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: Contemporary Issues and Trends.
Question Stem: A 28-year-old pregnant client expresses concern
about inconsistent information found online about prenatal
genetic screening. Which initial nursing action best addresses
her concern?
Options:
A. Provide a brochure from the clinic and end the discussion.
B. Ask what specific information she found and explore her
values and decision goals.
C. Advise her that online sources are unreliable and discourage
further internet use.
D. Schedule her for all available genetic screening tests to
ensure thoroughness.
Correct Answer: B
Rationales:
, • Correct: Asking what she found and exploring values elicits
patient concerns, supports shared decision-making, and
allows tailored education per evidence-based counseling.
• A: Giving a brochure alone is passive and may not address
her specific misconceptions or values.
• C: Dismissing online sources undermines trust and fails to
guide the client in evaluating information.
• D: Scheduling all tests without informed consent ignores
patient autonomy and may cause unnecessary
interventions.
Teaching Point: Elicit patient concerns and values before
providing tailored information.
Citation: Lowdermilk et al., 2023, Ch. 1: Contemporary
Issues and Trends.
2.
Reference: Ch. 1 — Advances in the Care of Mothers and
Infants.
Question Stem: A postpartum unit is implementing a new
bundled protocol to reduce postpartum hemorrhage. Which
nursing measure should be prioritized to evaluate early
effectiveness of the bundle?
Options:
A. Monitoring maternal hemoglobin only on discharge day.
B. Tracking estimated blood loss and time to first uterotonic
,after delivery.
C. Surveying patient satisfaction one month postpartum.
D. Measuring neonatal birthweights for large-for-gestational-
age trends.
Correct Answer: B
Rationales:
• Correct: Estimated blood loss and timing of uterotonics are
direct, measurable indicators of hemorrhage prevention
effectiveness and align with quality-improvement metrics.
• A: Hemoglobin at discharge is delayed and less sensitive
for early detection of hemorrhage.
• C: Patient satisfaction is important but not a direct early
outcome for hemorrhage prevention.
• D: Neonatal birthweight is unrelated to measuring a
hemorrhage-reduction bundle’s early effectiveness.
Teaching Point: Use direct, timely clinical metrics to
evaluate quality-improvement bundles.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in Care.
3.
Reference: Ch. 2 — Efforts to Reduce Health Disparities.
Question Stem: A clinic serves a diverse population with high
rates of preterm birth. Which nurse-led intervention most
directly targets disparity reduction?
Options:
, A. Distributing generic prenatal vitamins without follow-up.
B. Implementing culturally tailored home-visit programs to
address social needs.
C. Posting general prenatal information in English only on the
clinic website.
D. Recommending that patients research community resources
independently.
Correct Answer: B
Rationales:
• Correct: Culturally tailored home-visit programs address
social determinants, build trust, and have evidence for
reducing preterm birth disparities.
• A: Generic vitamins without follow-up fail to address
access, adherence, or social context.
• C: English-only materials exclude non-English speakers and
perpetuate disparities.
• D: Asking patients to find resources themselves ignores
barriers and widens disparities.
Teaching Point: Tailor interventions to cultural and social
needs to reduce disparities.
Citation: Lowdermilk et al., 2023, Ch. 2: Reducing Health
Disparities.
4.
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing: Contemporary Issues and Trends.
Question Stem: A 28-year-old pregnant client expresses concern
about inconsistent information found online about prenatal
genetic screening. Which initial nursing action best addresses
her concern?
Options:
A. Provide a brochure from the clinic and end the discussion.
B. Ask what specific information she found and explore her
values and decision goals.
C. Advise her that online sources are unreliable and discourage
further internet use.
D. Schedule her for all available genetic screening tests to
ensure thoroughness.
Correct Answer: B
Rationales:
, • Correct: Asking what she found and exploring values elicits
patient concerns, supports shared decision-making, and
allows tailored education per evidence-based counseling.
• A: Giving a brochure alone is passive and may not address
her specific misconceptions or values.
• C: Dismissing online sources undermines trust and fails to
guide the client in evaluating information.
• D: Scheduling all tests without informed consent ignores
patient autonomy and may cause unnecessary
interventions.
Teaching Point: Elicit patient concerns and values before
providing tailored information.
Citation: Lowdermilk et al., 2023, Ch. 1: Contemporary
Issues and Trends.
2.
Reference: Ch. 1 — Advances in the Care of Mothers and
Infants.
Question Stem: A postpartum unit is implementing a new
bundled protocol to reduce postpartum hemorrhage. Which
nursing measure should be prioritized to evaluate early
effectiveness of the bundle?
Options:
A. Monitoring maternal hemoglobin only on discharge day.
B. Tracking estimated blood loss and time to first uterotonic
,after delivery.
C. Surveying patient satisfaction one month postpartum.
D. Measuring neonatal birthweights for large-for-gestational-
age trends.
Correct Answer: B
Rationales:
• Correct: Estimated blood loss and timing of uterotonics are
direct, measurable indicators of hemorrhage prevention
effectiveness and align with quality-improvement metrics.
• A: Hemoglobin at discharge is delayed and less sensitive
for early detection of hemorrhage.
• C: Patient satisfaction is important but not a direct early
outcome for hemorrhage prevention.
• D: Neonatal birthweight is unrelated to measuring a
hemorrhage-reduction bundle’s early effectiveness.
Teaching Point: Use direct, timely clinical metrics to
evaluate quality-improvement bundles.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in Care.
3.
Reference: Ch. 2 — Efforts to Reduce Health Disparities.
Question Stem: A clinic serves a diverse population with high
rates of preterm birth. Which nurse-led intervention most
directly targets disparity reduction?
Options:
, A. Distributing generic prenatal vitamins without follow-up.
B. Implementing culturally tailored home-visit programs to
address social needs.
C. Posting general prenatal information in English only on the
clinic website.
D. Recommending that patients research community resources
independently.
Correct Answer: B
Rationales:
• Correct: Culturally tailored home-visit programs address
social determinants, build trust, and have evidence for
reducing preterm birth disparities.
• A: Generic vitamins without follow-up fail to address
access, adherence, or social context.
• C: English-only materials exclude non-English speakers and
perpetuate disparities.
• D: Asking patients to find resources themselves ignores
barriers and widens disparities.
Teaching Point: Tailor interventions to cultural and social
needs to reduce disparities.
Citation: Lowdermilk et al., 2023, Ch. 2: Reducing Health
Disparities.
4.
