ESTUDYR
NUR 328 EXAM 1 MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. A client dies 6 hours postpartum from an uncontrollable hemorrhage in the ICU. Her
death would be counted in the:
A. Neonatal mortality rate
B. Neonatal morbidity rate
C. Maternal morbidity rate
D. Maternal mortality rate ✔
Rationale: Maternal mortality measures deaths of women from pregnancy-related
causes during pregnancy or within a defined postpartum period.
2. Which of the following statements help explain higher maternal morbidity/mortality
among Black women in the U.S.? (Select all that apply.)
A. Black women have a genetic link to high-risk pregnancies
B. Quality obstetrical care may not be available in the community ✔
C. Many Black women have low socioeconomic status ✔
D. Marital status is the main driver of increased risk
E. Black women often have limited or no health insurance ✔
F. Bias among health-care providers toward Black patients fosters distrust ✔
Rationale: Structural barriers (access, socioeconomic factors, insurance) and provider
bias contribute to disparities; genetics and marital status are not the primary
explanations.
3. Current U.S. birth trends: which statements are accurate? (Select all that apply.)
A. CNMs (certified nurse-midwives) safely assist births in many settings
B. The U.S. ranks 1st globally for infant mortality
C. One in three U.S. births is by cesarean section ✔
D. The infant mortality rate in the U.S. is approximately 6.17 per 1,000 live births ✔
E. Primary care providers are universally the safest birth attendants for most women
Correct: A, C, D (A is true too).
Rationale: CNMs are safe providers for many pregnancies; C-section rates are ~33%;
U.S. infant mortality is in that approximate range. The U.S. does not rank top for infant
mortality.
4. Which factor has the highest impact on childhood disability (from the choices)?
A. Living below the poverty level
B. Attending day care
C. Foreign-born adoptions
D. Missed days of school ✔
,ESTUDYR
Rationale: Educational disruption (missed school days) is strongly linked to
developmental, social, and long-term disability impacts.
5. A Christian Scientist mother refuses medical care for her ill child. Which statement best
reflects that religious belief?
A. Illness stems from dietary violations and is untreated
B. Fasting will restore health
C. Illness is solely a test of the soul and receives no treatment
D. Healing will come through prayer and spiritual regeneration only ✔
Rationale: Christian Science emphasizes spiritual healing and prayer over medical
intervention.
6. A foster child arrives for immunizations. The nurse’s first responsibility is to:
A. Obtain authorization to treat
B. Have case worker present
C. Confirm identity with foster agency
D. Verify legal documentation ✔
Rationale: Legal documentation determines who can consent for immunizations;
verification safeguards legal/ethical practice.
7. When preparing a lobby presentation on U.S. maternal morbidity/mortality, which
points should be included? (Select all that apply.)
A. Most pregnancy complications are not preventable
B. Leading causes include hemorrhage, infection, preeclampsia/eclampsia, obstructed
labor, and unsafe abortion ✔
C. The U.S. ranks below >45 countries for maternal deaths
D. Most pregnancy-related complications respond well to proper care ✔
E. Only 100–200 women die yearly from birth complications
Correct: B, C, D.
Rationale: Major causes are preventable/manageable with quality care; U.S. maternal
mortality is high relative to peer nations.
8. Which 20th-century event is most relevant to changes in maternity care he nurse would
teach?
A. First cesarean birth ever performed
B. Development of freestanding birthing centers (LDRPs) ✔
C. X-ray for pelvic size assessment
D. Major puerperal fever epidemics
Rationale: LDRP and family-centered birthing options expanded during the 20th
century; X-ray and puerperal fever relevance are earlier/other periods.
9. A chronically ill child attends school with a signed DNR presented. The school nurse
should first:
, ESTUDYR
A. Consult the school’s legal team
B. Determine the parents’ wishes if death occurs at school ✔
C. Involve the principal immediately
D. Share info with the teacher only
Rationale: Clarify parental preferences and plan for emergent situations before broader
administrative steps.
10. Which factor has done the most to reduce infant mortality historically?
A. Parental education
B. Breastfeeding ✔
C. Hospital births
D. Improved prenatal care
Rationale: Breastfeeding confers major protection against infections and SIDS and has a
large population impact. (Note: improved prenatal care and hospital births are also
important—breastfeeding is singled out here per the source.)
11. Which historical factors contributed to high maternal mortality in the 17th–18th
centuries? (Select all that apply.)
A. Postpartum hemorrhages were handled proficiently
B. Infections were uncommon
C. Women often died from dehydration during birth ✔
D. Exhaustion during labor resulted in death ✔
Rationale: Poor management of labor and postpartum conditions (dehydration,
exhaustion) increased mortality historically.
12. In the 18th century, the most accurate description of childbirth care is:
A. Majority of births occurred in hospitals with physicians
B. Heavy narcotics were routine (twilight sleep)
C. Books on birth education were widespread
D. Majority of births occurred at home with female midwives ✔
Rationale: Home births with midwives were norm; medicalized practices increased
later.
13. After a lecture on 1700–1800 child health, correct student statements include: (Select
all that apply.)
