Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Ch. 1: 21st-Century Maternity and
Women’s Health Nursing — Role of the Nurse
and Care Models
Question stem: A newly hired RN on a birthing
unit is orienting to the facility’s shift-to-shift
handoff. Which handoff practice best reduces
adverse events and promotes continuity of care
for laboring women?
A. Oral bedside report at the nurse station
where families can’t overhear.
B. Use of a standardized bedside checklist
including maternal/fetal status and planned
interventions.
,C. A brief verbal update with the incoming
nurse while charting is completed later.
D. Electronic handoff note only, with no bedside
exchange to prevent interruptions.
Correct answer: B
Rationale (correct): Standardized bedside
checklists (structured handoff tools) improve
accuracy, ensure inclusion of critical maternal–
fetal data, and promote patient involvement—
reducing errors.
Rationale (incorrect):
A. Oral reports away from bedside exclude the
patient and may omit bedside findings.
C. Delaying charting risks missing timely, critical
information during transitions.
D. Electronic notes alone lack real-time
clarification and do not engage the patient or
team.
Teaching point: Use standardized bedside
checklists for safe, patient-centered handoffs.
,Citation: Lowdermilk et al., 2023, Ch. 1: Role of
the Nurse and Care Models
Q2
Reference: Ch. 1: 21st-Century Maternity and
Women’s Health Nursing — Evidence-Based
Practice & Quality Improvement
Question stem: A unit is implementing skin-to-
skin immediately after birth to promote
breastfeeding. Which unit measure most
directly evaluates whether this evidence-based
practice is being implemented?
A. Number of lactation consults ordered in the
first 24 hours.
B. Percentage of mothers who had
uninterrupted skin-to-skin within 10 minutes of
birth.
C. Patient satisfaction scores related to infant
feeding at discharge.
, D. Rates of formula supplementation during
hospital stay.
Correct answer: B
Rationale (correct): Direct process measures
(e.g., percent with uninterrupted immediate
skin-to-skin) assess implementation fidelity of
the evidence-based practice.
Rationale (incorrect):
A. Lactation consults reflect support but not
direct skin-to-skin practice.
C. Satisfaction is an outcome but isn’t a direct
measure of implementation.
D. Supplementation rates are an outcome
influenced by many factors beyond skin-to-skin.
Teaching point: Use direct process measures to
evaluate fidelity to evidence-based practices.
Citation: Lowdermilk et al., 2023, Ch. 1:
Evidence-Based Practice & Quality
Improvement
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Ch. 1: 21st-Century Maternity and
Women’s Health Nursing — Role of the Nurse
and Care Models
Question stem: A newly hired RN on a birthing
unit is orienting to the facility’s shift-to-shift
handoff. Which handoff practice best reduces
adverse events and promotes continuity of care
for laboring women?
A. Oral bedside report at the nurse station
where families can’t overhear.
B. Use of a standardized bedside checklist
including maternal/fetal status and planned
interventions.
,C. A brief verbal update with the incoming
nurse while charting is completed later.
D. Electronic handoff note only, with no bedside
exchange to prevent interruptions.
Correct answer: B
Rationale (correct): Standardized bedside
checklists (structured handoff tools) improve
accuracy, ensure inclusion of critical maternal–
fetal data, and promote patient involvement—
reducing errors.
Rationale (incorrect):
A. Oral reports away from bedside exclude the
patient and may omit bedside findings.
C. Delaying charting risks missing timely, critical
information during transitions.
D. Electronic notes alone lack real-time
clarification and do not engage the patient or
team.
Teaching point: Use standardized bedside
checklists for safe, patient-centered handoffs.
,Citation: Lowdermilk et al., 2023, Ch. 1: Role of
the Nurse and Care Models
Q2
Reference: Ch. 1: 21st-Century Maternity and
Women’s Health Nursing — Evidence-Based
Practice & Quality Improvement
Question stem: A unit is implementing skin-to-
skin immediately after birth to promote
breastfeeding. Which unit measure most
directly evaluates whether this evidence-based
practice is being implemented?
A. Number of lactation consults ordered in the
first 24 hours.
B. Percentage of mothers who had
uninterrupted skin-to-skin within 10 minutes of
birth.
C. Patient satisfaction scores related to infant
feeding at discharge.
, D. Rates of formula supplementation during
hospital stay.
Correct answer: B
Rationale (correct): Direct process measures
(e.g., percent with uninterrupted immediate
skin-to-skin) assess implementation fidelity of
the evidence-based practice.
Rationale (incorrect):
A. Lactation consults reflect support but not
direct skin-to-skin practice.
C. Satisfaction is an outcome but isn’t a direct
measure of implementation.
D. Supplementation rates are an outcome
influenced by many factors beyond skin-to-skin.
Teaching point: Use direct process measures to
evaluate fidelity to evidence-based practices.
Citation: Lowdermilk et al., 2023, Ch. 1:
Evidence-Based Practice & Quality
Improvement
