MATERNITY & WOMEN’S HEALTH CARE
EXAM WITH CORRECT ANSWERS 2025
CH1: Century Maternity & Women's Health Nursing - CORRECT-ANSWERS-
In evaluating the level of a pregnant woman's risk of having a low-birth-
weight (LBW) infant, which factor is the most important for the nurse to
consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education - CORRECT-ANSWERS- A
For African-American births, the incidence of LBW infants is twice that of
Caucasian births. Race is a non-modifiable risk factor. Cigarette smoking is
an important factor in potential infant mortality rates, but it is not the most
important. Additionally, smoking is a modifiable risk factor. Poor nutrition is
an important factor in potential infant mortality rates, but it is not the most
important. Additionally, nutritional status is a modifiable risk factor. Maternal
education is an important factor in potential infant mortality rates, but it is
not the most important. Additionally, maternal education is a modifiable risk
factor.
What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
1
,c. Identifying researchable problems
d. Seeking funding to support research studies - CORRECT-ANSWERS- C
When problems are identified, research can be properly conducted. Research
of health care issues leads to evidence-based practice guidelines. Designing
research studies is only one factor of the research process. Data collection is
another factor of research. Financial support is necessary to conduct
research, but it is not the primary role of the nurse in the research process.
A 23-year-old African-American woman is pregnant with her first child. Based
on the statistics for infant mortality, which plan is most important for the
nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care
appointments. - CORRECT-ANSWERS- D
Consistent prenatal care is the best method of preventing or controlling risk
factors associated with infant mortality. Nutritional status is an important
modifiable risk factor, but it is not the most important action a nurse should
take in this situation. The client may need assistance from a social worker at
some time during her pregnancy, but a referral to a social worker is not the
most important aspect the nurse should address at this time. If the woman
has identifiable high-risk problems, then her health care may need to be
provided by a physician. However, it cannot be assumed that all African-
American women have high-risk issues. In addition, advising the woman to
see an obstetrician is not the most important aspect on which the nurse
2
,should focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a client is to receive.
During a prenatal intake interview, the nurse is in the process of obtaining an
initial assessment of a 21-year-old Hispanic client with limited English
proficiency. Which action is the most important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these
terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion. - CORRECT-
ANSWERS- D
Nurses contribute to health literacy by using simple, common words,
avoiding jargon, and
evaluating whether the client understands the discussion. Speaking slowly
and clearly and
focusing on what is important will increase understanding. Most client
education materials are written at a level too high for the average adult and
may not be useful for a client with limited
English proficiency.
The nurses working at a newly established birthing center have begun to
compare their performance in providing maternal-newborn care against
clinical standards. This comparison process is most commonly known as
what?
a. Best practices network
3
, b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice - CORRECT-ANSWERS- C
Outcomes-oriented practice measures the effectiveness of the interventions
and quality of care against benchmarks or standards. The term best practice
refers to a program or service that has been recognized for its excellence.
Clinical benchmarking is a process used to compare one's own performance
against the performance of the best in an area of service. The term
evidence-based practice refers to the provision of care based on evidence
gained through research and clinical trials.
Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care - CORRECT-ANSWERS- B
Contemporary maternity nursing focuses on the family's needs and desires.
Fathers, partners, grandparents, and siblings may be present for the birth
and participate in activities such as cutting the baby's umbilical cord. Both
midwives and physicians perform vaginal deliveries. Free-standing clinics are
an example of alternative birth options. Contemporary maternity nursing is
driven by the relationship between nurses and their clients.
A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby
girl after being in labor for 43 hours. The baby died 3 days later from sepsis.
4
EXAM WITH CORRECT ANSWERS 2025
CH1: Century Maternity & Women's Health Nursing - CORRECT-ANSWERS-
In evaluating the level of a pregnant woman's risk of having a low-birth-
weight (LBW) infant, which factor is the most important for the nurse to
consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education - CORRECT-ANSWERS- A
For African-American births, the incidence of LBW infants is twice that of
Caucasian births. Race is a non-modifiable risk factor. Cigarette smoking is
an important factor in potential infant mortality rates, but it is not the most
important. Additionally, smoking is a modifiable risk factor. Poor nutrition is
an important factor in potential infant mortality rates, but it is not the most
important. Additionally, nutritional status is a modifiable risk factor. Maternal
education is an important factor in potential infant mortality rates, but it is
not the most important. Additionally, maternal education is a modifiable risk
factor.
What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
1
,c. Identifying researchable problems
d. Seeking funding to support research studies - CORRECT-ANSWERS- C
When problems are identified, research can be properly conducted. Research
of health care issues leads to evidence-based practice guidelines. Designing
research studies is only one factor of the research process. Data collection is
another factor of research. Financial support is necessary to conduct
research, but it is not the primary role of the nurse in the research process.
A 23-year-old African-American woman is pregnant with her first child. Based
on the statistics for infant mortality, which plan is most important for the
nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care
appointments. - CORRECT-ANSWERS- D
Consistent prenatal care is the best method of preventing or controlling risk
factors associated with infant mortality. Nutritional status is an important
modifiable risk factor, but it is not the most important action a nurse should
take in this situation. The client may need assistance from a social worker at
some time during her pregnancy, but a referral to a social worker is not the
most important aspect the nurse should address at this time. If the woman
has identifiable high-risk problems, then her health care may need to be
provided by a physician. However, it cannot be assumed that all African-
American women have high-risk issues. In addition, advising the woman to
see an obstetrician is not the most important aspect on which the nurse
2
,should focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a client is to receive.
During a prenatal intake interview, the nurse is in the process of obtaining an
initial assessment of a 21-year-old Hispanic client with limited English
proficiency. Which action is the most important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these
terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion. - CORRECT-
ANSWERS- D
Nurses contribute to health literacy by using simple, common words,
avoiding jargon, and
evaluating whether the client understands the discussion. Speaking slowly
and clearly and
focusing on what is important will increase understanding. Most client
education materials are written at a level too high for the average adult and
may not be useful for a client with limited
English proficiency.
The nurses working at a newly established birthing center have begun to
compare their performance in providing maternal-newborn care against
clinical standards. This comparison process is most commonly known as
what?
a. Best practices network
3
, b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice - CORRECT-ANSWERS- C
Outcomes-oriented practice measures the effectiveness of the interventions
and quality of care against benchmarks or standards. The term best practice
refers to a program or service that has been recognized for its excellence.
Clinical benchmarking is a process used to compare one's own performance
against the performance of the best in an area of service. The term
evidence-based practice refers to the provision of care based on evidence
gained through research and clinical trials.
Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care - CORRECT-ANSWERS- B
Contemporary maternity nursing focuses on the family's needs and desires.
Fathers, partners, grandparents, and siblings may be present for the birth
and participate in activities such as cutting the baby's umbilical cord. Both
midwives and physicians perform vaginal deliveries. Free-standing clinics are
an example of alternative birth options. Contemporary maternity nursing is
driven by the relationship between nurses and their clients.
A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby
girl after being in labor for 43 hours. The baby died 3 days later from sepsis.
4
