Test Bank for Maternity and Pediatric Nursing
5th Edition – Ricci, Kyle, Carman – Verified
Questions & Answers (PDF)
UNIT I: Introduction to Maternity & Pediatric Nursing / Women's Health
Question 1
A nurse is implementing family-centered care for a laboring client. Which action
best demonstrates this philosophy?
A) Restricting family presence to protect the client's privacy
B) Partnering with the client and family to make care decisions respecting
individual preferences
C) Providing standardized education without assessing family understanding
D) Limiting the father's involvement to the delivery room only
Correct Answer: B
Rationale: Family-centered care requires collaboration with the family and
respect for the patient's individual preferences about who is involved in care
decisions . Restricting family or using standardized approaches without assessment
violates this principle.
Question 2
Which condition is the leading cause of death in adult women?
A) Breast cancer
B) Cardiovascular disease
C) Ovarian cancer
D) Diabetes mellitus
Correct Answer: B
Rationale: Cardiovascular disease is the leading cause of death in adult
women. Pregnancy can serve as a natural stress test, and prenatal data should be
used to screen for lifelong metabolic and vascular risk .
,Question 3
A nurse is reviewing maternal mortality data. Which statement accurately reflects a
known racial disparity?
A) Maternal mortality rates are equal across all racial groups
B) Black mothers have significantly higher maternal mortality rates compared to
White mothers
C) Hispanic mothers have the highest maternal mortality rates nationally
D) Asian mothers have the highest rates of postpartum hemorrhage
Correct Answer: B
Rationale: Significant racial disparities exist in maternal mortality. For
example, Black mothers in Louisiana have a maternal mortality rate of 50.3 per
100,000 live births compared to the state average of 41.9, with the national
baseline at 18.6 per 100,000 .
Question 4 (SATA)
A nurse is screening for social determinants of health during a prenatal visit. Which
factors should be assessed? Select all that apply.
A) Access to transportation
B) Food security
C) Housing stability
D) Blood type
E) Intimate partner violence
Correct Answers: A, B, C, E
Rationale: Social determinants of health include transportation access, food
security, housing stability, and safety/violence screening. Blood type is a
physiologic data point, not a social determinant .
Question 5
,Which action violates patient confidentiality when caring for an adolescent seeking
reproductive health services?
A) Sharing information with the adolescent's parent without consent for a legally
protected service
B) Documenting the visit in the electronic health record
C) Providing age-appropriate education
D) Referring to a specialist as clinically indicated
Correct Answer: A
Rationale: Nurses must never breach confidentiality or exclude parental
notification for an adolescent unless the specific reproductive service is legally
protected under minor consent laws. Sharing protected information without
consent is a violation .
Question 6
A community health nurse is implementing the "Safe Births" initiative. Which
action is most consistent with this program?
A) Increasing low-risk cesarean birth rates
B) Implementing hemorrhage and hypertension bundles and reducing low-risk C-
section rates
C) Restricting breastfeeding support to daytime hours
D) Eliminating postpartum depression screening
Correct Answer: B
Rationale: The Safe Births initiative focuses on hemorrhage and hypertension
bundles and lowering low-risk cesarean section rates. "The Gift" is the
breastfeeding initiative, and postpartum depression checks are part of Caregiver
Screening .
Question 7
, A nurse is providing care to a woman who experienced a stillbirth. Which action
demonstrates culturally sensitive care?
A) Avoiding discussion of the loss to prevent further distress
B) Asking the family about their preferences for holding the infant and memory-
making
C) Immediately discharging the mother to shorten the grieving process
D) Discouraging the father from expressing emotion
Correct Answer: B
Rationale: Culturally sensitive bereavement care includes asking about
preferences for holding the infant, creating memories, and respecting the family's
cultural rituals around grief and loss. Avoiding discussion or imposing timelines is
inappropriate.
Question 8
Which statement about maternal morbidity is accurate?
A) It refers only to death during childbirth
B) It includes illnesses, injuries, or long-term physical/psychological complications
from the childbearing cycle
C) It is limited to complications occurring within 24 hours of birth
D) It excludes psychological conditions
Correct Answer: B
Rationale: Maternal morbidity encompasses illnesses, injuries, or long-term
physical and psychological complications resulting from the childbearing cycle.
Maternal mortality refers to death during pregnancy, childbirth, or within one year
postpartum .
Question 9 (SATA)
A nurse is advocating for improved perinatal quality. Which initiatives are part of
the Louisiana Perinatal Quality Collaborative (LaPQC)? Select all that apply.
