TEST BANK FOR FOUNDATIONS OF MATERNAL
NEWBORN AND WOMENS HEALTH NURSING 9TH
EDITION BY MURRAY Questions and Answers Latest
Versions 2025 GRADED A+
Chapter 01: Maternity and Women’s Health Care Today
Foundations of Maternal-Newborn & Women’s Health Nursing,
MULTIPLE RESPONSE
1. Late in pregnancy, the patient’s breasts should be evaluated by the nurse to identify any potential
concerns related to breastfeeding. Which of the following nipple conditions make it necessary to intervene prior
to birth. (Select all that apply.)
a. Flat nipples
b. Cracked nipples
c. Everted nipples
d. Inverted nipples
e. Nipples that contract when compressed
ANS: A, D, E
Flat nipples appear soft, like the areola, and do not stand erect unless stimulated by rolling them between the
fingers. Inverted nipples are retracted into the breast tissue. These nipples appear normal; however, they will
draw inward when the areola is compressed by the infant’s mouth. Dome-shaped devices known as breast shells
can be worn during the last weeks of pregnancy and between feedings after birth. The shells are placed inside the
bra, with the opening over the nipple. The shells exert slight pressure against the areola to help the nipples
protrude. The helpfulness of breast shells has been debated. A breast pump can be used to draw the nipples out
before feedings after birth. Everted nipples protrude and are normal. No intervention will be required. Cracked,
blistered, and bleeding nipples occur after breastfeeding has been initiated and are the result of improper latching
on. The infant should be repositioned during feeding. The application of colostrum and breast milk after feedings
will aid in healing.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health
Promotion and Maintenance
2. For which infant should the nurse anticipate the use of soy formula? (Select all that apply.)
a. Preterm infant
b. Infant with galactosemia
c. Infant with phenylketonuria
d. Infant with lactase deficiency
,e. Infant with a malabsorption disorder
ANS: B, D, E
Soy formula may be given to infants with galactosemia or lactase deficiency or those whose families are
vegetarians. Soy milk is derived from the protein of soybeans and supplemented with amino acids. The formulas
are also used for infants with malabsorption disorders. The
preterm infant may require a mUoreSconNcenTtrated foOrmula, with more calories in less liquid.
Modifications of other nutrients are also made. Human milk fortifiers can be added to breast milk to adapt it for
preterm infants. Low-phenylalanine formulas are needed for infants with phenylketonuria, a deficiency in the
enzyme to digest phenylalanine found in standard formulas.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Planning MSC: Patient Needs: Physiologic
Integrity
3. A new mother asks the nurse, “How will I know early signs of hunger in my baby?” The nurse’s best
response is which of the following? (Select all that apply.)
a. Crying
b. Rooting
c. Lip smacking
d. Decrease in activity
e. Sucking on the hands
ANS: B, C, E
Early signs of hunger in a baby are rooting, lip smacking, and sucking on the hands. Crying is a late sign, and the
baby’s activity will increase, not decrease.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Health
Promotion and Maintenance
Chapter 23: High-Risk Newborn: Complications Associated with Gestational Age and Development
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which is the most useful factor in preventing premature birth?
a. High socioeconomic status
b. Adequate prenatal care
c. Aid to Families with Dependent Children
d. Women, Infants, and Children (WIC) nutritional program
ANS: B
Prenatal care is vital for identifying possible problems. People with higher socioeconomic status are more likely
to seek adequate prenatal care, which is the most helpful for prevention of premature births. Lower
socioeconomic groups do not seek out health care, which puts them at risk for preterm labor. Aid to Families
with Dependent Children and WIC assist in the nutritional status of the pregnant woman; however, the most
helpful intervention for the prevention of premature births is adequate prenatal care.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs:
Health Promotion and Maintenance
2. In comparison with the term infant, the preterm infant has
a. more subcutaneous fat.
b. well-developed flexor muscles. G B.C M
c. few blood vessels visible thUrouSgh tNhe sTkin. O
d. greater surface area in proportion to weight.
ANS: D
Preterm infants have greater surface area in proportion to their weight. More subcutaneous fat, well-developed
,flexor muscles, and few blood vessels visible through the skin are features that are more characteristic of a term
infant.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Physiologic
Integrity
3. Decreased surfactant production in the preterm lung is a problem because
a. surfactant keeps the alveoli open during expiration.
b. surfactant causes increased permeability of the alveoli.
c. surfactant dilates the bronchioles, decreasing airway resistance.
d. surfactant provides transportation for oxygen to enter the blood supply.
