COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
,COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
Contents
Chapter 1 : Perspectives on Maternal, Newborn, and Women’s Health Care.................................. 3
Chapter 2 : Family-Centered Community-Based Care..................................................................... 12
Chapter 3 : Anatomy and Physiology of the Reproductive Systems ................................................ 23
Chapter 4 : Common Reproductive Issues ......................................................................................... 33
Chapter 5 : Sexually Transmitted Infections (STIs) .......................................................................... 43
Chapter 6 : Disorders of the Breasts ................................................................................................... 53
Chapter 7 : Benign Disorders of the Female Reproductive Tract .................................................... 63
Chapter 8 : Cancers of the Female Reproductive Tract ................................................................... 73
Chapter 9 : Violence and Abuse .......................................................................................................... 83
Chapter 10 : Fetal Development and Genetics ................................................................................... 93
Chapter 11 : Maternal Adaptation During Pregnancy ................................................................... 103
Chapter 12 : Nursing Management During Pregnancy................................................................... 113
Chapter 13 : Labor and Birth Process .............................................................................................. 123
Chapter 14 : Nursing Management During Labor and Birth......................................................... 133
Chapter 15 : Postpartum Adaptations .............................................................................................. 143
Chapter 16 : Nursing Management During the Postpartum Period .............................................. 153
Chapter 17 : Newborn Transitioning ................................................................................................ 163
Chapter 18 : Nursing Management of the Newborn........................................................................ 173
Chapter 19 : Pregnancy at Risk: Pregnancy-Related Complications ............................................ 183
Chapter 20 : Pregnancy at Risk: Selected Health Conditions and Vulnerable Populations ........ 194
Chapter 21 : Nursing Management of Labor and Birth at Risk .................................................... 204
Chapter 22 : Nursing Management of the Postpartum Woman at Risk........................................ 213
Chapter 23 : Nursing Care of the Newborn with Special Needs ..................................................... 224
Chapter 24 : Nursing Management of the Newborn at Risk: Acquired and Congenital Conditions
.............................................................................................................................................................. 234
, COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
Chapter 1 : Perspectives on Maternal, Newborn, and Women’s Health
Care
1. A nurse is reviewing the history of maternal and newborn care in the
United States for a community health presentation. Which historical
influence most significantly shaped the shift from home births to hospital
births in the early 20th century?
A. Advancements in neonatal nutrition
B. Professionalization of nursing and medicine
C. Increased use of doulas and midwives
D. Expansion of telehealth services
✅ ANS: B
Rationale: The professionalization of nursing and medicine in the early 20th
century led to increased hospital births as medical practitioners sought to
standardize care, reduce maternal and infant mortality, and use emerging
technologies. Home births declined due to concerns about infection control
and lack of standardized care.
NAT: Client Needs: Safe, Effective Care Environment
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Analyze
2. A new graduate nurse is asked to explain evidence-based practice (EBP) in
maternal-newborn care. Which statement correctly illustrates EBP?
A. Following the routines established by senior nurses
B. Applying current research findings to guide clinical decisions
C. Relying solely on anecdotal patient experiences
D. Using traditional practices regardless of updated evidence
, COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
✅ ANS: B
Rationale: Evidence-based practice integrates the best current research
evidence with clinical expertise and patient preferences to guide care. This
ensures interventions are safe, effective, and aligned with professional
standards.
NAT: Client Needs: Safe, Effective Care Environment
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
3. A hospital nurse is evaluating maternal outcomes after implementing a
new patient safety protocol. Which outcome indicates the protocol was most
effective?
A. Increased maternal satisfaction scores
B. Decreased incidence of postpartum hemorrhage
C. Higher birth rates in the community
D. Reduced number of prenatal visits
✅ ANS: B
Rationale: Patient safety protocols in maternal care aim to reduce
complications, such as postpartum hemorrhage. Effective outcomes are
measured by improvements in clinical safety indicators rather than
satisfaction alone or unrelated community metrics.
NAT: Client Needs: Safe, Effective Care Environment
KEY: Integrated Process: Evaluation
BLM: Cognitive Level: Evaluate
4. A nurse considers the economic factors influencing women’s health care
access. Which scenario best reflects these influences?
A. A patient chooses home remedies over medical care due to high hospital
costs.
B. A hospital hires additional staff without adjusting budgets.
C. A midwife provides care in a rural area regardless of patient income.
D. Insurance coverage is universal and comprehensive.
, COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
✅ ANS: A
Rationale: Economic influences, such as high costs and insurance
limitations, can prevent women from accessing timely and effective care,
leading them to rely on alternative methods or delay care.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply
5. A nurse teaching a prenatal class explains social influences on maternal
care. Which statement correctly identifies a social factor affecting maternal
health outcomes?
