,OpenStax Maternal-Newborn Nursing Student Answer Guide
OpenStax Maternal-Newborn Nursing
Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing .............................. 3
Chapter 2: Culturally Competent Nursing Care ............................................................................ 11
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 17
Chapter 4: Influences on Fertility ................................................................................................. 26
Chapter 5: Family Planning ........................................................................................................... 32
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 42
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 47
Chapter 8: Disorders of the Breast ............................................................................................... 52
Chapter 9: Violence Against Women ............................................................................................ 55
Chapter 10: Pregnancy .................................................................................................................. 63
Chapter 11: Prenatal Care ............................................................................................................. 70
Chapter 12: Pregnancy at Risk ...................................................................................................... 76
Chapter 13: Prenatal Testing ........................................................................................................ 81
Chapter 14: Childbirth Education Options .................................................................................... 85
Chapter 15: Process of Labor and Birth ........................................................................................ 92
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring .............................................. 97
Chapter 17: Pain Management During Labor and Birth ............................................................. 103
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 108
Chapter 19: Complications of Labor and Birth ........................................................................... 114
Chapter 20: Postpartum Care ..................................................................................................... 122
Chapter 21: Postpartum Complications...................................................................................... 127
Chapter 22: Immediate Care of the Newborn ............................................................................ 132
Chapter 23: Newborn Assessment ............................................................................................. 137
Chapter 24: Care of the Typical Newborn .................................................................................. 142
Chapter 25: Care of the Newborn at Risk ................................................................................... 146
Chapter 26: Perinatal Bereavement ........................................................................................... 151
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 155
2
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
,OpenStax Maternal-Newborn Nursing Student Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health
Nursing
Review Questions
1. What is one purpose of the Healthy People 2030 objectives?
a. Stop world hunger.
b. Prevent conflict and war in other countries.
c. Address issues in health care to solve cancer.
d. Recommend changes to increase health promotion and disease prevention.
[Answer: D]
3. The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient
has any problems with sexual dysfunction. Why is it important for the nurse to ask all
people this question?
a. Some people may not bring up the topic of sex due to taboos and stigma.
b. All patients will eventually have sexual problems.
c. Nurses should ask because other health-care providers are not trained to ask those
questions.
d. Sexual dysfunction is a taboo only for people AFAB.
[Answer: A]
5. The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic
provider see a person at this age?
a. The person’s partner desires permanent sterilization.
b. Their family told the person they had to get a Pap smear.
c. The person was late starting care because the first visit should be before the age of 13.
d. The person may want to discuss their menstrual cycle and hormonal changes.
[Answer: D]
7. What occurred after childbirth migrated from the home to the hospital?
a. Infection rates dropped in the hospital.
b. Laboring people were given greater support in labor.
c. The childbirth model became a medical model.
d. Pain relief allowed laboring people to spend more time with their partners in labor.
[Answer: C]
9. A community health nurse recognizes an increase in maternal mortality in the
neighborhood. What could the community health nurse do?
a. Conduct weekly prenatal appointments in their home.
b. Draw blood on all pregnant people to look for anemia.
c. Assess the health of a baby using an ultrasound.
d. Develop an educational pamphlet discussing signs of preeclampsia.
[Answer: D]
11. What is the purpose of the standards of care for nurses?
a. to guide hospital administration to promote nurses
b. to ensure nurses are assessing patients
c. to protect the public’s safety
d. to protect the health-care providers
3
, OpenStax Maternal-Newborn Nursing Student Answer Guide
[Answer: C]
13. The fnurse fmakes fan ferror fof fomission. fWhat fis fan fexample fof fan ferror fof fomission?
a. placing fthe ffetal fmonitor fincorrectly
b. not frecording finput/output famounts
c. not fcovering fthe fcomputer fscreen fwhen fdocumenting
d. removing fan fIV
[Answer: fB]
15. What fis fa fgood fexample fof finformed fconsent?
a. The fnurse fhands fthe fpatient fthe fstack fof fconsents fand fasks fthem fto fsign fthem.
b. The fnurse ftells fthe fpatient fnot fto fworry fabout freading fthe fconsents.
c. The fnurse falerts fthe fOB fthat fthe fpatient fhas fquestions fabout fthe fcesarean fconsent.
d. The fnurse fexplains fthat fit fis fnot ftheir fjob fto fanswer fquestions.
