Maternity and Pediatric Nursing 5th
Edition (Ricci, Kyle & Carman) – Exam
Questions with Rationales, Chapters
1–51
Chapter 1: Perspectives on Maternal and Child Health
Care
Question 1
The nurse is promoting women’s health aligned with Healthy People 2030 goals. Which action
best addresses maternal health disparities?
A. Implementing routine screenings for gestational diabetes
B. Advocating for policies promoting equal access to prenatal care
C. Educating on breastfeeding benefits
D. Ensuring adherence to hospital protocols during labor
Correct Answer: B. Advocating for policies promoting equal access to prenatal care
Rationale: Healthy People 2030 emphasizes reducing health disparities through systemic
changes. Advocating for policies that ensure equal access to prenatal care addresses
socioeconomic barriers, directly impacting maternal health equity. Screenings, education, and
protocol adherence are important but do not target disparities systemically.
Question 2
Which principle is central to family-centered care in maternity nursing?
A. Birth is a medical event requiring strict protocols
B. Families are unable to make informed choices due to stress
C. Birth results in changes in family relationships
D. Families require minimal involvement in care planning
,Correct Answer: C. Birth results in changes in family relationships
Rationale: Family-centered care recognizes birth as a transformative event that alters family
dynamics and relationships, emphasizing family involvement and support in care planning.
Viewing birth solely as a medical event or assuming families cannot make choices contradicts
this approach.
Question 3
What is the nurse’s primary role in addressing cultural competence during prenatal care?
A. Standardizing care plans for all patients
B. Assessing the patient’s cultural beliefs and preferences
C. Referring all patients to a social worker
D. Providing care based on hospital protocols only
Correct Answer: B. Assessing the patient’s cultural beliefs and preferences
Rationale: Cultural competence requires understanding and integrating the patient’s cultural
beliefs and preferences into care to provide individualized, respectful care. Standardizing plans
or relying solely on protocols ignores cultural diversity, and referrals are not always necessary.
Question 4
Which maternal health outcome is a priority in Healthy People 2030?
A. Increasing elective cesarean sections
B. Reducing maternal mortality rates
C. Promoting early hospital discharges
D. Standardizing postpartum care protocols
Correct Answer: B. Reducing maternal mortality rates
Rationale: Healthy People 2030 prioritizes reducing maternal mortality rates to improve
maternal health outcomes, addressing preventable deaths through improved access and quality
of care. Other options do not align with primary goals.
Question 5
When caring for a pregnant client seeking an abortion, which response fosters ethical
considerations?
A. “I recommend following hospital policies strictly.”
B. “Let’s discuss your values and preferences.”
C. “You should consider all alternatives first.”
D. “This decision may have long-term consequences.”
,Correct Answer: B. “Let’s discuss your values and preferences.”
Rationale: Ethical nursing involves respecting patient autonomy by exploring their values and
preferences without judgment. Other responses may impose biases or hospital agendas,
undermining patient-centered care.
Question 6
What is a key component of the nurse’s role in maternal health advocacy?
A. Ensuring compliance with hospital billing
B. Promoting access to community resources
C. Limiting family involvement in care decisions
D. Focusing solely on clinical interventions
Correct Answer: B. Promoting access to community resources
Rationale: Advocacy in maternal health includes connecting patients to community resources
(e.g., prenatal programs, support groups) to enhance care access and outcomes. Other options
do not reflect advocacy priorities.
Question 7
Which factor contributes most to maternal health disparities?
A. Consistent prenatal care access
B. Socioeconomic barriers
C. Routine hospital screenings
D. Standardized care protocols
Correct Answer: B. Socioeconomic barriers
Rationale: Socioeconomic barriers, such as poverty and lack of access to care, are primary
drivers of maternal health disparities, leading to inequitable outcomes. Routine screenings and
protocols do not address systemic issues.
Question 8
What is the nurse’s role in promoting patient safety during labor?
A. Administering medications without verification
B. Verifying patient identity and procedure details
C. Focusing solely on documentation
D. Delegating all tasks to assistive personnel
Correct Answer: B. Verifying patient identity and procedure details
, Rationale: Verifying patient identity and procedure details (e.g., during a time-out) is critical to
ensuring safety and preventing errors during labor, aligning with NCLEX safety standards.
Chapter 2: Caring for Women and Children
Question 9
Which intervention supports family-centered care during a pediatric hospitalization?
A. Limiting parental involvement to reduce stress
B. Encouraging parents to participate in care decisions
C. Standardizing care without family input
D. Restricting family visits to specific hours
Correct Answer: B. Encouraging parents to participate in care decisions
Rationale: Family-centered care involves engaging parents in decision-making to support the
child’s well-being, fostering collaboration and trust. Limiting involvement or standardizing care
without input contradicts this approach.
Question 10
What is the nurse’s priority when caring for a child with a chronic illness?
A. Focusing solely on medical treatments
B. Assessing the family’s coping mechanisms
C. Documenting only clinical findings
D. Referring all care to specialists
Correct Answer: B. Assessing the family’s coping mechanisms
Rationale: Assessing the family’s coping mechanisms ensures holistic care, addressing
emotional and social needs alongside medical treatment, which is critical for chronic illness
management.
Question 11
Which action promotes safety in pediatric medication administration?
