,NUR 204 Exam 1 Maternal-Newborn Nursing Questions And Answers
2026/2027 Jersey College
Q1. Which principle best reflects family-centered maternity care?
A) The pregnant client and family participate in informed decisions about
care whenever clinically appropriate
B) Healthcare professionals make all decisions to reduce family stress
C) Family preferences replace evidence-based safety standards
D) The newborn is routinely separated from the family to promote adaptation
Correct Answer: A) The pregnant client and family participate in informed
decisions about care whenever clinically appropriate
Rationale: Family-centered maternity care respects the family's values,
preferences, culture, and participation while maintaining safe, evidence-
based care.
Q2. A pregnant client follows cultural dietary practices that differ
from the nurse's own beliefs. What is the nurse's best response?
A) Explain that hospital recommendations should replace cultural practices
B) Ask the family to select a diet without further assessment
C) Discourage the practice because unfamiliar diets may be unsafe
D) Assess the meaning and nutritional effects of the practices and
incorporate them when they are safe
Correct Answer: D) Assess the meaning and nutritional effects of the
practices and incorporate them when they are safe
Rationale: Culturally responsive care begins by assessing the client's beliefs
and practices rather than making assumptions. Safe practices can often be
integrated into the plan of care.
Q3. Which statement accurately describes the role of a certified
nurse-midwife?
A) A physician who specializes exclusively in operative birth
B) An advanced practice registered nurse educated to provide reproductive
and maternity care within the professional scope of practice
C) A nursing assistant trained only to provide postpartum care
D) A childbirth educator who cannot perform clinical assessment
, Correct Answer: B) An advanced practice registered nurse educated to
provide reproductive and maternity care within the professional scope of
practice
Rationale: Certified nurse-midwives are advanced practice nurses educated
in reproductive, prenatal, intrapartum, postpartum, and newborn care within
their authorized scope.
Q4. Which nursing action best demonstrates respect for informed
consent during prenatal care?
A) Asking a family member to make all decisions for the client
B) Obtaining a signature before explaining the procedure
C) Proceeding with routine testing because prenatal tests are mandatory
D) Explaining the proposed test, alternatives, benefits, and risks before the
client makes a voluntary decision
Correct Answer: D) Explaining the proposed test, alternatives, benefits, and
risks before the client makes a voluntary decision
Rationale: Informed consent requires understandable information, decision-
making capacity, voluntariness, and an opportunity to accept or decline the
proposed intervention.
Q5. Which gravida-parity notation correctly describes a client who is
currently pregnant for the fourth time and has had two term births,
one preterm birth, no abortions, and three living children?
A) G4 T2 P1 A0 L3
B) G3 T2 P1 A0 L3
C) G4 T3 P0 A1 L3
D) G3 T1 P2 A0 L4
Correct Answer: A) G4 T2 P1 A0 L3
Rationale: Gravida counts all pregnancies including the current one. GTPAL
identifies term births, preterm births, abortions or pregnancy losses before
viability, and living children.
Q6. A pregnant client is gravida 3, para 1011. Which history is
consistent with this notation?
A) Three pregnancies, one preterm birth, no losses, and one living child
B) Three pregnancies, two term births, and one living child
C) Three pregnancies, one term birth, no preterm births, one pregnancy loss,
2026/2027 Jersey College
Q1. Which principle best reflects family-centered maternity care?
A) The pregnant client and family participate in informed decisions about
care whenever clinically appropriate
B) Healthcare professionals make all decisions to reduce family stress
C) Family preferences replace evidence-based safety standards
D) The newborn is routinely separated from the family to promote adaptation
Correct Answer: A) The pregnant client and family participate in informed
decisions about care whenever clinically appropriate
Rationale: Family-centered maternity care respects the family's values,
preferences, culture, and participation while maintaining safe, evidence-
based care.
Q2. A pregnant client follows cultural dietary practices that differ
from the nurse's own beliefs. What is the nurse's best response?
A) Explain that hospital recommendations should replace cultural practices
B) Ask the family to select a diet without further assessment
C) Discourage the practice because unfamiliar diets may be unsafe
D) Assess the meaning and nutritional effects of the practices and
incorporate them when they are safe
Correct Answer: D) Assess the meaning and nutritional effects of the
practices and incorporate them when they are safe
Rationale: Culturally responsive care begins by assessing the client's beliefs
and practices rather than making assumptions. Safe practices can often be
integrated into the plan of care.
Q3. Which statement accurately describes the role of a certified
nurse-midwife?
A) A physician who specializes exclusively in operative birth
B) An advanced practice registered nurse educated to provide reproductive
and maternity care within the professional scope of practice
C) A nursing assistant trained only to provide postpartum care
D) A childbirth educator who cannot perform clinical assessment
, Correct Answer: B) An advanced practice registered nurse educated to
provide reproductive and maternity care within the professional scope of
practice
Rationale: Certified nurse-midwives are advanced practice nurses educated
in reproductive, prenatal, intrapartum, postpartum, and newborn care within
their authorized scope.
Q4. Which nursing action best demonstrates respect for informed
consent during prenatal care?
A) Asking a family member to make all decisions for the client
B) Obtaining a signature before explaining the procedure
C) Proceeding with routine testing because prenatal tests are mandatory
D) Explaining the proposed test, alternatives, benefits, and risks before the
client makes a voluntary decision
Correct Answer: D) Explaining the proposed test, alternatives, benefits, and
risks before the client makes a voluntary decision
Rationale: Informed consent requires understandable information, decision-
making capacity, voluntariness, and an opportunity to accept or decline the
proposed intervention.
Q5. Which gravida-parity notation correctly describes a client who is
currently pregnant for the fourth time and has had two term births,
one preterm birth, no abortions, and three living children?
A) G4 T2 P1 A0 L3
B) G3 T2 P1 A0 L3
C) G4 T3 P0 A1 L3
D) G3 T1 P2 A0 L4
Correct Answer: A) G4 T2 P1 A0 L3
Rationale: Gravida counts all pregnancies including the current one. GTPAL
identifies term births, preterm births, abortions or pregnancy losses before
viability, and living children.
Q6. A pregnant client is gravida 3, para 1011. Which history is
consistent with this notation?
A) Three pregnancies, one preterm birth, no losses, and one living child
B) Three pregnancies, two term births, and one living child
C) Three pregnancies, one term birth, no preterm births, one pregnancy loss,
