Leifer’s Introduction to
Maternity and Pediatric Nursing
10th Edition Test Bank | Cooper
& Gosnell | Questions &
Answers Guaranteed Pass
(GRADED A+)
1. Which hormone is primarily responsible for maintaining
the endometrium during early pregnancy?
A. Follicle-stimulating hormone
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: _B. Progesterone_
Rationale: Progesterone supports the endometrium and helps
maintain the uterine environment necessary for implantation
and early pregnancy.
2. A pregnant client asks when fetal movement is commonly
first perceived by a person who has previously been
pregnant. Which response by the nurse is most appropriate?
,A. 4–6 weeks
B. 8–10 weeks
C. 16–20 weeks
D. 28–32 weeks
Answer: _C. 16–20 weeks_
Rationale: Quickening, or the first perception of fetal movement,
commonly occurs around 16–20 weeks, although timing varies.
3. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity detected by Doppler
D. Breast tenderness
Answer: _C. Fetal heart activity detected by Doppler_
Rationale: Positive signs are findings that can be attributed only
to the fetus, such as fetal heart activity, fetal movement palpated
by an examiner, or visualization of the fetus.
4. Which nutrient is especially important before conception
and during early pregnancy to reduce the risk of neural tube
defects?
A. Calcium
B. Folic acid
,C. Vitamin D
D. Vitamin K
Answer: _B. Folic acid_
Rationale: Adequate folic acid intake before conception and
during early pregnancy helps reduce the risk of fetal neural tube
defects.
5. Which assessment finding in a pregnant client should the
nurse report promptly?
A. Mild urinary frequency
B. Increased breast tenderness
C. Vaginal bleeding accompanied by abdominal pain
D. Occasional fatigue
Answer: _C. Vaginal bleeding accompanied by abdominal
pain_
Rationale: Vaginal bleeding with abdominal pain can indicate a
pregnancy complication and requires prompt evaluation.
6. Which cardiovascular change normally occurs during
pregnancy?
A. Decreased blood volume
B. Increased cardiac output
C. Persistent severe hypertension
D. Decreased heart rate in all clients
, Answer: _B. Increased cardiac output_
Rationale: Maternal cardiac output normally increases during
pregnancy to meet the increased circulatory demands of the
mother and developing fetus.
7. What is the primary purpose of the amniotic fluid
surrounding the fetus?
A. Prevent maternal circulation
B. Provide a source of maternal antibodies only
C. Cushion the fetus and allow movement
D. Prevent fetal growth
Answer: _C. Cushion the fetus and allow movement_
Rationale: Amniotic fluid protects the fetus from trauma,
permits movement and growth, and helps maintain a relatively
stable environment.
8. Which fetal heart rate range is generally considered
reassuring during labor?
A. 60–90 beats/min
B. 90–110 beats/min
C. 110–160 beats/min
D. 170–210 beats/min
Answer: _C. 110–160 beats/min_
Maternity and Pediatric Nursing
10th Edition Test Bank | Cooper
& Gosnell | Questions &
Answers Guaranteed Pass
(GRADED A+)
1. Which hormone is primarily responsible for maintaining
the endometrium during early pregnancy?
A. Follicle-stimulating hormone
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: _B. Progesterone_
Rationale: Progesterone supports the endometrium and helps
maintain the uterine environment necessary for implantation
and early pregnancy.
2. A pregnant client asks when fetal movement is commonly
first perceived by a person who has previously been
pregnant. Which response by the nurse is most appropriate?
,A. 4–6 weeks
B. 8–10 weeks
C. 16–20 weeks
D. 28–32 weeks
Answer: _C. 16–20 weeks_
Rationale: Quickening, or the first perception of fetal movement,
commonly occurs around 16–20 weeks, although timing varies.
3. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Fetal heart activity detected by Doppler
D. Breast tenderness
Answer: _C. Fetal heart activity detected by Doppler_
Rationale: Positive signs are findings that can be attributed only
to the fetus, such as fetal heart activity, fetal movement palpated
by an examiner, or visualization of the fetus.
4. Which nutrient is especially important before conception
and during early pregnancy to reduce the risk of neural tube
defects?
A. Calcium
B. Folic acid
,C. Vitamin D
D. Vitamin K
Answer: _B. Folic acid_
Rationale: Adequate folic acid intake before conception and
during early pregnancy helps reduce the risk of fetal neural tube
defects.
5. Which assessment finding in a pregnant client should the
nurse report promptly?
A. Mild urinary frequency
B. Increased breast tenderness
C. Vaginal bleeding accompanied by abdominal pain
D. Occasional fatigue
Answer: _C. Vaginal bleeding accompanied by abdominal
pain_
Rationale: Vaginal bleeding with abdominal pain can indicate a
pregnancy complication and requires prompt evaluation.
6. Which cardiovascular change normally occurs during
pregnancy?
A. Decreased blood volume
B. Increased cardiac output
C. Persistent severe hypertension
D. Decreased heart rate in all clients
, Answer: _B. Increased cardiac output_
Rationale: Maternal cardiac output normally increases during
pregnancy to meet the increased circulatory demands of the
mother and developing fetus.
7. What is the primary purpose of the amniotic fluid
surrounding the fetus?
A. Prevent maternal circulation
B. Provide a source of maternal antibodies only
C. Cushion the fetus and allow movement
D. Prevent fetal growth
Answer: _C. Cushion the fetus and allow movement_
Rationale: Amniotic fluid protects the fetus from trauma,
permits movement and growth, and helps maintain a relatively
stable environment.
8. Which fetal heart rate range is generally considered
reassuring during labor?
A. 60–90 beats/min
B. 90–110 beats/min
C. 110–160 beats/min
D. 170–210 beats/min
Answer: _C. 110–160 beats/min_