A. Administering medications without checking allergies
B. Verifying the five rights of medication administration
C. Relying on verbal orders from physicians
D. Estimating dosages based on weight
Correct Answer: B. Verifying the five rights of medication administration
Edition (Ricci, Kyle & Carman) – Exam
Questions with Rationales, Chapters
1–51
Chapter 1: Perspectives on Maternal and Child Health
Care
Question 1
The nurse is promoting women’s health aligned with Healthy People 2030 goals. Which action
best addresses maternal health disparities?
A. Implementing routine screenings for gestational diabetes
B. Advocating for policies promoting equal access to prenatal care
C. Educating on breastfeeding benefits
D. Ensuring adherence to hospital protocols during labor
Correct Answer: B. Advocating for policies promoting equal access to prenatal care
Rationale: Healthy People 2030 emphasizes reducing health disparities through systemic
changes. Advocating for policies that ensure equal access to prenatal care addresses
socioeconomic barriers, directly impacting maternal health equity. Screenings, education, and
protocol adherence are important but do not target disparities systemically.
Question 2
Which principle is central to family-centered care in maternity nursing?
A. Birth is a medical event requiring strict protocols
B. Families are unable to make informed choices due to stress
C. Birth results in changes in family relationships
D. Families require minimal involvement in care planning
,Correct Answer: C. Birth results in changes in family relationships
Rationale: Family-centered care recognizes birth as a transformative event that alters family
dynamics and relationships, emphasizing family involvement and support in care planning.
Viewing birth solely as a medical event or assuming families cannot make choices contradicts
this approach.
Question 3
What is the nurse’s primary role in addressing cultural competence during prenatal care?
A. Standardizing care plans for all patients
B. Assessing the patient’s cultural beliefs and preferences
C. Referring all patients to a social worker
D. Providing care based on hospital protocols only
Correct Answer: B. Assessing the patient’s cultural beliefs and preferences
Rationale: Cultural competence requires understanding and integrating the patient’s cultural
beliefs and preferences into care to provide individualized, respectful care. Standardizing plans
or relying solely on protocols ignores cultural diversity, and referrals are not always necessary.
Question 4
Which maternal health outcome is a priority in Healthy People 2030?
A. Increasing elective cesarean sections
B. Reducing maternal mortality rates
C. Promoting early hospital discharges
D. Standardizing postpartum care protocols
Correct Answer: B. Reducing maternal mortality rates
Rationale: Healthy People 2030 prioritizes reducing maternal mortality rates to improve
maternal health outcomes, addressing preventable deaths through improved access and quality
of care. Other options do not align with primary goals.
Question 5
When caring for a pregnant client seeking an abortion, which response fosters ethical
considerations?
A. “I recommend following hospital policies strictly.”
B. “Let’s discuss your values and preferences.”
C. “You should consider all alternatives first.”
D. “This decision may have long-term consequences.”
,Correct Answer: B. “Let’s discuss your values and preferences.”
Rationale: Ethical nursing involves respecting patient autonomy by exploring their values and
preferences without judgment. Other responses may impose biases or hospital agendas,
undermining patient-centered care.
Question 6
What is a key component of the nurse’s role in maternal health advocacy?
A. Ensuring compliance with hospital billing
B. Promoting access to community resources
C. Limiting family involvement in care decisions
D. Focusing solely on clinical interventions
Correct Answer: B. Promoting access to community resources
Rationale: Advocacy in maternal health includes connecting patients to community resources
(e.g., prenatal programs, support groups) to enhance care access and outcomes. Other options
do not reflect advocacy priorities.
Question 7
Which factor contributes most to maternal health disparities?
A. Consistent prenatal care access
B. Socioeconomic barriers
C. Routine hospital screenings
D. Standardized care protocols
Correct Answer: B. Socioeconomic barriers
Rationale: Socioeconomic barriers, such as poverty and lack of access to care, are primary
drivers of maternal health disparities, leading to inequitable outcomes. Routine screenings and
protocols do not address systemic issues.
Question 8
What is the nurse’s role in promoting patient safety during labor?
A. Administering medications without verification
B. Verifying patient identity and procedure details
C. Focusing solely on documentation
D. Delegating all tasks to assistive personnel
Correct Answer: B. Verifying patient identity and procedure details
, Rationale: Verifying patient identity and procedure details (e.g., during a time-out) is critical to
ensuring safety and preventing errors during labor, aligning with NCLEX safety standards.
Chapter 2: Caring for Women and Children
Question 9
Which intervention supports family-centered care during a pediatric hospitalization?
A. Limiting parental involvement to reduce stress
B. Encouraging parents to participate in care decisions
C. Standardizing care without family input
D. Restricting family visits to specific hours
Correct Answer: B. Encouraging parents to participate in care decisions
Rationale: Family-centered care involves engaging parents in decision-making to support the
child’s well-being, fostering collaboration and trust. Limiting involvement or standardizing care
without input contradicts this approach.
Question 10
What is the nurse’s priority when caring for a child with a chronic illness?
A. Focusing solely on medical treatments
B. Assessing the family’s coping mechanisms
C. Documenting only clinical findings
D. Referring all care to specialists
Correct Answer: B. Assessing the family’s coping mechanisms
Rationale: Assessing the family’s coping mechanisms ensures holistic care, addressing
emotional and social needs alongside medical treatment, which is critical for chronic illness
management.
Question 11
Which action promotes safety in pediatric medication administration?
A. Administering medications without checking allergies
B. Verifying the five rights of medication administration
C. Relying on verbal orders from physicians
D. Estimating dosages based on weight
Correct Answer: B. Verifying the five rights of medication administration
