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 — Efforts to Reduce Health Disparities (section).
evolve.elsevier.com
Stem: A nurse in a prenatal clinic sees that a high proportion of
clinic patients are experiencing late entry to prenatal care.
Which initial nursing action best addresses this disparity?
A. Schedule more evening clinic hours to improve access.
B. Provide printed pamphlets describing prenatal milestones.
C. Request each patient’s Medicaid status be confirmed on
arrival.
D. Teach patients about the importance of folic acid in early
pregnancy.
Correct answer: A
Rationale — Correct: Expanding access (e.g., evening hours)
addresses structural barriers to timely prenatal care, a key
,strategy to reduce disparities. Lowdermilk emphasizes system-
level interventions to improve access. evolve.elsevier.com
Rationale — Incorrect: B (pamphlets) is passive and unlikely to
overcome access barriers. C (insurance confirmation) is
administrative and may stigmatize or delay care. D (folic acid
teaching) is valuable but does not remove access barriers
causing late prenatal entry.
Teaching point: Address structural access barriers first to
reduce prenatal care disparities.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing. Elsevier Health
2
Reference: Ch. 1: Advances in the Care of Mothers and Infants
— Evidence-based practice (section). evolve.elsevier.com
Stem: A postpartum unit is implementing a new evidence-
based bundle to reduce postpartum hemorrhage. Which
nursing action best demonstrates fidelity to the bundle?
A. Individual nurses decide which bundle steps to apply based
on experience.
B. The unit posts the bundle steps and audits compliance with
each birth.
C. Nurses document only interventions they consider critical.
D. The nurse delegates bundle documentation to unit clerical
staff.
Correct answer: B
,Rationale — Correct: Posting bundle steps and auditing
compliance ensures standardized, evidence-based care and
allows measurement of fidelity—key to successful
implementation. evolve.elsevier.com
Rationale — Incorrect: A undermines standardization. C leads
to incomplete quality data. D improperly delegates clinical
accountability and undermines data accuracy.
Teaching point: Standardize interventions and audit compliance
to ensure evidence-based care.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants. Elsevier Health
3
Reference: Ch. 1: Contemporary Issues and Trends — Maternal
mortality and social determinants (section). evolve.elsevier.com
Stem: A 32-year-old Black woman at 28 weeks’ gestation tells
the nurse she has trouble affording transportation for
appointments. Which nursing intervention best addresses
maternal mortality risk linked to social determinants?
A. Explain that appointments are mandatory for healthy
pregnancy.
B. Refer to community transportation resources and schedule
supports.
C. Ask her to borrow money from family for rides.
D. Document the transportation issue but continue routine
, care.
Correct answer: B
Rationale — Correct: Referring to community resources
addresses a social determinant directly and can improve
appointment adherence, reducing risk of poor outcomes.
Lowdermilk discusses the role of addressing social determinants
to reduce disparities. evolve.elsevier.com
Rationale — Incorrect: A is judgmental and futile. C suggests an
unsafe strategy and may not be feasible. D misses an
opportunity for intervention.
Teaching point: Screen for and intervene on social
determinants to improve maternal outcomes.
Citation: Lowdermilk et al., 2023, Ch. 1: Contemporary Issues
and Trends. Elsevier Health
4 (Recall — foundational)
Reference: Ch. 1: Trends in Nursing Practice — Family-centered
care (section). evolve.elsevier.com
Stem: Which definition best describes family-centered
maternity care?
A. Care focused solely on the biological mother’s physical
needs.
B. Care that involves families as partners in planning and
decision-making.
C. Care that limits visitors to promote rest.
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Efforts to Reduce Health Disparities (section).
evolve.elsevier.com
Stem: A nurse in a prenatal clinic sees that a high proportion of
clinic patients are experiencing late entry to prenatal care.
Which initial nursing action best addresses this disparity?
A. Schedule more evening clinic hours to improve access.
B. Provide printed pamphlets describing prenatal milestones.
C. Request each patient’s Medicaid status be confirmed on
arrival.
D. Teach patients about the importance of folic acid in early
pregnancy.
Correct answer: A
Rationale — Correct: Expanding access (e.g., evening hours)
addresses structural barriers to timely prenatal care, a key
,strategy to reduce disparities. Lowdermilk emphasizes system-
level interventions to improve access. evolve.elsevier.com
Rationale — Incorrect: B (pamphlets) is passive and unlikely to
overcome access barriers. C (insurance confirmation) is
administrative and may stigmatize or delay care. D (folic acid
teaching) is valuable but does not remove access barriers
causing late prenatal entry.
Teaching point: Address structural access barriers first to
reduce prenatal care disparities.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing. Elsevier Health
2
Reference: Ch. 1: Advances in the Care of Mothers and Infants
— Evidence-based practice (section). evolve.elsevier.com
Stem: A postpartum unit is implementing a new evidence-
based bundle to reduce postpartum hemorrhage. Which
nursing action best demonstrates fidelity to the bundle?
A. Individual nurses decide which bundle steps to apply based
on experience.
B. The unit posts the bundle steps and audits compliance with
each birth.
C. Nurses document only interventions they consider critical.
D. The nurse delegates bundle documentation to unit clerical
staff.
Correct answer: B
,Rationale — Correct: Posting bundle steps and auditing
compliance ensures standardized, evidence-based care and
allows measurement of fidelity—key to successful
implementation. evolve.elsevier.com
Rationale — Incorrect: A undermines standardization. C leads
to incomplete quality data. D improperly delegates clinical
accountability and undermines data accuracy.
Teaching point: Standardize interventions and audit compliance
to ensure evidence-based care.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants. Elsevier Health
3
Reference: Ch. 1: Contemporary Issues and Trends — Maternal
mortality and social determinants (section). evolve.elsevier.com
Stem: A 32-year-old Black woman at 28 weeks’ gestation tells
the nurse she has trouble affording transportation for
appointments. Which nursing intervention best addresses
maternal mortality risk linked to social determinants?
A. Explain that appointments are mandatory for healthy
pregnancy.
B. Refer to community transportation resources and schedule
supports.
C. Ask her to borrow money from family for rides.
D. Document the transportation issue but continue routine
, care.
Correct answer: B
Rationale — Correct: Referring to community resources
addresses a social determinant directly and can improve
appointment adherence, reducing risk of poor outcomes.
Lowdermilk discusses the role of addressing social determinants
to reduce disparities. evolve.elsevier.com
Rationale — Incorrect: A is judgmental and futile. C suggests an
unsafe strategy and may not be feasible. D misses an
opportunity for intervention.
Teaching point: Screen for and intervene on social
determinants to improve maternal outcomes.
Citation: Lowdermilk et al., 2023, Ch. 1: Contemporary Issues
and Trends. Elsevier Health
4 (Recall — foundational)
Reference: Ch. 1: Trends in Nursing Practice — Family-centered
care (section). evolve.elsevier.com
Stem: Which definition best describes family-centered
maternity care?
A. Care focused solely on the biological mother’s physical
needs.
B. Care that involves families as partners in planning and
decision-making.
C. Care that limits visitors to promote rest.
