Page 1
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Test Bank
Maternal–Newborn
Nursing: Critical
Components of Nursing
Care (4th Edition)
Authors: Roberta Durham & Linda Chapman
Updated Edition
3/18/2026, 8:31:22 PM
,Page 2
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TABLE OF CONTENTS (Revised)
I. Foundations of Maternity Nursing
1. Contemporary Trends and Emerging Issues
2. Ethical Considerations and Professional Practice Standards
II. Antepartum Period
3. Genetics, Conception, Fetal Development, and Assisted Reproductive Technologies
4. Physiological Adaptations During Pregnancy
5. Psychosocial and Cultural Influences in Pregnancy
6. Prenatal Diagnostic and Screening Tests
7. Nursing Care for High-Risk Pregnancies
III. Intrapartum Period
8. Assessment and Nursing Interventions During Labor
9. Fetal Heart Rate Monitoring and Interpretation
10. Management of High-Risk Labor and Delivery
11. Cesarean Birth: Intrapartum and Postpartum Care
IV. Postpartum Period
12. Physiological Changes and Nursing Care After Birth
13. Transition to Parenthood and Family Adaptation
14. Postpartum Complications and High-Risk Care
V. Neonatal Period
15. Neonatal Physiological and Behavioral Adaptation
16. Discharge Planning and Parental Education
17. Care of the High-Risk Newborn
VI. Women’s Health
18. Preventive and Routine Women’s Health Care
19. Disorders and Alterations in Women’s Health
3/18/2026, 8:31:22 PM
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Chapter 1: Trends and Issues
(Q&A Section)
Multiple Choice Questions
1.
A primigravida patient is in labor, supported by her mother who last gave birth in the 1980s. Which modern
practice would appear most different to the mother?
A. Continuous fetal monitoring
B. Extended 10-day postpartum hospitalization
C. Family presence during cesarean delivery
D. Institutional breastfeeding support
Correct Answer: D
Rationale:
Breastfeeding support programs, including lactation consultants and Baby-Friendly initiatives, became
prominent in the 1990s. Earlier practices did not emphasize structured breastfeeding support.
2.
A pregnant patient with chronic hypertension dies shortly after delivery due to complications. This is classified
as:
A. Early maternal death
B. Late maternal death
C. Direct obstetric death
D. Indirect obstetric death
Correct Answer: D
Rationale:
Indirect obstetric deaths result from preexisting or concurrent medical conditions worsened by pregnancy.
3.
A new mother expresses concern about sudden infant death syndrome (SIDS). Which intervention is most
appropriate to discuss?
A. ECMO therapy
B. Surfactant therapy
C. Breastfeeding initiatives
D. Safe sleep practices
Correct Answer: D
3/18/2026, 8:31:22 PM
, Page 4
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Rationale:
Safe sleep campaigns (e.g., placing infants on their backs) significantly reduce SIDS risk.
4.
A pregnant adolescent diagnosed with syphilis places the fetus at greatest risk for:
A. Diabetes
B. Blindness
C. Pneumonia
D. Hypertension
Correct Answer: B
Rationale:
Congenital syphilis can lead to severe complications, including neonatal blindness and death.
5.
A teenage mother with negative STI screening results is still at increased risk of having an infant with:
A. Gastrointestinal complications
B. Neonatal conjunctivitis
C. Blindness
D. Pneumonia
Correct Answer: A
Rationale:
Infants of adolescent mothers are at higher risk for prematurity-related complications, including intestinal
disorders.
6.
A pregnant patient states that electronic cigarettes are safe. What is the nurse’s best response?
A. They are harmless during pregnancy
B. All nicotine products should be avoided
C. They are FDA-approved but risky to the fetus
D. Harm occurs only in early pregnancy
Correct Answer: B
Rationale:
Nicotine exposure from any source poses risks to fetal development.
7.
