NSG 3500 – Nursing Practice: Maternal Health
o Description: Focuses on holistic nursing care of
women and their families during the childbearing
years, including antepartum, intrapartum,
postpartum periods, and care of the newborn.
o Assessments:
Exam 1: Female reproductive system, prenatal
care.
Exam 2: Labor and delivery processes, pain
management.
Exam 3: Postpartum care, newborn assessment.
Exam 4: High-risk pregnancies, neonatal
complications.
CPEs: Clinical evaluations in maternal health
settings.
Maternal–Newborn Nursing (NSG 3500) NCLEX-Style Test
Bank
,1. Introduction to Maternal–Newborn Nursing
1. A perinatal (maternal–newborn) nurse’s scope of practice
includes caring for which of the following populations?
A. Pregnant persons, newborns, and their families
B. Only newborns and their siblings
C. All patients in a labor and delivery unit, including male
newborns
D. Only postpartum persons who are breastfeeding
Answer: A. Pregnant persons, newborns, and their families.
Rationale: Maternal–newborn nurses provide care across the
antepartum, intrapartum, postpartum, and newborn periods.
They advocate for persons assigned female at birth (AFAB)
throughout pregnancy and the postpartum period, and also
care for the newborn and family (the parent–baby “couplet”).
Option B is incorrect because it omits the pregnant person;
option C is incorrect because maternal–newborn nurses do not
care for all patients (for example, they are not primary
caregivers for male patients who are not parents), and they
focus on the birthing parent/newborn dyad. Option D is
incorrect because it excludes antepartum and intrapartum care;
the scope also includes pregnant and laboring persons and the
newborn, not just postpartum breastfeeding.
2. Which scenario best illustrates family-centered maternal–
newborn nursing care?
A. The nurse teaches only the mother about newborn care,
excluding the support person.
,B. The nurse encourages the mother and her partner to
participate together in caring for the newborn.
C. The nurse insists on following a rigid hospital policy that
disallows outside family members.
D. The nurse attends only to medical tasks without involving
the family in care.
Answer: B. The nurse encourages the mother and her partner
to participate together in newborn care. Rationale: Family-
centered care in maternal–newborn nursing involves including
family members (e.g. partner, parents, siblings, chosen support)
in education and caregiving, recognizing the family’s role and
wishes. Encouraging parents to be involved together in
newborn care supports bonding and helps adaptation (Mercer’s
theory notes that early involvement of family promotes
bonding and role attainment). Option A is incorrect because
excluding the partner undermines family-centered care. Option
C is incorrect because rigid policies that exclude family go
against family-centered principles. Option D is incorrect
because it ignores the family’s needs and involvement, contrary
to patient/family-centered care principles.
3. A patient from a different cultural background refuses blood
transfusion after delivery due to religious beliefs. Which action
by the nurse demonstrates cultural competence?
A. Questioning the patient’s belief and trying to persuade her
to change her mind.
B. Arranging for alternative therapies and respecting the
, patient’s decision.
C. Ignoring the patient’s refusal and administering blood
anyway.
D. Calling security to force treatment.
Answer: B. Arranging for alternative therapies and respecting
the patient’s decision. Rationale: Culturally competent care
means respecting a patient’s cultural values and beliefs while
providing safe care. Here, the nurse respects the patient’s
religious belief and seeks alternative approaches (e.g. iron
supplementation, minimizing blood loss) rather than dismissing
or overriding the patient’s wishes. Option A is incorrect: trying
to change beliefs is not culturally responsive. Option C and D
are incorrect: administering treatment against the patient’s will
violates cultural respect and autonomy; one must first explore
alternatives and obtain legal guidance if life-threatening.
4. A stepparent wishes to consent for the newborn’s
vaccination, but the biological father objects. What is the
nurse’s best response regarding legal decision-making?
A. Proceed with consent from the stepparent alone, as they are
married to the mother.
B. Confirm that only the biological parents have legal decision-
making authority unless legal paperwork (e.g. consent letter or
adoption) is on file.
C. Respect the father’s wishes and do nothing until the baby is
older.
