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 — Immediate Postpartum Practices.
Stem: During a routine vaginal birth of a term newborn, the
mother is stable and requests to hold her baby immediately.
Which nursing action best supports current evidence-based
care?
Options:
A. Wrap the newborn and place the infant in the bassinet for
maternal rest.
B. Place the undressed newborn prone on the mother’s bare
chest and cover both with a warm blanket.
C. Delay maternal contact until the newborn completes routine
procedures (weighing, eye prophylaxis).
D. Transfer the newborn to the neonatal nursery for the first
feeding.
,Correct answer: B
Rationales:
• Correct (B): Immediate skin-to-skin contact promotes
thermoregulation, physiologic stability, and early
breastfeeding initiation; it is an evidence-based standard
when both mother and infant are stable.
• A: Placing the newborn in a bassinet misses benefits of
early bonding and breastfeeding; not best when both are
stable.
• C: Routine procedures can be delayed until after skin-to-
skin; delaying contact is not best practice.
• D: Separating for nursery care interferes with early
attachment and feeding; unnecessary if both are stable.
Teaching Point: Skin-to-skin immediately after birth
supports thermoregulation and breastfeeding.
Citation: Lowdermilk et al., 2023, Ch. 1: Immediate
Postpartum Practices.
2
Reference: Ch. 2: Advances in the Care of Mothers and Infants
— Neonatal Resuscitation and Thermoregulation.
Stem: A nurse attends a delivery of a 34-week infant who is
limp and not breathing. After initial drying and stimulation, the
infant remains apneic. Which is the nurse’s priority next action?
Options:
,A. Perform chest compressions immediately.
B. Initiate positive-pressure ventilation with a bag-valve mask.
C. Administer naloxone intramuscularly.
D. Place the infant skin-to-skin with the mother to encourage
spontaneous breathing.
Correct answer: B
Rationales:
• Correct (B): For apnea or gasping, positive-pressure
ventilation (PPV) is the primary resuscitation step per
neonatal resuscitation principles and should be initiated
promptly.
• A: Chest compressions are indicated only if heart rate
remains <60 bpm after effective ventilation; not immediate
first step.
• C: Naloxone is used only when maternal opioid exposure is
known and newborn has respiratory depression; not first-
line without that history.
• D: Skin-to-skin is inappropriate for an apneic infant
requiring resuscitation.
Teaching Point: For apneic neonates, start positive-
pressure ventilation promptly.
Citation: Lowdermilk et al., 2023, Ch. 2: Neonatal
Resuscitation.
, 3
Reference: Ch. 3: Efforts to Reduce Health Disparities — Social
Determinants and Perinatal Outcomes.
Stem: A 22-year-old woman with limited English proficiency,
Medicaid coverage, and transportation barriers misses two
prenatal visits. She presents late in the third trimester for care.
Which nursing action most directly addresses health-disparity
risks and improves outcomes?
Options:
A. Schedule her for routine postpartum follow-up before
discharge.
B. Offer written prenatal education in English and Spanish for
self-study.
C. Assess social determinants, arrange community resources,
and coordinate care.
D. Advise that missed visits are the patient’s responsibility and
document in the chart.
Correct answer: C
Rationales:
• Correct (C): Assessing social determinants and
coordinating resources (transportation, language services,
community programs) targets root causes of missed care
and reduces disparities.
• A: Postpartum follow-up is important but does not address
current prenatal care access or barriers.
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Immediate Postpartum Practices.
Stem: During a routine vaginal birth of a term newborn, the
mother is stable and requests to hold her baby immediately.
Which nursing action best supports current evidence-based
care?
Options:
A. Wrap the newborn and place the infant in the bassinet for
maternal rest.
B. Place the undressed newborn prone on the mother’s bare
chest and cover both with a warm blanket.
C. Delay maternal contact until the newborn completes routine
procedures (weighing, eye prophylaxis).
D. Transfer the newborn to the neonatal nursery for the first
feeding.
,Correct answer: B
Rationales:
• Correct (B): Immediate skin-to-skin contact promotes
thermoregulation, physiologic stability, and early
breastfeeding initiation; it is an evidence-based standard
when both mother and infant are stable.
• A: Placing the newborn in a bassinet misses benefits of
early bonding and breastfeeding; not best when both are
stable.
• C: Routine procedures can be delayed until after skin-to-
skin; delaying contact is not best practice.
• D: Separating for nursery care interferes with early
attachment and feeding; unnecessary if both are stable.
Teaching Point: Skin-to-skin immediately after birth
supports thermoregulation and breastfeeding.
Citation: Lowdermilk et al., 2023, Ch. 1: Immediate
Postpartum Practices.
2
Reference: Ch. 2: Advances in the Care of Mothers and Infants
— Neonatal Resuscitation and Thermoregulation.
Stem: A nurse attends a delivery of a 34-week infant who is
limp and not breathing. After initial drying and stimulation, the
infant remains apneic. Which is the nurse’s priority next action?
Options:
,A. Perform chest compressions immediately.
B. Initiate positive-pressure ventilation with a bag-valve mask.
C. Administer naloxone intramuscularly.
D. Place the infant skin-to-skin with the mother to encourage
spontaneous breathing.
Correct answer: B
Rationales:
• Correct (B): For apnea or gasping, positive-pressure
ventilation (PPV) is the primary resuscitation step per
neonatal resuscitation principles and should be initiated
promptly.
• A: Chest compressions are indicated only if heart rate
remains <60 bpm after effective ventilation; not immediate
first step.
• C: Naloxone is used only when maternal opioid exposure is
known and newborn has respiratory depression; not first-
line without that history.
• D: Skin-to-skin is inappropriate for an apneic infant
requiring resuscitation.
Teaching Point: For apneic neonates, start positive-
pressure ventilation promptly.
Citation: Lowdermilk et al., 2023, Ch. 2: Neonatal
Resuscitation.
, 3
Reference: Ch. 3: Efforts to Reduce Health Disparities — Social
Determinants and Perinatal Outcomes.
Stem: A 22-year-old woman with limited English proficiency,
Medicaid coverage, and transportation barriers misses two
prenatal visits. She presents late in the third trimester for care.
Which nursing action most directly addresses health-disparity
risks and improves outcomes?
Options:
A. Schedule her for routine postpartum follow-up before
discharge.
B. Offer written prenatal education in English and Spanish for
self-study.
C. Assess social determinants, arrange community resources,
and coordinate care.
D. Advise that missed visits are the patient’s responsibility and
document in the chart.
Correct answer: C
Rationales:
• Correct (C): Assessing social determinants and
coordinating resources (transportation, language services,
community programs) targets root causes of missed care
and reduces disparities.
• A: Postpartum follow-up is important but does not address
current prenatal care access or barriers.
