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 Roles of the Nurse
Stem: A hospital introduces a perinatal patient-navigator
program to reduce missed postpartum visits among low-income
mothers. As the RN coordinator, which initial action best
promotes equitable access?
Options:
A. Schedule standard 6-week postpartum visits for all patients
before discharge.
B. Identify barriers (transportation, childcare, language) and
arrange tailored follow-up resources.
C. Provide a printed packet about postpartum warning signs to
every patient.
D. Require mothers to call the clinic within 2 weeks to confirm
an appointment.
Answer: B
Rationales:
, • Correct (B): Assessing social determinants and arranging
individualized supports addresses access barriers and
aligns with patient-centered, equitable care.
• A: A uniform 6-week visit ignores immediate access
barriers and evidence supporting early postpartum contact
for vulnerable populations.
• C: Printed education is useful but insufficient alone for
addressing structural barriers like transportation or
language.
• D: Requiring patients to initiate contact places burden on
those with limited resources; proactive outreach is
preferable.
Teaching point: Screen and address social determinants to
improve postpartum access.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century
Maternity Nursing
2
Reference: Ch. 2: Advances in the Care of Mothers and Infants
— Perinatal Safety Improvements
Stem: During handoff, a labor nurse notices inconsistent fetal
heart rate documentation between EMR and paper notes. What
is the nurse’s priority action?
Options:
A. Accept the discrepancy and continue with planned care.
,B. Notify the provider immediately and clarify the accurate
tracing before further interventions.
C. Document both versions and defer clarification to the next
shift.
D. Ask the patient if she felt fetal movement changes and
document her response.
Answer: B
Rationales:
• Correct (B): Ensuring accurate fetal monitoring is a safety
priority; clarifying discrepancies immediately prevents
missed deterioration.
• A: Ignoring documentation inconsistencies risks patient
safety.
• C: Deferring risks delayed recognition of fetal compromise.
• D: Patient report is helpful but does not replace the need
to verify objective fetal monitoring before action.
Teaching point: Immediately resolve documentation
discrepancies affecting fetal assessment.
Citation: Lowdermilk et al., 2023, Ch. 2: Perinatal Safety
Improvements
3
Reference: Ch. 3: Efforts to Reduce Health Disparities — Implicit
Bias and Cultural Competence
Stem: A clinic notes lower breastfeeding initiation among a
, specific racial group. Which nursing action best addresses
potential implicit bias affecting care?
Options:
A. Offer the same standard breastfeeding education class to all
patients.
B. Conduct staff implicit-bias training and implement culturally
responsive lactation support.
C. Provide pamphlets in multiple languages but keep staffing
unchanged.
D. Refer patients to community breastfeeding support only on
request.
Answer: B
Rationales:
• Correct (B): Implicit-bias training plus culturally tailored
lactation services targets provider behaviors and structural
barriers contributing to disparities.
• A: Uniform education ignores cultural differences and
structural contributors to lower initiation.
• C: Multilingual materials help communication but don’t
address provider bias or culturally tailored support.
• D: Passive referral may perpetuate access gaps; proactive,
tailored outreach is needed.
Teaching point: Combine bias training with culturally
tailored services to reduce disparities.
Citation: Lowdermilk et al., 2023, Ch. 3: Implicit Bias and
Cultural Competence
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Contemporary Roles of the Nurse
Stem: A hospital introduces a perinatal patient-navigator
program to reduce missed postpartum visits among low-income
mothers. As the RN coordinator, which initial action best
promotes equitable access?
Options:
A. Schedule standard 6-week postpartum visits for all patients
before discharge.
B. Identify barriers (transportation, childcare, language) and
arrange tailored follow-up resources.
C. Provide a printed packet about postpartum warning signs to
every patient.
D. Require mothers to call the clinic within 2 weeks to confirm
an appointment.
Answer: B
Rationales:
, • Correct (B): Assessing social determinants and arranging
individualized supports addresses access barriers and
aligns with patient-centered, equitable care.
• A: A uniform 6-week visit ignores immediate access
barriers and evidence supporting early postpartum contact
for vulnerable populations.
• C: Printed education is useful but insufficient alone for
addressing structural barriers like transportation or
language.
• D: Requiring patients to initiate contact places burden on
those with limited resources; proactive outreach is
preferable.
Teaching point: Screen and address social determinants to
improve postpartum access.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century
Maternity Nursing
2
Reference: Ch. 2: Advances in the Care of Mothers and Infants
— Perinatal Safety Improvements
Stem: During handoff, a labor nurse notices inconsistent fetal
heart rate documentation between EMR and paper notes. What
is the nurse’s priority action?
Options:
A. Accept the discrepancy and continue with planned care.
,B. Notify the provider immediately and clarify the accurate
tracing before further interventions.
C. Document both versions and defer clarification to the next
shift.
D. Ask the patient if she felt fetal movement changes and
document her response.
Answer: B
Rationales:
• Correct (B): Ensuring accurate fetal monitoring is a safety
priority; clarifying discrepancies immediately prevents
missed deterioration.
• A: Ignoring documentation inconsistencies risks patient
safety.
• C: Deferring risks delayed recognition of fetal compromise.
• D: Patient report is helpful but does not replace the need
to verify objective fetal monitoring before action.
Teaching point: Immediately resolve documentation
discrepancies affecting fetal assessment.
Citation: Lowdermilk et al., 2023, Ch. 2: Perinatal Safety
Improvements
3
Reference: Ch. 3: Efforts to Reduce Health Disparities — Implicit
Bias and Cultural Competence
Stem: A clinic notes lower breastfeeding initiation among a
, specific racial group. Which nursing action best addresses
potential implicit bias affecting care?
Options:
A. Offer the same standard breastfeeding education class to all
patients.
B. Conduct staff implicit-bias training and implement culturally
responsive lactation support.
C. Provide pamphlets in multiple languages but keep staffing
unchanged.
D. Refer patients to community breastfeeding support only on
request.
Answer: B
Rationales:
• Correct (B): Implicit-bias training plus culturally tailored
lactation services targets provider behaviors and structural
barriers contributing to disparities.
• A: Uniform education ignores cultural differences and
structural contributors to lower initiation.
• C: Multilingual materials help communication but don’t
address provider bias or culturally tailored support.
• D: Passive referral may perpetuate access gaps; proactive,
tailored outreach is needed.
Teaching point: Combine bias training with culturally
tailored services to reduce disparities.
Citation: Lowdermilk et al., 2023, Ch. 3: Implicit Bias and
Cultural Competence
