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 — Advances in the Care of Mothers and Infants.
Question: A 33-week gestation patient with preterm labor is
transferred to the tertiary care unit. Which nursing action most
directly reduces neonatal respiratory morbidity?
A. Administer betamethasone to the mother as ordered.
B. Begin continuous external fetal monitoring immediately.
C. Encourage the mother to ambulate every 2 hours.
D. Prepare for immediate cesarean birth.
Correct answer: A
Rationale — Correct (A): Antenatal corticosteroids (e.g.,
betamethasone) accelerate fetal lung maturation and reduce
neonatal respiratory distress syndrome in preterm births.
Administering them is a time-sensitive evidence-based
intervention.
Rationale — Incorrect:
B. Fetal monitoring monitors status but does not reduce
,neonatal respiratory morbidity.
C. Ambulation is not a primary intervention to improve fetal
lung maturity.
D. A cesarean may be required for obstetric reasons but does
not by itself decrease neonatal lung immaturity.
Teaching Point: Antenatal corticosteroids for 24–34 weeks
reduce neonatal respiratory complications.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants. evolve.elsevier.com
2. Reference: Ch. 1: Efforts to Reduce Health Disparities —
Maternal Mortality and Social Determinants.
Question: A nurse is developing a postpartum follow-up plan
for a Black birthing parent who has limited transportation and
childcare. Which plan element best addresses health disparities
and improves follow-up attendance?
A. Schedule a standard 6-week postpartum visit and provide
written instructions.
B. Offer telehealth postpartum visits and coordinate community
home-visit services.
C. Ask the parent to check in by phone if any problems arise.
D. Provide a list of nearby clinics and encourage self-referral.
Correct answer: B
Rationale — Correct (B): Offering telehealth plus connecting to
community home visits addresses transportation/childcare
barriers and aligns with disparity-reduction strategies to
,improve postpartum access.
Rationale — Incorrect:
A. A single scheduled visit and written instructions ignore access
barriers.
C. Passive advice to call is unlikely to overcome systemic access
issues.
D. Giving clinic lists places onus on the parent without reducing
structural barriers.
Teaching Point: Tailor follow-up to social needs (telehealth,
home visits) to reduce disparities.
Citation: Lowdermilk et al., 2023, Ch. 1: Efforts to Reduce
Health Disparities. evolve.elsevier.com
3. Reference: Ch. 1: Contemporary Issues and Trends — Family-
Centered Care and Cultural Competence.
Question: A postpartum nurse cares for a primiparous mother
whose cultural practice includes extended family involvement.
The mother requests relatives remain at the bedside. What is
the best initial nursing response?
A. Limit visitors to two people for privacy and infection control.
B. Explain hospital policy and deny the request.
C. Ask open-ended questions about the family’s needs and
negotiate a safe plan.
D. Allow unlimited visitors because family involvement is
culturally important.
Correct answer: C
, Rationale — Correct (C): Asking questions and negotiating
balances cultural respect with safety and unit policy, promoting
culturally competent, family-centered care.
Rationale — Incorrect:
A. Unilaterally limiting visitors may disrespect cultural needs
without assessment.
B. Denying without discussion undermines trust and cultural
safety.
D. Unrestricted visitation may compromise privacy, rest, or
infection control.
Teaching Point: Use assessment and negotiation to balance
cultural practices with safety.
Citation: Lowdermilk et al., 2023, Ch. 1: Contemporary Issues
and Trends. evolve.elsevier.com
4. Reference: Ch. 1: Trends in Nursing Practice — Telehealth and
Technology in Maternity Care.
Question: A community clinic implements remote blood-
pressure monitoring for hypertensive pregnant clients. Which
outcome is the nurse most likely to prioritize when evaluating
program effectiveness?
A. Increase in the number of clinic visits.
B. Reduction in emergency department visits for severe
hypertensive episodes.
