Exam 1: NSG432 / NSG 432 (Latest
Update ) Nursing Care of the
Childbearing Family | Test Guide
Questions and Verified Answers | 100%
Correct | Grade A – GCU
Question 1
The nurse is reviewing the scope of maternity nursing. Which of the following best
describes the care provided during the antepartum period?
A. Care during labor and birth
B. Care during pregnancy until the onset of labor
C. Care after childbirth
D. Care during the newborn period
Correct Answer: B. Care during pregnancy until the onset of labor
Rationale: The antepartum period refers to the time from conception until the onset of
labor. Prenatal or antepartum care occurs during pregnancy at 40 weeks. Intrapartum
care is during labor and birth, and postpartum care is after childbirth .
Question 2
Which organization sets health goals every 10 years for the U.S. population and
includes specific maternal and fetal health objectives?
A. HRSA
B. NIH
C. Healthy People
D. CDC
Correct Answer: C. Healthy People
,Rationale: Healthy People is a science-based program with 20-year objectives to
improve the health of Americans. It includes specific maternal and fetal goals such as
reducing the rate of fetal and newborn deaths and increasing the proportion of clients
who attend childbirth classes .
Question 3
What does the term "failure to rescue" mean in nursing practice?
A. Inability to prevent patient harm
B. Failure to document patient care
C. Inability to provide emotional support
D. Failure to discharge the patient on time
Correct Answer: A. Inability to prevent patient harm
Rationale: Failure to rescue refers to the inability to prevent patient harm when
complications occur. Two key components for preventing failure to rescue are: (1)
careful surveillance and identification of complications, and (2) quick action to initiate
appropriate interventions to activate a team response .
Question 4
Which of the following is a sentinel event in maternity nursing?
A. A patient's request for a different nurse
B. A bad outcome that requires investigation
C. A patient being discharged with education
D. A normal vaginal delivery
Correct Answer: B. A bad outcome that requires investigation
Rationale: A sentinel event is an unexpected occurrence involving death or serious
physical or psychological injury. In maternity nursing, sentinel events include
preventable maternal deaths, severe hemorrhage, and other adverse outcomes that
require investigation .
,Question 5
The nurse is teaching a prenatal class about birthing options. Which of the
following is available to families?
A. Hospitals only
B. Birthing centers only
C. Home births only
D. Hospitals, birthing centers, and home births
Correct Answer: D. Hospitals, birthing centers, and home births
Rationale: Available birthing options include hospitals (where most births occur),
birthing centers (which have less interventions but are not a home or hospital), and
home births. Certified nurse-midwives (CNMs) can provide care and deliver in hospitals,
birthing centers, or in the client's home .
Question 6
The nurse is explaining the standard of care in maternity nursing. What is the
purpose of standards of care?
A. To increase hospital profits
B. To prevent error and ensure quality care
C. To limit nursing autonomy
D. To reduce the number of births
Correct Answer: B. To prevent error and ensure quality care
Rationale: Standards of care in maternity nursing include prevention of error,
monitoring for sentinel events, failure to rescue prevention, and addressing ethical and
legal issues. Standards ensure safe, quality care for mothers and babies .
Question 7
A nurse is caring for a postpartum client who had a vaginal delivery. How long is
the typical hospital stay?
, A. Less than 6 hours
B. 48 hours or more
C. 96 hours or more
D. 7 days
Correct Answer: B. 48 hours or more
Rationale: Postpartum women can be discharged in: >6 hours for birthing centers, >48
hours for vaginal delivery, and >96 hours for C-section. Postpartum care may occur in an
LDR room (labor, delivery, recovery) transferred to a postpartum area when stable, or in
an LDRP room where the client stays in the same room throughout .
Question 8
Which of the following contributes to maternal mortality in the United States?
A. Cardiovascular disease
B. Infection
C. Obesity
D. All of the above
Correct Answer: D. All of the above
Rationale: Maternal mortality in the United States is caused by cardiovascular disease
(hypertension), non-cardiovascular disease (diabetes), infection, and obesity. Many of
these deaths are preventable if access to care is improved .
Question 9
The nurse is discussing contemporary trends in maternity care. Which of the
following is a current trend?
