TEST BANK
OpenStax Maternal-Newborn Nursing, Volume 2
First Edition
,Unit 1: Introduction to Maternal-Newborn and Women's Health Nursing
● Chapter 1: Foundations in Maternal-Newborn and Women's Health Nursing
● Chapter 2: Culturally Competent Nursing Care
Unit 2: Women's Health Through the Lifespan
● Chapter 3: Health Promotion, Disease and Injury Prevention, and
Well-Person Care
● Chapter 4: Influences on Fertility
● Chapter 5: Family Planning
● Chapter 6: Structural and Tissue Disorders of the Reproductive System
● Chapter 7: Commonly Occurring Reproductive and Genitourinary System
Infections
● Chapter 8: Disorders of the Breast
● Chapter 9: Violence Against Women
Unit 3: Care During Pregnancy
● Chapter 10: Pregnancy
● Chapter 11: Prenatal Care
● Chapter 12: Pregnancy at Risk
● Chapter 13: Prenatal Testing
● Chapter 14: Childbirth Education Options
Unit 4: Care During Labor and Birth
● Chapter 15: Process of Labor and Birth
● Chapter 16: Electronic Fetal and Uterine Contraction Monitoring
● Chapter 17: Pain Management During Labor and Birth
● Chapter 18: Nursing Care and Interventions During Labor and Birth
● Chapter 19: Complications of Labor and Birth
Unit 5: Care During the Postpartum Period
● Chapter 20: Postpartum Care
● Chapter 21: Postpartum Complications
Unit 6: Newborn Care
● Chapter 22: Immediate Care of the Newborn
● Chapter 23: Newborn Assessment
● Chapter 24: Care of the Typical Newborn
● Chapter 25: Care of the Newborn at Risk
● Chapter 26: Perinatal Bereavement
● Chapter 27: Unfolding Case Study: Applying Clinical Judgment
2|Page
,Chapter 1: Foundations in Maternal-Newborn and
Women's Health Nursing
1. A nurse is providing education to a 14-year-old patient during a
wellness visit. According to the American College of
Obstetricians and Gynecologists (ACOG), which of the following
is the primary reason for a person of this age to see a
gynecologic health-care provider?
A. To receive a first Papanicolaou (Pap) smear
B. To discuss normal hormonal changes and menstrual cycle issues
C. To initiate permanent sterilization procedures
D. To undergo screening for menopause
Correct Answer: B
Rationales: ACOG recommends that persons assigned
female at birth (AFAB) see a gynecologic provider
between ages 13 and 15 to discuss hormonal changes
and menstruation. Pap smears, sterilization, and
menopause screenings are not the primary focus for this
age group.
2. A nurse is caring for a newborn in the initial recovery period.
According to standard professional staffing guidelines for perinatal
units, what is the expected
nurse-to-patient ratio for this newborn?
A. One nurse to one newborn
B. One nurse to four newborns
C. One nurse to two parent-baby couplets
D. One nurse to six stable newborns
Correct Answer: A
Rationales: The textbook specifies that a newborn should
have one-to-one nursing care during the initial recovery
period to ensure safety and quality. Ratios of 1:4 or 1:2
couplets are appropriate for later postpartum care but not
the immediate recovery period.
3. A nurse manager is reviewing "errors of omission" within a
labor and birth unit. Which of the following documented actions
represents an error of omission?
A. Administering an incorrect dose of an antihypertensive medication
B. Failing to record a patient’s intake and output measures
C. Using an infusion pump that has not been properly calibrated
D. Entering an incorrect patient name on a lab specimen
3|Page
, Correct Answer: B
Rationales: An error of omission is defined as a
treatment or assessment that is not performed. Failing
to record intake and output is specifically listed as a
common error of omission in perinatal care. The other
options represent errors of commission or equipment
failure.
4. A nurse is preparing a presentation on the Quality and Safety
Education for Nurses (QSEN) project. Which of the following is
identified as one of the six primary QSEN competencies?
A. Professional Practice Evaluation
B. Environmental Health
C. Informatics
D. Resource Stewardship
Correct Answer: C
Rationales: The six QSEN competencies include patient-
centered care, teamwork and collaboration, evidence-
based practice, quality improvement, safety, and
informatics. Professional practice evaluation and
environmental health are ANA Standards, not QSEN
competencies.
5. A nurse is reviewing maternal mortality statistics in the United
States. Which finding accurately reflects the data regarding racial
disparities in maternal outcomes?
A. Maternal mortality is equal across all racial and ethnic groups.
B. Non-Hispanic Black persons have maternal mortality rates 2.6
times higher than non-Hispanic White persons.
C. Hispanic persons have the highest maternal mortality rate in the
country.
D. Developed countries, including the U.S., have seen a total
elimination of maternal death.
Correct Answer: B
Rationales: In the United States, maternal mortality
occurs 2.6 times more often in non-Hispanic Black
persons than in non-Hispanic White persons. The
U.S. actually has the highest maternal mortality rate of
any developed country.
6. A laboring patient from a patriarchal society arrives at the
hospital late in the second stage of labor. The nurse recognizes
that the patient lacked the autonomy to seek care until her
partner was available to drive her. According to the "Three Delays
Model," which delay does this scenario primarily represent?
