Test Bank- Essentials of Maternity
Newborn and Women’s Health Nursing
6th Edition Susan Ricci chapter guide 1-
51 with Complete 100% Verified
Questions and Answers With Detailed
Rationales (GRADED A+)
Question 1
A nurse is teaching a group of pregnant clients about the
importance of folic acid during pregnancy. Which birth defect is
folic acid most effective in preventing?
A. Cleft palate
B. Neural tube defects
C. Congenital heart defects
D. Clubfoot
Answer: B. Neural tube defects
Rationale: Folic acid supplementation before conception and
during early pregnancy significantly reduces the risk of neural
tube defects such as spina bifida and anencephaly.
Question 2
A pregnant client at 10 weeks’ gestation reports nausea and
vomiting every morning. Which nursing recommendation is
most appropriate?
,A. Skip breakfast daily
B. Drink large amounts of fluid with meals
C. Eat dry crackers before getting out of bed
D. Consume only three large meals per day
Answer: C. Eat dry crackers before getting out of bed
Rationale: Eating dry crackers before rising and consuming
small, frequent meals can help reduce nausea associated with
early pregnancy.
Question 3
During a prenatal visit, the nurse identifies Chadwick’s sign.
What does this finding indicate?
A. Softening of the cervix
B. Enlargement of the abdomen
C. Bluish discoloration of the cervix and vagina
D. Quickening felt by the mother
Answer: C. Bluish discoloration of the cervix and vagina
Rationale: Chadwick’s sign refers to the bluish discoloration of
the cervix and vaginal mucosa caused by increased vascularity
during pregnancy.
Question 4
Which hormone is primarily responsible for maintaining
pregnancy during the first trimester?
A. Oxytocin
B. Human chorionic gonadotropin (hCG)
,C. Prolactin
D. Relaxin
Answer: B. Human chorionic gonadotropin (hCG)
Rationale: hCG supports the corpus luteum, which produces
progesterone necessary to maintain the pregnancy in the early
weeks.
Question 5
A laboring client is found to be 6 cm dilated, 100% effaced, and
at 0 station. Which stage and phase of labor is the client
experiencing?
A. First stage, latent phase
B. First stage, active phase
C. Second stage
D. Third stage
Answer: B. First stage, active phase
Rationale: Cervical dilation from approximately 6 cm to
complete dilation occurs during the active phase of the first
stage of labor.
Question 6
A nurse is assessing a pregnant client during the second
trimester. Which finding is considered a presumptive sign of
pregnancy?
A. Positive fetal heart tones
B. Fetal movement palpated by the examiner
, C. Amenorrhea
D. Visualization of the fetus on ultrasound
Answer: C. Amenorrhea
Rationale: Amenorrhea is a presumptive sign of pregnancy
because it is a subjective symptom experienced by the woman
and may have causes other than pregnancy.
Question 7
Which maternal adaptation commonly occurs during pregnancy?
A. Decreased blood volume
B. Increased cardiac output
C. Decreased oxygen consumption
D. Reduced renal blood flow
Answer: B. Increased cardiac output
Rationale: Cardiac output increases during pregnancy to meet
the metabolic demands of the mother and fetus.
Question 8
A nurse is teaching a pregnant client about iron
supplementation. Which statement indicates understanding?
A. “I should take iron with milk.”
B. “I will take iron with orange juice.”
C. “Iron should be taken only at bedtime.”
D. “Iron is not needed if I eat vegetables.”
Answer: B. I will take iron with orange juice.
Newborn and Women’s Health Nursing
6th Edition Susan Ricci chapter guide 1-
51 with Complete 100% Verified
Questions and Answers With Detailed
Rationales (GRADED A+)
Question 1
A nurse is teaching a group of pregnant clients about the
importance of folic acid during pregnancy. Which birth defect is
folic acid most effective in preventing?
A. Cleft palate
B. Neural tube defects
C. Congenital heart defects
D. Clubfoot
Answer: B. Neural tube defects
Rationale: Folic acid supplementation before conception and
during early pregnancy significantly reduces the risk of neural
tube defects such as spina bifida and anencephaly.
Question 2
A pregnant client at 10 weeks’ gestation reports nausea and
vomiting every morning. Which nursing recommendation is
most appropriate?
,A. Skip breakfast daily
B. Drink large amounts of fluid with meals
C. Eat dry crackers before getting out of bed
D. Consume only three large meals per day
Answer: C. Eat dry crackers before getting out of bed
Rationale: Eating dry crackers before rising and consuming
small, frequent meals can help reduce nausea associated with
early pregnancy.
Question 3
During a prenatal visit, the nurse identifies Chadwick’s sign.
What does this finding indicate?
A. Softening of the cervix
B. Enlargement of the abdomen
C. Bluish discoloration of the cervix and vagina
D. Quickening felt by the mother
Answer: C. Bluish discoloration of the cervix and vagina
Rationale: Chadwick’s sign refers to the bluish discoloration of
the cervix and vaginal mucosa caused by increased vascularity
during pregnancy.
Question 4
Which hormone is primarily responsible for maintaining
pregnancy during the first trimester?
A. Oxytocin
B. Human chorionic gonadotropin (hCG)
,C. Prolactin
D. Relaxin
Answer: B. Human chorionic gonadotropin (hCG)
Rationale: hCG supports the corpus luteum, which produces
progesterone necessary to maintain the pregnancy in the early
weeks.
Question 5
A laboring client is found to be 6 cm dilated, 100% effaced, and
at 0 station. Which stage and phase of labor is the client
experiencing?
A. First stage, latent phase
B. First stage, active phase
C. Second stage
D. Third stage
Answer: B. First stage, active phase
Rationale: Cervical dilation from approximately 6 cm to
complete dilation occurs during the active phase of the first
stage of labor.
Question 6
A nurse is assessing a pregnant client during the second
trimester. Which finding is considered a presumptive sign of
pregnancy?
A. Positive fetal heart tones
B. Fetal movement palpated by the examiner
, C. Amenorrhea
D. Visualization of the fetus on ultrasound
Answer: C. Amenorrhea
Rationale: Amenorrhea is a presumptive sign of pregnancy
because it is a subjective symptom experienced by the woman
and may have causes other than pregnancy.
Question 7
Which maternal adaptation commonly occurs during pregnancy?
A. Decreased blood volume
B. Increased cardiac output
C. Decreased oxygen consumption
D. Reduced renal blood flow
Answer: B. Increased cardiac output
Rationale: Cardiac output increases during pregnancy to meet
the metabolic demands of the mother and fetus.
Question 8
A nurse is teaching a pregnant client about iron
supplementation. Which statement indicates understanding?
A. “I should take iron with milk.”
B. “I will take iron with orange juice.”
C. “Iron should be taken only at bedtime.”
D. “Iron is not needed if I eat vegetables.”
Answer: B. I will take iron with orange juice.