A. Increase in VBAC rates
B. Decrease in C-section rates
C. Increase in C-section rates
D. Decrease in preconception care
Correct Answer: C. Increase in C-section rates
Update ) Nursing Care of the
Childbearing Family | Test Guide
Questions and Verified Answers | 100%
Correct | Grade A – GCU
Question 1
The nurse is reviewing the scope of maternity nursing. Which of the following best
describes the care provided during the antepartum period?
A. Care during labor and birth
B. Care during pregnancy until the onset of labor
C. Care after childbirth
D. Care during the newborn period
Correct Answer: B. Care during pregnancy until the onset of labor
Rationale: The antepartum period refers to the time from conception until the onset of
labor. Prenatal or antepartum care occurs during pregnancy at 40 weeks. Intrapartum
care is during labor and birth, and postpartum care is after childbirth .
Question 2
Which organization sets health goals every 10 years for the U.S. population and
includes specific maternal and fetal health objectives?
A. HRSA
B. NIH
C. Healthy People
D. CDC
Correct Answer: C. Healthy People
,Rationale: Healthy People is a science-based program with 20-year objectives to
improve the health of Americans. It includes specific maternal and fetal goals such as
reducing the rate of fetal and newborn deaths and increasing the proportion of clients
who attend childbirth classes .
Question 3
What does the term "failure to rescue" mean in nursing practice?
A. Inability to prevent patient harm
B. Failure to document patient care
C. Inability to provide emotional support
D. Failure to discharge the patient on time
Correct Answer: A. Inability to prevent patient harm
Rationale: Failure to rescue refers to the inability to prevent patient harm when
complications occur. Two key components for preventing failure to rescue are: (1)
careful surveillance and identification of complications, and (2) quick action to initiate
appropriate interventions to activate a team response .
Question 4
Which of the following is a sentinel event in maternity nursing?
A. A patient's request for a different nurse
B. A bad outcome that requires investigation
C. A patient being discharged with education
D. A normal vaginal delivery
Correct Answer: B. A bad outcome that requires investigation
Rationale: A sentinel event is an unexpected occurrence involving death or serious
physical or psychological injury. In maternity nursing, sentinel events include
preventable maternal deaths, severe hemorrhage, and other adverse outcomes that
require investigation .
,Question 5
The nurse is teaching a prenatal class about birthing options. Which of the
following is available to families?
A. Hospitals only
B. Birthing centers only
C. Home births only
D. Hospitals, birthing centers, and home births
Correct Answer: D. Hospitals, birthing centers, and home births
Rationale: Available birthing options include hospitals (where most births occur),
birthing centers (which have less interventions but are not a home or hospital), and
home births. Certified nurse-midwives (CNMs) can provide care and deliver in hospitals,
birthing centers, or in the client's home .
Question 6
The nurse is explaining the standard of care in maternity nursing. What is the
purpose of standards of care?
A. To increase hospital profits
B. To prevent error and ensure quality care
C. To limit nursing autonomy
D. To reduce the number of births
Correct Answer: B. To prevent error and ensure quality care
Rationale: Standards of care in maternity nursing include prevention of error,
monitoring for sentinel events, failure to rescue prevention, and addressing ethical and
legal issues. Standards ensure safe, quality care for mothers and babies .
Question 7
A nurse is caring for a postpartum client who had a vaginal delivery. How long is
the typical hospital stay?
, A. Less than 6 hours
B. 48 hours or more
C. 96 hours or more
D. 7 days
Correct Answer: B. 48 hours or more
Rationale: Postpartum women can be discharged in: >6 hours for birthing centers, >48
hours for vaginal delivery, and >96 hours for C-section. Postpartum care may occur in an
LDR room (labor, delivery, recovery) transferred to a postpartum area when stable, or in
an LDRP room where the client stays in the same room throughout .
Question 8
Which of the following contributes to maternal mortality in the United States?
A. Cardiovascular disease
B. Infection
C. Obesity
D. All of the above
Correct Answer: D. All of the above
Rationale: Maternal mortality in the United States is caused by cardiovascular disease
(hypertension), non-cardiovascular disease (diabetes), infection, and obesity. Many of
these deaths are preventable if access to care is improved .
Question 9
The nurse is discussing contemporary trends in maternity care. Which of the
following is a current trend?
A. Increase in VBAC rates
B. Decrease in C-section rates
C. Increase in C-section rates
D. Decrease in preconception care
Correct Answer: C. Increase in C-section rates
