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 — Advances in the Care of Mothers and Infants.
Stem: A postpartum unit nurse notices an increase in maternal
sepsis alerts after implementation of an enhanced early
warning system. Which action best reflects application of
evidence-based practice to improve maternal outcomes?
A. Continue current practice and report the data next quarterly.
B. Convene an interprofessional review of triggers, pathways,
and response times.
C. Disable the new alerts and return to previous monitoring.
D. Ask staff to document their impressions of alarm fatigue only.
Correct answer: B
Rationale (correct): Convening an interprofessional review
applies systems-level problem solving to evaluate alert
sensitivity, response algorithms, and process gaps — consistent
with evidence-based quality improvement.
,Rationale (A): Waiting to report quarterly delays timely system
improvement and risks continued harm.
Rationale (C): Disabling alerts abandons an evidence-based
safety tool without examining root causes and may worsen
outcomes.
Rationale (D): Staff impressions are useful but insufficient
alone; they must be combined with data and system review.
Teaching point: Use interprofessional QI reviews to optimize
new safety systems.
Citation: Lowdermilk et al., 2024, Ch. 1: Advances in the Care of
Mothers and Infants.
2
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Efforts to Reduce Health Disparities.
Stem: A prenatal clinic serves a racially diverse, low-income
community with high rates of preterm birth. Which population-
level nursing action most likely reduces disparities in perinatal
outcomes?
A. Provide a single comprehensive prenatal education handout
in English.
B. Create culturally tailored outreach with community health
workers.
C. Refer all patients to tertiary care regardless of risk.
D. Encourage patients to use online resources only.
,Correct answer: B
Rationale (correct): Culturally tailored outreach with
community health workers addresses social determinants,
improves access and trust, and is evidence-based for reducing
disparities.
Rationale (A): A single handout in English ignores
language/cultural barriers and limits effectiveness.
Rationale (C): Referring everyone to tertiary care is inefficient,
may worsen access, and does not target root causes.
Rationale (D): Solely online resources widen disparities for
patients with limited internet access.
Teaching point: Community-based, culturally tailored
interventions reduce perinatal disparities.
Citation: Lowdermilk et al., 2024, Ch. 1: Efforts to Reduce
Health Disparities.
3
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Contemporary Issues and Trends.
Stem: A pregnant patient asks about using a popular
supplement promoted on social media to prevent
preeclampsia. What is the nurse’s best next step?
A. Encourage the supplement because “natural” is safe in
pregnancy.
B. Advise stopping prenatal care and trying only
, nonpharmacologic methods.
C. Review current evidence and discuss benefits/risks; consult
the provider as needed.
D. Provide the product website so the patient can self-decide.
Correct answer: C
Rationale (correct): Reviewing evidence and discussing
risks/benefits respects patient autonomy while ensuring safety
and interprofessional consultation when evidence is uncertain.
Rationale (A): “Natural” does not equal safe; this is a common
misconception.
Rationale (B): Discouraging prenatal care endangers
mother/infant and is clinically inappropriate.
Rationale (D): Directing to a product website without
evaluation risks misinformation.
Teaching point: Evaluate supplements against current evidence
before recommending in pregnancy.
Citation: Lowdermilk et al., 2024, Ch. 1: Contemporary Issues
and Trends.
4
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Trends in Nursing Practice.
Stem: The unit is piloting nurse-led lactation follow-up calls
after discharge. To evaluate effectiveness, which outcome
measure should the nurse prioritize?
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Advances in the Care of Mothers and Infants.
Stem: A postpartum unit nurse notices an increase in maternal
sepsis alerts after implementation of an enhanced early
warning system. Which action best reflects application of
evidence-based practice to improve maternal outcomes?
A. Continue current practice and report the data next quarterly.
B. Convene an interprofessional review of triggers, pathways,
and response times.
C. Disable the new alerts and return to previous monitoring.
D. Ask staff to document their impressions of alarm fatigue only.
Correct answer: B
Rationale (correct): Convening an interprofessional review
applies systems-level problem solving to evaluate alert
sensitivity, response algorithms, and process gaps — consistent
with evidence-based quality improvement.
,Rationale (A): Waiting to report quarterly delays timely system
improvement and risks continued harm.
Rationale (C): Disabling alerts abandons an evidence-based
safety tool without examining root causes and may worsen
outcomes.
Rationale (D): Staff impressions are useful but insufficient
alone; they must be combined with data and system review.
Teaching point: Use interprofessional QI reviews to optimize
new safety systems.
Citation: Lowdermilk et al., 2024, Ch. 1: Advances in the Care of
Mothers and Infants.
2
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Efforts to Reduce Health Disparities.
Stem: A prenatal clinic serves a racially diverse, low-income
community with high rates of preterm birth. Which population-
level nursing action most likely reduces disparities in perinatal
outcomes?
A. Provide a single comprehensive prenatal education handout
in English.
B. Create culturally tailored outreach with community health
workers.
C. Refer all patients to tertiary care regardless of risk.
D. Encourage patients to use online resources only.
,Correct answer: B
Rationale (correct): Culturally tailored outreach with
community health workers addresses social determinants,
improves access and trust, and is evidence-based for reducing
disparities.
Rationale (A): A single handout in English ignores
language/cultural barriers and limits effectiveness.
Rationale (C): Referring everyone to tertiary care is inefficient,
may worsen access, and does not target root causes.
Rationale (D): Solely online resources widen disparities for
patients with limited internet access.
Teaching point: Community-based, culturally tailored
interventions reduce perinatal disparities.
Citation: Lowdermilk et al., 2024, Ch. 1: Efforts to Reduce
Health Disparities.
3
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Contemporary Issues and Trends.
Stem: A pregnant patient asks about using a popular
supplement promoted on social media to prevent
preeclampsia. What is the nurse’s best next step?
A. Encourage the supplement because “natural” is safe in
pregnancy.
B. Advise stopping prenatal care and trying only
, nonpharmacologic methods.
C. Review current evidence and discuss benefits/risks; consult
the provider as needed.
D. Provide the product website so the patient can self-decide.
Correct answer: C
Rationale (correct): Reviewing evidence and discussing
risks/benefits respects patient autonomy while ensuring safety
and interprofessional consultation when evidence is uncertain.
Rationale (A): “Natural” does not equal safe; this is a common
misconception.
Rationale (B): Discouraging prenatal care endangers
mother/infant and is clinically inappropriate.
Rationale (D): Directing to a product website without
evaluation risks misinformation.
Teaching point: Evaluate supplements against current evidence
before recommending in pregnancy.
Citation: Lowdermilk et al., 2024, Ch. 1: Contemporary Issues
and Trends.
4
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Trends in Nursing Practice.
Stem: The unit is piloting nurse-led lactation follow-up calls
after discharge. To evaluate effectiveness, which outcome
measure should the nurse prioritize?
