Page 1 of 72
MATERNAL-CHILD NURSING, 6TH EDITION (MCKINNEY, JAMES, MURRAY,
NELSON & ASHWILL), EXAM NEWEST UPDATED EXAM 2026 – 2027
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
1. Which factor significantly contributed to the shift from home births to hospital
births in the early 20th century according to McKinney’s foundations chapter?
A. Puerperal sepsis was eliminated
B. Technologic developments became available to physicians
C. Home births were legally prohibited
D. Midwives were banned from practice
Answer: B
Rationale: The shift from home to hospital births in the early 20th century was driven by
technologic developments that became available to physicians, along with the
perception that hospitals offered safer care.
2. Which hormone is primarily responsible for maintaining the corpus luteum
during early pregnancy?
A. Estrogen
B. Progesterone
, Page 2 of 72
C. Human chorionic gonadotropin (hCG)
D. Oxytocin
Answer: C
Rationale: hCG is produced by the developing embryo and maintains the corpus
luteum, which secretes progesterone necessary for sustaining early pregnancy.
3. During the first trimester, which maternal change is most common due to
hormonal fluctuations?
A. Decreased fatigue
B. Morning sickness
C. Elevated blood pressure
D. Increased weight gain
Answer: B
Rationale: Morning sickness, characterized by nausea and vomiting, is common in
early pregnancy due to elevated hCG and other hormonal changes.
4. Which structure in the reproductive system is responsible for producing
estrogen and progesterone?
A. Ovaries
B. Uterus
C. Fallopian tubes
D. Placenta
Answer: A
Rationale: The ovaries produce estrogen and progesterone, hormones essential for
ovulation and maintaining pregnancy.
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5. During conception, where does fertilization typically occur?
A. Uterus
B. Fallopian tube
C. Cervix
D. Ovary
Answer: B
Rationale: Fertilization generally occurs in the fallopian tube when sperm meets the
ovum.
6. What is the primary function of the placenta during pregnancy?
A. To produce hormones and exchange nutrients and waste
B. To provide structural support for the fetus
C. To initiate labor contractions
D. To filter maternal blood
Answer: A
Rationale: The placenta supplies oxygen and nutrients to the fetus, removes waste
products, and secretes hormones that support pregnancy.
7. Which nutrient is most critical for neural tube development in the fetus?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin D
Answer: C
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Rationale: Adequate folic acid intake before conception and during early pregnancy
reduces the risk of neural tube defects.
8. Which environmental factor can adversely affect fetal development according to
heredity and environmental influences content?
A. Maternal smoking
B. Adequate prenatal nutrition
C. Regular prenatal visits
D. Maternal exercise
Answer: A
Rationale: Maternal smoking exposes the fetus to harmful chemicals, increasing risks
of low birth weight and developmental issues.
9. Which heredity pattern influences a child’s risk of developing sickle cell anemia?
A. Autosomal dominant inheritance
B. Autosomal recessive inheritance
C. X-linked inheritance
D. Mitochondrial inheritance
Answer: B
Rationale: Sickle cell anemia is inherited in an autosomal recessive pattern, requiring
both parents to pass the defective gene.
10. Which educational approach is most effective for communicating with
preschool children?
A. Using simple language and visual aids
B. Giving detailed explanations and pamphlets
MATERNAL-CHILD NURSING, 6TH EDITION (MCKINNEY, JAMES, MURRAY,
NELSON & ASHWILL), EXAM NEWEST UPDATED EXAM 2026 – 2027
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
1. Which factor significantly contributed to the shift from home births to hospital
births in the early 20th century according to McKinney’s foundations chapter?
A. Puerperal sepsis was eliminated
B. Technologic developments became available to physicians
C. Home births were legally prohibited
D. Midwives were banned from practice
Answer: B
Rationale: The shift from home to hospital births in the early 20th century was driven by
technologic developments that became available to physicians, along with the
perception that hospitals offered safer care.
2. Which hormone is primarily responsible for maintaining the corpus luteum
during early pregnancy?
A. Estrogen
B. Progesterone
, Page 2 of 72
C. Human chorionic gonadotropin (hCG)
D. Oxytocin
Answer: C
Rationale: hCG is produced by the developing embryo and maintains the corpus
luteum, which secretes progesterone necessary for sustaining early pregnancy.
3. During the first trimester, which maternal change is most common due to
hormonal fluctuations?
A. Decreased fatigue
B. Morning sickness
C. Elevated blood pressure
D. Increased weight gain
Answer: B
Rationale: Morning sickness, characterized by nausea and vomiting, is common in
early pregnancy due to elevated hCG and other hormonal changes.
4. Which structure in the reproductive system is responsible for producing
estrogen and progesterone?
A. Ovaries
B. Uterus
C. Fallopian tubes
D. Placenta
Answer: A
Rationale: The ovaries produce estrogen and progesterone, hormones essential for
ovulation and maintaining pregnancy.
, Page 3 of 72
5. During conception, where does fertilization typically occur?
A. Uterus
B. Fallopian tube
C. Cervix
D. Ovary
Answer: B
Rationale: Fertilization generally occurs in the fallopian tube when sperm meets the
ovum.
6. What is the primary function of the placenta during pregnancy?
A. To produce hormones and exchange nutrients and waste
B. To provide structural support for the fetus
C. To initiate labor contractions
D. To filter maternal blood
Answer: A
Rationale: The placenta supplies oxygen and nutrients to the fetus, removes waste
products, and secretes hormones that support pregnancy.
7. Which nutrient is most critical for neural tube development in the fetus?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin D
Answer: C
, Page 4 of 72
Rationale: Adequate folic acid intake before conception and during early pregnancy
reduces the risk of neural tube defects.
8. Which environmental factor can adversely affect fetal development according to
heredity and environmental influences content?
A. Maternal smoking
B. Adequate prenatal nutrition
C. Regular prenatal visits
D. Maternal exercise
Answer: A
Rationale: Maternal smoking exposes the fetus to harmful chemicals, increasing risks
of low birth weight and developmental issues.
9. Which heredity pattern influences a child’s risk of developing sickle cell anemia?
A. Autosomal dominant inheritance
B. Autosomal recessive inheritance
C. X-linked inheritance
D. Mitochondrial inheritance
Answer: B
Rationale: Sickle cell anemia is inherited in an autosomal recessive pattern, requiring
both parents to pass the defective gene.
10. Which educational approach is most effective for communicating with
preschool children?
A. Using simple language and visual aids
B. Giving detailed explanations and pamphlets