A teenage mother without partner support asks about long-term outcomes for her child. The child is at increased
risk for:
A. Hypertension
B. Diabetes
C. Substance abuse
D. Intraventricular hemorrhage
3/18/2026, 8:31:22 PM
#@&(&$)(&#)($#)(#$)()(*)_#)%#**_%#
Test Bank
Maternal–Newborn
Nursing: Critical
Components of Nursing
Care (4th Edition)
Authors: Roberta Durham & Linda Chapman
Updated Edition
3/18/2026, 8:31:22 PM
,Page 2
#@&(&$)(&#)($#)(#$)()(*)_#)%#**_%#
TABLE OF CONTENTS (Revised)
I. Foundations of Maternity Nursing
1. Contemporary Trends and Emerging Issues
2. Ethical Considerations and Professional Practice Standards
II. Antepartum Period
3. Genetics, Conception, Fetal Development, and Assisted Reproductive Technologies
4. Physiological Adaptations During Pregnancy
5. Psychosocial and Cultural Influences in Pregnancy
6. Prenatal Diagnostic and Screening Tests
7. Nursing Care for High-Risk Pregnancies
III. Intrapartum Period
8. Assessment and Nursing Interventions During Labor
9. Fetal Heart Rate Monitoring and Interpretation
10. Management of High-Risk Labor and Delivery
11. Cesarean Birth: Intrapartum and Postpartum Care
IV. Postpartum Period
12. Physiological Changes and Nursing Care After Birth
13. Transition to Parenthood and Family Adaptation
14. Postpartum Complications and High-Risk Care
V. Neonatal Period
15. Neonatal Physiological and Behavioral Adaptation
16. Discharge Planning and Parental Education
17. Care of the High-Risk Newborn
VI. Women’s Health
18. Preventive and Routine Women’s Health Care
19. Disorders and Alterations in Women’s Health
3/18/2026, 8:31:22 PM
,Page 3
#@&(&$)(&#)($#)(#$)()(*)_#)%#**_%#
Chapter 1: Trends and Issues
(Q&A Section)
Multiple Choice Questions
1.
A primigravida patient is in labor, supported by her mother who last gave birth in the 1980s. Which modern
practice would appear most different to the mother?
A. Continuous fetal monitoring
B. Extended 10-day postpartum hospitalization
C. Family presence during cesarean delivery
D. Institutional breastfeeding support
Correct Answer: D
Rationale:
Breastfeeding support programs, including lactation consultants and Baby-Friendly initiatives, became
prominent in the 1990s. Earlier practices did not emphasize structured breastfeeding support.
2.
A pregnant patient with chronic hypertension dies shortly after delivery due to complications. This is classified
as:
A. Early maternal death
B. Late maternal death
C. Direct obstetric death
D. Indirect obstetric death
Correct Answer: D
Rationale:
Indirect obstetric deaths result from preexisting or concurrent medical conditions worsened by pregnancy.
3.
A new mother expresses concern about sudden infant death syndrome (SIDS). Which intervention is most
appropriate to discuss?
A. ECMO therapy
B. Surfactant therapy
C. Breastfeeding initiatives
D. Safe sleep practices
Correct Answer: D
3/18/2026, 8:31:22 PM
, Page 4
#@&(&$)(&#)($#)(#$)()(*)_#)%#**_%#
Rationale:
Safe sleep campaigns (e.g., placing infants on their backs) significantly reduce SIDS risk.
4.
A pregnant adolescent diagnosed with syphilis places the fetus at greatest risk for:
A. Diabetes
B. Blindness
C. Pneumonia
D. Hypertension
Correct Answer: B
Rationale:
Congenital syphilis can lead to severe complications, including neonatal blindness and death.
5.
A teenage mother with negative STI screening results is still at increased risk of having an infant with:
A. Gastrointestinal complications
B. Neonatal conjunctivitis
C. Blindness
D. Pneumonia
Correct Answer: A
Rationale:
Infants of adolescent mothers are at higher risk for prematurity-related complications, including intestinal
disorders.
6.
A pregnant patient states that electronic cigarettes are safe. What is the nurse’s best response?
A. They are harmless during pregnancy
B. All nicotine products should be avoided
C. They are FDA-approved but risky to the fetus
D. Harm occurs only in early pregnancy
Correct Answer: B
Rationale:
Nicotine exposure from any source poses risks to fetal development.
7.
A teenage mother without partner support asks about long-term outcomes for her child. The child is at increased
risk for:
A. Hypertension
B. Diabetes
C. Substance abuse
D. Intraventricular hemorrhage
3/18/2026, 8:31:22 PM
