TEST BANK Olds' Maternal-Newborn Nursing &
Women's Health Across the Lifespan, (12TH)
By Michele Davidson Complete Guide Chapter
1-36|| NEWEST 2026
1. Which of the following is the most accurate definition of maternal
mortality?
A. The number of women who die during childbirth per 1,000 live
births
B. The number of deaths among women of reproductive age per
100,000 population
C. The number of maternal deaths during pregnancy or within 42
days of termination per 100,000 live births
D. The number of pregnancy-related deaths per 1,000 pregnancies
Maternal mortality refers specifically to deaths related to
pregnancy or its management, standardized per 100,000 live
births.
2. A nurse is teaching a pregnant client about folic acid. Which
statement indicates correct understanding?
A. “I only need folic acid if I have anemia.”
B. “Folic acid should be taken after the first trimester.”
C. “Folic acid should be taken before conception and during early
pregnancy.”
D. “Folic acid is only necessary if I have a family history of birth
defects.”
, Folic acid reduces the risk of neural tube defects and should be
taken before conception and during early pregnancy.
3. Which hormone is primarily responsible for uterine contractions
during labor?
A. Progesterone
B. Oxytocin
C. Estrogen
D. Prolactin
Oxytocin stimulates uterine smooth muscle contractions and is
essential for labor progression.
4. What is the recommended frequency of prenatal visits for a
healthy woman in her first 28 weeks of pregnancy?
A. Every 2 weeks
B. Every 4 weeks
C. Every week
D. Every 6 weeks
Standard prenatal care recommends visits every 4 weeks until 28
weeks gestation.
5. A patient at 32 weeks gestation reports sudden gush of fluid.
What is the priority nursing action?
A. Encourage oral fluids
B. Assess for rupture of membranes
C. Start oxytocin infusion
D. Check blood pressure
Sudden fluid leakage may indicate premature rupture of
membranes, which requires immediate assessment.
,6. Which immunization is safe during pregnancy?
A. MMR
B. Influenza (inactivated)
C. Varicella
D. Live attenuated nasal flu vaccine
Inactivated influenza vaccine is safe at any stage of pregnancy; live
vaccines are contraindicated.
7. A gravida 2, para 1 woman asks about fetal movement monitoring.
The nurse should advise:
A. “Only monitor after 36 weeks.”
B. “Kick counts are unnecessary if everything feels normal.”
C. “Count fetal movements daily, ideally at the same time each
day.”
D. “Kick counts are required only if complications arise.”
Daily fetal movement monitoring helps detect fetal compromise
early.
8. Which maternal physiologic change is expected during pregnancy?
A. Decreased cardiac output
B. Increased hematocrit
C. Increased blood volume
D. Decreased respiratory rate
Pregnancy increases maternal blood volume by 30–50% to support
fetal development.
9. What is the primary purpose of the Apgar score?
A. Assess maternal well-being
B. Assess newborn transition to extrauterine life
C. Determine gestational age
, D. Predict future developmental outcomes
Apgar evaluates heart rate, respiratory effort, muscle tone,
reflexes, and skin color immediately after birth.
10. A nurse notes a fundal height of 28 cm at 28 weeks
gestation. What is the interpretation?
A. Fundal height is abnormally high
B. Fundal height is abnormally low
C. Fundal height is consistent with gestational age
D. Fundal height cannot be used for assessment
Fundal height in centimeters roughly equals gestational age in
weeks between 20–36 weeks.
11. A postpartum woman is breastfeeding and asks how often to
feed her newborn. The nurse should respond:
A. Every 6 hours
B. 8–12 times in 24 hours
C. Every 3–4 hours only at night
D. Twice a day with formula supplementation
Newborns typically feed 8–12 times in 24 hours to ensure
adequate nutrition and milk stimulation.
12. Which is a normal newborn reflex?
A. Babinski reflex absent at birth
B. Moro reflex after 6 months
C. Rooting reflex
D. Deep tendon reflexes absent at birth
The rooting reflex helps the newborn locate the breast or bottle
nipple.
