Introduction to Maternity and Pediatric Nursing, 8th Edition – Complete Test Bank | Leifer | 1000+ NCLEX-Style Questions | Detailed Rationales | Updated 2026–2027

,INTRODUCTION TO MATERNITY AND PEDIATRIC
NURSING, 8TH EDITION – COMPREHENSIVE FINAL
EXAM

TABLE OF CONTENTS

Unit Chapters Covered Questions

Unit I: Overview of Maternity and Pediatric Nursing 1–2 1–25

Unit II: Maternal-Newborn Nursing and Women's Health 3–6 26–80

Unit III: The Birth Process 7–9 81–120

Unit IV: Postpartum and Newborn Care 10–12 121–160

Unit V: Complications of Pregnancy and Childbirth 13–15 161–190

Unit VI: Pediatric Nursing Foundations 16–19 191–220

Unit VII: Pediatric Nursing Care 20–34 221–250

Total 34 Chapters 250 Questio




UNIT I: OVERVIEW OF MATERNITY AND PEDIATRIC
NURSING



Chapter 1: The Past, Present, and Future

,1. A patient chooses to have a certified nurse-midwife (CNM) provide care during
her pregnancy. What does the CNM's scope of practice include?

A) Performing cesarean sections
B) Providing care during normal pregnancy, labor, and delivery
C) Managing high-risk pregnancies independently
D) Prescribing medications only under physician supervision

Answer: B

Rationale: Certified nurse-midwives provide comprehensive care during normal
pregnancy, labor, and delivery. They refer high-risk patients to obstetricians and do not
perform cesarean sections. CNMs have prescriptive authority in all states.




2. The nurse is caring for a patient who is 8 weeks pregnant. The patient asks
about the role of a doula. Which response by the nurse is most accurate?

A) "A doula provides medical care during labor and delivery."
B) "A doula provides emotional and physical support during labor and delivery."
C) "A doula performs cesarean sections."
D) "A doula prescribes pain medication during labor."

Answer: B

Rationale: A doula provides emotional, physical, and informational support during labor
and delivery. Doulas do not provide medical care, perform procedures, or prescribe
medications.




3. A patient who recently immigrated to the United States comments to the nurse,
"I am afraid of childbirth. It is so dangerous." What is the most appropriate
nursing response?

A) "Childbirth is safer now than ever before."
B) "Tell me about your concerns regarding childbirth."
C) "You have nothing to worry about."
D) "All women are afraid of childbirth."

, Answer: B k




Rationale: The nurse should use therapeutic communication to explore the patient's
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concerns. Acknowledging the patient's fears and encouraging discussion is more
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appropriate than dismissing them.
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4. The nurse is providing education to a group of pregnant women about the history
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of maternity care. Which statement by a participant indicates a need for further
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teaching?
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A) "In the past, most women gave birth at home."
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B) "Maternal mortality rates have decreased significantly over the past century."
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C) "Cesarean sections were common in the 1800s."
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D) "The use of anesthesia during labor became common in the 20th century."
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Answer: C k




Rationale: Cesarean sections were not common in the 1800s; they were rarely performed
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due to high maternal mortality rates. Cesarean sections became more common in the 20th
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century with advancements in surgical techniques and antibiotics.
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5. A pregnant patient asks the nurse about the role of the father during labor. Which
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response by the nurse is most appropriate?
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A) "The father should stay in the waiting room."
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B) "The father can provide support and comfort during labor."
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C) "The father is not allowed in the delivery room."
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D) "The father's role is limited to signing consent forms."
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Answer: B k




Rationale: Fathers and support persons are encouraged to participate in labor and
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delivery by providing comfort, support, and advocacy for the patient. Their presence is
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beneficial for both the mother and the newborn.
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