A. Hospital protocols for electronic fetal monitoring
B. Peer support from family and community
C. The design of the maternity unit
D. The brand of prenatal vitamins
✅ ANS: B
Rationale: Social factors, including family support, peer groups, and
community networks, play a critical role in maternal health outcomes by
influencing stress levels, adherence to prenatal care, and overall well-being.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Caring
BLM: Cognitive Level: Understand
6. A patient expresses concern about maternal mortality rates in her
community. How should the nurse respond using evidence-based practice
principles?
A. Provide statistics without context.
B. Explain risk factors and current interventions shown to improve outcomes.
C. Suggest that mortality is inevitable for some women.
D. Focus solely on historical data from 50 years ago.
✅ ANS: B
Rationale: Using EBP, nurses provide patients with current, research-based
, COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
information about risks and interventions that can improve maternal
outcomes, empowering informed decision-making.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply
7. A labor-and-delivery nurse notices frequent medication errors. Which
action demonstrates the best application of the nurse’s role in patient safety?
A. Ignore minor errors to avoid conflict with colleagues
B. Report errors through established safety channels and advocate for
corrective protocols
C. Delegate responsibility entirely to the physician
D. Limit documentation to verbal reports
✅ ANS: B
Rationale: Nurses play a key role in patient safety by identifying, reporting,
and addressing errors and advocating for system-level improvements. This
proactive approach reduces harm and enhances outcomes.
NAT: Client Needs: Safe, Effective Care Environment
KEY: Integrated Process: Advocacy
BLM: Cognitive Level: Apply
8. A nurse is assessing the historical evolution of maternity care. Which
development had the greatest impact on maternal survival rates?
A. Introduction of neonatal incubators
B. Implementation of aseptic techniques and prenatal care
C. Growth of prenatal yoga classes
D. Popularity of home birthing videos
✅ ANS: B
Rationale: Aseptic techniques, antiseptics, and structured prenatal care
significantly reduced maternal mortality by preventing infections and
promoting early detection of complications.
NAT: Client Needs: Safe, Effective Care Environment
Ricci
,COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
Contents
Chapter 1 : Perspectives on Maternal, Newborn, and Women’s Health Care.................................. 3
Chapter 2 : Family-Centered Community-Based Care..................................................................... 12
Chapter 3 : Anatomy and Physiology of the Reproductive Systems ................................................ 23
Chapter 4 : Common Reproductive Issues ......................................................................................... 33
Chapter 5 : Sexually Transmitted Infections (STIs) .......................................................................... 43
Chapter 6 : Disorders of the Breasts ................................................................................................... 53
Chapter 7 : Benign Disorders of the Female Reproductive Tract .................................................... 63
Chapter 8 : Cancers of the Female Reproductive Tract ................................................................... 73
Chapter 9 : Violence and Abuse .......................................................................................................... 83
Chapter 10 : Fetal Development and Genetics ................................................................................... 93
Chapter 11 : Maternal Adaptation During Pregnancy ................................................................... 103
Chapter 12 : Nursing Management During Pregnancy................................................................... 113
Chapter 13 : Labor and Birth Process .............................................................................................. 123
Chapter 14 : Nursing Management During Labor and Birth......................................................... 133
Chapter 15 : Postpartum Adaptations .............................................................................................. 143
Chapter 16 : Nursing Management During the Postpartum Period .............................................. 153
Chapter 17 : Newborn Transitioning ................................................................................................ 163
Chapter 18 : Nursing Management of the Newborn........................................................................ 173
Chapter 19 : Pregnancy at Risk: Pregnancy-Related Complications ............................................ 183
Chapter 20 : Pregnancy at Risk: Selected Health Conditions and Vulnerable Populations ........ 194
Chapter 21 : Nursing Management of Labor and Birth at Risk .................................................... 204
Chapter 22 : Nursing Management of the Postpartum Woman at Risk........................................ 213
Chapter 23 : Nursing Care of the Newborn with Special Needs ..................................................... 224
Chapter 24 : Nursing Management of the Newborn at Risk: Acquired and Congenital Conditions
.............................................................................................................................................................. 234
, COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
Chapter 1 : Perspectives on Maternal, Newborn, and Women’s Health
Care
1. A nurse is reviewing the history of maternal and newborn care in the
United States for a community health presentation. Which historical
influence most significantly shaped the shift from home births to hospital
births in the early 20th century?