[Answer: fC]
17. fWhat fis fan fexample fof fmaternal-fetal fconflict?
a. The fpregnant fperson fagrees fto ftreatment fno fmatter fwhat fhappens fto fthem.
b. The fpregnant fperson fhas fcancer fbut fcannot fstart ftreatment funtil fthe ffetus fis
fdelivered.
c. The ffetus fis fin fdistress, fand fthe fpregnant fperson fagrees fto fa fcesarean fbirth.
d. The fparents fof fa ffetus fagree fto fa flabor finduction.
[Answer: fB]
Check fYour fUnderstanding fQuestions
1. How fcan fnurses fuse fthe fHealthy fPeople f2030 fobjectives fto fadvance fthe fhealth fof ftheir
fpatients?
[Answer: fAnswers fmay fvary fbut fshould finclude fthat fthe fnurse fuses fthese fobjectives fto fhelp
feducate fpeople fregarding fhealth fpromotion fand fdisease fprevention. fPatient feducation
fbased fon fthese fobjectives fcan fhelp fprevent fcervical fcancer, fheart fdisease, fand fadolescent
fpregnancies, fand fcan felevate fthe fhealth fand fwellness fof fpeople fassigned ffemale fat fbirth.]
3. Name fthree fcore fconcepts fof fwomen’s fhealth fnursing.
[Answer: fAnswers fmay fvary fbut fshould finclude fany fthree ffrom fthis flist.
• recognizing fthe fdiversity fof fwomen’s fhealth fneeds
• emphasizing fempowerment fthrough finformed fparticipation fin fone’s fhealth fcare
• acknowledging fthe fimportance fof fresearch fin fgender fdifferences fin fdisease fand
fresponse fto fdrugs
• recognizing fthe fneed ffor fa fmultidisciplinary fteam fapproach
• striving ffor fsymmetry fin fprovider-patient frelationships
• providing faccess fto finformation f
• engaging fin fshared fdecision fmaking
• striving ffor fchange]
5. Explain fhow fsurrogacy fcan fbe fan fethical fdilemma.
[Answer: fAnswers fwill fvary fbut fshould finclude fsome fof fthe ffollowing: f
4
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
OpenStax Maternal-Newborn Nursing
Instructor Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing .............................. 3
Chapter 2: Culturally Competent Nursing Care ............................................................................ 11
Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care ................ 17
Chapter 4: Influences on Fertility ................................................................................................. 26
Chapter 5: Family Planning ........................................................................................................... 32
Chapter 6: Structural and Tissue Disorders of the Reproductive System .................................... 42
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections................ 47
Chapter 8: Disorders of the Breast ............................................................................................... 52
Chapter 9: Violence Against Women ............................................................................................ 55
Chapter 10: Pregnancy .................................................................................................................. 63
Chapter 11: Prenatal Care ............................................................................................................. 70
Chapter 12: Pregnancy at Risk ...................................................................................................... 76
Chapter 13: Prenatal Testing ........................................................................................................ 81
Chapter 14: Childbirth Education Options .................................................................................... 85
Chapter 15: Process of Labor and Birth ........................................................................................ 92
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring .............................................. 97
Chapter 17: Pain Management During Labor and Birth ............................................................. 103
Chapter 18: Nursing Care and Interventions During Labor and Birth ........................................ 108
Chapter 19: Complications of Labor and Birth ........................................................................... 114
Chapter 20: Postpartum Care ..................................................................................................... 122
Chapter 21: Postpartum Complications...................................................................................... 127
Chapter 22: Immediate Care of the Newborn ............................................................................ 132
Chapter 23: Newborn Assessment ............................................................................................. 137
Chapter 24: Care of the Typical Newborn .................................................................................. 142
Chapter 25: Care of the Newborn at Risk ................................................................................... 146
Chapter 26: Perinatal Bereavement ........................................................................................... 151
Chapter 27: Unfolding Case Study: Applying Clinical Judgment ................................................. 155
2
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
,OpenStax Maternal-Newborn Nursing Student Answer Guide
Chapter 1: Foundations in Maternal-Newborn and Women’s Health
Nursing
Review Questions
1. What is one purpose of the Healthy People 2030 objectives?
a. Stop world hunger.
b. Prevent conflict and war in other countries.
c. Address issues in health care to solve cancer.
d. Recommend changes to increase health promotion and disease prevention.
