Bergamotte
Clearly not written by an expert.
Who picked that information provider to produce the education material?
Who's job was that?
Who did they report to?
What process was in place to ensure that all the medical texts are updating as medicine and best pratice changed?
What basic audit of new / topical materials was made to ensure they were in line with the latest advances?
Who's job was it to present all that work to the board of examiners to assure them that the texts and teaching materials used to cover the syllabus produced a knowledgeable student nurse?
Why was there no thought that the student nurse would need a minimum competency to understand its a female with extra needs. That's actually important as female and male "normal" test results may differ, medicines (note the male was given more than the female so a possible medical error becomes best pratice) and the equipment differed by female/male body. A pregnant female with a complex medical history is not a pregnant male.
Without thinking at all about it.
The old saying Doctors bury their mistakes.
Quite apart from how I wouldn't feel confident that anything else from that workbook is medically correct.
I would be more cynical, who was getting the academic boost of having their material used by a recognised educational body?
Who got paid for the work involved in producing the document?
At each step who was involved and how did they benefit by publishing that material?