Test Bank – Leifer's Introduction to Maternity and Pediatric Nursing, 10th Edition
Cooper & Gosnell | ISBN: 9780443249587 | 200 Questions with Answers & Rationales**
## Unit I: An Overview of Maternity Nursing (Questions 1-15)
**1. A pregnant woman who has recently immigrated to the United States comments to the nurse, "I
am afraid of childbirth. It is so dangerous. I am afraid I will die." What is the best nursing response
reflecting cultural sensitivity?**
A) "Maternal mortality in the United States is extremely low."
B) "Anesthesia is available to relieve pain during labor and childbirth."
C) "Tell me why you are afraid of childbirth."
D) "Your condition will be monitored during labor and delivery."
**Answer: C**
*Rationale:* Asking the patient about her concerns helps promote understanding and individualizes
patient care. This response demonstrates cultural sensitivity and allows the nurse to explore the
patient's specific fears .
**2. An urban area has been reported to have a high perinatal mortality rate. What information does
this provide?**
A) Maternal and infant deaths per 100,000 live births per year
B) Deaths of fetuses weighing more than 500 g per 10,000 births per year
C) Deaths of infants up to 1 year of age per 1,000 live births per year
D) Fetal and neonatal deaths per 1,000 live births per year
**Answer: D**
*Rationale:* The perinatal mortality rate includes fetal and neonatal deaths per 1,000 live births per
year. It is a critical measure of maternal and infant health .
**3. What is the focus of current maternity practice?**
A) Hospital births for the majority of women
B) The traditional family unit
C) Separation of labor rooms from delivery rooms
D) A quality family experience for each patient
,**Answer: D**
*Rationale:* Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise. This represents a shift from the historically rigid, provider-centered model .
**4. Who advocated the establishment of the Children's Bureau?**
A) Lillian Wald
B) Florence Nightingale
C) Florence Kelley
D) Clara Barton
**Answer: A**
*Rationale:* Lillian Wald is credited with suggesting the establishment of a federal Children's Bureau,
which was created in 1912 to improve child health and welfare .
**5. Which historical figure is known for founding modern nursing and improving sanitation during
the Crimean War?**
A) Lillian Wald
B) Clara Barton
C) Florence Nightingale
D) Mary Breckinridge
**Answer: C**
*Rationale:* Florence Nightingale is considered the founder of modern nursing. She improved
sanitation and reduced infection rates during the Crimean War .
**6. What is the focus of current maternity practice according to the textbook?**
A) Hospital births for the majority of women
B) The traditional family unit
C) Separation of labor rooms from delivery rooms
D) A quality family experience for each patient
**Answer: D**
,*Rationale:* Current maternity practice focuses on a high-quality family experience for all families,
regardless of their structure. This includes providing family-centered care that respects the
preferences and needs of each patient and family .
**7. The nurse is explaining the history of pediatric nursing to a group of nursing students. Which
statement about the evolution of pediatric care is accurate?**
A) Children were historically viewed as small adults
B) Pediatric hospitals existed in the 18th century
C) Pediatric nursing emerged in the 21st century
D) Children received the same care as adults
**Answer: A**
*Rationale:* Historically, children were viewed as small adults and received similar treatments. The
development of pediatric nursing as a specialty emerged later, recognizing the unique physiological
and developmental needs of children.
**8. A nurse is reviewing the concept of evidence-based practice (EBP). Which statement best
describes EBP?**
A) Following traditional practices without question
B) Using clinical judgment alone
C) Integrating best research evidence with clinical expertise and patient values
D) Relying solely on textbook knowledge
**Answer: C**
*Rationale:* Evidence-based practice integrates the best available research evidence with clinical
expertise and patient preferences and values to guide nursing care .
**9. The nurse is educating a pregnant patient about the role of a doula. Which statement about
doulas is correct?**
A) Doulas perform medical procedures
B) Doulas provide continuous physical, emotional, and informational support during labor
C) Doulas deliver babies
D) Doulas prescribe medications
**Answer: B**
, *Rationale:* Doulas provide non-medical support including comfort measures, positioning, and
advocacy, but they do not perform medical procedures or deliver babies .
**10. Family-centered care during childbirth and pediatric hospitalization emphasizes:**
A) The needs of the healthcare team
B) The family as the constant in the child's life and full participation in care decisions
C) Separating the family from the child for better medical outcomes
D) Restricting visits from extended family members
**Answer: B**
*Rationale:* Family-centered care recognizes the family as the constant in the child's life and actively
involves them in all aspects of care and decision-making. This approach is a core tenet of modern
maternity and pediatric nursing .
---
## Unit II: The Antepartum Period (Questions 16-45)
**16. A woman at 32 weeks of gestation reports painless vaginal bleeding. What is the nurse's priority
action?**
A) Perform a vaginal examination
B) Prepare the client for labor induction
C) Assess fetal heart rate
D) Encourage ambulation
**Answer: C**
*Rationale:* Painless bleeding in the third trimester suggests placenta previa; fetal status must be
assessed first. Vaginal exams are contraindicated because they can cause severe hemorrhage .
