Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Question 1
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Advances in the Care of Mothers and Infants.
Stem: A 28-year-old pregnant person at 32 weeks gestation
arrives for a routine visit. Their chart shows BMI 42, history of
type 2 diabetes, and they report limited access to fresh food.
Which nursing action best reflects priority, evidence-based care
to reduce maternal and fetal risk?
A. Provide printed pamphlets about healthy eating during
pregnancy.
B. Refer to a community nutrition program and coordinate
social services for food access.
C. Schedule additional antenatal ultrasounds for fetal growth
surveillance only.
D. Counsel the client to decrease caloric intake and exercise
more.
,Correct answer: B
Rationales:
• B (correct): Coordinating community resources addresses
social determinants of health and reduces risk through
access to nutrition and interprofessional support —
highest-priority, system-level intervention. (2 sentences)
• A: Pamphlets alone rarely change access or behavior and
ignore structural barriers. (1 sentence)
• C: Fetal surveillance may be needed but does not remove
root causes (nutrition, access). (1 sentence)
• D: Advising caloric restriction/exercise without assessing
food access or individual safety may be unrealistic and
unsafe. (1 sentence)
Teaching point: Address social determinants with referrals and
care coordination.
Citation: Lowdermilk et al., 2024, Ch. 1.
Question 2
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Efforts to Reduce Health Disparities.
Stem: A unit quality report shows higher postpartum
readmission rates for hypertensive complications among Black
birthing people compared with other groups. As the clinical
nurse leader, which action most directly addresses this
,disparity?
A. Revise the postpartum discharge checklist to include targeted
BP follow-up scheduling and home BP monitoring supplies.
B. Add an educational session about hypertension for all
postpartum clients on the unit.
C. Hire more nursing staff from the same racial/ethnic group as
the affected population.
D. Increase documentation audits to ensure BP measurements
were performed before discharge.
Correct answer: A
Rationales:
• A (correct): Targeted discharge planning with scheduled
follow-up and self-monitoring directly addresses continuity
of care and known contributors to readmission. (2
sentences)
• B: General education may help, but without targeted
follow-up and resources it’s unlikely to reduce
readmissions. (1 sentence)
• C: Workforce diversity is important long-term but does not
immediately change discharge processes that affect
readmissions. (1 sentence)
• D: Documentation audits are helpful for process fidelity
but don’t ensure patients receive resources or follow-up.
(1 sentence)
, Teaching point: Use targeted discharge interventions to reduce
inequitable outcomes.
Citation: Lowdermilk et al., 2024, Ch. 1.
Question 3
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Contemporary Issues and Trends.
Stem: A nurse is designing patient education materials about
COVID-19 vaccination in pregnancy for a culturally diverse clinic.
Which strategy best promotes vaccine uptake while respecting
cultural differences?
A. Use a single translated brochure for all languages spoken in
the community.
B. Provide peer-led vaccine conversations with community
health workers who share culture/language.
C. Rely solely on provider-led counseling during prenatal visits.
D. Post general vaccine safety posters in the waiting room.
Correct answer: B
Rationales:
• B (correct): Peer-led, culturally concordant education
improves trust and vaccine acceptance and aligns with
community-engaged models. (2 sentences)
• A: One translated brochure may miss cultural nuances and
literacy differences. (1 sentence)
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Question 1
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Advances in the Care of Mothers and Infants.
Stem: A 28-year-old pregnant person at 32 weeks gestation
arrives for a routine visit. Their chart shows BMI 42, history of
type 2 diabetes, and they report limited access to fresh food.
Which nursing action best reflects priority, evidence-based care
to reduce maternal and fetal risk?
A. Provide printed pamphlets about healthy eating during
pregnancy.
B. Refer to a community nutrition program and coordinate
social services for food access.
C. Schedule additional antenatal ultrasounds for fetal growth
surveillance only.
D. Counsel the client to decrease caloric intake and exercise
more.
,Correct answer: B
Rationales:
• B (correct): Coordinating community resources addresses
social determinants of health and reduces risk through
access to nutrition and interprofessional support —
highest-priority, system-level intervention. (2 sentences)
• A: Pamphlets alone rarely change access or behavior and
ignore structural barriers. (1 sentence)
• C: Fetal surveillance may be needed but does not remove
root causes (nutrition, access). (1 sentence)
• D: Advising caloric restriction/exercise without assessing
food access or individual safety may be unrealistic and
unsafe. (1 sentence)
Teaching point: Address social determinants with referrals and
care coordination.
Citation: Lowdermilk et al., 2024, Ch. 1.
Question 2
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Efforts to Reduce Health Disparities.
Stem: A unit quality report shows higher postpartum
readmission rates for hypertensive complications among Black
birthing people compared with other groups. As the clinical
nurse leader, which action most directly addresses this
,disparity?
A. Revise the postpartum discharge checklist to include targeted
BP follow-up scheduling and home BP monitoring supplies.
B. Add an educational session about hypertension for all
postpartum clients on the unit.
C. Hire more nursing staff from the same racial/ethnic group as
the affected population.
D. Increase documentation audits to ensure BP measurements
were performed before discharge.
Correct answer: A
Rationales:
• A (correct): Targeted discharge planning with scheduled
follow-up and self-monitoring directly addresses continuity
of care and known contributors to readmission. (2
sentences)
• B: General education may help, but without targeted
follow-up and resources it’s unlikely to reduce
readmissions. (1 sentence)
• C: Workforce diversity is important long-term but does not
immediately change discharge processes that affect
readmissions. (1 sentence)
• D: Documentation audits are helpful for process fidelity
but don’t ensure patients receive resources or follow-up.
(1 sentence)
, Teaching point: Use targeted discharge interventions to reduce
inequitable outcomes.
Citation: Lowdermilk et al., 2024, Ch. 1.
Question 3
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Contemporary Issues and Trends.
Stem: A nurse is designing patient education materials about
COVID-19 vaccination in pregnancy for a culturally diverse clinic.
Which strategy best promotes vaccine uptake while respecting
cultural differences?
A. Use a single translated brochure for all languages spoken in
the community.
B. Provide peer-led vaccine conversations with community
health workers who share culture/language.
C. Rely solely on provider-led counseling during prenatal visits.
D. Post general vaccine safety posters in the waiting room.
Correct answer: B
Rationales:
• B (correct): Peer-led, culturally concordant education
improves trust and vaccine acceptance and aligns with
community-engaged models. (2 sentences)
• A: One translated brochure may miss cultural nuances and
literacy differences. (1 sentence)
