TEST BANK
Davis Advantage for Maternal-Newborn Nursing: Critical
Components of Nursing Care
Roberta Durham, Linda Chapman, and Connie Miller
4th Edition
,Table of Contents
Chapter 01: Trends and Issues 1
Chapter 02: Ethics and Standards of Practice Issues 15
Chapter 03: Genetics, Conception, Fetal Development, and Reproductive Technology 32
Chapter 04: Physiological Aspects of Pregnancy 48
Chapter 05: The Psycho-Social-Cultural Aspects of Pregnancy 64
Chapter 06: Antepartal Tests 82
Chapter 07: Complications of Pregnancy 98
Chapter 08: Labor and Birth 117
Chapter 09: Fetal Heart Rate Assessment 134
Chapter 10: Complications of Labor and Birth 150
Chapter 11: Intrapartum and Postpartum Care of Cesarean Birth Families 167
Chapter 12: Postpartum Physiological Assessments and Nursing Care 181
Chapter 13: Transition to Parenthood 198
Chapter 14: Postpartum Complications and Nursing Care 213
Chapter 15: Nursing Care of the Neonate and Family 229
Chapter 16: Newborn Nutrition 248
Chapter 17: Complications of the Neonate and Nursing Care 262
Chapter 18: Well Women’s Health 277
Chapter 19: Alterations in Women’s Health 291
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The maternal mortality rate for black women in the United States is:
A. The same as for white women in the United States, regardless of socioeconomic
factors.
B. Lower than the rate for white women due to improvements in the social
determinants of health.
C. Higher than the rate for white women, regardless of socioeconomic factors.
D. Higher than the rate for white women, but have improved in the last decade.
ANS: C
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality
Rates
Integrated Processes: Population Health
Client Need: Safe and Effective Care Environment
Cognitive Level: Knowledge (Remembering)
Concept: Population Health
Difficulty: Hard
Feedback
A This is incorrect. Socioeconomic factors affect maternal mortality rates.
B This is incorrect. Social determinants of health have not improved for black
women.
C This is correct. The maternal mortality ratio for black women is 2.5 times higher
than for white women. Wide disparities in maternal mortality exist that are based
on race, ethnicity, and geographic location.
D This is incorrect. The maternal mortality rate for black women is higher than for
white women and has gotten worse in the last decade.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
able to stabilize the patient’s blood pressure. Therefore, the patient died shortly after
delivery. This is an example of what type of death?
A. Early maternal death
B. Late maternal death
C. Direct obstetric death
D. Indirect obstetric death
ANS: D
Chapter: Chapter 1 Trends and Issues
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality
Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Hard
Feedback
A This is incorrect. Early maternal death is not an example of maternal death.
Examples of maternal death include late maternal death, indirect obstetric death,
direct obstetric death, and pregnancy-related death.
B This is incorrect. Late maternal death occurs 42 days after termination of
pregnancy from a direct or indirect obstetric cause.
C This is incorrect. Direct obstetric death results from complications during
pregnancy, labor, birth, and/or the postpartum period.
D This is correct. Indirect obstetric death is caused by a preexisting disease, or a
disease that develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
3. The nurse is providing education to a patient who has given birth to her first child and is
being discharged home. The patient expressed concern regarding infant mortality and
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
and vaginal delivery. She has a body mass index (BMI) of 25 and has no other health
conditions. The infant is healthy and was delivered full-term. What will be most helpful
thing to explain to the patient?
A. Uses of extracorporeal membrane oxygenation therapy (ECMO)
B. Uses of exogenous pulmonary surfactant
C. The Baby-Friendly Hospital Initiative
D. The Safe to Sleep campaign
ANS: D
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 3
Heading: Issues in Maternal-Newborn and Gender Health > Infant Mortality Rates
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A This is incorrect. ECMO has been cited as one of the factors that has reduced
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
infant mortality among preterm infants.
B This is incorrect. Although advances in medical treatments have decreased infant
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality
of preterm infants.
C This is incorrect. The Baby-Friendly Hospital Initiative was developed to
support breastfeeding and is not directly linked to reduced infant mortality or
SIDS.
