TESTBANK FOR MATERNAL NEWBORN NURSING
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
,.
Chapter 1: Foundations in Maternal-Newborn and Women's Health Nursing
Question 1
A nurse is reviewing the latest maternal mortality statistics in the United States. Which finding
should the nurse identify as a significant trend requiring targeted nursing intervention and
advocacy?
A. Maternal mortality rates are lowest among non-Hispanic Black women.
B. The majority of pregnancy-related deaths occur during the first trimester.
C. Maternal mortality rates in the U.S. are higher than in most other developed nations.
D. Chronic conditions like obesity have no impact on current maternal mortality trends.
Correct Answer: C
Detailed Rationale: Despite high healthcare spending, the United States has a higher
maternal mortality rate than most other high-income countries. This highlights systemic
issues in access to care and quality of care. Non-Hispanic Black women (A) actually
experience significantly higher mortality rates than other groups. Most deaths (B) occur
in the postpartum period, not the first trimester. Chronic conditions (D) such as obesity
and hypertension are major contributors to the rising mortality rates.
Question 2
A nurse is caring for a patient who is 32 weeks pregnant and refusing a necessary blood
transfusion due to religious beliefs. The provider insists the transfusion is life-saving for both
mother and fetus. What is the nurse’s primary ethical responsibility?
A. Administer the blood transfusion while the patient is sleeping to save the fetus.
B. Advocate for the patient’s right to autonomy and informed refusal of treatment.
C. Support the provider’s decision as the fetus’s life takes priority over the mother’s beliefs.
D. Tell the patient that her refusal constitutes child abuse and notify social services.
Correct Answer: B
, Detailed Rationale: Respect for autonomy is a core ethical principle. A competent adult
has the legal and ethical right to refuse medical treatment, even if that refusal may lead to
death for themselves or the fetus. The nurse must advocate for the patient's choice (B).
Coercing or surreptitiously treating the patient (A, C) is a violation of battery laws and
ethics. While difficult, refusal of treatment based on religious belief is not legally defined
as child abuse in this context (D).
Question 3
A labor and delivery nurse is utilizing the QSEN (Quality and Safety Education for Nurses)
competency of Evidence-Based Practice (EBP). Which action best demonstrates this
competency?
A. Continuing to use fundal pressure during a shoulder dystocia because "that's how we've
always done it."
B. Using a specific hand-off tool (like SBAR) to communicate fetal heart rate concerns to the
provider.
C. Reviewing recent peer-reviewed journals to determine the safety of delayed cord clamping.
D. Encouraging the patient to stay in a supine position throughout the entire first stage of labor.
Correct Answer: C
Detailed Rationale: Evidence-Based Practice (C) involves integrating the best current
evidence from clinical research with clinical expertise and patient preferences. Doing
things because they are "traditional" (A) or using outdated positions (D) contradicts EBP.
While SBAR (B) is a safety competency (Teamwork and Collaboration), it is the active
search for and application of new clinical data that defines EBP.
Question 4
A nurse in a prenatal clinic is explaining the role of a Certified Nurse-Midwife (CNM) to a new
patient. Which statement by the nurse accurately describes this role?
A. "CNMs can only provide care for low-risk patients during the postpartum period."
B. "CNMs are advanced practice nurses who provide comprehensive care throughout the
lifespan."
C. "CNMs must always have a physician in the room during a vaginal delivery."
D. "CNMs are essentially the same as doulas and focus only on emotional support."
Correct Answer: B
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
,.
Chapter 1: Foundations in Maternal-Newborn and Women's Health Nursing
Question 1
A nurse is reviewing the latest maternal mortality statistics in the United States. Which finding
should the nurse identify as a significant trend requiring targeted nursing intervention and
advocacy?
A. Maternal mortality rates are lowest among non-Hispanic Black women.
B. The majority of pregnancy-related deaths occur during the first trimester.
C. Maternal mortality rates in the U.S. are higher than in most other developed nations.
D. Chronic conditions like obesity have no impact on current maternal mortality trends.
Correct Answer: C
Detailed Rationale: Despite high healthcare spending, the United States has a higher
maternal mortality rate than most other high-income countries. This highlights systemic
issues in access to care and quality of care. Non-Hispanic Black women (A) actually
experience significantly higher mortality rates than other groups. Most deaths (B) occur
in the postpartum period, not the first trimester. Chronic conditions (D) such as obesity
and hypertension are major contributors to the rising mortality rates.
Question 2
A nurse is caring for a patient who is 32 weeks pregnant and refusing a necessary blood
transfusion due to religious beliefs. The provider insists the transfusion is life-saving for both
mother and fetus. What is the nurse’s primary ethical responsibility?
A. Administer the blood transfusion while the patient is sleeping to save the fetus.
B. Advocate for the patient’s right to autonomy and informed refusal of treatment.
C. Support the provider’s decision as the fetus’s life takes priority over the mother’s beliefs.
D. Tell the patient that her refusal constitutes child abuse and notify social services.
Correct Answer: B
, Detailed Rationale: Respect for autonomy is a core ethical principle. A competent adult
has the legal and ethical right to refuse medical treatment, even if that refusal may lead to
death for themselves or the fetus. The nurse must advocate for the patient's choice (B).
Coercing or surreptitiously treating the patient (A, C) is a violation of battery laws and
ethics. While difficult, refusal of treatment based on religious belief is not legally defined
as child abuse in this context (D).
Question 3
A labor and delivery nurse is utilizing the QSEN (Quality and Safety Education for Nurses)
competency of Evidence-Based Practice (EBP). Which action best demonstrates this
competency?
A. Continuing to use fundal pressure during a shoulder dystocia because "that's how we've
always done it."
B. Using a specific hand-off tool (like SBAR) to communicate fetal heart rate concerns to the
provider.
C. Reviewing recent peer-reviewed journals to determine the safety of delayed cord clamping.
D. Encouraging the patient to stay in a supine position throughout the entire first stage of labor.
Correct Answer: C
Detailed Rationale: Evidence-Based Practice (C) involves integrating the best current
evidence from clinical research with clinical expertise and patient preferences. Doing
things because they are "traditional" (A) or using outdated positions (D) contradicts EBP.
While SBAR (B) is a safety competency (Teamwork and Collaboration), it is the active
search for and application of new clinical data that defines EBP.
Question 4
A nurse in a prenatal clinic is explaining the role of a Certified Nurse-Midwife (CNM) to a new
patient. Which statement by the nurse accurately describes this role?
A. "CNMs can only provide care for low-risk patients during the postpartum period."
B. "CNMs are advanced practice nurses who provide comprehensive care throughout the
lifespan."
C. "CNMs must always have a physician in the room during a vaginal delivery."
D. "CNMs are essentially the same as doulas and focus only on emotional support."
Correct Answer: B
