TEST BANK FOR MATERNITY AND PEDIATRIC
NURSING 4TH EDITION BY CARMAN CHAPTER 1-51
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. Which hormone is primarily responsible for maintaining
the endometrial lining during early pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct answer: B. Progesterone
Rationale: Progesterone maintains the endometrium and
supports implantation and early pregnancy.
2. Which finding is considered a presumptive sign of
pregnancy?
A. Fetal heart tones
B. Ultrasound visualization of the fetus
C. Amenorrhea
D. Fetal movement palpated by the examiner
Correct answer: C. Amenorrhea
Rationale: Amenorrhea is a presumptive sign because it may
occur for reasons other than pregnancy.
, 3. Which structure provides the primary exchange of
oxygen and nutrients between the mother and fetus?
A. Amniotic sac
B. Placenta
C. Cervix
D. Umbilical cord
Correct answer: B. Placenta
Rationale: The placenta facilitates maternal-fetal exchange of
oxygen, nutrients, and waste products.
4. What is the normal baseline fetal heart rate during labor?
A. 60–90 beats/min
B. 90–110 beats/min
C. 110–160 beats/min
D. 170–200 beats/min
Correct answer: C. 110–160 beats/min
Rationale: A baseline fetal heart rate of 110–160 beats/min is
generally considered normal.
5. Which stage of labor begins with the onset of regular
contractions and ends with complete cervical dilation?
A. First stage
B. Second stage
C. Third stage
D. Fourth stage
,Correct answer: A. First stage
Rationale: The first stage involves cervical effacement and
dilation from 0 to 10 cm.
6. Which hormone stimulates uterine contractions during
labor?
A. Insulin
B. Oxytocin
C. Progesterone
D. Human chorionic gonadotropin
Correct answer: B. Oxytocin
Rationale: Oxytocin stimulates uterine contractions and also
promotes milk ejection after birth.
7. What is the primary purpose of assessing cervical dilation
during labor?
A. Determine fetal sex
B. Evaluate progression of labor
C. Measure maternal blood pressure
D. Determine maternal blood type
Correct answer: B. Evaluate progression of labor
Rationale: Cervical dilation is used to determine progression
toward delivery.
8. Which assessment finding indicates that the newborn is
transitioning effectively immediately after birth?
A. Persistent central cyanosis
B. Strong cry and regular respirations
, C. Absent muscle tone
D. Respiratory rate of 5/min
Correct answer: B. Strong cry and regular respirations
Rationale: A strong cry, effective respirations, and good tone
indicate effective neonatal transition.
9. The Apgar score is commonly assessed at which times
after birth?
A. 1 and 5 minutes
B. 10 and 20 minutes only
C. 30 and 60 minutes
D. 2 and 4 hours
Correct answer: A. 1 and 5 minutes
Rationale: Apgar assessment is routinely performed at 1 and 5
minutes after birth.
10. Which intervention is most important immediately
after birth for a stable newborn?
A. Give solid food
B. Maintain warmth
C. Place the infant in a cold bath
D. Delay respiratory assessment
Correct answer: B. Maintain warmth
Rationale: Newborns lose heat rapidly and require measures to
prevent cold stress.
11. Which newborn finding requires immediate nursing
attention?
NURSING 4TH EDITION BY CARMAN CHAPTER 1-51
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. Which hormone is primarily responsible for maintaining
the endometrial lining during early pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct answer: B. Progesterone
Rationale: Progesterone maintains the endometrium and
supports implantation and early pregnancy.
2. Which finding is considered a presumptive sign of
pregnancy?
A. Fetal heart tones
B. Ultrasound visualization of the fetus
C. Amenorrhea
D. Fetal movement palpated by the examiner
Correct answer: C. Amenorrhea
Rationale: Amenorrhea is a presumptive sign because it may
occur for reasons other than pregnancy.
, 3. Which structure provides the primary exchange of
oxygen and nutrients between the mother and fetus?
A. Amniotic sac
B. Placenta
C. Cervix
D. Umbilical cord
Correct answer: B. Placenta
Rationale: The placenta facilitates maternal-fetal exchange of
oxygen, nutrients, and waste products.
4. What is the normal baseline fetal heart rate during labor?
A. 60–90 beats/min
B. 90–110 beats/min
C. 110–160 beats/min
D. 170–200 beats/min
Correct answer: C. 110–160 beats/min
Rationale: A baseline fetal heart rate of 110–160 beats/min is
generally considered normal.
5. Which stage of labor begins with the onset of regular
contractions and ends with complete cervical dilation?
A. First stage
B. Second stage
C. Third stage
D. Fourth stage
,Correct answer: A. First stage
Rationale: The first stage involves cervical effacement and
dilation from 0 to 10 cm.
6. Which hormone stimulates uterine contractions during
labor?
A. Insulin
B. Oxytocin
C. Progesterone
D. Human chorionic gonadotropin
Correct answer: B. Oxytocin
Rationale: Oxytocin stimulates uterine contractions and also
promotes milk ejection after birth.
7. What is the primary purpose of assessing cervical dilation
during labor?
A. Determine fetal sex
B. Evaluate progression of labor
C. Measure maternal blood pressure
D. Determine maternal blood type
Correct answer: B. Evaluate progression of labor
Rationale: Cervical dilation is used to determine progression
toward delivery.
8. Which assessment finding indicates that the newborn is
transitioning effectively immediately after birth?
A. Persistent central cyanosis
B. Strong cry and regular respirations
, C. Absent muscle tone
D. Respiratory rate of 5/min
Correct answer: B. Strong cry and regular respirations
Rationale: A strong cry, effective respirations, and good tone
indicate effective neonatal transition.
9. The Apgar score is commonly assessed at which times
after birth?
A. 1 and 5 minutes
B. 10 and 20 minutes only
C. 30 and 60 minutes
D. 2 and 4 hours
Correct answer: A. 1 and 5 minutes
Rationale: Apgar assessment is routinely performed at 1 and 5
minutes after birth.
10. Which intervention is most important immediately
after birth for a stable newborn?
A. Give solid food
B. Maintain warmth
C. Place the infant in a cold bath
D. Delay respiratory assessment
Correct answer: B. Maintain warmth
Rationale: Newborns lose heat rapidly and require measures to
prevent cold stress.
11. Which newborn finding requires immediate nursing
attention?