D This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns
were designed to promote healthy infant sleeping habits. The decrease in SIDS
from 1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Health Promotion
4. Compared with other countries in the world, the United States’ maternal mortality rate is:
A. One of the lowest rates in the world.
B. The same as in other high-resource countries.
C. Worse than in other high-resource countries, but has improved in the last decade.
D. The highest rate of all high-resource countries.
ANS: D
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality
Rates
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Moderate
Feedback
A This is incorrect. The United States has the highest maternal mortality rate for
high-resource countries.
B This is incorrect. The United States has the highest maternal mortality rate for
high-resource countries.
C This is incorrect. The United States is one of the few nations in the world where
the maternal mortality rate is rising.
D This is correct. The United States’ maternal mortality rate is the highest of all
high-resource countries.
PTS: 1 CON: Ante/Intra/Post-partum
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and
HIV. Based on the information provided, which condition is the patient’s baby at highest
risk for?
A. Respiratory disorders
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
B. Neonatal conjunctivitis
C. Blindness
D. Pneumonia
ANS: A
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 9
Heading: Issues > Teen Pregnancy
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Difficult
Feedback
A This is correct. Infants born to teen mothers are at increased risk for various
conditions related to prematurity, including infant death, intestinal problems,
and/or respiratory distress syndrome (RDS).
B This is incorrect. Infants born to teen mothers who have gonorrhea are at
increased risk of neonatal conjunctivitis and blindness.
C This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at
increased risk of blindness.
D This is incorrect. Infants born to teen mothers with chlamydia may be at
increased risk of developing chlamydial pneumonia.
PTS: 1 CON: Health Promotion
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test.
The test confirms the patient is pregnant. The patient states, “I do not need to stop smoking
my electronic cigarette because it will not harm my baby.” Which is the best response by the
nurse?
A. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
B. “Tobacco products, including electronic cigarettes, should not be used during
pregnancy due to the risk of nicotine toxicity.”
C. “According to the U.S. Food and Drug Administration (FDA), although electronic
cigarettes are safe for you, they can cause harm to the fetus during pregnancy.”
D. “Electronic cigarettes are considered harmful only in the first trimester.”
ANS: B
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 10
Heading: Issues > Tobacco and Electronic Cigarette Use During Pregnancy
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
Cognitive Level: Application [Applying]
Concept: Behaviors
Difficulty: Moderate
Feedback
A This is incorrect. Electronic cigarettes can be harmful during pregnancy.
B This is correct. Pregnant women should not use tobacco products or electronic
cigarettes during pregnancy.
C This is incorrect. Electronic cigarettes are not controlled by the FDA and may be
harmful to both mother and fetus.
D This is incorrect. Electronic cigarettes are considered harmful during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
7. The nurse is caring for a 16-year-old patient who is 32 weeks’ pregnant with her first child,
who is male. The patient’s mother has accompanied her to today’s visit. During the nursing
assessment, the patient mentions that she is no longer in a relationship with the baby’s father
but her mother plans to help her. However, the patient’s mother asks whether this will have
any impact on the child. Which of the following should the nurse indicate the child is at
increased risk for during his adolescence?
A. Hypertension
B. Diabetes
C. Alcohol abuse
D. Intraventricular bleeding
ANS: C
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 9
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
A This is incorrect. Teen mothers, rather than their children, are at increased risk of
hypertension during pregnancy.
B This is incorrect. Children born to mothers who are obese have an increased risk
of developing childhood obesity and childhood diabetes.
C This is correct. Statistics have shown that adolescent boys without an involved
father may be at higher risk of incarceration, dropping out of school, and abusing
drugs or alcohol.
D This is incorrect. Children born to teen mothers are at increased risk for health
problems associated with low birth weight, including intraventricular bleeding.
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
PTS: 1 CON: Ante/Intra/Post-partum
8. The nurse is caring for a patient at 7 weeks’ gestation. The nurse suspects that this pregnant
patient may have been using marijuana. With consent, the nurse confirms via urine drug
screen. Which statement by the nurse is most appropriate?
