Testbank for the Foundations of
Maternal Newborn and Women's
Health Nursing, 7th Edition By:
Sharon Murray, Emily McKinney
Course
Maternal newborn and Women\'s Health Nursing
1. A nurse is teaching a client about folic acid before conception. Which statement by the
client indicates understanding?
A. "I should begin taking folic acid after I become pregnant."
B. "Folic acid prevents gestational diabetes."
C. "Taking folic acid before pregnancy helps prevent neural tube defects." ✅
D. "Folic acid prevents hypertension during pregnancy."
Answer: C
Rationale: Adequate folic acid before conception and during early pregnancy significantly
reduces neural tube defects.
2. Which hormone is primarily responsible for maintaining pregnancy during the first
trimester?
A. Estrogen
B. Progesterone ✅
C. Oxytocin
D. Prolactin
Answer: B
Rationale: Progesterone maintains the uterine lining and suppresses uterine contractions.
3. Which presumptive sign of pregnancy is reported only by the woman?
A. Positive pregnancy test
,B. Fetal heartbeat
C. Amenorrhea ✅
D. Ultrasound visualization
Answer: C
Rationale: Amenorrhea is a subjective, presumptive sign of pregnancy.
4. During the first prenatal visit, which laboratory test is most important for preventing Rh
incompatibility?
A. Hemoglobin level
B. Urinalysis
C. Blood type and Rh factor ✅
D. Glucose screening
Answer: C
Rationale: Rh status determines the need for Rh immune globulin.
5. A pregnant client reports nausea every morning. Which nursing recommendation is most
appropriate?
A. Skip breakfast.
B. Eat dry crackers before getting out of bed. ✅
C. Drink large amounts of fluids with meals.
D. Avoid carbohydrates.
Answer: B
Rationale: Small, dry foods before rising often reduce morning nausea.
6. Which maternal adaptation is considered a normal cardiovascular change during
pregnancy?
A. Decreased blood volume
,B. Increased cardiac output ✅
C. Decreased heart rate
D. Lower plasma volume
Answer: B
Rationale: Cardiac output increases approximately 30–50% during pregnancy.
7. The expected fetal heart rate range is:
A. 60–100 bpm
B. 100–120 bpm
C. 110–160 bpm ✅
D. 170–200 bpm
Answer: C
Rationale: A normal baseline fetal heart rate is 110–160 bpm.
8. Which nutrient requirement increases the most during pregnancy?
A. Vitamin C
B. Iron ✅
C. Sodium
D. Potassium
Answer: B
Rationale: Iron supports increased maternal blood volume and fetal development.
9. Which finding should the nurse report immediately in a client at 34 weeks' gestation?
A. Mild ankle edema
B. Fatigue
C. Vaginal bleeding ✅
, D. Heartburn
Answer: C
Rationale: Vaginal bleeding during pregnancy requires immediate evaluation.
10. A client in labor is 6 cm dilated. She is in which stage?
A. Latent phase
B. Active phase of the first stage ✅
C. Transition phase
D. Second stage
Answer: B
Rationale: Active labor generally occurs between 6 and 7 cm dilation.
11. Which hormone stimulates uterine contractions during labor?
A. Progesterone
B. Estrogen
C. Oxytocin ✅
D. Relaxin
Answer: C
Rationale: Oxytocin promotes effective uterine contractions.
12. The nurse notes variable decelerations on the fetal monitor. The priority intervention is:
A. Administer oxygen only.
B. Reposition the client to her side. ✅
C. Encourage pushing.
D. Increase oxytocin.
Answer: B
Maternal Newborn and Women's
Health Nursing, 7th Edition By:
Sharon Murray, Emily McKinney
Course
Maternal newborn and Women\'s Health Nursing
1. A nurse is teaching a client about folic acid before conception. Which statement by the
client indicates understanding?
A. "I should begin taking folic acid after I become pregnant."
B. "Folic acid prevents gestational diabetes."
C. "Taking folic acid before pregnancy helps prevent neural tube defects." ✅
D. "Folic acid prevents hypertension during pregnancy."
Answer: C
Rationale: Adequate folic acid before conception and during early pregnancy significantly
reduces neural tube defects.
2. Which hormone is primarily responsible for maintaining pregnancy during the first
trimester?
A. Estrogen
B. Progesterone ✅
C. Oxytocin
D. Prolactin
Answer: B
Rationale: Progesterone maintains the uterine lining and suppresses uterine contractions.
3. Which presumptive sign of pregnancy is reported only by the woman?
A. Positive pregnancy test
,B. Fetal heartbeat
C. Amenorrhea ✅
D. Ultrasound visualization
Answer: C
Rationale: Amenorrhea is a subjective, presumptive sign of pregnancy.
4. During the first prenatal visit, which laboratory test is most important for preventing Rh
incompatibility?
A. Hemoglobin level
B. Urinalysis
C. Blood type and Rh factor ✅
D. Glucose screening
Answer: C
Rationale: Rh status determines the need for Rh immune globulin.
5. A pregnant client reports nausea every morning. Which nursing recommendation is most
appropriate?
A. Skip breakfast.
B. Eat dry crackers before getting out of bed. ✅
C. Drink large amounts of fluids with meals.
D. Avoid carbohydrates.
Answer: B
Rationale: Small, dry foods before rising often reduce morning nausea.
6. Which maternal adaptation is considered a normal cardiovascular change during
pregnancy?
A. Decreased blood volume
,B. Increased cardiac output ✅
C. Decreased heart rate
D. Lower plasma volume
Answer: B
Rationale: Cardiac output increases approximately 30–50% during pregnancy.
7. The expected fetal heart rate range is:
A. 60–100 bpm
B. 100–120 bpm
C. 110–160 bpm ✅
D. 170–200 bpm
Answer: C
Rationale: A normal baseline fetal heart rate is 110–160 bpm.
8. Which nutrient requirement increases the most during pregnancy?
A. Vitamin C
B. Iron ✅
C. Sodium
D. Potassium
Answer: B
Rationale: Iron supports increased maternal blood volume and fetal development.
9. Which finding should the nurse report immediately in a client at 34 weeks' gestation?
A. Mild ankle edema
B. Fatigue
C. Vaginal bleeding ✅
, D. Heartburn
Answer: C
Rationale: Vaginal bleeding during pregnancy requires immediate evaluation.
10. A client in labor is 6 cm dilated. She is in which stage?
A. Latent phase
B. Active phase of the first stage ✅
C. Transition phase
D. Second stage
Answer: B
Rationale: Active labor generally occurs between 6 and 7 cm dilation.
11. Which hormone stimulates uterine contractions during labor?
A. Progesterone
B. Estrogen
C. Oxytocin ✅
D. Relaxin
Answer: C
Rationale: Oxytocin promotes effective uterine contractions.
12. The nurse notes variable decelerations on the fetal monitor. The priority intervention is:
A. Administer oxygen only.
B. Reposition the client to her side. ✅
C. Encourage pushing.
D. Increase oxytocin.
Answer: B
