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MATERNITY AND PEDIATRIC NURSING (5TH EDITION) EXAM 2026 SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
Maternity and Pediatric Nursing (5th Edition) – Questions with Detailed Rationales
Q1. When integrating the principles of family-centered care into the birthing
process, the nurse would base care upon which belief?
A) Birth is viewed as a medical event.
B) Families are unable to make informed choices due to stress.
C) Birth results in changes in relationships.
D) Families require little information to make appropriate decisions for care.
Correct Answer: C
Rationale: Family-centered care is based on the principle that birth affects the entire
family and that relationships will change. It views birth as a normal, healthy event and
supports the family's ability to make decisions when given adequate information and
professional support.
Q2. The nurse is working with a group of community health members to develop a
plan to address the special health needs of women. Which condition would the
group address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
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Correct Answer: B
Rationale: Heart disease is the leading cause of death among women in the United
States, surpassing cancers, diabetes, and other health concerns. Therefore, addressing
heart disease should be a primary focus in women's health initiatives.
Q3. A community health nurse is designing a clinic program to reduce infant
mortality in a high-risk neighborhood. Which initial action best reflects a
population-based approach to maternal-child health?
A) Offer individualized home visits to the 20 highest-risk pregnant clients
B) Create a breastfeeding promotion campaign with community leaders and local
clinics
C) Provide extra prenatal vitamins to clients who request them
D) Refer each pregnant client to a tertiary perinatal center for care
Correct Answer: B
Rationale: A community campaign that partners with local leaders and clinics targets
the population, addresses social influences, and promotes sustainable preventive
measures—core to population-based maternal-child health.
Q4. The nurse is reviewing maternal mortality rates with a group of nursing
students. Which factor would the nurse identify as the primary contributor to
current disparities in maternal morbidity and mortality rates?
A) Geographic location of delivery facilities
B) Maternal age at the time of conception
C) Systemic barriers to early prenatal care
D) Lack of available obstetricians
Correct Answer: C
Rationale: Systemic socioeconomic barriers, including limited access to early prenatal
care, are the primary contributors to disparities in maternal morbidity and mortality.
Q5. A nurse is conducting an orientation program for newly hired nurses. The nurse
determines that teaching about informed consent was effective when the group
identifies which situation as a violation?
A) Performing a procedure on a 15-year-old without parental consent
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B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for an emergency procedure
Correct Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for
health care. Performing a procedure on a 15-year-old without parental consent is a
violation.
Q6. A pregnant woman is to undergo an invasive procedure to evaluate the status of
her fetus. To ensure informed consent, which action is the priority responsibility of
the nurse?
A) Asking relevant questions to determine the client's understanding
B) Providing a detailed description of the risks and benefits
C) Explaining the exact steps that will occur during the procedure
D) Offering suggestions for alternative treatment options
Correct Answer: A
Rationale: The nurse's responsibility related to informed consent is to determine
whether the client understands what she is signing by asking pertinent questions. The
physician is responsible for providing the detailed description of risks, benefits, and
alternatives.
Q7. Which of the following best describes the role of the nurse in family-centered
care?
A) Making decisions for the family
B) Partnering with the family in decision-making
C) Focusing only on the mother's needs
D) Excluding siblings from the birthing process
Correct Answer: B
Rationale: Family-centered care recognizes the family as the constant and partners
with them in decision-making, promoting collaboration, respect, and shared decision-
making.
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Q8. A nurse manager is designing an orientation module that emphasizes family-
centered maternal-child care. Which design feature best supports this model?
A) Separate waiting areas for families
B) Rooms designed for rooming-in and family participation
C) Restricting visiting hours for family members
D) Providing care only to the mother during hospitalization
Correct Answer: B
Rationale: Designing rooms for rooming-in and encouraging family participation
supports family-centered care by promoting bonding, parental involvement, and
continuity of care.
Q9. Which of the following is a primary goal of maternal and child health nursing?
A) Reducing healthcare costs for families
B) Promoting the health of women, children, and families across the lifespan
C) Providing care only during pregnancy and childbirth
D) Focusing exclusively on pediatric care
Correct Answer: B
Rationale: The primary goal of maternal and child health nursing is to promote the
health of women, children, and families across the lifespan, encompassing prenatal,
intrapartum, postpartum, and pediatric care.
Q10. A nurse is developing a community education program on infant mortality.
Which intervention should be included as a primary prevention strategy?
A) Referring high-risk infants to specialists
B) Implementing safe-sleep education and breastfeeding support
C) Providing neonatal intensive care for premature infants
D) Screening newborns for genetic disorders
Correct Answer: B
Rationale: Safe-sleep education and breastfeeding support are primary prevention
strategies that address modifiable risk factors for infant mortality.