A. “Did you smoke marijuana when pregnant with your other child?”
B. “To avoid negative effects on your baby, you’ll need to stop using marijuana
during your last trimester.”
C. “Using marijuana while pregnant can have a negative effect on the neurological
development of your baby.”
D. “Marijuana use while pregnant greatly increases your risk of miscarriage.”
ANS: C
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 10
Heading: Issues > Substance Abuse During Pregnancy
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
A This is incorrect. Whether or not the woman used marijuana during her previous
pregnancy is not relevant to her current care.
B This is incorrect. Marijuana should not be used at any point during pregnancy.
C This is correct. Marijuana use during pregnancy may have a negative effect on
the neurological development of the fetus.
D This is incorrect. There currently is no research linking marijuana use to
increased risk of miscarriage.
PTS: 1 CON: Ante/Intra/Post-partum
9. The nurse is counseling a female patient about alcohol use during pregnancy. Which
statement by the patient demonstrates successful patient teaching?
A. “I will limit my drinking to just one alcoholic beverage per day.”
B. “It’s best for my baby if I avoid drinking during pregnancy.”
C. “An occasional drink on special occasions is okay.”
D. “Drinking alcohol is only acceptable in the first trimester.”
ANS: B
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 10
Heading: Issues > Substance Abuse During Pregnancy
Integrated Processes: Nursing Process
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
A This is incorrect. Alcohol should not be consumed while pregnant.
B This is correct. Drinking alcohol while pregnant can cause low birth weight
(LBW), fetal alcohol syndrome (FAS), mental retardation, and intrauterine
growth restriction.
C This is incorrect. Alcohol should not be consumed while pregnant.
D This is incorrect. Alcohol should not be consumed while pregnant.
PTS: 1 CON: Ante/Intra/Post-partum
10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse
knows that teaching has been effective when the patient states which of the following?
A. “My child may be at increased risk for birth injury.”
B. “My child may have a decreased risk of developing childhood diabetes.”
C. “I will probably give birth vaginally.”
D. “I have a lower risk of developing gestational hypertension.”
ANS: A
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss evidence-based nursing care that promotes optimal
outcomes in labor and birth.
Page: 11
Heading: Issues > Overweight and Obesity
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult
Feedback
A This is correct. Shoulder dystocia and other birth injuries are associated with
infant macrosomia (large size) due to maternal obesity.
B This is incorrect. Children born to mothers who are obese are at increased risk of
developing childhood obesity and diabetes.
C This is incorrect. Pregnant patients who are obese are at increased risk of
Caesarean birth.
D This is incorrect. Pregnant patients who are obese have an increased risk of
developing gestational diabetes and gestational hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that
the patient may be at risk for during pregnancy. Which response by the patient indicates that
she understands?
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
A. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
B. “I am not overweight, but I am still at risk for gestational diabetes.”
C. “My mother had preeclampsia during one of her pregnancies.”
D. “I will need to do a glucose tolerance test in my second trimester.”
ANS: A
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 11
Heading: Issues > Overweight and Obesity
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult
Feedback
A This is correct. The patient is at risk for gestational diabetes due to being obese
during pregnancy.
B This is incorrect. The patient is overweight.
C This is incorrect. This response is not related to the question.
D This is incorrect. The patient will need to get the glucose tolerance test in the
second trimester, but this response does not relate to the question.
PTS: 1 CON: Ante/Intra/Post-partum
12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action
should the nurse take first?
A. Refer the patient to a drug abuse program.
B. Screen the infant for side effects associated with cocaine use.
C. Educate the patient of the risks associated with cocaine use during pregnancy.
D. Advise the patient that her baby will be okay even with the history of cocaine use.
ANS: C
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss evidence-based nursing care that promotes optimal
outcomes in labor and birth.
Page: 10
Heading: Issues > Substance Abuse During Pregnancy
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult
Feedback
A This is incorrect. This is appropriate, but not the first action the nurse should
take.
