Women's Health 09/04/2026
Care Exam
Maternity and Women's Health Care Exam 1
2026/2027 Complete Questions and Correct
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P 1
, • Maternity and
Women's Health 09/04/2026
Care Exam
The nurses working at a newly established birthing center have begun to compare their performance in
providing maternal-newborn care against clinical standards. This comparison process is most commonly known
as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice –
Correct Answer :C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care against
benchmarks or standards. The term best practice refers to a program or service that has been recognized for its
excellence. Clinical benchmarking is a process used to compare one's own performance against the performance
of the best in an area of service. The term evidence-based practice refers to the provision of care based on
evidence gained through research and clinical trials.
Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care –
Correct Answer :B
P 2
, • Maternity and
Women's Health 09/04/2026
Care Exam
Contemporary maternity nursing focuses on the family's needs and desires. Fathers, partners, grandparents, and
siblings may be present for the birth and participate in activities such as cutting the baby's umbilical cord. Both
midwives and physicians perform vaginal deliveries. Free-standing clinics are an example of alternative birth
options. Contemporary maternity nursing is driven by the relationship between nurses and their clients.
A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in labor for 43 hours.
The baby died 3 days later from sepsis. On what grounds could the woman have a legitimate legal case for
negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
- Correct Answer :C
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced maternity
nurse would need to display competency before being assigned to care for clients on his or her own. This client
may have been past her due date; however, term pregnancy often goes beyond 40 weeks of gestation.
Although fetal monitoring is the standard of care, the client has the right to refuse treatment. This refusal is not a
case for negligence, but informed consent should be properly obtained, and the client should have signed an
against medical advice form when refusing any treatment that is within the standard of care.
When the nurse is unsure how to perform a client care procedure that is high risk and low volume, his or her best
action in this situation would be what?
a. Ask another nurse.
b. Discuss the procedure with the client's physician.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual, and follow the guidelines for the procedure. –
P 3
, • Maternity and
Women's Health 09/04/2026
Care Exam
Correct Answer :D
Following the agency's policies and procedures manual is always best when seeking information on correct client
procedures. These policies should reflect the current standards of care and the individual state's guidelines. Each
nurse is responsible for his or her own practice. Relying on another nurse may not always be a safe practice. Each
nurse is obligated to follow the standards of care for safe client care delivery. Physicians are responsible for their
own client care activity. Nurses may follow safe orders from physicians, but they are also responsible for the
activities that they, as nurses, are to carry out. Information provided in a nursing textbook is basic information
for general knowledge. Furthermore, the information in a textbook may not reflect the current standard of care
or the individual state or hospital policies.
The National Quality Forum has issued a list of "never events" specifically pertaining to maternal and child health.
These include all of the following except:
a. infant discharged to the wrong person.
b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
c. artificial insemination with the wrong donor sperm or egg.
d. foreign object retained after surgery. –
Correct Answer :D
Although a foreign object retained after surgery is a never event, it does not specifically
pertain to obstetric clients. A client undergoing any type of surgery may be at risk for this
event. An infant discharged to the wrong person specifically pertains to postpartum care.
Death or serious disability as a result of kernicterus pertains to newborn assessment and care.
Artificial insemination affects families seeking care for infertility.
P 4