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 — Contemporary Issues and Trends
Stem: A 34-year-old pregnant patient asks why her care
includes a routine review of social determinants (housing, food
access, transportation). What is the nurse’s best explanation to
link screening to improved maternal outcomes?
Options:
A. “Screening lets us document social issues for research only.”
B. “Identifying needs helps coordinate resources that reduce
complications and improve prenatal attendance.”
C. “We screen to satisfy hospital accreditation requirements.”
D. “Social factors rarely affect pregnancy outcomes, but we ask
anyway.”
,Correct Answer: B
Rationale (correct): Identifying social determinants enables
targeted referrals and interventions (transportation, nutrition,
housing), which are linked to improved prenatal care
engagement and maternal–infant outcomes.
Rationale (A): Research documentation is one use, but the
primary clinical purpose is to guide interventions.
Rationale (C): Accreditation is not the primary reason for
individual patient screening.
Rationale (D): Social factors significantly influence pregnancy
outcomes; dismissing them is inaccurate.
Teaching Point: Screen social determinants to connect patients
with supports that improve maternal–infant outcomes.
Citation: Lowdermilk et al., 2023, Ch. 1: Contemporary Issues
and Trends
2
Reference: Ch. 1: Advances in the Care of Mothers and Infants
— Family-Centered Care & Skin-to-Skin
Stem: Immediately after an uncomplicated vaginal birth, the
newborn is pink, vigorous, and breathing. The mother requests
immediate skin-to-skin contact. What is the nurse’s best action?
Options:
A. Place the infant on the mother’s chest while completing the
,newborn exam there.
B. Wait 30 minutes to complete routine newborn procedures
before skin-to-skin.
C. Transfer the infant to the warmer for observation before
offering skin-to-skin.
D. Ask the mother to hold the infant after discharge only.
Correct Answer: A
Rationale (correct): Immediate skin-to-skin for clinically stable
newborns supports thermoregulation, bonding, initiation of
breastfeeding, and is evidence-based family-centered care.
Newborn exam can be performed while on the mother.
Rationale (B): Delaying skin-to-skin misses early benefits;
routine procedures should be modified to allow early contact.
Rationale (C): Placing a stable infant under a warmer
unnecessarily separates mother and infant.
Rationale (D): Waiting until discharge deprives the dyad of
immediate postpartum benefits.
Teaching Point: Prioritize immediate skin-to-skin for stable
dyads to promote thermoregulation and breastfeeding.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants
3
Reference: Ch. 1: Efforts to Reduce Health Disparities —
Perinatal Quality Initiatives
, Stem: A hospital with high rates of postpartum hemorrhage
(PPH) is implementing a quality improvement bundle. Which
nursing intervention best aligns with perinatal quality-initiative
strategies to reduce disparities in PPH outcomes?
Options:
A. Rely on individual clinicians to decide who needs PPH
protocols.
B. Implement standardized PPH risk screening and team-based
hemorrhage drills.
C. Keep hemorrhage supplies in a locked supply room requiring
manager access.
D. Document hemorrhage events after hospital discharge only.
Correct Answer: B
Rationale (correct): Standardized risk screening and team drills
align with perinatal quality initiatives to reduce variability in
care and improve timely recognition and management across
populations.
Rationale (A): Individual clinician variability increases disparities
rather than reducing them.
Rationale (C): Restricted access to hemorrhage supplies delays
care and worsens outcomes.
Rationale (D): Post-discharge documentation does not improve
in-hospital response or outcomes.
Teaching Point: Use standardized screening and team drills to
reduce variability and improve hemorrhage outcomes.
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Contemporary Issues and Trends
Stem: A 34-year-old pregnant patient asks why her care
includes a routine review of social determinants (housing, food
access, transportation). What is the nurse’s best explanation to
link screening to improved maternal outcomes?
Options:
A. “Screening lets us document social issues for research only.”
B. “Identifying needs helps coordinate resources that reduce
complications and improve prenatal attendance.”
C. “We screen to satisfy hospital accreditation requirements.”
D. “Social factors rarely affect pregnancy outcomes, but we ask
anyway.”
,Correct Answer: B
Rationale (correct): Identifying social determinants enables
targeted referrals and interventions (transportation, nutrition,
housing), which are linked to improved prenatal care
engagement and maternal–infant outcomes.
Rationale (A): Research documentation is one use, but the
primary clinical purpose is to guide interventions.
Rationale (C): Accreditation is not the primary reason for
individual patient screening.
Rationale (D): Social factors significantly influence pregnancy
outcomes; dismissing them is inaccurate.
Teaching Point: Screen social determinants to connect patients
with supports that improve maternal–infant outcomes.
Citation: Lowdermilk et al., 2023, Ch. 1: Contemporary Issues
and Trends
2
Reference: Ch. 1: Advances in the Care of Mothers and Infants
— Family-Centered Care & Skin-to-Skin
Stem: Immediately after an uncomplicated vaginal birth, the
newborn is pink, vigorous, and breathing. The mother requests
immediate skin-to-skin contact. What is the nurse’s best action?
Options:
A. Place the infant on the mother’s chest while completing the
,newborn exam there.
B. Wait 30 minutes to complete routine newborn procedures
before skin-to-skin.
C. Transfer the infant to the warmer for observation before
offering skin-to-skin.
D. Ask the mother to hold the infant after discharge only.
Correct Answer: A
Rationale (correct): Immediate skin-to-skin for clinically stable
newborns supports thermoregulation, bonding, initiation of
breastfeeding, and is evidence-based family-centered care.
Newborn exam can be performed while on the mother.
Rationale (B): Delaying skin-to-skin misses early benefits;
routine procedures should be modified to allow early contact.
Rationale (C): Placing a stable infant under a warmer
unnecessarily separates mother and infant.
Rationale (D): Waiting until discharge deprives the dyad of
immediate postpartum benefits.
Teaching Point: Prioritize immediate skin-to-skin for stable
dyads to promote thermoregulation and breastfeeding.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants
3
Reference: Ch. 1: Efforts to Reduce Health Disparities —
Perinatal Quality Initiatives
, Stem: A hospital with high rates of postpartum hemorrhage
(PPH) is implementing a quality improvement bundle. Which
nursing intervention best aligns with perinatal quality-initiative
strategies to reduce disparities in PPH outcomes?
Options:
A. Rely on individual clinicians to decide who needs PPH
protocols.
B. Implement standardized PPH risk screening and team-based
hemorrhage drills.
C. Keep hemorrhage supplies in a locked supply room requiring
manager access.
D. Document hemorrhage events after hospital discharge only.
Correct Answer: B
Rationale (correct): Standardized risk screening and team drills
align with perinatal quality initiatives to reduce variability in
care and improve timely recognition and management across
populations.
Rationale (A): Individual clinician variability increases disparities
rather than reducing them.
Rationale (C): Restricted access to hemorrhage supplies delays
care and worsens outcomes.
Rationale (D): Post-discharge documentation does not improve
in-hospital response or outcomes.
Teaching Point: Use standardized screening and team drills to
reduce variability and improve hemorrhage outcomes.
