PPN 301 – Practice MCQ Questions (With
Answers & Brief Rationales)
WEEK 1 – Perinatal Nursing, Determinants of Health
1. Which statement best describes the goal of family-centred perinatal nursing?
A. The nurse focuses primarily on the birthing parent’s physical needs
B. Care is directed by the nurse as the expert decision maker
C. The family is viewed as the constant in the child’s life
D. Decision-making rests solely with the healthcare provider
Answer: C
Rationale: Family-centred care recognises the family as the primary support system.
2. A Black pregnant client reports that her concerns are dismissed in healthcare settings.
This reflects which concept?
A. Implicit bias
B. Obstetric racism
C. Epigenetics
D. Cultural assimilation
Answer: B
Rationale: Obstetric racism includes dismissal, minimisation, and unequal maternity care
experiences.
3. Which determinant of health most strongly predicts perinatal outcomes?
A. Genetic predisposition
B. Social determinants such as housing and income
C. Personal coping style
D. Nutritional supplements
Answer: B
Rationale: Income, racism, and access shape pregnancy outcomes more strongly than individual
factors.
, WEEK 2 – Healthy Pregnancy
4. The hormone primarily responsible for maintaining early pregnancy is:
A. FSH
B. Oestrogen
C. Progesterone
D. Prolactin
Answer: C
Rationale: Progesterone maintains the endometrium and prevents uterine contractions.
5. Which assessment finding requires immediate follow-up in the first trimester?
A. Nausea and vomiting
B. Breast tenderness
C. Unilateral severe abdominal pain
D. Fatigue
Answer: C
Rationale: May indicate ectopic pregnancy.
6. A pregnant client asks which foods help prevent neural tube defects. The correct response
is:
A. Cheese and yoghurt
B. Whole grains and folic acid–rich foods
C. High-protein meats
D. Oranges only
Answer: B
Rationale: Folic acid prevents neural tube defects.
WEEK 3 – Pregnancy at Risk
7. Which client is at highest risk for gestational diabetes?
A. BMI 22
B. Age 19
C. African or Caribbean ancestry with obesity
D. Pregnant with twins only
Answer: C
Answers & Brief Rationales)
WEEK 1 – Perinatal Nursing, Determinants of Health
1. Which statement best describes the goal of family-centred perinatal nursing?
A. The nurse focuses primarily on the birthing parent’s physical needs
B. Care is directed by the nurse as the expert decision maker
C. The family is viewed as the constant in the child’s life
D. Decision-making rests solely with the healthcare provider
Answer: C
Rationale: Family-centred care recognises the family as the primary support system.
2. A Black pregnant client reports that her concerns are dismissed in healthcare settings.
This reflects which concept?
A. Implicit bias
B. Obstetric racism
C. Epigenetics
D. Cultural assimilation
Answer: B
Rationale: Obstetric racism includes dismissal, minimisation, and unequal maternity care
experiences.
3. Which determinant of health most strongly predicts perinatal outcomes?
A. Genetic predisposition
B. Social determinants such as housing and income
C. Personal coping style
D. Nutritional supplements
Answer: B
Rationale: Income, racism, and access shape pregnancy outcomes more strongly than individual
factors.
, WEEK 2 – Healthy Pregnancy
4. The hormone primarily responsible for maintaining early pregnancy is:
A. FSH
B. Oestrogen
C. Progesterone
D. Prolactin
Answer: C
Rationale: Progesterone maintains the endometrium and prevents uterine contractions.
5. Which assessment finding requires immediate follow-up in the first trimester?
A. Nausea and vomiting
B. Breast tenderness
C. Unilateral severe abdominal pain
D. Fatigue
Answer: C
Rationale: May indicate ectopic pregnancy.
6. A pregnant client asks which foods help prevent neural tube defects. The correct response
is:
A. Cheese and yoghurt
B. Whole grains and folic acid–rich foods
C. High-protein meats
D. Oranges only
Answer: B
Rationale: Folic acid prevents neural tube defects.
WEEK 3 – Pregnancy at Risk
7. Which client is at highest risk for gestational diabetes?
A. BMI 22
B. Age 19
C. African or Caribbean ancestry with obesity
D. Pregnant with twins only
Answer: C
