Maternal Child Nursing Care 7th Edition
Test Bank NCLEX Nursing Practice
Questions with Verified Correct
Answers & Detailed Rationales
Difficulty Level: Advanced / Hard (Mixed)
Target Audience: Nursing students (BSN, ADN), NCLEX-RN candidates, and practicing nurses preparing
for certification exams
Table of Contents
Unit Topic Questions
Unit I Foundations of Maternal-Child Nursing Q1–Q15
Chapter 1 21st Century Maternity Nursing Q1–Q8
Chapter 2 Community Care: The Family and Culture Q9–Q15
Unit II Women's Health Q16–Q30
Chapter 3 Assessment and Health Promotion Q16–Q22
Chapter 4 Reproductive System Concerns Q23–Q30
Unit III Pregnancy Q31–Q55
Chapter 5 Genetics, Conception, and Fetal Development Q31–Q38
Chapter 6 Assessment for Risk Factors Q39–Q45
Chapter 7 Anatomy and Physiology of Pregnancy Q46–Q50
,Unit Topic Questions
Chapter 8 Nursing Care of the Family During Pregnancy Q51–Q55
Unit IV Labor and Birth Q56–Q80
Chapter 9 Maternal and Fetal Nutrition Q56–Q60
Chapter
Assessment of High-Risk Pregnancy Q61–Q65
10
Chapter
High-Risk Perinatal Care: Preexisting Conditions Q66–Q70
11
Chapter
High-Risk Perinatal Care: Gestational Conditions Q71–Q75
12
Chapter
Labor and Birth Processes Q76–Q80
13
Unit V Postpartum Q81–Q100
Chapter
Maximizing Comfort for the Laboring Woman Q81–Q85
14
Chapter
Fetal Assessment During Labor Q86–Q90
15
Chapter
Nursing Care of the Family During Labor and Birth Q91–Q95
16
Chapter
Postpartum Physiologic Changes Q96–Q100
17
Unit VI The Newborn Q101–Q120
,Unit Topic Questions
Chapter Nursing Care of the Family During the Postpartum
Q101–Q105
18 Period
Chapter
Transition to Parenthood Q106–Q110
19
Chapter Physiologic and Behavioral Adaptations of the
Q111–Q115
20 Newborn
Chapter
Nursing Care of the Newborn and Family Q116–Q120
21
Unit VII Child Health Q121–Q150
Chapter
Newborn Nutrition and Feeding Q121–Q125
22
Chapter
Assessment of the High-Risk Newborn Q126–Q130
23
Chapter
Atraumatic Care of Children and Families Q131–Q135
24
Chapter
Health Supervision Q136–Q140
25
Chapter
Pediatric Variations of Nursing Interventions Q141–Q145
26
Chapter
Respiratory Disorders in Children Q146–Q150
27
UNIT I: FOUNDATIONS OF MATERNAL-CHILD NURSING
Chapter 1: 21st Century Maternity Nursing
, 🟢 Question 1
🟢 A nurse working in a contemporary maternity unit wants to provide care that reflects the major goals
of 21st-century maternity nursing. Which nursing action best demonstrates this approach?
A. Following the same care plan for every postpartum patient
B. Incorporating current evidence, patient preferences, and family needs into care
C. Limiting family involvement to prevent interruptions in care
D. Focusing primarily on completing routine procedures efficiently
🔴🔴 Correct Answer: B. Incorporating current evidence, patient preferences, and family needs into
care
Rationale: Contemporary maternity nursing emphasizes evidence-informed practice, individualized care,
patient participation, and family-centered care. The nurse should recognize that mothers and infants
have different needs, risks, preferences, and social circumstances. Standardized approaches can
promote consistency but should not replace individualized assessment and care planning. Appropriate
family involvement can support maternal and infant outcomes and should be encouraged when
consistent with the patient's preferences. Efficient completion of tasks is important, but contemporary
maternity nursing prioritizes safe, individualized, relationship-centered care over task completion alone.
🟢 Question 2
🟢 Which development has most contributed to improved outcomes for mothers and infants in
contemporary maternity care?
A. Greater reliance on routine procedures regardless of risk level
B. Expansion of evidence-based screening, monitoring, and preventive care
C. Reduced prenatal contact for patients with uncomplicated pregnancies
D. Limiting maternal education to the immediate postpartum period
🔴🔴 Correct Answer: B. Expansion of evidence-based screening, monitoring, and preventive care
Rationale: Advances in maternity care include improved screening, early identification of complications,
preventive interventions, health education, and technologies that support maternal and fetal support
and helping patients obtain appropriate resources. Nurses play an important advocacy and care-
coordination role. Identical instructions may not meet differences in language, literacy, learning needs,
or access. Requiring patients to solve barriers independently does not address the nurse's role in
advocacy and care coordination. Patients may not recognize or feel comfortable reporting barriers, so
proactive assessment is important.
