Test bank for Contemporary Maternal-Newborn Nursing 9th Edition by Patricia Ladewig;
Marcia L London; Michele Davidson |All 1-30 Chapters Covered With Questions And
Verified Solutions With Detailed Rationales And Case Studies.
, TABLE OF CONTENT
PART 1: INTRODUCTORY CONCEPTS
Chapter 1 Contemporary Maternal-Newborn Care
Chapter 2 Family, Culture, and Complementary Health Approaches
Chapter 3 Reproductive Anatomy and Physiology
Chapter 4 Conception and Fetal Development
PART 2: WOMEN'S HEALTH: THE REPRODUCTIVE YEARS
Chapter 5 Health Promotion for Women
Chapter 6 Common Gynecologic Problems
Chapter 7 Families with Special Reproductive Concerns
PART 3: PREGNANCY AND THE FAMILY
Chapter 8 Physical and Psychologic Changes of Pregnancy
Chapter 9 Antepartum Nursing Assessment
Chapter 10 The Expectant Family: Needs and Care
Chapter 11 Maternal Nutrition
Chapter 12 Pregnancy in Selected Populations
Chapter 13 Assessment of Fetal Well-Being
Chapter 14 Pregnancy at Risk: Pregestational Problems
Chapter 15 Pregnancy at Risk: Gestational Onset
PART 4: BIRTH AND THE FAMILY
Chapter 16 Processes and Stages of Labor and Birth
Chapter 17 Intrapartum Nursing Assessment
Chapter 18 The Family in Childbirth: Needs and Care
Chapter 19 Pharmacologic Pain Management
Chapter 20 Childbirth at Risk: Pre-Labor and Intrapartum Complications
Chapter 21 Childbirth at Risk: Labor-Related Complications
Chapter 22 Birth-Related Procedures
PART 5: THE NEWBORN
Chapter 23 The Physiologic Responses of the Newborn to Birth
Chapter 24 Nursing Assessment of the Newborn
Chapter 25 Normal Newborn: Needs, Care, and Feeding
Chapter 26 The Newborn at Risk: Conditions Present at Birth
Chapter 27 The Newborn at Risk: Birth-Related Stressors
PART 6: POSTPARTUM
Chapter 28 Postpartum Adaptation and Nursing Assessment
Chapter 29 The Postpartum Family: Early Care Needs and Home Care
Chapter 30 The Postpartum Family at Risk
,Introductory Concepts in Maternal-Newborn Nursing
Practice Question Bank with Rationales and Case Study
Topics covered: contemporary trends in maternal-newborn care, family-centered care, evidence-
based practice, nursing roles, key statistics (maternal/infant mortality), legal and ethical
considerations, and healthcare delivery models.
Question 1
A nurse is orienting to a maternal-newborn unit that emphasizes family-centered care. Which action
BEST reflects this philosophy?
A. Limiting visitors to reduce infection risk B. Encouraging the partner to remain at the bedside and
participate in decision-making C. Completing all newborn assessments in the nursery away from the
family D. Scheduling care around the unit's routine rather than the family's preferences
Correct Answer: B
Rationale: Family-centered care is built on the principle that the family — not just the patient — is
the unit of care, and that families should be active partners in decisions and present for care
whenever safe and possible. Involving the partner at the bedside supports bonding, shared decision-
making, and continuity of care.
Why the other answers are incorrect:
• A: While infection control matters, blanket visitor restriction without individualized
assessment contradicts the inclusive, relationship-centered approach of family-centered
care.
• C: Removing the newborn to a separate nursery for routine assessments isolates the family
and reflects an older, hospital-centered model rather than family-centered practice.
• D: Family-centered care specifically calls for care to be organized around the family's needs
and preferences, not purely institutional routines.
Question 2
Which of the following best describes the role of evidence-based practice (EBP) in contemporary
maternal-newborn nursing?
A. Relying solely on tradition and past clinical experience B. Integrating the best available research
evidence with clinical expertise and patient preferences C. Following physician orders without
independent clinical judgment D. Using only randomized controlled trials to guide every nursing
action
Correct Answer: B
Rationale: EBP is defined as the integration of the best current research evidence, clinical expertise,
and patient values/preferences to guide clinical decision-making. This triad ensures individualized,
high-quality, and current care.