A. Advancements in neonatal nutrition
B. Professionalization of nursing and medicine
C. Increased use of doulas and midwives
D. Expansion of telehealth services
✅ ANS: B
Rationale: The professionalization of nursing and medicine in the early 20th
century led to increased hospital births as medical practitioners sought to
standardize care, reduce maternal and infant mortality, and use emerging
technologies. Home births declined due to concerns about infection control
and lack of standardized care.
NAT: Client Needs: Safe, Effective Care Environment
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Analyze
2. A new graduate nurse is asked to explain evidence-based practice (EBP) in
maternal-newborn care. Which statement correctly illustrates EBP?
A. Following the routines established by senior nurses
B. Applying current research findings to guide clinical decisions
C. Relying solely on anecdotal patient experiences
D. Using traditional practices regardless of updated evidence
, COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
✅ ANS: B
Rationale: Evidence-based practice integrates the best current research
evidence with clinical expertise and patient preferences to guide care. This
ensures interventions are safe, effective, and aligned with professional
standards.
NAT: Client Needs: Safe, Effective Care Environment
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
3. A hospital nurse is evaluating maternal outcomes after implementing a
new patient safety protocol. Which outcome indicates the protocol was most
effective?
A. Increased maternal satisfaction scores
B. Decreased incidence of postpartum hemorrhage
C. Higher birth rates in the community
D. Reduced number of prenatal visits
✅ ANS: B
Rationale: Patient safety protocols in maternal care aim to reduce
complications, such as postpartum hemorrhage. Effective outcomes are
measured by improvements in clinical safety indicators rather than
satisfaction alone or unrelated community metrics.
NAT: Client Needs: Safe, Effective Care Environment
KEY: Integrated Process: Evaluation
BLM: Cognitive Level: Evaluate
4. A nurse considers the economic factors influencing women’s health care
access. Which scenario best reflects these influences?
A. A patient chooses home remedies over medical care due to high hospital
costs.
B. A hospital hires additional staff without adjusting budgets.
C. A midwife provides care in a rural area regardless of patient income.
D. Insurance coverage is universal and comprehensive.
, COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
✅ ANS: A
Rationale: Economic influences, such as high costs and insurance
limitations, can prevent women from accessing timely and effective care,
leading them to rely on alternative methods or delay care.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply
5. A nurse teaching a prenatal class explains social influences on maternal
care. Which statement correctly identifies a social factor affecting maternal
health outcomes?
A. Hospital protocols for electronic fetal monitoring
B. Peer support from family and community
C. The design of the maternity unit
D. The brand of prenatal vitamins
✅ ANS: B
Rationale: Social factors, including family support, peer groups, and
community networks, play a critical role in maternal health outcomes by
influencing stress levels, adherence to prenatal care, and overall well-being.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Caring
BLM: Cognitive Level: Understand
6. A patient expresses concern about maternal mortality rates in her
community. How should the nurse respond using evidence-based practice
principles?
A. Provide statistics without context.
B. Explain risk factors and current interventions shown to improve outcomes.
C. Suggest that mortality is inevitable for some women.
D. Focus solely on historical data from 50 years ago.
✅ ANS: B
Rationale: Using EBP, nurses provide patients with current, research-based
, COMPLETE TEST BANK for Essentials of Maternity, Newborn, and Women’s Health Nursing 5th Edition
Ricci
information about risks and interventions that can improve maternal
outcomes, empowering informed decision-making.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply
7. A labor-and-delivery nurse notices frequent medication errors. Which
action demonstrates the best application of the nurse’s role in patient safety?
A. Ignore minor errors to avoid conflict with colleagues
B. Report errors through established safety channels and advocate for
corrective protocols
C. Delegate responsibility entirely to the physician
D. Limit documentation to verbal reports
✅ ANS: B
Rationale: Nurses play a key role in patient safety by identifying, reporting,
and addressing errors and advocating for system-level improvements. This
proactive approach reduces harm and enhances outcomes.
NAT: Client Needs: Safe, Effective Care Environment
KEY: Integrated Process: Advocacy
BLM: Cognitive Level: Apply
8. A nurse is assessing the historical evolution of maternity care. Which
development had the greatest impact on maternal survival rates?
A. Introduction of neonatal incubators
B. Implementation of aseptic techniques and prenatal care
C. Growth of prenatal yoga classes
D. Popularity of home birthing videos
✅ ANS: B
Rationale: Aseptic techniques, antiseptics, and structured prenatal care
significantly reduced maternal mortality by preventing infections and
promoting early detection of complications.
NAT: Client Needs: Safe, Effective Care Environment