4|Page
OpenStax Maternal-Newborn Nursing, Volume 2
First Edition
,Unit 1: Introduction to Maternal-Newborn and Women's Health Nursing
● Chapter 1: Foundations in Maternal-Newborn and Women's Health Nursing
● Chapter 2: Culturally Competent Nursing Care
Unit 2: Women's Health Through the Lifespan
● Chapter 3: Health Promotion, Disease and Injury Prevention, and
Well-Person Care
● Chapter 4: Influences on Fertility
● Chapter 5: Family Planning
● Chapter 6: Structural and Tissue Disorders of the Reproductive System
● Chapter 7: Commonly Occurring Reproductive and Genitourinary System
Infections
● Chapter 8: Disorders of the Breast
● Chapter 9: Violence Against Women
Unit 3: Care During Pregnancy
● Chapter 10: Pregnancy
● Chapter 11: Prenatal Care
● Chapter 12: Pregnancy at Risk
● Chapter 13: Prenatal Testing
● Chapter 14: Childbirth Education Options
Unit 4: Care During Labor and Birth
● Chapter 15: Process of Labor and Birth
● Chapter 16: Electronic Fetal and Uterine Contraction Monitoring
● Chapter 17: Pain Management During Labor and Birth
● Chapter 18: Nursing Care and Interventions During Labor and Birth
● Chapter 19: Complications of Labor and Birth
Unit 5: Care During the Postpartum Period
● Chapter 20: Postpartum Care
● Chapter 21: Postpartum Complications
Unit 6: Newborn Care
● Chapter 22: Immediate Care of the Newborn
● Chapter 23: Newborn Assessment
● Chapter 24: Care of the Typical Newborn
● Chapter 25: Care of the Newborn at Risk
● Chapter 26: Perinatal Bereavement
● Chapter 27: Unfolding Case Study: Applying Clinical Judgment
2|Page
,Chapter 1: Foundations in Maternal-Newborn and
Women's Health Nursing
1. A nurse is providing education to a 14-year-old patient during a
wellness visit. According to the American College of
Obstetricians and Gynecologists (ACOG), which of the following
is the primary reason for a person of this age to see a
gynecologic health-care provider?
A. To receive a first Papanicolaou (Pap) smear
B. To discuss normal hormonal changes and menstrual cycle issues
C. To initiate permanent sterilization procedures
D. To undergo screening for menopause
Correct Answer: B
Rationales: ACOG recommends that persons assigned
female at birth (AFAB) see a gynecologic provider
between ages 13 and 15 to discuss hormonal changes
and menstruation. Pap smears, sterilization, and
menopause screenings are not the primary focus for this
age group.
2. A nurse is caring for a newborn in the initial recovery period.
According to standard professional staffing guidelines for perinatal
units, what is the expected
nurse-to-patient ratio for this newborn?
A. One nurse to one newborn
B. One nurse to four newborns
C. One nurse to two parent-baby couplets
D. One nurse to six stable newborns
Correct Answer: A
Rationales: The textbook specifies that a newborn should
have one-to-one nursing care during the initial recovery
period to ensure safety and quality. Ratios of 1:4 or 1:2
couplets are appropriate for later postpartum care but not
the immediate recovery period.
3. A nurse manager is reviewing "errors of omission" within a
labor and birth unit. Which of the following documented actions
represents an error of omission?
A. Administering an incorrect dose of an antihypertensive medication
B. Failing to record a patient’s intake and output measures
C. Using an infusion pump that has not been properly calibrated
D. Entering an incorrect patient name on a lab specimen
3|Page
, Correct Answer: B
Rationales: An error of omission is defined as a
treatment or assessment that is not performed. Failing
to record intake and output is specifically listed as a
common error of omission in perinatal care. The other
options represent errors of commission or equipment
failure.
4. A nurse is preparing a presentation on the Quality and Safety
Education for Nurses (QSEN) project. Which of the following is
identified as one of the six primary QSEN competencies?
A. Professional Practice Evaluation
B. Environmental Health
C. Informatics
D. Resource Stewardship
Correct Answer: C
Rationales: The six QSEN competencies include patient-
centered care, teamwork and collaboration, evidence-
based practice, quality improvement, safety, and
informatics. Professional practice evaluation and
environmental health are ANA Standards, not QSEN
competencies.
5. A nurse is reviewing maternal mortality statistics in the United
States. Which finding accurately reflects the data regarding racial
disparities in maternal outcomes?
A. Maternal mortality is equal across all racial and ethnic groups.
B. Non-Hispanic Black persons have maternal mortality rates 2.6
times higher than non-Hispanic White persons.
C. Hispanic persons have the highest maternal mortality rate in the
country.
D. Developed countries, including the U.S., have seen a total
elimination of maternal death.
Correct Answer: B
Rationales: In the United States, maternal mortality
occurs 2.6 times more often in non-Hispanic Black
persons than in non-Hispanic White persons. The
U.S. actually has the highest maternal mortality rate of
any developed country.
6. A laboring patient from a patriarchal society arrives at the
hospital late in the second stage of labor. The nurse recognizes
that the patient lacked the autonomy to seek care until her
partner was available to drive her. According to the "Three Delays
Model," which delay does this scenario primarily represent?
4|Page