C. Decrease in prescriptions for antihypertensives.
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1. Reference: Ch. 1: 21st-Century Maternity and Women’s
Health Nursing — Advances in the Care of Mothers and Infants.
Question: A 33-week gestation patient with preterm labor is
transferred to the tertiary care unit. Which nursing action most
directly reduces neonatal respiratory morbidity?
A. Administer betamethasone to the mother as ordered.
B. Begin continuous external fetal monitoring immediately.
C. Encourage the mother to ambulate every 2 hours.
D. Prepare for immediate cesarean birth.
Correct answer: A
Rationale — Correct (A): Antenatal corticosteroids (e.g.,
betamethasone) accelerate fetal lung maturation and reduce
neonatal respiratory distress syndrome in preterm births.
Administering them is a time-sensitive evidence-based
intervention.
Rationale — Incorrect:
B. Fetal monitoring monitors status but does not reduce
,neonatal respiratory morbidity.
C. Ambulation is not a primary intervention to improve fetal
lung maturity.
D. A cesarean may be required for obstetric reasons but does
not by itself decrease neonatal lung immaturity.
Teaching Point: Antenatal corticosteroids for 24–34 weeks
reduce neonatal respiratory complications.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants. evolve.elsevier.com
2. Reference: Ch. 1: Efforts to Reduce Health Disparities —
Maternal Mortality and Social Determinants.
Question: A nurse is developing a postpartum follow-up plan
for a Black birthing parent who has limited transportation and
childcare. Which plan element best addresses health disparities
and improves follow-up attendance?
A. Schedule a standard 6-week postpartum visit and provide
written instructions.
B. Offer telehealth postpartum visits and coordinate community
home-visit services.
C. Ask the parent to check in by phone if any problems arise.
D. Provide a list of nearby clinics and encourage self-referral.
Correct answer: B
Rationale — Correct (B): Offering telehealth plus connecting to
community home visits addresses transportation/childcare
barriers and aligns with disparity-reduction strategies to
,improve postpartum access.
Rationale — Incorrect:
A. A single scheduled visit and written instructions ignore access
barriers.
C. Passive advice to call is unlikely to overcome systemic access
issues.
D. Giving clinic lists places onus on the parent without reducing
structural barriers.
Teaching Point: Tailor follow-up to social needs (telehealth,
home visits) to reduce disparities.
Citation: Lowdermilk et al., 2023, Ch. 1: Efforts to Reduce
Health Disparities. evolve.elsevier.com
3. Reference: Ch. 1: Contemporary Issues and Trends — Family-
Centered Care and Cultural Competence.
Question: A postpartum nurse cares for a primiparous mother
whose cultural practice includes extended family involvement.
The mother requests relatives remain at the bedside. What is
the best initial nursing response?
A. Limit visitors to two people for privacy and infection control.
B. Explain hospital policy and deny the request.
C. Ask open-ended questions about the family’s needs and
negotiate a safe plan.
D. Allow unlimited visitors because family involvement is
culturally important.
Correct answer: C
, Rationale — Correct (C): Asking questions and negotiating
balances cultural respect with safety and unit policy, promoting
culturally competent, family-centered care.
Rationale — Incorrect:
A. Unilaterally limiting visitors may disrespect cultural needs
without assessment.
B. Denying without discussion undermines trust and cultural
safety.
D. Unrestricted visitation may compromise privacy, rest, or
infection control.
Teaching Point: Use assessment and negotiation to balance
cultural practices with safety.
Citation: Lowdermilk et al., 2023, Ch. 1: Contemporary Issues
and Trends. evolve.elsevier.com
4. Reference: Ch. 1: Trends in Nursing Practice — Telehealth and
Technology in Maternity Care.
Question: A community clinic implements remote blood-
pressure monitoring for hypertensive pregnant clients. Which
outcome is the nurse most likely to prioritize when evaluating
program effectiveness?
A. Increase in the number of clinic visits.
B. Reduction in emergency department visits for severe
hypertensive episodes.
C. Decrease in prescriptions for antihypertensives.