B This is incorrect. The infant is not screened for side effects of maternal drug use
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8|Page
Davis Advantage for Maternal-Newborn Nursing: Critical
Components of Nursing Care
Roberta Durham, Linda Chapman, and Connie Miller
4th Edition
,Table of Contents
Chapter 01: Trends and Issues 1
Chapter 02: Ethics and Standards of Practice Issues 15
Chapter 03: Genetics, Conception, Fetal Development, and Reproductive Technology 32
Chapter 04: Physiological Aspects of Pregnancy 48
Chapter 05: The Psycho-Social-Cultural Aspects of Pregnancy 64
Chapter 06: Antepartal Tests 82
Chapter 07: Complications of Pregnancy 98
Chapter 08: Labor and Birth 117
Chapter 09: Fetal Heart Rate Assessment 134
Chapter 10: Complications of Labor and Birth 150
Chapter 11: Intrapartum and Postpartum Care of Cesarean Birth Families 167
Chapter 12: Postpartum Physiological Assessments and Nursing Care 181
Chapter 13: Transition to Parenthood 198
Chapter 14: Postpartum Complications and Nursing Care 213
Chapter 15: Nursing Care of the Neonate and Family 229
Chapter 16: Newborn Nutrition 248
Chapter 17: Complications of the Neonate and Nursing Care 262
Chapter 18: Well Women’s Health 277
Chapter 19: Alterations in Women’s Health 291
,______________________________________________________________________________________________
Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The maternal mortality rate for black women in the United States is:
A. The same as for white women in the United States, regardless of socioeconomic
factors.
B. Lower than the rate for white women due to improvements in the social
determinants of health.
C. Higher than the rate for white women, regardless of socioeconomic factors.
D. Higher than the rate for white women, but have improved in the last decade.
ANS: C
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality
Rates
Integrated Processes: Population Health
Client Need: Safe and Effective Care Environment
Cognitive Level: Knowledge (Remembering)
Concept: Population Health
Difficulty: Hard
Feedback
A This is incorrect. Socioeconomic factors affect maternal mortality rates.
B This is incorrect. Social determinants of health have not improved for black
women.
C This is correct. The maternal mortality ratio for black women is 2.5 times higher
than for white women. Wide disparities in maternal mortality exist that are based
on race, ethnicity, and geographic location.
D This is incorrect. The maternal mortality rate for black women is higher than for
white women and has gotten worse in the last decade.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
able to stabilize the patient’s blood pressure. Therefore, the patient died shortly after
delivery. This is an example of what type of death?
A. Early maternal death
B. Late maternal death
C. Direct obstetric death
D. Indirect obstetric death
ANS: D
Chapter: Chapter 1 Trends and Issues
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1|Page
,______________________________________________________________________________________________
Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality
Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Hard
Feedback
A This is incorrect. Early maternal death is not an example of maternal death.
Examples of maternal death include late maternal death, indirect obstetric death,
direct obstetric death, and pregnancy-related death.
B This is incorrect. Late maternal death occurs 42 days after termination of
pregnancy from a direct or indirect obstetric cause.
C This is incorrect. Direct obstetric death results from complications during
pregnancy, labor, birth, and/or the postpartum period.
D This is correct. Indirect obstetric death is caused by a preexisting disease, or a
disease that develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
3. The nurse is providing education to a patient who has given birth to her first child and is
being discharged home. The patient expressed concern regarding infant mortality and
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
and vaginal delivery. She has a body mass index (BMI) of 25 and has no other health
conditions. The infant is healthy and was delivered full-term. What will be most helpful
thing to explain to the patient?
A. Uses of extracorporeal membrane oxygenation therapy (ECMO)
B. Uses of exogenous pulmonary surfactant
C. The Baby-Friendly Hospital Initiative
D. The Safe to Sleep campaign
ANS: D
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 3
Heading: Issues in Maternal-Newborn and Gender Health > Infant Mortality Rates
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A This is incorrect. ECMO has been cited as one of the factors that has reduced
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
infant mortality among preterm infants.
B This is incorrect. Although advances in medical treatments have decreased infant
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality
of preterm infants.
C This is incorrect. The Baby-Friendly Hospital Initiative was developed to
support breastfeeding and is not directly linked to reduced infant mortality or
SIDS.
