London; Chapter 1 - Contemporary
Maternal, Newborn, and Child Health
Nursing Exam Questions and Answers
1) The nurse is speaking to students about changes in maternal-newborn care. One
change is that self-care has gained wide acceptance with clients and the healthcare
community due to research findings that suggest that it has which effect?
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits - ANSWER-Answer: 3
Explanation: 3. Research indicates that self-care significantly decreases healthcare
costs.
2) Care delivered by nurse-midwives can be safe and effective and can represent a
positive response to the healthcare provider shortage. Nurse midwives tend to use less
technology, which often results in which of the following?
1. There is less trauma to the mother.
2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at work.
4. They advocate for more home healthcare agencies. - ANSWER-Answer: 1
,Explanation: 1. Nurse-midwife models of care can be one way to ensure that mothers
receive excellent prenatal and intrapartum care.
3) The nurse is telling a new client how advanced technology has permitted the
physician to do which of the following?
1. Treat the fetus and monitor fetal development.
2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table. - ANSWER-Answer: 1
Explanation: 1. The fetus is increasingly viewed as a patient separate from the mother,
although treatment of the fetus necessarily involves the mother.
4) A nurse is examining different nursing roles. Which example best illustrates an
advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean
sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring
for high-risk infants - ANSWER-Answer: 4
, Explanation: 4. A clinical nurse specialist with whom other nurses consult for expertise
in caring for high-risk infants is working in an advanced practice nursing role. This nurse
has specialized knowledge and competence in a specific clinical area, and is masters
prepared.
5) A nursing student investigating potential career goals is strongly considering
becoming a nurse practitioner (NP). The major focus of the NP is on which of the
following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention - ANSWER-Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major focus of the
NP.
6) The nurse manager is consulting with a certified nurse-midwife about a client. What is
the role of the CNM?
Select all that apply.
1. Be prepared to manage independently the care of women at low risk for
complications during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
Maternal, Newborn, and Child Health
Nursing Exam Questions and Answers
1) The nurse is speaking to students about changes in maternal-newborn care. One
change is that self-care has gained wide acceptance with clients and the healthcare
community due to research findings that suggest that it has which effect?
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits - ANSWER-Answer: 3
Explanation: 3. Research indicates that self-care significantly decreases healthcare
costs.
2) Care delivered by nurse-midwives can be safe and effective and can represent a
positive response to the healthcare provider shortage. Nurse midwives tend to use less
technology, which often results in which of the following?
1. There is less trauma to the mother.
2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at work.
4. They advocate for more home healthcare agencies. - ANSWER-Answer: 1
,Explanation: 1. Nurse-midwife models of care can be one way to ensure that mothers
receive excellent prenatal and intrapartum care.
3) The nurse is telling a new client how advanced technology has permitted the
physician to do which of the following?
1. Treat the fetus and monitor fetal development.
2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table. - ANSWER-Answer: 1
Explanation: 1. The fetus is increasingly viewed as a patient separate from the mother,
although treatment of the fetus necessarily involves the mother.
4) A nurse is examining different nursing roles. Which example best illustrates an
advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean
sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring
for high-risk infants - ANSWER-Answer: 4
, Explanation: 4. A clinical nurse specialist with whom other nurses consult for expertise
in caring for high-risk infants is working in an advanced practice nursing role. This nurse
has specialized knowledge and competence in a specific clinical area, and is masters
prepared.
5) A nursing student investigating potential career goals is strongly considering
becoming a nurse practitioner (NP). The major focus of the NP is on which of the
following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention - ANSWER-Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major focus of the
NP.
6) The nurse manager is consulting with a certified nurse-midwife about a client. What is
the role of the CNM?
Select all that apply.
1. Be prepared to manage independently the care of women at low risk for
complications during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
