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
Question Stem: A nurse on the antepartum unit is caring for a
34-year-old woman with well-controlled pregestational
diabetes. Which action most directly reflects an evidence-based
advance in maternal–infant care that reduces neonatal
morbidity?
A. Scheduling labor induction at 37 weeks for all women with
pregestational diabetes.
B. Coordinating a team plan to monitor fetal growth and
glycemic control and individualize timing of delivery.
C. Advising strict bed rest during the third trimester to prevent
fetal macrosomia.
,D. Recommending routine NICU admission for all infants of
diabetic mothers.
Correct Answer: B
Rationales:
• Correct (B): Individualized, multidisciplinary monitoring of
maternal glycemic control and fetal growth—plus
collaborative planning—aligns with evidence-based
advances that reduce neonatal complications.
• A (incorrect): Routine induction at 37 weeks for all women
with pregestational diabetes is not evidence-based; timing
should be individualized based on maternal/fetal status.
• C (incorrect): Routine strict bed rest lacks evidence for
preventing macrosomia and increases maternal harm risks
(thromboembolism, deconditioning).
• D (incorrect): Automatic NICU admission is unnecessary;
care should be based on infant assessment and risk.
Teaching Point: Individualize maternal–fetal plans using
interdisciplinary monitoring and shared decision-making.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants.
2
Reference: Ch. 1 — Efforts to Reduce Health Disparities
,Question Stem: A community clinic serving a diverse population
has higher-than-average rates of late prenatal care. Which
nurse-led strategy most directly addresses structural barriers
and reduces disparities in access?
A. Posting prenatal clinic hours on the clinic's website.
B. Scheduling all first prenatal visits between 9 AM–11 AM.
C. Partnering with community organizations to offer weekend
and evening prenatal appointments and transportation
vouchers.
D. Requiring a primary-care referral before the first prenatal
visit.
Correct Answer: C
Rationales:
• Correct (C): Offering flexible appointment times and
transportation support targets social determinants (work
schedules, transit access) and reduces access disparities.
• A (incorrect): Posting hours online may help some, but it
does not address transportation, language, or scheduling
barriers for underserved groups.
• B (incorrect): Restricting visits to morning hours can
worsen access for working patients.
• D (incorrect): Additional referral requirements create
administrative barriers and delay care.
Teaching Point: Reduce structural barriers (hours, transport) to
improve prenatal access and equity.
, Citation: Lowdermilk et al., 2023, Ch. 1: Efforts to Reduce
Health Disparities.
3
Reference: Ch. 1 — Contemporary Issues and Trends
Question Stem: During preconception counseling, a nurse
discusses immunizations with a patient planning pregnancy.
Which recommendation best reflects current evidence-based
maternal–infant safety practices?
A. Defer all vaccines until after delivery to avoid fetal risk.
B. Administer Tdap during each pregnancy at 27–36 weeks and
offer influenza vaccine at any trimester if indicated.
C. Give live-attenuated vaccines (e.g., MMR) during pregnancy
to ensure maternal immunity.
D. Only recommend vaccines for women with chronic illnesses.
Correct Answer: B
Rationales:
• Correct (B): Administering Tdap between 27–36 weeks
each pregnancy and offering influenza vaccine during any
trimester are evidence-based practices to protect mother
and neonate.
• A (incorrect): Deferring all vaccines is unsafe; many
inactivated vaccines are recommended during pregnancy.
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
Question Stem: A nurse on the antepartum unit is caring for a
34-year-old woman with well-controlled pregestational
diabetes. Which action most directly reflects an evidence-based
advance in maternal–infant care that reduces neonatal
morbidity?
A. Scheduling labor induction at 37 weeks for all women with
pregestational diabetes.
B. Coordinating a team plan to monitor fetal growth and
glycemic control and individualize timing of delivery.
C. Advising strict bed rest during the third trimester to prevent
fetal macrosomia.
,D. Recommending routine NICU admission for all infants of
diabetic mothers.
Correct Answer: B
Rationales:
• Correct (B): Individualized, multidisciplinary monitoring of
maternal glycemic control and fetal growth—plus
collaborative planning—aligns with evidence-based
advances that reduce neonatal complications.
• A (incorrect): Routine induction at 37 weeks for all women
with pregestational diabetes is not evidence-based; timing
should be individualized based on maternal/fetal status.
• C (incorrect): Routine strict bed rest lacks evidence for
preventing macrosomia and increases maternal harm risks
(thromboembolism, deconditioning).
• D (incorrect): Automatic NICU admission is unnecessary;
care should be based on infant assessment and risk.
Teaching Point: Individualize maternal–fetal plans using
interdisciplinary monitoring and shared decision-making.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants.
2
Reference: Ch. 1 — Efforts to Reduce Health Disparities
,Question Stem: A community clinic serving a diverse population
has higher-than-average rates of late prenatal care. Which
nurse-led strategy most directly addresses structural barriers
and reduces disparities in access?
A. Posting prenatal clinic hours on the clinic's website.
B. Scheduling all first prenatal visits between 9 AM–11 AM.
C. Partnering with community organizations to offer weekend
and evening prenatal appointments and transportation
vouchers.
D. Requiring a primary-care referral before the first prenatal
visit.
Correct Answer: C
Rationales:
• Correct (C): Offering flexible appointment times and
transportation support targets social determinants (work
schedules, transit access) and reduces access disparities.
• A (incorrect): Posting hours online may help some, but it
does not address transportation, language, or scheduling
barriers for underserved groups.
• B (incorrect): Restricting visits to morning hours can
worsen access for working patients.
• D (incorrect): Additional referral requirements create
administrative barriers and delay care.
Teaching Point: Reduce structural barriers (hours, transport) to
improve prenatal access and equity.
, Citation: Lowdermilk et al., 2023, Ch. 1: Efforts to Reduce
Health Disparities.
3
Reference: Ch. 1 — Contemporary Issues and Trends
Question Stem: During preconception counseling, a nurse
discusses immunizations with a patient planning pregnancy.
Which recommendation best reflects current evidence-based
maternal–infant safety practices?
A. Defer all vaccines until after delivery to avoid fetal risk.
B. Administer Tdap during each pregnancy at 27–36 weeks and
offer influenza vaccine at any trimester if indicated.
C. Give live-attenuated vaccines (e.g., MMR) during pregnancy
to ensure maternal immunity.
D. Only recommend vaccines for women with chronic illnesses.
Correct Answer: B
Rationales:
• Correct (B): Administering Tdap between 27–36 weeks
each pregnancy and offering influenza vaccine during any
trimester are evidence-based practices to protect mother
and neonate.
• A (incorrect): Deferring all vaccines is unsafe; many
inactivated vaccines are recommended during pregnancy.
