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 postpartum patient with limited English proficiency
arrives for discharge teaching about breastfeeding and newborn
safety. Which nursing action best demonstrates culturally
competent, patient-centered care before discharge?
A. Provide a printed breastfeeding pamphlet in English and ask
a family member to translate.
B. Schedule a follow-up telephone call in 48 hours to answer
questions in English.
C. Use a trained medical interpreter to conduct teach-back and
provide written materials in the patient’s language.
D. Rely on nonverbal demonstration of breastfeeding and a
short safety checklist in English.
Correct Answer: C
Rationales:
, • Correct (C): Using a trained medical interpreter and
translated materials supports accurate communication,
informed decision-making, and culturally competent care.
It ensures comprehension via teach-back, reducing safety
risks.
• A: Having a family member translate risks
misinterpretation and privacy breaches; it is not best
practice.
• B: A follow-up call in English assumes understanding at
discharge and delays immediate teaching; it’s insufficient.
• D: Nonverbal demonstration without language-appropriate
materials may leave gaps in understanding and misses
teach-back confirmation.
Teaching Point: Use trained interpreters and language-
appropriate materials with teach-back for safe discharge
teaching.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing
2.
Reference: Ch. 1: Advances in the Care of Mothers and Infants
— Perinatal Technology & Outcomes
,Stem: A laboring patient with type 1 diabetes is admitted.
Which maternal–fetal monitoring plan best reflects evidence-
based advances to minimize neonatal hypoglycemia risk?
A. Continuous external fetal monitoring only, insulin as ordered,
neonatal glucose screening at 24 hours.
B. Continuous maternal glucose monitoring and insulin titration
during labor; neonatal glucose checked within 30–60 minutes
after birth.
C. Maternal glucose checked once on admission; hold insulin
during labor; check newborn glucose only if symptomatic.
D. Intermittent fetal monitoring and neonatal glucose screening
at routine newborn intervals.
Correct Answer: B
Rationales:
• Correct (B): Continuous maternal glucose monitoring with
insulin titration during labor stabilizes maternal glucose
and decreases neonatal hypoglycemia risk; early newborn
glucose screening is recommended.
• A: External fetal monitoring alone and delayed neonatal
screening miss maternal glycemic variability and early
neonatal hypoglycemia.
• C: Infrequent maternal glucose checks and holding insulin
increase risk for maternal hyper/hypoglycemia and
neonatal instability.
, • D: Intermittent monitoring and routine newborn intervals
do not address maternal glycemic control or early neonatal
screening needs.
Teaching Point: Titrate maternal glucose in labor and screen
neonates early to prevent hypoglycemia.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants
3.
Reference: Ch. 1: Efforts to Reduce Health Disparities — Social
Determinants & Access to Care
Stem: A community health nurse plans a prenatal outreach
program in a neighborhood with high preterm birth rates.
Which intervention most directly targets social determinants to
reduce disparities?
A. Offer weekly prenatal education classes at the hospital’s
main campus.
B. Partner with local clinics to provide community-based
prenatal visits, transportation vouchers, and social service
referrals.
C. Distribute a list of online prenatal resources to local
residents.
D. Provide high-risk prenatal referrals to a tertiary care center.
Correct Answer: B
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 postpartum patient with limited English proficiency
arrives for discharge teaching about breastfeeding and newborn
safety. Which nursing action best demonstrates culturally
competent, patient-centered care before discharge?
A. Provide a printed breastfeeding pamphlet in English and ask
a family member to translate.
B. Schedule a follow-up telephone call in 48 hours to answer
questions in English.
C. Use a trained medical interpreter to conduct teach-back and
provide written materials in the patient’s language.
D. Rely on nonverbal demonstration of breastfeeding and a
short safety checklist in English.
Correct Answer: C
Rationales:
, • Correct (C): Using a trained medical interpreter and
translated materials supports accurate communication,
informed decision-making, and culturally competent care.
It ensures comprehension via teach-back, reducing safety
risks.
• A: Having a family member translate risks
misinterpretation and privacy breaches; it is not best
practice.
• B: A follow-up call in English assumes understanding at
discharge and delays immediate teaching; it’s insufficient.
• D: Nonverbal demonstration without language-appropriate
materials may leave gaps in understanding and misses
teach-back confirmation.
Teaching Point: Use trained interpreters and language-
appropriate materials with teach-back for safe discharge
teaching.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing
2.
Reference: Ch. 1: Advances in the Care of Mothers and Infants
— Perinatal Technology & Outcomes
,Stem: A laboring patient with type 1 diabetes is admitted.
Which maternal–fetal monitoring plan best reflects evidence-
based advances to minimize neonatal hypoglycemia risk?
A. Continuous external fetal monitoring only, insulin as ordered,
neonatal glucose screening at 24 hours.
B. Continuous maternal glucose monitoring and insulin titration
during labor; neonatal glucose checked within 30–60 minutes
after birth.
C. Maternal glucose checked once on admission; hold insulin
during labor; check newborn glucose only if symptomatic.
D. Intermittent fetal monitoring and neonatal glucose screening
at routine newborn intervals.
Correct Answer: B
Rationales:
• Correct (B): Continuous maternal glucose monitoring with
insulin titration during labor stabilizes maternal glucose
and decreases neonatal hypoglycemia risk; early newborn
glucose screening is recommended.
• A: External fetal monitoring alone and delayed neonatal
screening miss maternal glycemic variability and early
neonatal hypoglycemia.
• C: Infrequent maternal glucose checks and holding insulin
increase risk for maternal hyper/hypoglycemia and
neonatal instability.
, • D: Intermittent monitoring and routine newborn intervals
do not address maternal glycemic control or early neonatal
screening needs.
Teaching Point: Titrate maternal glucose in labor and screen
neonates early to prevent hypoglycemia.
Citation: Lowdermilk et al., 2023, Ch. 1: Advances in the Care of
Mothers and Infants
3.
Reference: Ch. 1: Efforts to Reduce Health Disparities — Social
Determinants & Access to Care
Stem: A community health nurse plans a prenatal outreach
program in a neighborhood with high preterm birth rates.
Which intervention most directly targets social determinants to
reduce disparities?
A. Offer weekly prenatal education classes at the hospital’s
main campus.
B. Partner with local clinics to provide community-based
prenatal visits, transportation vouchers, and social service
referrals.
C. Distribute a list of online prenatal resources to local
residents.
D. Provide high-risk prenatal referrals to a tertiary care center.
Correct Answer: B