Women's Health Across the Lifespan, (12TH)
By Michele Davidson Complete Guide Chapter
1-36|| NEWEST 2026
1. Which of the following is the most accurate definition of maternal
mortality?
A. The number of women who die during childbirth per 1,000 live
births
B. The number of deaths among women of reproductive age per
100,000 population
C. The number of maternal deaths during pregnancy or within 42
days of termination per 100,000 live births
D. The number of pregnancy-related deaths per 1,000 pregnancies
Maternal mortality refers specifically to deaths related to
pregnancy or its management, standardized per 100,000 live
births.
2. A nurse is teaching a pregnant client about folic acid. Which
statement indicates correct understanding?
A. “I only need folic acid if I have anemia.”
B. “Folic acid should be taken after the first trimester.”
C. “Folic acid should be taken before conception and during early
pregnancy.”
D. “Folic acid is only necessary if I have a family history of birth
defects.”
, Folic acid reduces the risk of neural tube defects and should be
taken before conception and during early pregnancy.
3. Which hormone is primarily responsible for uterine contractions
during labor?
A. Progesterone
B. Oxytocin
C. Estrogen
D. Prolactin
Oxytocin stimulates uterine smooth muscle contractions and is
essential for labor progression.
4. What is the recommended frequency of prenatal visits for a
healthy woman in her first 28 weeks of pregnancy?
A. Every 2 weeks
B. Every 4 weeks
C. Every week
D. Every 6 weeks
Standard prenatal care recommends visits every 4 weeks until 28
weeks gestation.
5. A patient at 32 weeks gestation reports sudden gush of fluid.
What is the priority nursing action?
A. Encourage oral fluids
B. Assess for rupture of membranes
C. Start oxytocin infusion
D. Check blood pressure
Sudden fluid leakage may indicate premature rupture of
membranes, which requires immediate assessment.
,6. Which immunization is safe during pregnancy?
A. MMR
B. Influenza (inactivated)
C. Varicella
D. Live attenuated nasal flu vaccine
Inactivated influenza vaccine is safe at any stage of pregnancy; live
vaccines are contraindicated.
7. A gravida 2, para 1 woman asks about fetal movement monitoring.
The nurse should advise:
A. “Only monitor after 36 weeks.”
B. “Kick counts are unnecessary if everything feels normal.”
C. “Count fetal movements daily, ideally at the same time each
day.”
D. “Kick counts are required only if complications arise.”
Daily fetal movement monitoring helps detect fetal compromise
early.
8. Which maternal physiologic change is expected during pregnancy?
A. Decreased cardiac output
B. Increased hematocrit
C. Increased blood volume
D. Decreased respiratory rate
Pregnancy increases maternal blood volume by 30–50% to support
fetal development.
9. What is the primary purpose of the Apgar score?
A. Assess maternal well-being
B. Assess newborn transition to extrauterine life
C. Determine gestational age
, D. Predict future developmental outcomes
Apgar evaluates heart rate, respiratory effort, muscle tone,
reflexes, and skin color immediately after birth.
10. A nurse notes a fundal height of 28 cm at 28 weeks
gestation. What is the interpretation?
A. Fundal height is abnormally high
B. Fundal height is abnormally low
C. Fundal height is consistent with gestational age
D. Fundal height cannot be used for assessment
Fundal height in centimeters roughly equals gestational age in
weeks between 20–36 weeks.
11. A postpartum woman is breastfeeding and asks how often to
feed her newborn. The nurse should respond:
A. Every 6 hours
B. 8–12 times in 24 hours
C. Every 3–4 hours only at night
D. Twice a day with formula supplementation
Newborns typically feed 8–12 times in 24 hours to ensure
adequate nutrition and milk stimulation.
12. Which is a normal newborn reflex?
A. Babinski reflex absent at birth
B. Moro reflex after 6 months
C. Rooting reflex
D. Deep tendon reflexes absent at birth
The rooting reflex helps the newborn locate the breast or bottle
nipple.