, Why the other answers are incorrect:
• A: Relying only on tradition ignores current research and can perpetuate outdated or
ineffective practices.
• C: EBP requires nurses to use independent critical thinking, not simply defer to orders
without clinical reasoning.
• D: While RCTs are valuable, EBP also incorporates other evidence types (cohort studies,
expert consensus, patient values) — not RCTs exclusively.
Question 3
The maternal mortality rate is defined as:
A. The number of maternal deaths per 1,000 live births B. The number of maternal deaths from any
cause during pregnancy or within 42 days of termination of pregnancy per 100,000 live births C. The
number of neonatal deaths within the first 28 days of life per 1,000 live births D. The number of fetal
deaths after 20 weeks gestation per 1,000 births
Correct Answer: B
Rationale: Maternal mortality rate is a standardized statistic representing deaths related to
pregnancy or its management occurring during pregnancy or within 42 days postpartum, expressed
per 100,000 live births. It is a key indicator used to evaluate the quality and accessibility of maternity
care in a population.
Why the other answers are incorrect:
• A: This describes an incorrect denominator (1,000 instead of 100,000) and does not define
maternal mortality.
• C: This describes the neonatal mortality rate, a separate statistic.
• D: This describes the fetal death (stillbirth) rate, not maternal mortality.
Question 4
A nurse is discussing disparities in maternal health outcomes. Which statement reflects an accurate
understanding of racial disparities in maternal mortality in the United States?
A. Maternal mortality rates are equal across all racial and ethnic groups B. Black women in the U.S.
experience maternal mortality rates significantly higher than White women, even when controlling
for income and education C. Disparities in maternal mortality are due only to differences in prenatal
visit attendance D. Maternal mortality disparities have been fully eliminated through recent public
health initiatives
Correct Answer: B
Rationale: Multiple national data sources consistently show that Black women in the U.S. experience
significantly higher maternal mortality rates than White women across all socioeconomic levels,
Marcia L London; Michele Davidson |All 1-30 Chapters Covered With Questions And
Verified Solutions With Detailed Rationales And Case Studies.
, TABLE OF CONTENT
PART 1: INTRODUCTORY CONCEPTS
Chapter 1 Contemporary Maternal-Newborn Care
Chapter 2 Family, Culture, and Complementary Health Approaches
Chapter 3 Reproductive Anatomy and Physiology
Chapter 4 Conception and Fetal Development
PART 2: WOMEN'S HEALTH: THE REPRODUCTIVE YEARS
Chapter 5 Health Promotion for Women
Chapter 6 Common Gynecologic Problems
Chapter 7 Families with Special Reproductive Concerns
PART 3: PREGNANCY AND THE FAMILY
Chapter 8 Physical and Psychologic Changes of Pregnancy
Chapter 9 Antepartum Nursing Assessment
Chapter 10 The Expectant Family: Needs and Care
Chapter 11 Maternal Nutrition
Chapter 12 Pregnancy in Selected Populations
Chapter 13 Assessment of Fetal Well-Being
Chapter 14 Pregnancy at Risk: Pregestational Problems
Chapter 15 Pregnancy at Risk: Gestational Onset
PART 4: BIRTH AND THE FAMILY
Chapter 16 Processes and Stages of Labor and Birth
Chapter 17 Intrapartum Nursing Assessment
Chapter 18 The Family in Childbirth: Needs and Care
Chapter 19 Pharmacologic Pain Management
Chapter 20 Childbirth at Risk: Pre-Labor and Intrapartum Complications
Chapter 21 Childbirth at Risk: Labor-Related Complications
Chapter 22 Birth-Related Procedures
PART 5: THE NEWBORN
Chapter 23 The Physiologic Responses of the Newborn to Birth
Chapter 24 Nursing Assessment of the Newborn
Chapter 25 Normal Newborn: Needs, Care, and Feeding
Chapter 26 The Newborn at Risk: Conditions Present at Birth
Chapter 27 The Newborn at Risk: Birth-Related Stressors
PART 6: POSTPARTUM
Chapter 28 Postpartum Adaptation and Nursing Assessment
Chapter 29 The Postpartum Family: Early Care Needs and Home Care
Chapter 30 The Postpartum Family at Risk
,Introductory Concepts in Maternal-Newborn Nursing
Practice Question Bank with Rationales and Case Study
Topics covered: contemporary trends in maternal-newborn care, family-centered care, evidence-
based practice, nursing roles, key statistics (maternal/infant mortality), legal and ethical
considerations, and healthcare delivery models.
