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
— Contemporary Practice Trends
Stem
A 28-year-old G1 at 36 weeks’ gestation calls the clinic: she has
intermittent contractions but is unsure whether to come in
because she lives 45 minutes away and has limited childcare.
The triage nurse must decide the best next step. Which nursing
action best aligns with contemporary, patient-centered
maternity care and ensures safety?
,A. Instruct her to rest at home and return if contractions
become regular every 10 minutes.
B. Schedule an in-person visit within 48 hours to assess
progress.
C. Offer a telehealth video assessment immediately to evaluate
contraction pattern and maternal/fetal status.
D. Advise her to take an over-the-counter pain medication and
monitor at home.
Correct answer
C
Rationale — Correct
A telehealth video assessment provides timely clinical
evaluation while addressing access barriers (distance,
childcare). It enables visual assessment of contraction
frequency, maternal appearance, and can guide immediate
triage decisions consistent with modern, equitable maternity
care. This supports maternal-fetal safety by rapidly identifying
who needs in-person assessment.
Rationale — Incorrect
A. Waiting is unsafe—no objective assessment; may delay care
if labor is progressing.
B. Scheduling 48 hours could be too late for active labor or
complications.
D. Suggesting OTC analgesics and home monitoring lacks
assessment and risks missing signs of labor or fetal
compromise.
,Teaching point
Telehealth enables rapid, equitable triage and early
identification of obstetric needs.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference
Ch. 1 — Advances in the Care of Mothers and Infants —
Neonatal Survival & Technology
Stem
A newborn at 33 weeks’ gestation is admitted to the neonatal
unit breathing spontaneously but with mild respiratory distress.
The RN must prioritize an evidence-based initial nursing
intervention that reflects advances in neonatal care.
A. Immediate endotracheal intubation and mechanical
ventilation.
B. Initiate continuous positive airway pressure (CPAP) and
monitor oxygen requirement.
C. Administer routine antibiotics prophylactically.
D. Transfer to another facility for advanced respiratory support.
Correct answer
B
, Rationale — Correct
CPAP is an evidence-based, less invasive support for preterm
infants with mild to moderate respiratory distress and reduces
the need for intubation. Nursing initiation and monitoring of
CPAP aligns with current neonatal practice to minimize
ventilator-associated injury while supporting gas exchange.
Rationale — Incorrect
A. Immediate intubation is more invasive and unnecessary if
CPAP suffices.
C. Routine antibiotics without infection signs risk antibiotic
overuse.
D. Transfer delays therapy and is unnecessary if CPAP available
locally.
Teaching point
Use noninvasive respiratory support first for many preterm
infants to reduce lung injury.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3
Reference
Ch. 1 — Efforts to Reduce Health Disparities — Social
Determinants of Health
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1
Reference
Ch. 1 — 21st-Century Maternity and Women’s Health Nursing
— Contemporary Practice Trends
Stem
A 28-year-old G1 at 36 weeks’ gestation calls the clinic: she has
intermittent contractions but is unsure whether to come in
because she lives 45 minutes away and has limited childcare.
The triage nurse must decide the best next step. Which nursing
action best aligns with contemporary, patient-centered
maternity care and ensures safety?
,A. Instruct her to rest at home and return if contractions
become regular every 10 minutes.
B. Schedule an in-person visit within 48 hours to assess
progress.
C. Offer a telehealth video assessment immediately to evaluate
contraction pattern and maternal/fetal status.
D. Advise her to take an over-the-counter pain medication and
monitor at home.
Correct answer
C
Rationale — Correct
A telehealth video assessment provides timely clinical
evaluation while addressing access barriers (distance,
childcare). It enables visual assessment of contraction
frequency, maternal appearance, and can guide immediate
triage decisions consistent with modern, equitable maternity
care. This supports maternal-fetal safety by rapidly identifying
who needs in-person assessment.
Rationale — Incorrect
A. Waiting is unsafe—no objective assessment; may delay care
if labor is progressing.
B. Scheduling 48 hours could be too late for active labor or
complications.
D. Suggesting OTC analgesics and home monitoring lacks
assessment and risks missing signs of labor or fetal
compromise.
,Teaching point
Telehealth enables rapid, equitable triage and early
identification of obstetric needs.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
2
Reference
Ch. 1 — Advances in the Care of Mothers and Infants —
Neonatal Survival & Technology
Stem
A newborn at 33 weeks’ gestation is admitted to the neonatal
unit breathing spontaneously but with mild respiratory distress.
The RN must prioritize an evidence-based initial nursing
intervention that reflects advances in neonatal care.
A. Immediate endotracheal intubation and mechanical
ventilation.
B. Initiate continuous positive airway pressure (CPAP) and
monitor oxygen requirement.
C. Administer routine antibiotics prophylactically.
D. Transfer to another facility for advanced respiratory support.
Correct answer
B
, Rationale — Correct
CPAP is an evidence-based, less invasive support for preterm
infants with mild to moderate respiratory distress and reduces
the need for intubation. Nursing initiation and monitoring of
CPAP aligns with current neonatal practice to minimize
ventilator-associated injury while supporting gas exchange.
Rationale — Incorrect
A. Immediate intubation is more invasive and unnecessary if
CPAP suffices.
C. Routine antibiotics without infection signs risk antibiotic
overuse.
D. Transfer delays therapy and is unnecessary if CPAP available
locally.
Teaching point
Use noninvasive respiratory support first for many preterm
infants to reduce lung injury.
Citation
Lowdermilk, D. L. et al. (2024). Maternity and Women’s Health
Care (13th ed.). Ch. 1.
3
Reference
Ch. 1 — Efforts to Reduce Health Disparities — Social
Determinants of Health