A. Child’s main role was to share in work ✔
B. Court granted many child rights ✖
C. Children were thought easily replaceable ✔
D. Public schools were well established ✖
E. Epidemics of contagious disease were a major cause of death ✔
F. Food sources were extremely unsanitary ✔
NUR 328 EXAM 1 MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. A client dies 6 hours postpartum from an uncontrollable hemorrhage in the ICU. Her
death would be counted in the:
A. Neonatal mortality rate
B. Neonatal morbidity rate
C. Maternal morbidity rate
D. Maternal mortality rate ✔
Rationale: Maternal mortality measures deaths of women from pregnancy-related
causes during pregnancy or within a defined postpartum period.
2. Which of the following statements help explain higher maternal morbidity/mortality
among Black women in the U.S.? (Select all that apply.)
A. Black women have a genetic link to high-risk pregnancies
B. Quality obstetrical care may not be available in the community ✔
C. Many Black women have low socioeconomic status ✔
D. Marital status is the main driver of increased risk
E. Black women often have limited or no health insurance ✔
F. Bias among health-care providers toward Black patients fosters distrust ✔
Rationale: Structural barriers (access, socioeconomic factors, insurance) and provider
bias contribute to disparities; genetics and marital status are not the primary
explanations.
3. Current U.S. birth trends: which statements are accurate? (Select all that apply.)
A. CNMs (certified nurse-midwives) safely assist births in many settings
B. The U.S. ranks 1st globally for infant mortality
C. One in three U.S. births is by cesarean section ✔
D. The infant mortality rate in the U.S. is approximately 6.17 per 1,000 live births ✔
E. Primary care providers are universally the safest birth attendants for most women
Correct: A, C, D (A is true too).
Rationale: CNMs are safe providers for many pregnancies; C-section rates are ~33%;
U.S. infant mortality is in that approximate range. The U.S. does not rank top for infant
mortality.
4. Which factor has the highest impact on childhood disability (from the choices)?
A. Living below the poverty level
B. Attending day care
C. Foreign-born adoptions
D. Missed days of school ✔
,ESTUDYR
Rationale: Educational disruption (missed school days) is strongly linked to
developmental, social, and long-term disability impacts.
5. A Christian Scientist mother refuses medical care for her ill child. Which statement best
reflects that religious belief?
A. Illness stems from dietary violations and is untreated
B. Fasting will restore health
C. Illness is solely a test of the soul and receives no treatment
D. Healing will come through prayer and spiritual regeneration only ✔
Rationale: Christian Science emphasizes spiritual healing and prayer over medical
intervention.
6. A foster child arrives for immunizations. The nurse’s first responsibility is to:
A. Obtain authorization to treat
B. Have case worker present
C. Confirm identity with foster agency
D. Verify legal documentation ✔
Rationale: Legal documentation determines who can consent for immunizations;
verification safeguards legal/ethical practice.
7. When preparing a lobby presentation on U.S. maternal morbidity/mortality, which
points should be included? (Select all that apply.)
A. Most pregnancy complications are not preventable
B. Leading causes include hemorrhage, infection, preeclampsia/eclampsia, obstructed
labor, and unsafe abortion ✔
C. The U.S. ranks below >45 countries for maternal deaths
D. Most pregnancy-related complications respond well to proper care ✔
E. Only 100–200 women die yearly from birth complications
Correct: B, C, D.
Rationale: Major causes are preventable/manageable with quality care; U.S. maternal
mortality is high relative to peer nations.
8. Which 20th-century event is most relevant to changes in maternity care he nurse would
teach?
A. First cesarean birth ever performed
B. Development of freestanding birthing centers (LDRPs) ✔
C. X-ray for pelvic size assessment
D. Major puerperal fever epidemics
Rationale: LDRP and family-centered birthing options expanded during the 20th
century; X-ray and puerperal fever relevance are earlier/other periods.
9. A chronically ill child attends school with a signed DNR presented. The school nurse
should first:
, ESTUDYR
A. Consult the school’s legal team
B. Determine the parents’ wishes if death occurs at school ✔
C. Involve the principal immediately
D. Share info with the teacher only
Rationale: Clarify parental preferences and plan for emergent situations before broader
administrative steps.
10. Which factor has done the most to reduce infant mortality historically?
A. Parental education
B. Breastfeeding ✔
C. Hospital births
D. Improved prenatal care
Rationale: Breastfeeding confers major protection against infections and SIDS and has a
large population impact. (Note: improved prenatal care and hospital births are also
important—breastfeeding is singled out here per the source.)
11. Which historical factors contributed to high maternal mortality in the 17th–18th
centuries? (Select all that apply.)
A. Postpartum hemorrhages were handled proficiently
B. Infections were uncommon
C. Women often died from dehydration during birth ✔
D. Exhaustion during labor resulted in death ✔
Rationale: Poor management of labor and postpartum conditions (dehydration,
exhaustion) increased mortality historically.
12. In the 18th century, the most accurate description of childbirth care is:
A. Majority of births occurred in hospitals with physicians
B. Heavy narcotics were routine (twilight sleep)
C. Books on birth education were widespread
D. Majority of births occurred at home with female midwives ✔
Rationale: Home births with midwives were norm; medicalized practices increased
later.
13. After a lecture on 1700–1800 child health, correct student statements include: (Select
all that apply.)
A. Child’s main role was to share in work ✔
B. Court granted many child rights ✖
C. Children were thought easily replaceable ✔
D. Public schools were well established ✖
E. Epidemics of contagious disease were a major cause of death ✔
F. Food sources were extremely unsanitary ✔