ANS: A
Surfactant prevents the alveoli from collapsing each time the infant exhales, thus reducing the work of breathing.
It does not affect the bronchioles. By keeping the alveoli open, surfactant permits enhanced oxygen exchange.
Infants treated with surfactant have higher survival rates.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs:
Physiologic Integrity
4. A preterm infant is on a ventilator, with intravenous lines and other medical equipment. When the parents
come to visit for the first time, what is the most important action by the nurse?
a. Encourage the parents to touch their infant.
b. Reassure the parents that the infant is progressing well.
c. Discuss the care they will give their infant when the infant goes home.
d. Suggest that the parents visit for only a short time to reduce their anxiety.
ANS: A
Touching the infant will increase the development of attachment. As the infant’s condition improves the parents
should be encouraged to provide Kangaroo care. It is important to keep the parents informed regarding the
infant’s progress; however, the nurse needs to be honest with the explanations. Discussing home care is an
important part of parent teaching, although is not the most important priority during the first visit. Parents should
be encouraged to visit for as long as they are comfortable.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs:
Psychosocial Integrity
5. Which preterm infant should receive gavage feedings instead of bottle feedings?
a. Sucks on a pacifier during gavage feedings
b. Sometimes gags when a feeding tube is inserted
c. Has a sustained respiratory rate of 70 breaths per minute
d. Has an axillary temperature of 36.9 C (98.4 F), an apical pulse of 149 beats/minute, and respirations of
54 breaths per minute
ANS: C
Infants less than 34 weeks of gestation or those who weigh less than 1500 g generally have difficulty with bottle-
feedingN. GUaRvSagIeNfeGedTinBg.s CshOouMld be initiated if the respiratory rate is above 60 breaths per
minute. Providing a pacifier during gavage feedings gives positive oral
stimulation and helps the infant associate the comfortable feeling of fullness with sucking.
The presence of the gag reflex is important before initiating bottle-feeding. Axillary temperature of 36.9 C
(98.4 F), an apical pulse of 149 beats/minute, and respirations of 54 breaths per minute are within expected
limits and an indication that the infant is not having respiratory problems at that time.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Evaluation MSC: Patient Needs: Physiologic
Integrity
6. Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to
avoid this problem?
, a. Group all care activities together to provide long periods of rest.
b. Keep charts on top of the incubator so the nurses can write on them there.
c. While giving a report to the next nurse, stand in front of the incubator and talk softly about how the infant
responds to stimulation.
d. Teach the parents signs of overstimulation, such as turning the face away or stiffening and extending the
extremities and fingers.
ANS: D
Parents should be taught the signs of overstimulation so they will learn to adapt their care to the needs of their
infant. Grouping care activities may under stimulate the infant during those long periods and overtire the infant
during the procedures. Keeping charts on the incubator and giving the report in front of the incubator may cause
overstimulation. Any clip boards or binders in use should be kept at the desk, never on top of the incubator.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Health
Promotion and Maintenance
7. A characteristic of a post-term infant who weighs 7 lb, 12 oz, and who lost weight in utero, is
a. soft and supple skin.
b. a hematocrit level of 55%.
c. lack of subcutaneous fat.
d. an abundance of vernix caseosa.
ANS: C
This post-term infant has actually lost weight in utero, which is seen as loss of subcutaneous fat. The skin is
normally wrinkled, cracked, and peeling. A hematocrit of 55% is within the expected range of all newborns.
There is no vernix caseosa in a post-term infant.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs:
Physiologic Integrity
8. In caring for the preterm infant, which complication is thought to be a result of high arterial blood oxygen
level?
a. Necrotizing enterocolitis (NEC)
b. Retinopathy of prematurity (ROP)
c. Intraventricular hemorrhaNgUe R(IVSHI)NGTB.COM
d. Bronchopulmonary dysplasia (BPD)
ANS: B
ROP is thought to occur as a result of high levels of oxygen in the blood. NEC is due to the interference of blood
supply to the intestinal mucosa. Necrotic lesions occur at that site. IVH is caused by rupture of the fragile blood
vessels in the ventricles of the brain. It is most often associated with hypoxic injury, increased blood pressure,
and fluctuating cerebral blood flow. BPD is caused by the use of positive-pressure ventilation against the
immature lung tissue.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Evaluation MSC: Patient Needs: Physiologic
Integrity
9. In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has
a(n)
a. hematocrit level of 58%.
b. RBC count of 5 million/mcL.
c. WBC count of 15,000 cells/mm3.
d. blood glucose level of 25 mg/dL.