Question 1
A nurse is orienting to a maternal-newborn unit that emphasizes family-centered care. Which action
BEST reflects this philosophy?
A. Limiting visitors to reduce infection risk B. Encouraging the partner to remain at the bedside and
participate in decision-making C. Completing all newborn assessments in the nursery away from the
family D. Scheduling care around the unit's routine rather than the family's preferences
Correct Answer: B
Rationale: Family-centered care is built on the principle that the family — not just the patient — is
the unit of care, and that families should be active partners in decisions and present for care
whenever safe and possible. Involving the partner at the bedside supports bonding, shared decision-
making, and continuity of care.
Why the other answers are incorrect:
• A: While infection control matters, blanket visitor restriction without individualized
assessment contradicts the inclusive, relationship-centered approach of family-centered
care.
• C: Removing the newborn to a separate nursery for routine assessments isolates the family
and reflects an older, hospital-centered model rather than family-centered practice.
• D: Family-centered care specifically calls for care to be organized around the family's needs
and preferences, not purely institutional routines.
Question 2
Which of the following best describes the role of evidence-based practice (EBP) in contemporary
maternal-newborn nursing?
A. Relying solely on tradition and past clinical experience B. Integrating the best available research
evidence with clinical expertise and patient preferences C. Following physician orders without
independent clinical judgment D. Using only randomized controlled trials to guide every nursing
action
Correct Answer: B
Rationale: EBP is defined as the integration of the best current research evidence, clinical expertise,
and patient values/preferences to guide clinical decision-making. This triad ensures individualized,
high-quality, and current care.
, Why the other answers are incorrect:
• A: Relying only on tradition ignores current research and can perpetuate outdated or
ineffective practices.
• C: EBP requires nurses to use independent critical thinking, not simply defer to orders
without clinical reasoning.
• D: While RCTs are valuable, EBP also incorporates other evidence types (cohort studies,
expert consensus, patient values) — not RCTs exclusively.
Question 3
The maternal mortality rate is defined as:
A. The number of maternal deaths per 1,000 live births B. The number of maternal deaths from any
cause during pregnancy or within 42 days of termination of pregnancy per 100,000 live births C. The
number of neonatal deaths within the first 28 days of life per 1,000 live births D. The number of fetal
deaths after 20 weeks gestation per 1,000 births
Correct Answer: B
Rationale: Maternal mortality rate is a standardized statistic representing deaths related to
pregnancy or its management occurring during pregnancy or within 42 days postpartum, expressed
per 100,000 live births. It is a key indicator used to evaluate the quality and accessibility of maternity
care in a population.
Why the other answers are incorrect:
• A: This describes an incorrect denominator (1,000 instead of 100,000) and does not define
maternal mortality.
• C: This describes the neonatal mortality rate, a separate statistic.
• D: This describes the fetal death (stillbirth) rate, not maternal mortality.
Question 4
A nurse is discussing disparities in maternal health outcomes. Which statement reflects an accurate
understanding of racial disparities in maternal mortality in the United States?
A. Maternal mortality rates are equal across all racial and ethnic groups B. Black women in the U.S.
experience maternal mortality rates significantly higher than White women, even when controlling
for income and education C. Disparities in maternal mortality are due only to differences in prenatal
visit attendance D. Maternal mortality disparities have been fully eliminated through recent public
health initiatives
Correct Answer: B
Rationale: Multiple national data sources consistently show that Black women in the U.S. experience
significantly higher maternal mortality rates than White women across all socioeconomic levels,
