Maternal and Nursing Care Comprehensive Review 2026: Exam Prep and Test Bank Guide

Standards of care in nursing refer to: A. Optional guidelines for practice B. Expected level of practice ensuring safe patient care delivery C. Only hospital administrative rules D. Personal nurse preferences Rationale: Standards of care define what a prudent nurse is expected to do. Personal preferences or administrative rules alone do not ensure consistent patient safety. Physician responsibility in patient care means: A. Nurses manage physician tasks B. Physicians are accountable for their own patient care activities C. Nurses can override physician orders at will D. Only physicians are responsible for hospital policies Rationale: Physicians are accountable for their own medical management. Nurses follow and collaborate but do not assume physician accountability. Nursing textbook information is: A. Basic knowledge that may not reflect current clinical standards B. Always fully up-to-date C. Legal guidelines for practice D. Only for physician reference Rationale: Textbooks provide foundational knowledge, but current protocols and guidelines may supersede them. Reducing infant mortality focuses on: A. Early prenatal care for better outcomes B. Postnatal nutrition only C. Hospital length of stay alone D. Limiting prenatal visits Rationale: Early, consistent prenatal care detects and manages risk factors, reducing infant mortality. Postnatal care and hospital stay help but are not primary prevention strategies. Neonatal intensive care units (NICUs) are designed for: A. Routine newborn care B. High-risk infants requiring specialized monitoring and treatment C. Pediatric outpatient services D. Prenatal counseling Rationale: NICUs provide critical care for vulnerable newborns. Routine care and outpatient services occur elsewhere. Alternative therapies in maternal care are: A. Replacing all conventional medicine B. Integrative approaches that value patient input and beliefs C. Always experimental and unsafe D. Only for pain management Rationale: Integrative care combines conventional and complementary therapies safely. It does not replace evidence-based medicine entirely. Negligence in nursing is defined as: A. Making a minor documentation error B. Failure to meet established standards of care C. Providing exceptional care D. Following agency policy strictly Rationale: Negligence occurs when care falls below expected standards, potentially causing harm. Minor errors or strict compliance are not necessarily negligent. Healthcare spending in the U.S. is high because of: A. Low birth rates B. High obesity rates and cost of care C. Excessive exercise programs D. Low hospital staff salaries Rationale: Obesity contributes to chronic disease management costs, driving overall spending. Other options have minimal impact on national healthcare costs. Accountability in nursing refers to: A. Avoiding responsibility for mistakes B. Legal and professional responsibility for nursing practice C. Supervising only peers D. Administrative compliance only Rationale: Accountability ensures nurses answer for their practice and decisions. It is broader than administrative oversight or peer supervision. Social media pitfalls for nurses include: A. Improving patient engagement B. Risk of violating patient privacy and confidentiality C. Always enhancing professional credibility D. Only minor professional risks Rationale: Posting patient information online can breach confidentiality and result in legal consequences. Professional benefits do not outweigh privacy risks. Integrative health care involves: A. Using alternative therapies exclusively B. Ignoring conventional medicine C. Combining alternative therapies with conventional treatment D. Only cultural rituals Rationale: Integrative healthcare blends evidence-based conventional care with safe complementary approaches. It does not abandon standard treatments. Early prenatal care is important because: A. It allows timely diagnosis and intervention for maternal and fetal health B. It guarantees perfect outcomes C. It is optional for low-risk women D. Only monitors maternal weight Rationale: Early prenatal visits detect risks early. While important, it cannot eliminate all complications, and it benefits all women, not just low-risk cases. Length of hospital stay affects: A. Infant mortality directly B. Only physician schedules C. Patient self-care education and recovery D. Legal liability exclusively Rationale: Longer stays allow nurses to educate patients on self-care. Mortality is influenced by care quality, not stay length alone. Obstetric care mandates are: A. Enforced universally for all pregnant women B. Impractical to enforce universally C. Optional for high-risk women only D. Only for hospital deliveries Rationale: Mandating care for all women is challenging due to resource limitations. Policies often encourage but cannot guarantee universal compliance. Patients can refuse treatment if: A. They have no understanding of the consequences B. They provide informed consent C. They are under coercion D. They are minors without parental consent Rationale: Patients have the right to decline treatment after understanding risks. Coercion or lack of information invalidates consent. Racial disparities in maternal health result in: A. Equal outcomes across all groups B. Significant differences in maternal morbidity and mortality C. Minor variations with no clinical significance D. Only related to socioeconomic status Rationale: Racial disparities contribute to unequal maternal health outcomes, independent of some socioeconomic factors. Collegiality in nursing refers to: A. Working competitively with peers B. Maintaining cooperative professional relationships with colleagues C. Ignoring team communication D. Supervising only junior staff Rationale: Collegiality fosters collaboration and teamwork, improving patient care and workplace environment. Ethics in nursing involves: A. Following personal beliefs only B. A code of conduct guiding practice and decision-making C. Avoiding legal responsibilities D. Administrative duties exclusively Rationale: Ethics provides a framework for professional behavior and patient advocacy, beyond personal opinion or paperwork. Evaluation in nursing refers to: A. Assessing the effectiveness of interventions and patient outcomes B. Only documenting procedures C. Planning care strategies D. Performing patient education exclusively Rationale: Evaluation determines if care achieved intended goals. Documentation or education alone does not assess effectiveness. Patient-centered care focuses on: A. Hospital convenience B. Individual patient needs, values, and preferences C. Standardized care only D. Reducing staff workload Rationale: Patient-centered care prioritizes the individual’s experience and involvement in decision-making, rather than institutional convenience. Maternal health care primarily addresses: A. Pediatric care B. Women's health during pregnancy and postpartum C. Elderly care D. Only delivery room procedures Rationale: Maternal health focuses on women’s needs throughout pregnancy, childbirth, and postpartum recovery. Holistic approach in nursing emphasizes: A. Treating disease symptoms only B. Considering the whole person, including physical, emotional, and social aspects C. Administrative efficiency D. Legal compliance alone Rationale: Holistic care addresses all dimensions of patient well-being, not just disease management. Cognitive level: Analysis involves: A. Memorizing facts B. Breaking down information for understanding and problem-solving C. Performing tasks automatically D. Ignoring details Rationale: Analysis requires dissecting information to understand relationships and implications. Memorization alone does not achieve this.