|GLORIA |LEIFER
This |comprehensive |Q&A |set |is |designed |for |nursing |students |preparing |for
|exams |based |on |*Introduction |to |Maternity |and |Pediatric |Nursing, |9th
|Edition* |by |Gloria |Leifer. |It |includes |multiple-choice |questions |(MCQs) |and
|true/false |questions, |covering |prenatal |care, |labor |and |delivery, |postpartum
|care, |newborn |care, |and |pediatric |nursing. |Each |question |includes |Answers
|and |Explanations |to |support |NCLEX |preparation |and |exam |success. |Maternity
|Nursing, |Pediatric |Nursing, |Gloria | |9th |Edition, |NCLEX |Prep, |Nursing |Test
|Bank.
Multiple-Choice |Questions |(MCQs)
1. |**What |is |the |primary |purpose |of |prenatal |care |in |the |first |trimester?** | |
| | |A) |To |initiate |labor |induction | |
| | |B) |To |confirm |pregnancy |and |assess |maternal |health | |
| | |C) |To |administer |routine |vaccinations | |
| | |D) |To |perform |a |cesarean |section | |
| | |**Answer**: |B | |
| | |**Explanation**: |First-trimester |prenatal |care |confirms |pregnancy, |assesses
|maternal |health, |and |identifies |risk |factors |for |complications.
2. |**Which |hormone |stimulates |uterine |contractions |during |labor?** | |
| | |A) |Progesterone | |
| | |B) |Oxytocin | |
| | |C) |Estrogen | |
| | |D) |Prolactin | |
| | |**Answer**: |B | |
,| | |**Explanation**: |Oxytocin, |released |by |the |pituitary |gland, |triggers |uterine
|contractions |to |facilitate |labor.
3. |**A |woman |at |37 |weeks |gestation |reports |sudden |vaginal |bleeding |and
|abdominal |pain. |What |should |the |nurse |suspect?** | |
| | |A) |Normal |labor | |
| | |B) |Placental |abruption | |
| | |C) |Braxton |Hicks |contractions | |
| | |D) |Gestational |diabetes | |
| | |**Answer**: |B | |
| | |**Explanation**: |Sudden |vaginal |bleeding |and |abdominal |pain |are |signs |of
|placental |abruption, |requiring |urgent |intervention.
4. |**What |is |the |normal |fetal |heart |rate |range |during |labor?** | |
| | |A) |60–100 |beats |per |minute | |
| | |B) |110–160 |beats |per |minute | |
| | |C) |160–200 |beats |per |minute | |
| | |D) |200–240 |beats |per |minute | |
| | |**Answer**: |B | |
| | |**Explanation**: |A |fetal |heart |rate |of |110–160 |beats |per |minute |indicates
|fetal |well-being.
5. |**Which |tool |assesses |a |newborn’s |neurological |and |behavioral |responses?**
||
| | |A) |Apgar |score | |
| | |B) |Ballard |score | |
| | |C) |Brazelton |Neonatal |Behavioral |Assessment | |
| | |D) |Dubowitz |scale | |
| | |**Answer**: |C | |
| | |**Explanation**: |The |Brazelton |assessment |evaluates |newborn |neurological
|and |behavioral |responses, |such |as |alertness.
,6. |**What |is |the |most |common |cause |of |newborn |jaundice?** | |
| | |A) |Sepsis | |
| | |B) |Physiological |jaundice | |
| | |C) |Hypoglycemia | |
| | |D) |Congenital |anemia | |
| | |**Answer**: |B | |
| | |**Explanation**: |Physiological |jaundice |results |from |fetal |red |blood |cell
|breakdown |and |typically |resolves |within |days.
7. |**A |postpartum |woman |reports |heavy |vaginal |bleeding. |What |should |the
|nurse |assess |first?** | |
| | |A) |Breast |engorgement | |
| | |B) |Fundal |height |and |tone | |
| | |C) |Lochia |color | |
| | |D) |Blood |pressure | |
| | |**Answer**: |B | |
| | |**Explanation**: |Assessing |fundal |height |and |tone |identifies |uterine |atony,
|a |primary |cause |of |postpartum |hemorrhage.
8. |**Which |vaccine |is |recommended |for |children |at |12–15 |months?** | |
| | |A) |Hepatitis |B | |
| | |B) |Measles, |mumps, |rubella |(MMR) | |
| | |C) |Tetanus | |
| | |D) |Polio | |
| | |**Answer**: |B | |
| | |**Explanation**: |The |MMR |vaccine |is |given |at |12–15 |months |to |protect
|against |measles, |mumps, |and |rubella.
9. |**What |is |a |hallmark |sign |of |preeclampsia |in |pregnancy?** | |
| | |A) |Hypoglycemia | |
, | | |B) |Blood |pressure |≥140/90 |mmHg |with |proteinuria | |
| | |C) |Low |blood |pressure | |
| | |D) |Increased |respiratory |rate | |
| | |**Answer**: |B | |
| | |**Explanation**: |Preeclampsia |is |defined |by |hypertension |and |proteinuria
|after |20 |weeks |gestation.
10. |**What |is |the |purpose |of |the |Moro |reflex |in |newborns?** | |
| | | |A) |To |assist |with |feeding | |
| | | |B) |To |respond |to |sudden |stimuli | |
| | | |C) |To |regulate |body |temperature | |
| | | |D) |To |promote |parental |bonding | |
| | | |**Answer**: |B | |
| | | |**Explanation**: |The |Moro |reflex |is |a |startle |response |to |sudden |stimuli,
|protecting |the |newborn.
11. |**Which |condition |involves |excessive |amniotic |fluid?** | |
| | | |A) |Oligohydramnios | |
| | | |B) |Polyhydramnios | |
| | | |C) |Preeclampsia | |
| | | |D) |Eclampsia | |
| | | |**Answer**: |B | |
| | | |**Explanation**: |Polyhydramnios, |excessive |amniotic |fluid, |may |be |linked
|to |fetal |anomalies |or |maternal |diabetes.
12. |**What |is |the |first-line |treatment |for |a |child |with |an |acute |asthma
|attack?** | |
| | | |A) |Oral |corticosteroids | |
| | | |B) |Inhaled |albuterol | |
| | | |C) |Antibiotics | |
| | | |D) |Oxygen |therapy | |