D This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns
were designed to promote healthy infant sleeping habits. The decrease in SIDS
from 1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Health Promotion
4. Compared with other countries in the world, the United States’ maternal mortality rate is:
A. One of the lowest rates in the world.
B. The same as in other high-resource countries.
C. Worse than in other high-resource countries, but has improved in the last decade.
D. The highest rate of all high-resource countries.
ANS: D
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality
Rates
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Moderate
Feedback
A This is incorrect. The United States has the highest maternal mortality rate for
high-resource countries.
B This is incorrect. The United States has the highest maternal mortality rate for
high-resource countries.
C This is incorrect. The United States is one of the few nations in the world where
the maternal mortality rate is rising.
D This is correct. The United States’ maternal mortality rate is the highest of all
high-resource countries.
PTS: 1 CON: Ante/Intra/Post-partum
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and
HIV. Based on the information provided, which condition is the patient’s baby at highest
risk for?
A. Respiratory disorders
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
B. Neonatal conjunctivitis
C. Blindness
D. Pneumonia
ANS: A
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 9
Heading: Issues > Teen Pregnancy
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Difficult
Feedback
A This is correct. Infants born to teen mothers are at increased risk for various
conditions related to prematurity, including infant death, intestinal problems,
and/or respiratory distress syndrome (RDS).
B This is incorrect. Infants born to teen mothers who have gonorrhea are at
increased risk of neonatal conjunctivitis and blindness.
C This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at
increased risk of blindness.
D This is incorrect. Infants born to teen mothers with chlamydia may be at
increased risk of developing chlamydial pneumonia.
PTS: 1 CON: Health Promotion
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test.
The test confirms the patient is pregnant. The patient states, “I do not need to stop smoking
my electronic cigarette because it will not harm my baby.” Which is the best response by the
nurse?
A. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
B. “Tobacco products, including electronic cigarettes, should not be used during
pregnancy due to the risk of nicotine toxicity.”
C. “According to the U.S. Food and Drug Administration (FDA), although electronic
cigarettes are safe for you, they can cause harm to the fetus during pregnancy.”
D. “Electronic cigarettes are considered harmful only in the first trimester.”
ANS: B
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 10
Heading: Issues > Tobacco and Electronic Cigarette Use During Pregnancy
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
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4|Page
,______________________________________________________________________________________________
Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
Cognitive Level: Application [Applying]
Concept: Behaviors
Difficulty: Moderate
Feedback
A This is incorrect. Electronic cigarettes can be harmful during pregnancy.
B This is correct. Pregnant women should not use tobacco products or electronic
cigarettes during pregnancy.
C This is incorrect. Electronic cigarettes are not controlled by the FDA and may be
harmful to both mother and fetus.
D This is incorrect. Electronic cigarettes are considered harmful during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
7. The nurse is caring for a 16-year-old patient who is 32 weeks’ pregnant with her first child,
who is male. The patient’s mother has accompanied her to today’s visit. During the nursing
assessment, the patient mentions that she is no longer in a relationship with the baby’s father
but her mother plans to help her. However, the patient’s mother asks whether this will have
any impact on the child. Which of the following should the nurse indicate the child is at
increased risk for during his adolescence?
A. Hypertension
B. Diabetes
C. Alcohol abuse
D. Intraventricular bleeding
ANS: C
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 9
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
A This is incorrect. Teen mothers, rather than their children, are at increased risk of
hypertension during pregnancy.
B This is incorrect. Children born to mothers who are obese have an increased risk
of developing childhood obesity and childhood diabetes.
C This is correct. Statistics have shown that adolescent boys without an involved
father may be at higher risk of incarceration, dropping out of school, and abusing
drugs or alcohol.
D This is incorrect. Children born to teen mothers are at increased risk for health
problems associated with low birth weight, including intraventricular bleeding.
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
PTS: 1 CON: Ante/Intra/Post-partum
8. The nurse is caring for a patient at 7 weeks’ gestation. The nurse suspects that this pregnant
patient may have been using marijuana. With consent, the nurse confirms via urine drug
screen. Which statement by the nurse is most appropriate?
A. “Did you smoke marijuana when pregnant with your other child?”
B. “To avoid negative effects on your baby, you’ll need to stop using marijuana
during your last trimester.”
