AND WOMEN’S HEALTH, 6TH EDITION BY SUSAN
RICCI |ALL CHAPTERS | ANSWERS WITH RATIONALES
NEWEST VERSION
,Test Bank — Essentials of Maternity, Newborn, and Women’s
Health Nursing (Susan Ricci, 6th Ed.)
Chapter 1 — Perspectives on Maternal, Newborn, and Women’s
Health Care (15 items)
1. Which of the following best describes the primary goal of
family-centered care in maternal and newborn nursing?
A. To place the newborn's needs above the family's preferences
B. To involve the family in decision-making and provide
individualized care that respects family strengths and needs
C. To limit family presence during high-risk procedures to
maintain sterility
D. To standardize care so all families receive identical
interventions
Answer: B
Rationale: Family-centered care emphasizes partnership with families,
supporting their involvement, respecting preferences, and
individualizing care to promote optimal outcomes for mother and infant.
2. A nurse is counseling a pregnant client about prenatal care.
Which statement by the nurse reflects a health promotion
approach?
A. "You should avoid exercise during pregnancy to prevent
preterm labor."
B. "Take folic acid only if you have a family history of birth
defects."
C. "Attending scheduled prenatal visits helps identify risks early
and supports a healthy pregnancy."
D. "If you feel fine, there's no need to keep appointments."
,Answer: C
Rationale: Health promotion encourages behaviors (like regular
prenatal visits) that prevent complications and support maternal–fetal
health.
3. Which factors are commonly included when assessing social
determinants of health that affect maternal outcomes? (Select all
that apply.)
A. Access to transportation
B. Genetic karyotype
C. Housing stability
D. Food security
E. Race/ethnicity and experiences of discrimination
Answer: A, C, D, E
Rationale: Social determinants include socioeconomic and
environmental factors such as transportation, housing, food access, and
social/structural discrimination. Genetic karyotype is a biologic factor
rather than a social determinant.
4. Which public health indicator is most commonly used to assess
the health of mothers and newborns in a population?
A. Infant mortality rate
B. Prevalence of childhood allergies
C. Rate of school enrollment
D. Number of NICU beds
Answer: A
, Rationale: Infant mortality rate is a sensitive indicator reflecting
maternal health, quality of prenatal and newborn care, and broader social
determinants.
5. A 20-week gestation client asks why prenatal screening tests
are offered. What is the best nurse response?
A. "These tests are mandatory to protect the baby."
B. "Screening identifies risks early so you and your provider can
make informed choices."
C. "Most people do them to get extra paperwork for insurance."
D. "They can guarantee whether the baby will have a disorder."
Answer: B
Rationale: Screening tests identify risk and guide counseling and further
diagnostic testing; they do not guarantee outcomes nor are they typically
mandatory.
6. Which level of prevention is exemplified by administering
rubella vaccine during the postpartum period for a
nonimmune woman?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Primary prevention prevents disease occurrence (vaccination
to prevent rubella infection in future pregnancies).