**17. Which finding indicates preeclampsia?**
A) Proteinuria and hypertension
B) Hypoglycemia
C) Bradycardia
D) Low body temperature
Cooper & Gosnell | ISBN: 9780443249587 | 200 Questions with Answers & Rationales**
## Unit I: An Overview of Maternity Nursing (Questions 1-15)
**1. A pregnant woman who has recently immigrated to the United States comments to the nurse, "I
am afraid of childbirth. It is so dangerous. I am afraid I will die." What is the best nursing response
reflecting cultural sensitivity?**
A) "Maternal mortality in the United States is extremely low."
B) "Anesthesia is available to relieve pain during labor and childbirth."
C) "Tell me why you are afraid of childbirth."
D) "Your condition will be monitored during labor and delivery."
**Answer: C**
*Rationale:* Asking the patient about her concerns helps promote understanding and individualizes
patient care. This response demonstrates cultural sensitivity and allows the nurse to explore the
patient's specific fears .
**2. An urban area has been reported to have a high perinatal mortality rate. What information does
this provide?**
A) Maternal and infant deaths per 100,000 live births per year
B) Deaths of fetuses weighing more than 500 g per 10,000 births per year
C) Deaths of infants up to 1 year of age per 1,000 live births per year
D) Fetal and neonatal deaths per 1,000 live births per year
**Answer: D**
*Rationale:* The perinatal mortality rate includes fetal and neonatal deaths per 1,000 live births per
year. It is a critical measure of maternal and infant health .
**3. What is the focus of current maternity practice?**
A) Hospital births for the majority of women
B) The traditional family unit
C) Separation of labor rooms from delivery rooms
D) A quality family experience for each patient
,**Answer: D**
*Rationale:* Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise. This represents a shift from the historically rigid, provider-centered model .
**4. Who advocated the establishment of the Children's Bureau?**
A) Lillian Wald
B) Florence Nightingale
C) Florence Kelley
D) Clara Barton
**Answer: A**
*Rationale:* Lillian Wald is credited with suggesting the establishment of a federal Children's Bureau,
which was created in 1912 to improve child health and welfare .
**5. Which historical figure is known for founding modern nursing and improving sanitation during
the Crimean War?**
A) Lillian Wald
B) Clara Barton
C) Florence Nightingale
D) Mary Breckinridge
**Answer: C**
*Rationale:* Florence Nightingale is considered the founder of modern nursing. She improved
sanitation and reduced infection rates during the Crimean War .
**6. What is the focus of current maternity practice according to the textbook?**
A) Hospital births for the majority of women
B) The traditional family unit
C) Separation of labor rooms from delivery rooms
D) A quality family experience for each patient
**Answer: D**
,*Rationale:* Current maternity practice focuses on a high-quality family experience for all families,
regardless of their structure. This includes providing family-centered care that respects the
preferences and needs of each patient and family .
**7. The nurse is explaining the history of pediatric nursing to a group of nursing students. Which
statement about the evolution of pediatric care is accurate?**
A) Children were historically viewed as small adults
B) Pediatric hospitals existed in the 18th century
C) Pediatric nursing emerged in the 21st century
D) Children received the same care as adults
**Answer: A**
*Rationale:* Historically, children were viewed as small adults and received similar treatments. The
development of pediatric nursing as a specialty emerged later, recognizing the unique physiological
and developmental needs of children.
**8. A nurse is reviewing the concept of evidence-based practice (EBP). Which statement best
describes EBP?**
A) Following traditional practices without question
B) Using clinical judgment alone
C) Integrating best research evidence with clinical expertise and patient values
D) Relying solely on textbook knowledge
**Answer: C**
*Rationale:* Evidence-based practice integrates the best available research evidence with clinical
expertise and patient preferences and values to guide nursing care .
**9. The nurse is educating a pregnant patient about the role of a doula. Which statement about
doulas is correct?**
A) Doulas perform medical procedures
B) Doulas provide continuous physical, emotional, and informational support during labor
C) Doulas deliver babies
D) Doulas prescribe medications
**Answer: B**
, *Rationale:* Doulas provide non-medical support including comfort measures, positioning, and
advocacy, but they do not perform medical procedures or deliver babies .
**10. Family-centered care during childbirth and pediatric hospitalization emphasizes:**
A) The needs of the healthcare team
B) The family as the constant in the child's life and full participation in care decisions
C) Separating the family from the child for better medical outcomes
D) Restricting visits from extended family members
**Answer: B**
*Rationale:* Family-centered care recognizes the family as the constant in the child's life and actively
involves them in all aspects of care and decision-making. This approach is a core tenet of modern
maternity and pediatric nursing .
---
## Unit II: The Antepartum Period (Questions 16-45)
**16. A woman at 32 weeks of gestation reports painless vaginal bleeding. What is the nurse's priority
action?**
A) Perform a vaginal examination
B) Prepare the client for labor induction
C) Assess fetal heart rate
D) Encourage ambulation
**Answer: C**
*Rationale:* Painless bleeding in the third trimester suggests placenta previa; fetal status must be
assessed first. Vaginal exams are contraindicated because they can cause severe hemorrhage .
**17. Which finding indicates preeclampsia?**
A) Proteinuria and hypertension
B) Hypoglycemia
C) Bradycardia
D) Low body temperature