5th Edition – Ricci, Kyle, Carman – Verified
Questions & Answers (PDF)
UNIT I: Introduction to Maternity & Pediatric Nursing / Women's Health
Question 1
A nurse is implementing family-centered care for a laboring client. Which action
best demonstrates this philosophy?
A) Restricting family presence to protect the client's privacy
B) Partnering with the client and family to make care decisions respecting
individual preferences
C) Providing standardized education without assessing family understanding
D) Limiting the father's involvement to the delivery room only
Correct Answer: B
Rationale: Family-centered care requires collaboration with the family and
respect for the patient's individual preferences about who is involved in care
decisions . Restricting family or using standardized approaches without assessment
violates this principle.
Question 2
Which condition is the leading cause of death in adult women?
A) Breast cancer
B) Cardiovascular disease
C) Ovarian cancer
D) Diabetes mellitus
Correct Answer: B
Rationale: Cardiovascular disease is the leading cause of death in adult
women. Pregnancy can serve as a natural stress test, and prenatal data should be
used to screen for lifelong metabolic and vascular risk .
,Question 3
A nurse is reviewing maternal mortality data. Which statement accurately reflects a
known racial disparity?
A) Maternal mortality rates are equal across all racial groups
B) Black mothers have significantly higher maternal mortality rates compared to
White mothers
C) Hispanic mothers have the highest maternal mortality rates nationally
D) Asian mothers have the highest rates of postpartum hemorrhage
Correct Answer: B
Rationale: Significant racial disparities exist in maternal mortality. For
example, Black mothers in Louisiana have a maternal mortality rate of 50.3 per
100,000 live births compared to the state average of 41.9, with the national
baseline at 18.6 per 100,000 .
Question 4 (SATA)
A nurse is screening for social determinants of health during a prenatal visit. Which
factors should be assessed? Select all that apply.
A) Access to transportation
B) Food security
C) Housing stability
D) Blood type
E) Intimate partner violence
Correct Answers: A, B, C, E
Rationale: Social determinants of health include transportation access, food
security, housing stability, and safety/violence screening. Blood type is a
physiologic data point, not a social determinant .
Question 5
,Which action violates patient confidentiality when caring for an adolescent seeking
reproductive health services?
A) Sharing information with the adolescent's parent without consent for a legally
protected service
B) Documenting the visit in the electronic health record
C) Providing age-appropriate education
D) Referring to a specialist as clinically indicated
Correct Answer: A
Rationale: Nurses must never breach confidentiality or exclude parental
notification for an adolescent unless the specific reproductive service is legally
protected under minor consent laws. Sharing protected information without
consent is a violation .
Question 6
A community health nurse is implementing the "Safe Births" initiative. Which
action is most consistent with this program?
A) Increasing low-risk cesarean birth rates
B) Implementing hemorrhage and hypertension bundles and reducing low-risk C-
section rates
C) Restricting breastfeeding support to daytime hours
D) Eliminating postpartum depression screening
Correct Answer: B
Rationale: The Safe Births initiative focuses on hemorrhage and hypertension
bundles and lowering low-risk cesarean section rates. "The Gift" is the
breastfeeding initiative, and postpartum depression checks are part of Caregiver
Screening .
Question 7
, A nurse is providing care to a woman who experienced a stillbirth. Which action
demonstrates culturally sensitive care?
A) Avoiding discussion of the loss to prevent further distress
B) Asking the family about their preferences for holding the infant and memory-
making
C) Immediately discharging the mother to shorten the grieving process
D) Discouraging the father from expressing emotion
Correct Answer: B
Rationale: Culturally sensitive bereavement care includes asking about
preferences for holding the infant, creating memories, and respecting the family's
cultural rituals around grief and loss. Avoiding discussion or imposing timelines is
inappropriate.
Question 8
Which statement about maternal morbidity is accurate?
A) It refers only to death during childbirth
B) It includes illnesses, injuries, or long-term physical/psychological complications
from the childbearing cycle
C) It is limited to complications occurring within 24 hours of birth
D) It excludes psychological conditions
Correct Answer: B
Rationale: Maternal morbidity encompasses illnesses, injuries, or long-term
physical and psychological complications resulting from the childbearing cycle.
Maternal mortality refers to death during pregnancy, childbirth, or within one year
postpartum .
Question 9 (SATA)
A nurse is advocating for improved perinatal quality. Which initiatives are part of
the Louisiana Perinatal Quality Collaborative (LaPQC)? Select all that apply.
