Test Bank for Maternity and Pediatric Nursing, 5th
Edition – Ricci, Kyle & Carman | All 51 Chapters |
250+ NCLEX-Style Questions with Verified
Answers & Detailed Rationales | 2025/2026
Edition
,1. When integrating the principles of family-centered care into the birthing process, the
nurse would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the following principles: Birth affects the
entire family, and relationships will change; birth is viewed as a normal, healthy event
in the life of the family; and families are capable of making decisions about their own
care if given adequate information and professional support.
2. The nurse is working with a group of community health members to develop a plan to
address the special health needs of women. The group would design educational
programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular disease, the number one cause
of death in women regardless of racial or ethnic group. Smoking is related to heart
disease and the development of cancer. However, heart disease and cancer can occur
in any woman regardless of her smoking history. Cancer is the second leading cause of
death, with women having a one in three lifetime risk of developing cancer. Diabetes is
another important health condition that can affect women. However, it is not the
major health problem that heart disease is.
3. A nurse is conducting an orientation program for a group of newly hired nurses. As part
of the program, the nurse is reviewing the issue of informed consent. The nurse
determines that the teaching was effective when the group identifies which situation as
, a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an operative permit
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergency procedure from the spouse
of an unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent
for health care. Serving as a witness to the signature process, asking whether the
client understands what she is signing, and getting verbal consent over the phone for
emergency procedures are all key to informed consent and are not violations.
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
fetus. To ensure informed consent, which action would be the priority responsibility of
the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the procedure
D. Offering suggestions for alternative options for treatment
Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
the consent form is completed with signatures from the client; serving as a witness to
the signature process; and determining whether the client understands what she is
signing by asking her pertinent questions. The physician, advanced practice nurse, or
midwife is responsible for informing the client about the procedure and obtaining
consent by providing a detailed description of the procedure or treatment, its potential
risks and benefits, and alternative methods available.
5. A nurse is reviewing maternal mortality rates with a group of nursing students. Which
factor would the nurse identify as the most significant contributor to maternal mortality
, in the United States?
A. Hemorrhage
B. Cardiovascular conditions
C. Infection
D. Hypertensive disorders
Answer: B
Rationale: Cardiovascular conditions are the leading cause of maternal mortality in the
United States, followed by other medical conditions, hemorrhage, and hypertensive
disorders.
6. A nurse is teaching a prenatal class about fetal development. At which week of gestation
does the fetal heart begin to beat?
A. 2 weeks
B. 4 weeks
C. 6 weeks
D. 8 weeks
Answer: B
Rationale: The fetal heart begins to form at approximately 3 weeks and begins to beat
at approximately 4 weeks of gestation.
7. A pregnant client is scheduled for a routine prenatal visit. The nurse reviews the client's
dietary intake. Which food should the nurse recommend increasing to ensure adequate
folic acid intake?
A. Citrus fruits
B. Red meat
C. Dairy products
D. Leafy green vegetables
Answer: D
Rationale: Leafy green vegetables are excellent sources of folic acid. Citrus fruits are
high in vitamin C, red meat in iron, and dairy in calcium.
Edition – Ricci, Kyle & Carman | All 51 Chapters |
250+ NCLEX-Style Questions with Verified
Answers & Detailed Rationales | 2025/2026
Edition
,1. When integrating the principles of family-centered care into the birthing process, the
nurse would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the following principles: Birth affects the
entire family, and relationships will change; birth is viewed as a normal, healthy event
in the life of the family; and families are capable of making decisions about their own
care if given adequate information and professional support.
2. The nurse is working with a group of community health members to develop a plan to
address the special health needs of women. The group would design educational
programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular disease, the number one cause
of death in women regardless of racial or ethnic group. Smoking is related to heart
disease and the development of cancer. However, heart disease and cancer can occur
in any woman regardless of her smoking history. Cancer is the second leading cause of
death, with women having a one in three lifetime risk of developing cancer. Diabetes is
another important health condition that can affect women. However, it is not the
major health problem that heart disease is.
3. A nurse is conducting an orientation program for a group of newly hired nurses. As part
of the program, the nurse is reviewing the issue of informed consent. The nurse
determines that the teaching was effective when the group identifies which situation as
, a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an operative permit
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergency procedure from the spouse
of an unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent
for health care. Serving as a witness to the signature process, asking whether the
client understands what she is signing, and getting verbal consent over the phone for
emergency procedures are all key to informed consent and are not violations.
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
fetus. To ensure informed consent, which action would be the priority responsibility of
the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the procedure
D. Offering suggestions for alternative options for treatment
Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
the consent form is completed with signatures from the client; serving as a witness to
the signature process; and determining whether the client understands what she is
signing by asking her pertinent questions. The physician, advanced practice nurse, or
midwife is responsible for informing the client about the procedure and obtaining
consent by providing a detailed description of the procedure or treatment, its potential
risks and benefits, and alternative methods available.
5. A nurse is reviewing maternal mortality rates with a group of nursing students. Which
factor would the nurse identify as the most significant contributor to maternal mortality
, in the United States?
A. Hemorrhage
B. Cardiovascular conditions
C. Infection
D. Hypertensive disorders
Answer: B
Rationale: Cardiovascular conditions are the leading cause of maternal mortality in the
United States, followed by other medical conditions, hemorrhage, and hypertensive
disorders.
6. A nurse is teaching a prenatal class about fetal development. At which week of gestation
does the fetal heart begin to beat?
A. 2 weeks
B. 4 weeks
C. 6 weeks
D. 8 weeks
Answer: B
Rationale: The fetal heart begins to form at approximately 3 weeks and begins to beat
at approximately 4 weeks of gestation.
7. A pregnant client is scheduled for a routine prenatal visit. The nurse reviews the client's
dietary intake. Which food should the nurse recommend increasing to ensure adequate
folic acid intake?
A. Citrus fruits
B. Red meat
C. Dairy products
D. Leafy green vegetables
Answer: D
Rationale: Leafy green vegetables are excellent sources of folic acid. Citrus fruits are
high in vitamin C, red meat in iron, and dairy in calcium.