D. Have the baby’s maternal grandmother consent instead.
o Description: Focuses on holistic nursing care of
women and their families during the childbearing
years, including antepartum, intrapartum,
postpartum periods, and care of the newborn.
o Assessments:
Exam 1: Female reproductive system, prenatal
care.
Exam 2: Labor and delivery processes, pain
management.
Exam 3: Postpartum care, newborn assessment.
Exam 4: High-risk pregnancies, neonatal
complications.
CPEs: Clinical evaluations in maternal health
settings.
Maternal–Newborn Nursing (NSG 3500) NCLEX-Style Test
Bank
,1. Introduction to Maternal–Newborn Nursing
1. A perinatal (maternal–newborn) nurse’s scope of practice
includes caring for which of the following populations?
A. Pregnant persons, newborns, and their families
B. Only newborns and their siblings
C. All patients in a labor and delivery unit, including male
newborns
D. Only postpartum persons who are breastfeeding
Answer: A. Pregnant persons, newborns, and their families.
Rationale: Maternal–newborn nurses provide care across the
antepartum, intrapartum, postpartum, and newborn periods.
They advocate for persons assigned female at birth (AFAB)
throughout pregnancy and the postpartum period, and also
care for the newborn and family (the parent–baby “couplet”).
Option B is incorrect because it omits the pregnant person;
option C is incorrect because maternal–newborn nurses do not
care for all patients (for example, they are not primary
caregivers for male patients who are not parents), and they
focus on the birthing parent/newborn dyad. Option D is
incorrect because it excludes antepartum and intrapartum care;
the scope also includes pregnant and laboring persons and the
newborn, not just postpartum breastfeeding.
2. Which scenario best illustrates family-centered maternal–
newborn nursing care?
A. The nurse teaches only the mother about newborn care,
excluding the support person.
,B. The nurse encourages the mother and her partner to
participate together in caring for the newborn.
C. The nurse insists on following a rigid hospital policy that
disallows outside family members.
D. The nurse attends only to medical tasks without involving
the family in care.
Answer: B. The nurse encourages the mother and her partner
to participate together in newborn care. Rationale: Family-
centered care in maternal–newborn nursing involves including
family members (e.g. partner, parents, siblings, chosen support)
in education and caregiving, recognizing the family’s role and
wishes. Encouraging parents to be involved together in
newborn care supports bonding and helps adaptation (Mercer’s
theory notes that early involvement of family promotes
bonding and role attainment). Option A is incorrect because
excluding the partner undermines family-centered care. Option
C is incorrect because rigid policies that exclude family go
against family-centered principles. Option D is incorrect
because it ignores the family’s needs and involvement, contrary
to patient/family-centered care principles.
3. A patient from a different cultural background refuses blood
transfusion after delivery due to religious beliefs. Which action
by the nurse demonstrates cultural competence?
A. Questioning the patient’s belief and trying to persuade her
to change her mind.
B. Arranging for alternative therapies and respecting the
, patient’s decision.
C. Ignoring the patient’s refusal and administering blood
anyway.
D. Calling security to force treatment.
Answer: B. Arranging for alternative therapies and respecting
the patient’s decision. Rationale: Culturally competent care
means respecting a patient’s cultural values and beliefs while
providing safe care. Here, the nurse respects the patient’s
religious belief and seeks alternative approaches (e.g. iron
supplementation, minimizing blood loss) rather than dismissing
or overriding the patient’s wishes. Option A is incorrect: trying
to change beliefs is not culturally responsive. Option C and D
are incorrect: administering treatment against the patient’s will
violates cultural respect and autonomy; one must first explore
alternatives and obtain legal guidance if life-threatening.
4. A stepparent wishes to consent for the newborn’s
vaccination, but the biological father objects. What is the
nurse’s best response regarding legal decision-making?
A. Proceed with consent from the stepparent alone, as they are
married to the mother.
B. Confirm that only the biological parents have legal decision-
making authority unless legal paperwork (e.g. consent letter or
adoption) is on file.
C. Respect the father’s wishes and do nothing until the baby is
older.
D. Have the baby’s maternal grandmother consent instead.
