter 26: Perinatal Bereavement ........................................................................................... 160
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 164
2
Forsxmoresxfree,sxpeer-reviewed,sxopenlysxlicensedsxresourcessxvisitsxOpenStax.org.sxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsx
10/3/2026
,OpenStax Maternal-Newborn Nursing Student Answer Guide
sx sx sx sx sx
Chapter 1: Foundations in Maternal-sx sx sx sx
Newborn and Women’s Health Nursing sx sx sx sx
Review Questions sx
1. What is one purpose of the Healthy People 2030 objectives?
sx sx sx sx sx sx sx sx sx
a. Stop world hunger. sx sx
b. Prevent conflict and war in other countries. sx sx sx sx sx sx
c. Address issues in health care to solve cancer. sx sx sx sx sx sx sx
d. Recommend changes to increase health promotion and disease prevention. sx sx sx sx sx sx sx sx
[Answer: D] sx
3. The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patie
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
nt has any problems with sexual dysfunction. Why is it important for the nurse to ask all p
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
eople this question? sx sx
a. Some people may not bring up the topic of sex due to taboos and stigma.
sx sx sx sx sx sx sx sx sx sx sx sx sx sx
b. All patients will eventually have sexual problems.
sx sx sx sx sx sx
c. Nurses should ask because other health- sx sx sx sx sx
care providers are not trained to ask those questions.
sx sx sx sx sx sx sx sx
d. Sexual dysfunction is a taboo only for people AFAB.
sx sx sx sx sx sx sx sx
[Answer: A] sx
5. The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic provi
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
der see a person at this age?
sx sx sx sx sx sx
a. The person’s partner desires permanent sterilization.
sx sx sx sx sx
b. Their family told the person they had to get a Pap smear.
sx sx sx sx sx sx sx sx sx sx sx
c. The person was late starting care because the first visit should be before the age of 13
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
.
d. The person may want to discuss their menstrual cycle and hormonal changes.
sx sx sx sx sx sx sx sx sx sx sx
[Answer: D] sx
7. What occurred after childbirth migrated from the home to the hospital?
sx sx sx sx sx sx sx sx sx sx
a. Infection rates dropped in the hospital. sx sx sx sx sx
b. Laboring people were given greater support in labor. sx sx sx sx sx sx sx
c. The childbirth model became a medical model.
sx sx sx sx sx sx
d. Pain relief allowed laboring people to spend more time with their partners in labor.
sx sx sx sx sx sx sx sx sx sx sx sx sx
[Answer: C] sx
9. A community health nurse recognizes an increase in maternal mortality in the neighborho
sx sx sx sx sx sx sx sx sx sx sx sx
od. What could the community health nurse do?
sx sx sx sx sx sx sx
a. Conduct weekly prenatal appointments in their home. sx sx sx sx sx sx
b. Draw blood on all pregnant people to look for anemia.
sx sx sx sx sx sx sx sx sx
c. Assess the health of a baby using an ultrasound.sx sx sx sx sx sx sx sx
d. Develop an educational pamphlet discussing signs of preeclampsia.
sx sx sx sx sx sx sx
[Answer: D] sx
11. What is the purpose of the standards of care for nurses?
sx sx sx sx sx sx sx sx sx sx
a. to guide hospital administration to promote nurses
sx sx sx sx sx sx
3
, OpenStax Maternal-Newborn Nursing Student Answer Guide
sx sx sx sx sx
b. to ensure nurses are assessing patients
sx sx sx sx sx
c. to protect the public’s safety
sx sx sx sx
d. to protect the health-care providers
sx sx sx sx
[Answer: C] sx
13. The nurse makes an error of omission. What is an example of an error of omission?
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
a. placing the fetal monitor incorrectly sx sx sx sx
b. not recording input/output amounts
sx sx sx
c. not covering the computer screen when documenting
sx sx sx sx sx sx
d. removing an IV sx sx
[Answer: B] sx
15. What is a good example of informed consent?
sx sx sx sx sx sx sx
a. The nurse hands the patient the stack of consents and asks them to sign them.
sx sx sx sx sx sx sx sx sx sx sx sx sx sx
b. The nurse tells the patient not to worry about reading the consents.
sx sx sx sx sx sx sx sx sx sx sx
c. The nurse alerts the OB that the patient has questions about the cesarean consent.
sx sx sx sx sx sx sx sx sx sx sx sx sx
d. The nurse explains that it is not their job to answer questions.
sx sx sx sx sx sx sx sx sx sx sx
[Answer: C] sx
17. What is an example of maternal-fetal conflict?
sx sx sx sx sx sx sx
a. The pregnant person agrees to treatment no matter what happens to them.
sx sx sx sx sx sx sx sx sx sx sx
b. The pregnant person has cancer but cannot start treatment until the fetus is delivered.
sx sx sx sx sx sx sx sx sx sx sx sx sx
c. The fetus is in distress, and the pregnant person agrees to a cesarean birth.
sx sx sx sx sx sx sx sx sx sx sx sx sx
d. The parents of a fetus agree to a labor induction.
sx sx sx sx sx sx sx sx sx
[Answer: B] sx
Check Your Understanding Questions
sx sx sx
1. How can nurses use the Healthy People 2030 objectives to advance the health of their pati
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
ents?
[Answer: Answers may vary but should include that the nurse uses these objectives to help ed
sx sx sx sx sx sx sx sx sx sx sx sx sx sx sx
ucate people regarding health promotion and disease prevention. Patient education based on
sx sx sx sx sx sx sx sx sx sx sx sx
these objectives can help prevent cervical cancer, heart disease, and adolescent pregnancies,
sx sx sx sx sx sx sx sx sx sx sx sx
and can elevate the health and wellness of people assigned female at birth.]
sx sx sx sx sx sx sx sx sx sx sx sx
3. Name three core concepts of women’s health nursing.
sx sx sx sx sx sx sx
[Answer: Answers may vary but should include any three from this list.
sx sx sx sx sx sx sx sx sx sx sx
• recognizing the diversity of women’s health needs sx sx sx sx sx sx
• emphasizing empowerment through informed participation in one’s health care sx sx sx sx sx sx sx sx
• acknowledging the importance of research in gender differences in disease and res sx sx sx sx sx sx sx sx sx sx sx
ponse to drugs sx sx
• recognizing the need for a multidisciplinary team approach sx sx sx sx sx sx sx
• striving for symmetry in provider-patient relationships sx sx sx sx sx
• providing access to information sx sx sx sx
• engaging in shared decision making sx sx sx sx
• striving for change] sx sx
4
Forsxmoresxfree,sxpeer-reviewed,sxopenlysxlicensedsxresourcessxvisitsxOpenStax.org.sxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsxsx
10/3/2026