[Answer: D]
3. The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient
has any problems with sexual dysfunction. Why is it important for the nurse to ask all
people this question?
a. Some people may not bring up the topic of sex due to taboos and stigma.
b. All patients will eventually have sexual problems.
c. Nurses should ask because other health-care providers are not trained to ask those
questions.
d. Sexual dysfunction is a taboo only for people AFAB.
[Answer: A]
5. The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic
provider see a person at this age?
a. The person’s partner desires permanent sterilization.
b. Their family told the person they had to get a Pap smear.
c. The person was late starting care because the first visit should be before the age of 13.
d. The person may want to discuss their menstrual cycle and hormonal changes.
[Answer: D]
7. What occurred after childbirth migrated from the home to the hospital?
a. Infection rates dropped in the hospital.
b. Laboring people were given greater support in labor.
c. The childbirth model became a medical model.
d. Pain relief allowed laboring people to spend more time with their partners in labor.
[Answer: C]
9. A community health nurse recognizes an increase in maternal mortality in the
neighborhood. What could the community health nurse do?
a. Conduct weekly prenatal appointments in their home.
b. Draw blood on all pregnant people to look for anemia.
c. Assess the health of a baby using an ultrasound.
d. Develop an educational pamphlet discussing signs of preeclampsia.
[Answer: D]
11. What is the purpose of the standards of care for nurses?
a. to guide hospital administration to promote nurses
b. to ensure nurses are assessing patients
c. to protect the public’s safety
d. to protect the health-care providers
3
, OpenStax Maternal-Newborn Nursing Student Answer Guide
[Answer: C]
13. The fnurse fmakes fan ferror fof fomission. fWhat fis fan fexample fof fan ferror fof fomission?
a. placing fthe ffetal fmonitor fincorrectly
b. not frecording finput/output famounts
c. not fcovering fthe fcomputer fscreen fwhen fdocumenting
d. removing fan fIV
[Answer: fB]
15. What fis fa fgood fexample fof finformed fconsent?
a. The fnurse fhands fthe fpatient fthe fstack fof fconsents fand fasks fthem fto fsign fthem.
b. The fnurse ftells fthe fpatient fnot fto fworry fabout freading fthe fconsents.
c. The fnurse falerts fthe fOB fthat fthe fpatient fhas fquestions fabout fthe fcesarean fconsent.
d. The fnurse fexplains fthat fit fis fnot ftheir fjob fto fanswer fquestions.
[Answer: fC]
17. fWhat fis fan fexample fof fmaternal-fetal fconflict?
a. The fpregnant fperson fagrees fto ftreatment fno fmatter fwhat fhappens fto fthem.
b. The fpregnant fperson fhas fcancer fbut fcannot fstart ftreatment funtil fthe ffetus fis
fdelivered.
c. The ffetus fis fin fdistress, fand fthe fpregnant fperson fagrees fto fa fcesarean fbirth.
d. The fparents fof fa ffetus fagree fto fa flabor finduction.
[Answer: fB]
Check fYour fUnderstanding fQuestions
1. How fcan fnurses fuse fthe fHealthy fPeople f2030 fobjectives fto fadvance fthe fhealth fof ftheir
fpatients?
[Answer: fAnswers fmay fvary fbut fshould finclude fthat fthe fnurse fuses fthese fobjectives fto fhelp
feducate fpeople fregarding fhealth fpromotion fand fdisease fprevention. fPatient feducation
fbased fon fthese fobjectives fcan fhelp fprevent fcervical fcancer, fheart fdisease, fand fadolescent
fpregnancies, fand fcan felevate fthe fhealth fand fwellness fof fpeople fassigned ffemale fat fbirth.]
3. Name fthree fcore fconcepts fof fwomen’s fhealth fnursing.
[Answer: fAnswers fmay fvary fbut fshould finclude fany fthree ffrom fthis flist.
• recognizing fthe fdiversity fof fwomen’s fhealth fneeds
• emphasizing fempowerment fthrough finformed fparticipation fin fone’s fhealth fcare
• acknowledging fthe fimportance fof fresearch fin fgender fdifferences fin fdisease fand
fresponse fto fdrugs
• recognizing fthe fneed ffor fa fmultidisciplinary fteam fapproach
• striving ffor fsymmetry fin fprovider-patient frelationships
• providing faccess fto finformation f
• engaging fin fshared fdecision fmaking
• striving ffor fchange]
5. Explain fhow fsurrogacy fcan fbe fan fethical fdilemma.
[Answer: fAnswers fwill fvary fbut fshould finclude fsome fof fthe ffollowing: f
4
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
10/29/2025