🟢 Question 3
🟢 When providing care for a pregnant woman, the nurse should be aware that one of the most
frequently reported maternal medical risk factors is:
A. Diabetes mellitus
B. Mitral valve prolapse (MVP)
Test Bank NCLEX Nursing Practice
Questions with Verified Correct
Answers & Detailed Rationales
Difficulty Level: Advanced / Hard (Mixed)
Target Audience: Nursing students (BSN, ADN), NCLEX-RN candidates, and practicing nurses preparing
for certification exams
Table of Contents
Unit Topic Questions
Unit I Foundations of Maternal-Child Nursing Q1–Q15
Chapter 1 21st Century Maternity Nursing Q1–Q8
Chapter 2 Community Care: The Family and Culture Q9–Q15
Unit II Women's Health Q16–Q30
Chapter 3 Assessment and Health Promotion Q16–Q22
Chapter 4 Reproductive System Concerns Q23–Q30
Unit III Pregnancy Q31–Q55
Chapter 5 Genetics, Conception, and Fetal Development Q31–Q38
Chapter 6 Assessment for Risk Factors Q39–Q45
Chapter 7 Anatomy and Physiology of Pregnancy Q46–Q50
,Unit Topic Questions
Chapter 8 Nursing Care of the Family During Pregnancy Q51–Q55
Unit IV Labor and Birth Q56–Q80
Chapter 9 Maternal and Fetal Nutrition Q56–Q60
Chapter
Assessment of High-Risk Pregnancy Q61–Q65
10
Chapter
High-Risk Perinatal Care: Preexisting Conditions Q66–Q70
11
Chapter
High-Risk Perinatal Care: Gestational Conditions Q71–Q75
12
Chapter
Labor and Birth Processes Q76–Q80
13
Unit V Postpartum Q81–Q100
Chapter
Maximizing Comfort for the Laboring Woman Q81–Q85
14
Chapter
Fetal Assessment During Labor Q86–Q90
15
Chapter
Nursing Care of the Family During Labor and Birth Q91–Q95
16
Chapter
Postpartum Physiologic Changes Q96–Q100
17
Unit VI The Newborn Q101–Q120
,Unit Topic Questions
Chapter Nursing Care of the Family During the Postpartum
Q101–Q105
18 Period
Chapter
Transition to Parenthood Q106–Q110
19
Chapter Physiologic and Behavioral Adaptations of the
Q111–Q115
20 Newborn
Chapter
Nursing Care of the Newborn and Family Q116–Q120
21
Unit VII Child Health Q121–Q150
Chapter
Newborn Nutrition and Feeding Q121–Q125
22
Chapter
Assessment of the High-Risk Newborn Q126–Q130
23
Chapter
Atraumatic Care of Children and Families Q131–Q135
24
Chapter
Health Supervision Q136–Q140
25
Chapter
Pediatric Variations of Nursing Interventions Q141–Q145
26
Chapter
Respiratory Disorders in Children Q146–Q150
27
UNIT I: FOUNDATIONS OF MATERNAL-CHILD NURSING
Chapter 1: 21st Century Maternity Nursing
, 🟢 Question 1
🟢 A nurse working in a contemporary maternity unit wants to provide care that reflects the major goals
of 21st-century maternity nursing. Which nursing action best demonstrates this approach?
A. Following the same care plan for every postpartum patient
B. Incorporating current evidence, patient preferences, and family needs into care
C. Limiting family involvement to prevent interruptions in care
D. Focusing primarily on completing routine procedures efficiently
🔴🔴 Correct Answer: B. Incorporating current evidence, patient preferences, and family needs into
care
Rationale: Contemporary maternity nursing emphasizes evidence-informed practice, individualized care,
patient participation, and family-centered care. The nurse should recognize that mothers and infants
have different needs, risks, preferences, and social circumstances. Standardized approaches can
promote consistency but should not replace individualized assessment and care planning. Appropriate
family involvement can support maternal and infant outcomes and should be encouraged when
consistent with the patient's preferences. Efficient completion of tasks is important, but contemporary
maternity nursing prioritizes safe, individualized, relationship-centered care over task completion alone.
🟢 Question 2
🟢 Which development has most contributed to improved outcomes for mothers and infants in
contemporary maternity care?
A. Greater reliance on routine procedures regardless of risk level
B. Expansion of evidence-based screening, monitoring, and preventive care
C. Reduced prenatal contact for patients with uncomplicated pregnancies
D. Limiting maternal education to the immediate postpartum period
🔴🔴 Correct Answer: B. Expansion of evidence-based screening, monitoring, and preventive care
Rationale: Advances in maternity care include improved screening, early identification of complications,
preventive interventions, health education, and technologies that support maternal and fetal support
and helping patients obtain appropriate resources. Nurses play an important advocacy and care-
coordination role. Identical instructions may not meet differences in language, literacy, learning needs,
or access. Requiring patients to solve barriers independently does not address the nurse's role in
advocacy and care coordination. Patients may not recognize or feel comfortable reporting barriers, so
proactive assessment is important.
🟢 Question 3
🟢 When providing care for a pregnant woman, the nurse should be aware that one of the most
frequently reported maternal medical risk factors is:
A. Diabetes mellitus
B. Mitral valve prolapse (MVP)