ANS: D
NEWBORN AND WOMENS HEALTH NURSING 9TH
EDITION BY MURRAY Questions and Answers Latest
Versions 2025 GRADED A+
Chapter 01: Maternity and Women’s Health Care Today
Foundations of Maternal-Newborn & Women’s Health Nursing,
MULTIPLE RESPONSE
1. Late in pregnancy, the patient’s breasts should be evaluated by the nurse to identify any potential
concerns related to breastfeeding. Which of the following nipple conditions make it necessary to intervene prior
to birth. (Select all that apply.)
a. Flat nipples
b. Cracked nipples
c. Everted nipples
d. Inverted nipples
e. Nipples that contract when compressed
ANS: A, D, E
Flat nipples appear soft, like the areola, and do not stand erect unless stimulated by rolling them between the
fingers. Inverted nipples are retracted into the breast tissue. These nipples appear normal; however, they will
draw inward when the areola is compressed by the infant’s mouth. Dome-shaped devices known as breast shells
can be worn during the last weeks of pregnancy and between feedings after birth. The shells are placed inside the
bra, with the opening over the nipple. The shells exert slight pressure against the areola to help the nipples
protrude. The helpfulness of breast shells has been debated. A breast pump can be used to draw the nipples out
before feedings after birth. Everted nipples protrude and are normal. No intervention will be required. Cracked,
blistered, and bleeding nipples occur after breastfeeding has been initiated and are the result of improper latching
on. The infant should be repositioned during feeding. The application of colostrum and breast milk after feedings
will aid in healing.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health
Promotion and Maintenance
2. For which infant should the nurse anticipate the use of soy formula? (Select all that apply.)
a. Preterm infant
b. Infant with galactosemia
c. Infant with phenylketonuria
d. Infant with lactase deficiency
,e. Infant with a malabsorption disorder
ANS: B, D, E
Soy formula may be given to infants with galactosemia or lactase deficiency or those whose families are
vegetarians. Soy milk is derived from the protein of soybeans and supplemented with amino acids. The formulas
are also used for infants with malabsorption disorders. The
preterm infant may require a mUoreSconNcenTtrated foOrmula, with more calories in less liquid.
Modifications of other nutrients are also made. Human milk fortifiers can be added to breast milk to adapt it for
preterm infants. Low-phenylalanine formulas are needed for infants with phenylketonuria, a deficiency in the
enzyme to digest phenylalanine found in standard formulas.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Planning MSC: Patient Needs: Physiologic
Integrity
3. A new mother asks the nurse, “How will I know early signs of hunger in my baby?” The nurse’s best
response is which of the following? (Select all that apply.)
a. Crying
b. Rooting
c. Lip smacking
d. Decrease in activity
e. Sucking on the hands
ANS: B, C, E
Early signs of hunger in a baby are rooting, lip smacking, and sucking on the hands. Crying is a late sign, and the
baby’s activity will increase, not decrease.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Health
Promotion and Maintenance
Chapter 23: High-Risk Newborn: Complications Associated with Gestational Age and Development
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which is the most useful factor in preventing premature birth?
a. High socioeconomic status
b. Adequate prenatal care
c. Aid to Families with Dependent Children
d. Women, Infants, and Children (WIC) nutritional program
ANS: B
Prenatal care is vital for identifying possible problems. People with higher socioeconomic status are more likely
to seek adequate prenatal care, which is the most helpful for prevention of premature births. Lower
socioeconomic groups do not seek out health care, which puts them at risk for preterm labor. Aid to Families
with Dependent Children and WIC assist in the nutritional status of the pregnant woman; however, the most
helpful intervention for the prevention of premature births is adequate prenatal care.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs:
Health Promotion and Maintenance
2. In comparison with the term infant, the preterm infant has
a. more subcutaneous fat.
b. well-developed flexor muscles. G B.C M
c. few blood vessels visible thUrouSgh tNhe sTkin. O
d. greater surface area in proportion to weight.
ANS: D
Preterm infants have greater surface area in proportion to their weight. More subcutaneous fat, well-developed
,flexor muscles, and few blood vessels visible through the skin are features that are more characteristic of a term
infant.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Physiologic
Integrity
3. Decreased surfactant production in the preterm lung is a problem because
a. surfactant keeps the alveoli open during expiration.
b. surfactant causes increased permeability of the alveoli.
c. surfactant dilates the bronchioles, decreasing airway resistance.
d. surfactant provides transportation for oxygen to enter the blood supply.
