,MULTIPLE CHOICES
1. The most significant factor contributing to the decline in maternal mortality in the United States over the past
century has been:
A) Improved access to prenatal care
B) The development of antibiotics and blood transfusions
C) Increased rates of cesarean section
D) The availability of fetal monitoring
Answer: B
Rationale: Antibiotics dramatically reduced deaths from puerperal sepsis, while blood transfusions reduced
deaths from postpartum hemorrhage; these medical advances were the most significant factors in reducing
maternal mortality.
2. A neonate born at 36 weeks gestation is classified as which of the following?
A) Very premature
B) Moderately premature
C) Late premature
D) Term
,Answer: C
Rationale: Late preterm is defined as 34 0/7 to 36 6/7 weeks gestation; these infants require close monitoring
for feeding difficulties, thermoregulation instability, and respiratory issues due to physiological immaturity.
3. Since 1995, there has been a significant decrease in the rate of infant death related to which of the following?
A) Disorders associated with short gestation and low birth weight
B) Accidents
C) Sudden infant death syndrome (SIDS)
D) Newborns affected by complications of placenta, cord, and membranes
Answer: C
Rationale: Public health campaigns such as the "Back to Sleep" (now "Safe to Sleep") initiative have dramatically
reduced SIDS rates; rates of prematurity and low birth weight have not decreased similarly.
4. Tobacco use during pregnancy is associated with intrauterine growth restriction, preterm births, and
respiratory problems. By race, which group has the highest percentage of smokers during pregnancy?
A) American Indian and Alaskan Natives
B) Asian or Pacific Islanders
, C) Non-Hispanic blacks
D) Non-Hispanic whites
Answer: A
Rationale: Despite overall declines in tobacco use during pregnancy, American Indian and Alaskan Native
populations report the highest rates of smoking during pregnancy.
5. The primary goal of contemporary maternal-newborn nursing is to:
A) Treat acute illness in pregnant women
B) Promote family-centered care and healthy outcomes
C) Focus exclusively on medical interventions
D) Separate mother and baby for optimal medical care
Answer: B
Rationale: Contemporary maternal-newborn nursing emphasizes family-centered care that promotes healthy
outcomes for both mother and baby, rather than focusing solely on illness treatment or medical interventions.
6. Which woman is at the highest risk for health disparity?
A) A white, middle-class, 16-year-old
1. The most significant factor contributing to the decline in maternal mortality in the United States over the past
century has been:
A) Improved access to prenatal care
B) The development of antibiotics and blood transfusions
C) Increased rates of cesarean section
D) The availability of fetal monitoring
Answer: B
Rationale: Antibiotics dramatically reduced deaths from puerperal sepsis, while blood transfusions reduced
deaths from postpartum hemorrhage; these medical advances were the most significant factors in reducing
maternal mortality.
2. A neonate born at 36 weeks gestation is classified as which of the following?
A) Very premature
B) Moderately premature
C) Late premature
D) Term
,Answer: C
Rationale: Late preterm is defined as 34 0/7 to 36 6/7 weeks gestation; these infants require close monitoring
for feeding difficulties, thermoregulation instability, and respiratory issues due to physiological immaturity.
3. Since 1995, there has been a significant decrease in the rate of infant death related to which of the following?
A) Disorders associated with short gestation and low birth weight
B) Accidents
C) Sudden infant death syndrome (SIDS)
D) Newborns affected by complications of placenta, cord, and membranes
Answer: C
Rationale: Public health campaigns such as the "Back to Sleep" (now "Safe to Sleep") initiative have dramatically
reduced SIDS rates; rates of prematurity and low birth weight have not decreased similarly.
4. Tobacco use during pregnancy is associated with intrauterine growth restriction, preterm births, and
respiratory problems. By race, which group has the highest percentage of smokers during pregnancy?
A) American Indian and Alaskan Natives
B) Asian or Pacific Islanders
, C) Non-Hispanic blacks
D) Non-Hispanic whites
Answer: A
Rationale: Despite overall declines in tobacco use during pregnancy, American Indian and Alaskan Native
populations report the highest rates of smoking during pregnancy.
5. The primary goal of contemporary maternal-newborn nursing is to:
A) Treat acute illness in pregnant women
B) Promote family-centered care and healthy outcomes
C) Focus exclusively on medical interventions
D) Separate mother and baby for optimal medical care
Answer: B
Rationale: Contemporary maternal-newborn nursing emphasizes family-centered care that promotes healthy
outcomes for both mother and baby, rather than focusing solely on illness treatment or medical interventions.
6. Which woman is at the highest risk for health disparity?
A) A white, middle-class, 16-year-old
