Maternal & Child Health Nursing: Care of the
Childbearing and Childrearing Family 9th
Edition Adele Pillitteri Questions And Correct
Answers (Verified Answers) Plus Rationales
2026 Q&A | Instant Download Pdf
1. A woman in her first trimester asks why folic acid supplementation
is important. The nurse explains that folic acid primarily helps
prevent which complication?
A. Gestational diabetes
B. Preterm labor
C. Neural tube defects
D. Low birth weight
Answer: C
Folic acid is essential in early pregnancy to reduce the risk of
neural tube defects such as spina bifida and anencephaly.
2. Which physiologic change is expected during the first trimester of
pregnancy?
A. Increased insulin resistance
B. Decreased progesterone levels
C. Nausea related to rising hCG levels
D. Increased blood pressure
Answer: C
Human chorionic gonadotropin (hCG) peaks in the first trimester
and is associated with nausea and vomiting.
,3. The most reliable sign of pregnancy is:
A. Amenorrhea
B. Breast tenderness
C. Positive ultrasound with fetal heartbeat
D. Morning sickness
Answer: C
A fetal heartbeat visualized on ultrasound is a positive and
diagnostic sign of pregnancy.
4. A pregnant client’s fundal height measures 20 cm. This finding
most likely indicates:
A. 16 weeks’ gestation
B. 18 weeks’ gestation
C. 20 weeks’ gestation
D. 24 weeks’ gestation
Answer: C
After 20 weeks, fundal height in centimeters generally correlates
with gestational age in weeks.
5. Which hormone is primarily responsible for maintaining
pregnancy?
A. Estrogen
B. Progesterone
C. Prolactin
D. Oxytocin
Answer: B
Progesterone maintains the uterine lining and prevents uterine
contractions.
,6. A woman at 28 weeks’ gestation should be screened routinely for:
A. Rh incompatibility
B. Gestational diabetes
C. Neural tube defects
D. Chromosomal abnormalities
Answer: B
Screening for gestational diabetes is typically performed between
24 and 28 weeks.
7. Which assessment finding suggests preeclampsia?
A. Blood pressure 118/72 mm Hg
B. Mild ankle edema at night
C. Proteinuria and headache
D. Increased appetite
Answer: C
Preeclampsia is characterized by hypertension, proteinuria, and
symptoms such as headache or visual changes.
8. The priority nursing intervention for a pregnant woman
experiencing supine hypotensive syndrome is to:
A. Elevate the legs
B. Place her in a left side-lying position
C. Administer oxygen
D. Increase IV fluids
Answer: B
Left side-lying relieves pressure on the vena cava, improving
venous return.
9. Which vaccine is recommended during pregnancy?
A. Measles, mumps, rubella (MMR)
, B. Varicella
C. Tdap
D. Live influenza
Answer: C
Tdap is recommended during each pregnancy to protect the
newborn from pertussis.
10. A pregnant client reports feeling fetal movement for the first
time at 18 weeks. This is referred to as:
A. Lightening
B. Engagement
C. Quickening
D. Ballottement
Answer: C
Quickening is the first maternal perception of fetal movement.
11. Which factor places a woman at greatest risk for postpartum
hemorrhage?
A. Prolonged labor
B. Multiparity
C. Uterine atony
D. Episiotomy
Answer: C
Uterine atony is the most common cause of postpartum
hemorrhage.
12. The nurse assesses lochia rubra in a postpartum client. This
finding is:
A. Abnormal after 24 hours
B. Normal for the first few days
Childbearing and Childrearing Family 9th
Edition Adele Pillitteri Questions And Correct
Answers (Verified Answers) Plus Rationales
2026 Q&A | Instant Download Pdf
1. A woman in her first trimester asks why folic acid supplementation
is important. The nurse explains that folic acid primarily helps
prevent which complication?
A. Gestational diabetes
B. Preterm labor
C. Neural tube defects
D. Low birth weight
Answer: C
Folic acid is essential in early pregnancy to reduce the risk of
neural tube defects such as spina bifida and anencephaly.
2. Which physiologic change is expected during the first trimester of
pregnancy?
A. Increased insulin resistance
B. Decreased progesterone levels
C. Nausea related to rising hCG levels
D. Increased blood pressure
Answer: C
Human chorionic gonadotropin (hCG) peaks in the first trimester
and is associated with nausea and vomiting.
,3. The most reliable sign of pregnancy is:
A. Amenorrhea
B. Breast tenderness
C. Positive ultrasound with fetal heartbeat
D. Morning sickness
Answer: C
A fetal heartbeat visualized on ultrasound is a positive and
diagnostic sign of pregnancy.
4. A pregnant client’s fundal height measures 20 cm. This finding
most likely indicates:
A. 16 weeks’ gestation
B. 18 weeks’ gestation
C. 20 weeks’ gestation
D. 24 weeks’ gestation
Answer: C
After 20 weeks, fundal height in centimeters generally correlates
with gestational age in weeks.
5. Which hormone is primarily responsible for maintaining
pregnancy?
A. Estrogen
B. Progesterone
C. Prolactin
D. Oxytocin
Answer: B
Progesterone maintains the uterine lining and prevents uterine
contractions.
,6. A woman at 28 weeks’ gestation should be screened routinely for:
A. Rh incompatibility
B. Gestational diabetes
C. Neural tube defects
D. Chromosomal abnormalities
Answer: B
Screening for gestational diabetes is typically performed between
24 and 28 weeks.
7. Which assessment finding suggests preeclampsia?
A. Blood pressure 118/72 mm Hg
B. Mild ankle edema at night
C. Proteinuria and headache
D. Increased appetite
Answer: C
Preeclampsia is characterized by hypertension, proteinuria, and
symptoms such as headache or visual changes.
8. The priority nursing intervention for a pregnant woman
experiencing supine hypotensive syndrome is to:
A. Elevate the legs
B. Place her in a left side-lying position
C. Administer oxygen
D. Increase IV fluids
Answer: B
Left side-lying relieves pressure on the vena cava, improving
venous return.
9. Which vaccine is recommended during pregnancy?
A. Measles, mumps, rubella (MMR)
, B. Varicella
C. Tdap
D. Live influenza
Answer: C
Tdap is recommended during each pregnancy to protect the
newborn from pertussis.
10. A pregnant client reports feeling fetal movement for the first
time at 18 weeks. This is referred to as:
A. Lightening
B. Engagement
C. Quickening
D. Ballottement
Answer: C
Quickening is the first maternal perception of fetal movement.
11. Which factor places a woman at greatest risk for postpartum
hemorrhage?
A. Prolonged labor
B. Multiparity
C. Uterine atony
D. Episiotomy
Answer: C
Uterine atony is the most common cause of postpartum
hemorrhage.
12. The nurse assesses lochia rubra in a postpartum client. This
finding is:
A. Abnormal after 24 hours
B. Normal for the first few days