ANS: A
Surfactant prevents the alveoli from collapsing each time the infant exhales, thus reducing the work of breathing.
It does not affect the bronchioles. By keeping the alveoli open, surfactant permits enhanced oxygen exchange.
Infants treated with surfactant have higher survival rates.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs:
Physiologic Integrity
4. A preterm infant is on a ventilator, with intravenous lines and other medical equipment. When the parents
come to visit for the first time, what is the most important action by the nurse?
a. Encourage the parents to touch their infant.
b. Reassure the parents that the infant is progressing well.
c. Discuss the care they will give their infant when the infant goes home.
d. Suggest that the parents visit for only a short time to reduce their anxiety.
ANS: A
Touching the infant will increase the development of attachment. As the infant’s condition improves the parents
should be encouraged to provide Kangaroo care. It is important to keep the parents informed regarding the
infant’s progress; however, the nurse needs to be honest with the explanations. Discussing home care is an
important part of parent teaching, although is not the most important priority during the first visit. Parents should
be encouraged to visit for as long as they are comfortable.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs:
Psychosocial Integrity
5. Which preterm infant should receive gavage feedings instead of bottle feedings?
a. Sucks on a pacifier during gavage feedings
b. Sometimes gags when a feeding tube is inserted
c. Has a sustained respiratory rate of 70 breaths per minute
d. Has an axillary temperature of 36.9 C (98.4 F), an apical pulse of 149 beats/minute, and respirations of
54 breaths per minute
ANS: C
Infants less than 34 weeks of gestation or those who weigh less than 1500 g generally have difficulty with bottle-
feedingN. GUaRvSagIeNfeGedTinBg.s CshOouMld be initiated if the respiratory rate is above 60 breaths per
minute. Providing a pacifier during gavage feedings gives positive oral
stimulation and helps the infant associate the comfortable feeling of fullness with sucking.
The presence of the gag reflex is important before initiating bottle-feeding. Axillary temperature of 36.9 C
(98.4 F), an apical pulse of 149 beats/minute, and respirations of 54 breaths per minute are within expected
limits and an indication that the infant is not having respiratory problems at that time.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Evaluation MSC: Patient Needs: Physiologic
Integrity
6. Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to
avoid this problem?
, a. Group all care activities together to provide long periods of rest.
b. Keep charts on top of the incubator so the nurses can write on them there.
c. While giving a report to the next nurse, stand in front of the incubator and talk softly about how the infant
responds to stimulation.
d. Teach the parents signs of overstimulation, such as turning the face away or stiffening and extending the
extremities and fingers.
ANS: D
Parents should be taught the signs of overstimulation so they will learn to adapt their care to the needs of their
infant. Grouping care activities may under stimulate the infant during those long periods and overtire the infant
during the procedures. Keeping charts on the incubator and giving the report in front of the incubator may cause
overstimulation. Any clip boards or binders in use should be kept at the desk, never on top of the incubator.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Health
Promotion and Maintenance
7. A characteristic of a post-term infant who weighs 7 lb, 12 oz, and who lost weight in utero, is
a. soft and supple skin.
b. a hematocrit level of 55%.
c. lack of subcutaneous fat.
d. an abundance of vernix caseosa.
ANS: C
This post-term infant has actually lost weight in utero, which is seen as loss of subcutaneous fat. The skin is
normally wrinkled, cracked, and peeling. A hematocrit of 55% is within the expected range of all newborns.
There is no vernix caseosa in a post-term infant.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs:
Physiologic Integrity
8. In caring for the preterm infant, which complication is thought to be a result of high arterial blood oxygen
level?
a. Necrotizing enterocolitis (NEC)
b. Retinopathy of prematurity (ROP)
c. Intraventricular hemorrhaNgUe R(IVSHI)NGTB.COM
d. Bronchopulmonary dysplasia (BPD)
ANS: B
ROP is thought to occur as a result of high levels of oxygen in the blood. NEC is due to the interference of blood
supply to the intestinal mucosa. Necrotic lesions occur at that site. IVH is caused by rupture of the fragile blood
vessels in the ventricles of the brain. It is most often associated with hypoxic injury, increased blood pressure,
and fluctuating cerebral blood flow. BPD is caused by the use of positive-pressure ventilation against the
immature lung tissue.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Evaluation MSC: Patient Needs: Physiologic
Integrity
9. In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has
a(n)
a. hematocrit level of 58%.
b. RBC count of 5 million/mcL.
c. WBC count of 15,000 cells/mm3.
d. blood glucose level of 25 mg/dL.
ANS: D
