1|Page
MATERNITY & WOMEN’S HEALTH CARE 13TH EDITION TEST
BANK (2026) | 160 NCLEX-STYLE QUESTIONS, ANSWERS &
RATIONALES,100% CORRECT ALREADY GRADED A+
1 — Topic: Family-Centered Care
Which principle best reflects family-centered maternity nursing?
A. Focus primarily on the newborn
B. Limit family participation in decision-making
C. Recognize the family as the constant in a child’s life
D. Rely solely on the nurse’s clinical judgment
Correct Answer: C
Rationale: Family-centered care recognizes the family as the unit of care,
emphasizing collaboration, respect, and shared decision-making in maternal
and child health.
2 — Topic: Cultural Considerations
When caring for a postpartum client from a non-Western culture, the nurse
should:
A. Discourage traditional practices
B. Respect cultural rituals unless harmful
,2|Page
C. Educate only using Western practices
D. Require adherence to hospital policies only
Correct Answer: B
Rationale: Nurses should respect cultural beliefs and integrate them into
care as long as they do not pose harm, which supports culturally competent
maternity care.
3 — Topic: Reproductive Anatomy
Which structure is the primary site of fertilization?
A. Uterus
B. Ovaries
C. Fallopian tubes
D. Cervix
Correct Answer: C
Rationale: Fertilization typically occurs in the ampulla of the fallopian tube,
where the sperm meets the ovum before implantation in the uterus.
4 — Topic: Prenatal Care
Which finding indicates the need for immediate follow-up during
pregnancy?
A. Occasional leg cramps
B. Nausea in the morning
,3|Page
C. Severe headache with blurred vision
D. Mild backache in the evening
Correct Answer: C
Rationale: Severe headache and blurred vision suggest preeclampsia, a life-
threatening hypertensive disorder requiring urgent evaluation.
5 — Topic: Fetal Circulation
Which shunt allows blood to bypass the liver in fetal circulation?
A. Foramen ovale
B. Ductus arteriosus
C. Ductus venosus
D. Coronary sinus
Correct Answer: C
Rationale: The ductus venosus directs oxygen-rich blood from the umbilical
vein into the inferior vena cava, bypassing the fetal liver.
6 — Topic: Teratogens
The greatest risk of teratogen exposure occurs during:
A. Pre-embryonic stage (0–2 weeks)
B. Embryonic stage (3–8 weeks)
C. Fetal stage (9–40 weeks)
D. Labor and delivery
, 4|Page
Correct Answer: B
Rationale: Organogenesis occurs during the embryonic stage (3–8 weeks).
Exposure to teratogens at this stage causes the most severe structural
anomalies.
7 — Topic: Nutrition in Pregnancy
A pregnant woman asks why folic acid is important. The best response is:
A. It helps prevent neural tube defects
B. It reduces constipation in pregnancy
C. It strengthens bones and teeth
D. It improves digestion of proteins
Correct Answer: A
Rationale: Folic acid deficiency is strongly linked to neural tube defects
such as spina bifida and anencephaly. Supplementation is essential before
and during pregnancy.
8 — Topic: Prenatal Testing
Which test is used to assess fetal lung maturity?
A. Amniocentesis with L/S ratio
B. Biophysical profile
C. Nonstress test
D. Ultrasound for fetal growth
MATERNITY & WOMEN’S HEALTH CARE 13TH EDITION TEST
BANK (2026) | 160 NCLEX-STYLE QUESTIONS, ANSWERS &
RATIONALES,100% CORRECT ALREADY GRADED A+
1 — Topic: Family-Centered Care
Which principle best reflects family-centered maternity nursing?
A. Focus primarily on the newborn
B. Limit family participation in decision-making
C. Recognize the family as the constant in a child’s life
D. Rely solely on the nurse’s clinical judgment
Correct Answer: C
Rationale: Family-centered care recognizes the family as the unit of care,
emphasizing collaboration, respect, and shared decision-making in maternal
and child health.
2 — Topic: Cultural Considerations
When caring for a postpartum client from a non-Western culture, the nurse
should:
A. Discourage traditional practices
B. Respect cultural rituals unless harmful
,2|Page
C. Educate only using Western practices
D. Require adherence to hospital policies only
Correct Answer: B
Rationale: Nurses should respect cultural beliefs and integrate them into
care as long as they do not pose harm, which supports culturally competent
maternity care.
3 — Topic: Reproductive Anatomy
Which structure is the primary site of fertilization?
A. Uterus
B. Ovaries
C. Fallopian tubes
D. Cervix
Correct Answer: C
Rationale: Fertilization typically occurs in the ampulla of the fallopian tube,
where the sperm meets the ovum before implantation in the uterus.
4 — Topic: Prenatal Care
Which finding indicates the need for immediate follow-up during
pregnancy?
A. Occasional leg cramps
B. Nausea in the morning
,3|Page
C. Severe headache with blurred vision
D. Mild backache in the evening
Correct Answer: C
Rationale: Severe headache and blurred vision suggest preeclampsia, a life-
threatening hypertensive disorder requiring urgent evaluation.
5 — Topic: Fetal Circulation
Which shunt allows blood to bypass the liver in fetal circulation?
A. Foramen ovale
B. Ductus arteriosus
C. Ductus venosus
D. Coronary sinus
Correct Answer: C
Rationale: The ductus venosus directs oxygen-rich blood from the umbilical
vein into the inferior vena cava, bypassing the fetal liver.
6 — Topic: Teratogens
The greatest risk of teratogen exposure occurs during:
A. Pre-embryonic stage (0–2 weeks)
B. Embryonic stage (3–8 weeks)
C. Fetal stage (9–40 weeks)
D. Labor and delivery
, 4|Page
Correct Answer: B
Rationale: Organogenesis occurs during the embryonic stage (3–8 weeks).
Exposure to teratogens at this stage causes the most severe structural
anomalies.
7 — Topic: Nutrition in Pregnancy
A pregnant woman asks why folic acid is important. The best response is:
A. It helps prevent neural tube defects
B. It reduces constipation in pregnancy
C. It strengthens bones and teeth
D. It improves digestion of proteins
Correct Answer: A
Rationale: Folic acid deficiency is strongly linked to neural tube defects
such as spina bifida and anencephaly. Supplementation is essential before
and during pregnancy.
8 — Topic: Prenatal Testing
Which test is used to assess fetal lung maturity?
A. Amniocentesis with L/S ratio
B. Biophysical profile
C. Nonstress test
D. Ultrasound for fetal growth
