Comprehensive Test Bank: Women's
Healthcare in Advanced Practice
Nursing, 3rd Edition (Alexander,
2023) — 200 Questions with Answers
and Rationales
Chapter 1: Women and Their Health
1. The United States ranks 50th in the world for maternal mortality
and 41st among industrialized nations for infant mortality rate. When
developing programs to assist in decreasing these rates, which factor
would most likely need to be addressed as having the greatest impact?
A. Resolving all language and cultural differences
B. Assuring early and adequate prenatal care
C. Providing more extensive women's shelters
D. Encouraging all women to eat a balanced diet
Answer: B. Assuring early and adequate prenatal care
Rationale: Early and consistent prenatal care is the single most effective
intervention for reducing infant and maternal mortality. It enables
healthcare providers to identify complications early, monitor fetal growth,
provide nutritional counseling, administer necessary immunizations, and
,manage chronic maternal conditions before they adversely affect
outcomes .
2. When integrating the principles of family-centered care, the nurse
would include which of the following?
A. Childbirth is viewed as a procedural event
B. Families are unable to make informed choices
C. Childbirth results in changes in relationships
D. Families require little information to make appropriate decisions
Answer: C. Childbirth results in changes in relationships
Rationale: Family-centered care recognizes childbirth as a significant life
event that affects the entire family system and results in changes in
relationships. This approach respects the family as the constant in a
patient's life and empowers families to participate in decision-making .
3. When preparing a teaching plan for a group of first-time pregnant
women about how maternity care has changed over the years, which
event from the 20th century would the nurse include?
A. Epidemics of puerperal fever
B. Performance of the first cesarean birth
C. Development of the x-ray to assess pelvic size
D. Creation of free-standing birth centers
Answer: C. Development of the x-ray to assess pelvic size
Rationale: The development of x-ray technology to assess pelvic size was a
significant 20th-century advancement in maternity care. Puerperal fever
epidemics and the first cesarean births occurred earlier in history. Free-
standing birth centers emerged later as part of alternative birth
movements .
,4. After teaching a group of students about pregnancy-related
mortality, the instructor determines that additional teaching is needed
when the students identify which condition as a leading cause?
A. Hemorrhage
B. Embolism
C. Obstructed labor
D. Cancer
Answer: D. Cancer
Rationale: Cancer is not a leading cause of pregnancy-related mortality.
The leading causes include hemorrhage, embolism, obstructed labor,
hypertensive disorders, and sepsis. Students requiring additional teaching
would identify cancer as a leading cause .
5. When assessing a family for possible barriers to health care, the
nurse would consider which factor to be most important?
A. Language
B. Health care workers' attitudes
C. Transportation
D. Finances
Answer: D. Finances
Rationale: While language barriers, provider attitudes, and transportation
issues are significant obstacles, financial constraints represent the most
pervasive barrier to healthcare access. Financial limitations affect the ability
to afford care, medications, and follow-up visits across all populations .
6. After teaching a group of nursing students about the issue of
informed consent, which situation would indicate a violation of
informed consent?
, A. Performing a procedure on a 15-year-old without consent
B. Serving as a witness to the signature process
C. Asking whether the client understands what she is signing
D. Getting verbal consent over the phone for emergency procedures
Answer: A. Performing a procedure on a 15-year-old without consent
Rationale: Performing a procedure on a minor without proper consent
constitutes a violation of informed consent. Minors generally require
parental or guardian consent, except in specific circumstances such as
emancipation or certain reproductive health services .
7. The nurse is trying to get consent to care for an 11-year-old boy
with diabetic ketoacidosis. His parents are out of town, and the child is
staying with a neighbor. Which action would be the priority?
A. Getting telephone consent with two people listening to the verbal
consent
B. Providing emergency care without parental consent
C. Contacting the child's aunt or uncle to obtain their consent
D. Advocating for termination of parental rights for this situation
Answer: B. Providing emergency care without parental consent
Rationale: In emergency situations where a child's life is at risk and parents
are unavailable, the healthcare provider is legally permitted to provide
emergency care under the doctrine of implied consent. The priority is
stabilizing the child with diabetic ketoacidosis .
8. After teaching nursing students about the basic concepts of family-
centered care, the instructor determines that the teaching was
successful when the students state which of the following?