C. “Using marijuana while pregnant can have a negative effect on the neurological
development of your baby.”
D. “Marijuana use while pregnant greatly increases your risk of miscarriage.”
ANS: C
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United
States and analyze how the social determinants of health impact outcomes and lead to health
disparities.
Page: 10
Heading: Issues > Substance Abuse During Pregnancy
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
A This is incorrect. Whether or not the woman used marijuana during her previous
pregnancy is not relevant to her current care.
B This is incorrect. Marijuana should not be used at any point during pregnancy.
C This is correct. Marijuana use during pregnancy may have a negative effect on
the neurological development of the fetus.
D This is incorrect. There currently is no research linking marijuana use to
increased risk of miscarriage.
PTS: 1 CON: Ante/Intra/Post-partum
9. The nurse is counseling a female patient about alcohol use during pregnancy. Which
statement by the patient demonstrates successful patient teaching?
A. “I will limit my drinking to just one alcoholic beverage per day.”
B. “It’s best for my baby if I avoid drinking during pregnancy.”
C. “An occasional drink on special occasions is okay.”
D. “Drinking alcohol is only acceptable in the first trimester.”
ANS: B
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 10
Heading: Issues > Substance Abuse During Pregnancy
Integrated Processes: Nursing Process
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
A This is incorrect. Alcohol should not be consumed while pregnant.
B This is correct. Drinking alcohol while pregnant can cause low birth weight
(LBW), fetal alcohol syndrome (FAS), mental retardation, and intrauterine
growth restriction.
C This is incorrect. Alcohol should not be consumed while pregnant.
D This is incorrect. Alcohol should not be consumed while pregnant.
PTS: 1 CON: Ante/Intra/Post-partum
10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse
knows that teaching has been effective when the patient states which of the following?
A. “My child may be at increased risk for birth injury.”
B. “My child may have a decreased risk of developing childhood diabetes.”
C. “I will probably give birth vaginally.”
D. “I have a lower risk of developing gestational hypertension.”
ANS: A
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss evidence-based nursing care that promotes optimal
outcomes in labor and birth.
Page: 11
Heading: Issues > Overweight and Obesity
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult
Feedback
A This is correct. Shoulder dystocia and other birth injuries are associated with
infant macrosomia (large size) due to maternal obesity.
B This is incorrect. Children born to mothers who are obese are at increased risk of
developing childhood obesity and diabetes.
C This is incorrect. Pregnant patients who are obese are at increased risk of
Caesarean birth.
D This is incorrect. Pregnant patients who are obese have an increased risk of
developing gestational diabetes and gestational hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that
the patient may be at risk for during pregnancy. Which response by the patient indicates that
she understands?
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Test Bank - Maternal-Newborn Nursing: Critical Components of Nursing Care, 4th Edition (Durham, 2023)
A. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
B. “I am not overweight, but I am still at risk for gestational diabetes.”
C. “My mother had preeclampsia during one of her pregnancies.”
D. “I will need to do a glucose tolerance test in my second trimester.”
ANS: A
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 11
Heading: Issues > Overweight and Obesity
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult
Feedback
A This is correct. The patient is at risk for gestational diabetes due to being obese
during pregnancy.
B This is incorrect. The patient is overweight.
C This is incorrect. This response is not related to the question.
D This is incorrect. The patient will need to get the glucose tolerance test in the
second trimester, but this response does not relate to the question.
PTS: 1 CON: Ante/Intra/Post-partum
12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action
should the nurse take first?
A. Refer the patient to a drug abuse program.
B. Screen the infant for side effects associated with cocaine use.
C. Educate the patient of the risks associated with cocaine use during pregnancy.
D. Advise the patient that her baby will be okay even with the history of cocaine use.
ANS: C
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss evidence-based nursing care that promotes optimal
outcomes in labor and birth.
Page: 10
Heading: Issues > Substance Abuse During Pregnancy
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult
Feedback
A This is incorrect. This is appropriate, but not the first action the nurse should
take.
B This is incorrect. The infant is not screened for side effects of maternal drug use
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