MATERNITY AND PEDIATRIC NURSING (5TH EDITION) EXAM 2026 SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
Maternity and Pediatric Nursing (5th Edition) – Questions with Detailed Rationales
Q1. When integrating the principles of family-centered care into the birthing
process, the nurse would base care upon which belief?
A) Birth is viewed as a medical event.
B) Families are unable to make informed choices due to stress.
C) Birth results in changes in relationships.
D) Families require little information to make appropriate decisions for care.
Correct Answer: C
Rationale: Family-centered care is based on the principle that birth affects the entire
family and that relationships will change. It views birth as a normal, healthy event and
supports the family's ability to make decisions when given adequate information and
professional support.
Q2. The nurse is working with a group of community health members to develop a
plan to address the special health needs of women. Which condition would the
group address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
, Page 2 of 81
Correct Answer: B
Rationale: Heart disease is the leading cause of death among women in the United
States, surpassing cancers, diabetes, and other health concerns. Therefore, addressing
heart disease should be a primary focus in women's health initiatives.
Q3. A community health nurse is designing a clinic program to reduce infant
mortality in a high-risk neighborhood. Which initial action best reflects a
population-based approach to maternal-child health?
A) Offer individualized home visits to the 20 highest-risk pregnant clients
B) Create a breastfeeding promotion campaign with community leaders and local
clinics
C) Provide extra prenatal vitamins to clients who request them
D) Refer each pregnant client to a tertiary perinatal center for care
Correct Answer: B
Rationale: A community campaign that partners with local leaders and clinics targets
the population, addresses social influences, and promotes sustainable preventive
measures—core to population-based maternal-child health.
Q4. The nurse is reviewing maternal mortality rates with a group of nursing
students. Which factor would the nurse identify as the primary contributor to
current disparities in maternal morbidity and mortality rates?
A) Geographic location of delivery facilities
B) Maternal age at the time of conception
C) Systemic barriers to early prenatal care
D) Lack of available obstetricians
Correct Answer: C
Rationale: Systemic socioeconomic barriers, including limited access to early prenatal
care, are the primary contributors to disparities in maternal morbidity and mortality.
Q5. A nurse is conducting an orientation program for newly hired nurses. The nurse
determines that teaching about informed consent was effective when the group
identifies which situation as a violation?
A) Performing a procedure on a 15-year-old without parental consent
, Page 3 of 81
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for an emergency procedure
Correct Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for
health care. Performing a procedure on a 15-year-old without parental consent is a
violation.
Q6. A pregnant woman is to undergo an invasive procedure to evaluate the status of
her fetus. To ensure informed consent, which action is the priority responsibility of
the nurse?
A) Asking relevant questions to determine the client's understanding
B) Providing a detailed description of the risks and benefits
C) Explaining the exact steps that will occur during the procedure
D) Offering suggestions for alternative treatment options
Correct Answer: A
Rationale: The nurse's responsibility related to informed consent is to determine
whether the client understands what she is signing by asking pertinent questions. The
physician is responsible for providing the detailed description of risks, benefits, and
alternatives.
Q7. Which of the following best describes the role of the nurse in family-centered
care?
A) Making decisions for the family
B) Partnering with the family in decision-making
C) Focusing only on the mother's needs
D) Excluding siblings from the birthing process
Correct Answer: B
Rationale: Family-centered care recognizes the family as the constant and partners
with them in decision-making, promoting collaboration, respect, and shared decision-
making.
, Page 4 of 81
Q8. A nurse manager is designing an orientation module that emphasizes family-
centered maternal-child care. Which design feature best supports this model?
A) Separate waiting areas for families
B) Rooms designed for rooming-in and family participation
C) Restricting visiting hours for family members
D) Providing care only to the mother during hospitalization
Correct Answer: B
Rationale: Designing rooms for rooming-in and encouraging family participation
supports family-centered care by promoting bonding, parental involvement, and
continuity of care.
Q9. Which of the following is a primary goal of maternal and child health nursing?
A) Reducing healthcare costs for families
B) Promoting the health of women, children, and families across the lifespan
C) Providing care only during pregnancy and childbirth
D) Focusing exclusively on pediatric care
Correct Answer: B
Rationale: The primary goal of maternal and child health nursing is to promote the
health of women, children, and families across the lifespan, encompassing prenatal,
intrapartum, postpartum, and pediatric care.
Q10. A nurse is developing a community education program on infant mortality.
Which intervention should be included as a primary prevention strategy?
A) Referring high-risk infants to specialists
B) Implementing safe-sleep education and breastfeeding support
C) Providing neonatal intensive care for premature infants
D) Screening newborns for genetic disorders
Correct Answer: B
Rationale: Safe-sleep education and breastfeeding support are primary prevention
strategies that address modifiable risk factors for infant mortality.