Healthcare in Advanced Practice
Nursing, 3rd Edition (Alexander,
2023) — 200 Questions with Answers
and Rationales
Chapter 1: Women and Their Health
1. The United States ranks 50th in the world for maternal mortality
and 41st among industrialized nations for infant mortality rate. When
developing programs to assist in decreasing these rates, which factor
would most likely need to be addressed as having the greatest impact?
A. Resolving all language and cultural differences
B. Assuring early and adequate prenatal care
C. Providing more extensive women's shelters
D. Encouraging all women to eat a balanced diet
Answer: B. Assuring early and adequate prenatal care
Rationale: Early and consistent prenatal care is the single most effective
intervention for reducing infant and maternal mortality. It enables
healthcare providers to identify complications early, monitor fetal growth,
provide nutritional counseling, administer necessary immunizations, and
,manage chronic maternal conditions before they adversely affect
outcomes .
2. When integrating the principles of family-centered care, the nurse
would include which of the following?
A. Childbirth is viewed as a procedural event
B. Families are unable to make informed choices
C. Childbirth results in changes in relationships
D. Families require little information to make appropriate decisions
Answer: C. Childbirth results in changes in relationships
Rationale: Family-centered care recognizes childbirth as a significant life
event that affects the entire family system and results in changes in
relationships. This approach respects the family as the constant in a
patient's life and empowers families to participate in decision-making .
3. When preparing a teaching plan for a group of first-time pregnant
women about how maternity care has changed over the years, which
event from the 20th century would the nurse include?
A. Epidemics of puerperal fever
B. Performance of the first cesarean birth
C. Development of the x-ray to assess pelvic size
D. Creation of free-standing birth centers
Answer: C. Development of the x-ray to assess pelvic size
Rationale: The development of x-ray technology to assess pelvic size was a
significant 20th-century advancement in maternity care. Puerperal fever
epidemics and the first cesarean births occurred earlier in history. Free-
standing birth centers emerged later as part of alternative birth
movements .
,4. After teaching a group of students about pregnancy-related
mortality, the instructor determines that additional teaching is needed
when the students identify which condition as a leading cause?
A. Hemorrhage
B. Embolism
C. Obstructed labor
D. Cancer
Answer: D. Cancer
Rationale: Cancer is not a leading cause of pregnancy-related mortality.
The leading causes include hemorrhage, embolism, obstructed labor,
hypertensive disorders, and sepsis. Students requiring additional teaching
would identify cancer as a leading cause .
5. When assessing a family for possible barriers to health care, the
nurse would consider which factor to be most important?
A. Language
B. Health care workers' attitudes
C. Transportation
D. Finances
Answer: D. Finances
Rationale: While language barriers, provider attitudes, and transportation
issues are significant obstacles, financial constraints represent the most
pervasive barrier to healthcare access. Financial limitations affect the ability
to afford care, medications, and follow-up visits across all populations .
6. After teaching a group of nursing students about the issue of
informed consent, which situation would indicate a violation of
informed consent?
, A. Performing a procedure on a 15-year-old without consent
B. Serving as a witness to the signature process
C. Asking whether the client understands what she is signing
D. Getting verbal consent over the phone for emergency procedures
Answer: A. Performing a procedure on a 15-year-old without consent
Rationale: Performing a procedure on a minor without proper consent
constitutes a violation of informed consent. Minors generally require
parental or guardian consent, except in specific circumstances such as
emancipation or certain reproductive health services .
7. The nurse is trying to get consent to care for an 11-year-old boy
with diabetic ketoacidosis. His parents are out of town, and the child is
staying with a neighbor. Which action would be the priority?
A. Getting telephone consent with two people listening to the verbal
consent
B. Providing emergency care without parental consent
C. Contacting the child's aunt or uncle to obtain their consent
D. Advocating for termination of parental rights for this situation
Answer: B. Providing emergency care without parental consent
Rationale: In emergency situations where a child's life is at risk and parents
are unavailable, the healthcare provider is legally permitted to provide
emergency care under the doctrine of implied consent. The priority is
stabilizing the child with diabetic ketoacidosis .
8. After teaching nursing students about the basic concepts of family-
centered care, the instructor determines that the teaching was
successful when the students state which of the following?
