Leifer Maternity &
Pediatric Nursing Study
Guide — Full Chapter
Review (10th Ed.
Concepts)
Section 1: Maternity Nursing (Antepartum)
1. What is the primary hormone responsible for maintaining pregnancy?
a) Estrogen
b) Follicle-stimulating hormone (FSH)
c) Human chorionic gonadotropin (hCG)
d) Prolactin
2. During which trimester does organogenesis occur?
a) First trimester
b) Second trimester
c) Third trimester
d) Throughout pregnancy
3. Nägele's rule is used to calculate:
a) Fetal weight
b) Gravida and Para
c) Estimated Date of Delivery (EDD)
d) Fundal height
,4. A positive sign of pregnancy is:
a) Amenorrhea
b) Fetal heartbeat heard via Doppler
c) Positive urine hCG test
d) Quickening
5. The recommended weight gain for a woman with a normal pre-pregnancy BMI is:
a) 11-20 lbs
b) 15-25 lbs
c) 25-35 lbs
d) 28-40 lbs
6. The supplement prescribed to prevent neural tube defects is:
a) Iron
b) Calcium
c) Folic Acid
d) Vitamin D
7. What is the most accurate method for assessing gestational age in the first trimester?
a) Fundal height measurement
b) Last menstrual period (LMP)
c) Ultrasound (Crown-rump length)
d) Quickening date
8. A client at 32 weeks gestation complains of heartburn. What is the best dietary
advice?
a) Increase spicy foods to build tolerance.
b) Drink fluids with meals.
c) Eat small, frequent meals and avoid lying down after eating.
d) Consume a large meal at bedtime.
9. The third stage of labor is defined as:
a) Onset of regular contractions to full cervical dilation.
b) Full dilation to birth of the infant.
c) Birth of the infant to delivery of the placenta.
d) The first 1-4 hours postpartum.
10. Gravida 3, Para 2 indicates a woman:
a) Has had 3 pregnancies and 2 living children.
b) Is currently pregnant for the 3rd time and has delivered 2 infants past 20 weeks.
, c) Has had 3 abortions and 2 live births.
d) Has 3 children, one of whom was a twin.
Section 2: Maternity Nursing (Intrapartum)
11. The presenting part in a normal vertex delivery is the:
a) Breech
b) Shoulder
c) Sacrum
d) Occiput
12. The fetal heart rate (FHR) baseline is considered normal between:
a) 100-140 bpm
b) 110-160 bpm
c) 120-180 bpm
d) 90-150 bpm
13. Variable decelerations on the FHR monitor are most often caused by:
a) Uteroplacental insufficiency
b) Head compression
c) Umbilical cord compression
d) Maternal hypotension
14. The nurse observes late decelerations on the monitor. What is the priority action?
a) Prepare for immediate forceps delivery.
b) Turn the mother to her left side, administer O2, increase IV fluids, and notify the
provider.
c) Have the mother push with contractions.
d) Document the finding as a normal pattern.
15. The strongest part of a uterine contraction is:
a) The increment
b) The acme (peak)
c) The decrement
d) The fundus
16. Effacement refers to:
a) The opening of the cervix.
b) The thinning of the cervix.
c) The station of the presenting part.
d) The position of the fetus.
, 17. A station of +2 indicates the presenting part is:
a) At the ischial spines.
b) 2 cm above the ischial spines.
c) 2 cm below the ischial spines.
d) Fully engaged.
18. Pharmacological pain management during labor that provides analgesia without loss
of consciousness is:
a) General anesthesia
b) An epidural block
c) A sedative-hypnotic
d) Paracervical block
19. The primary risk associated with oxytocin (Pitocin) administration is:
a) Maternal hypertension
b) Fetal bradycardia
c) Uterine tachysystole/hyperstimulation
d) Postpartum hemorrhage
20. Meconium-stained amniotic fluid is a concern because it may indicate:
a) Maternal infection.
b) Fetal maturity.
c) Fetal stress/hypoxia.
d) Placenta previa.
Section 3: Maternity Nursing (Postpartum & Newborn)
21. Postpartum, the nurse assesses the fundus. It should be:
a) Deviated to the left and 2 cm below the umbilicus.
b) Firm, midline, and at the level of the umbilicus or below.
c) Soft and above the umbilicus.
d) Non-palpable.
22. Lochia rubra is characterized by:
a) A pinkish-brown discharge.
a) A white or yellow discharge.
b) A bright red discharge containing blood and decidua.
c) The absence of any discharge.
23. A postpartum temperature of 100.4°F (38°C) or higher on 2 consecutive days after the
first 24 hours suggests:
Pediatric Nursing Study
Guide — Full Chapter
Review (10th Ed.
Concepts)
Section 1: Maternity Nursing (Antepartum)
1. What is the primary hormone responsible for maintaining pregnancy?
a) Estrogen
b) Follicle-stimulating hormone (FSH)
c) Human chorionic gonadotropin (hCG)
d) Prolactin
2. During which trimester does organogenesis occur?
a) First trimester
b) Second trimester
c) Third trimester
d) Throughout pregnancy
3. Nägele's rule is used to calculate:
a) Fetal weight
b) Gravida and Para
c) Estimated Date of Delivery (EDD)
d) Fundal height
,4. A positive sign of pregnancy is:
a) Amenorrhea
b) Fetal heartbeat heard via Doppler
c) Positive urine hCG test
d) Quickening
5. The recommended weight gain for a woman with a normal pre-pregnancy BMI is:
a) 11-20 lbs
b) 15-25 lbs
c) 25-35 lbs
d) 28-40 lbs
6. The supplement prescribed to prevent neural tube defects is:
a) Iron
b) Calcium
c) Folic Acid
d) Vitamin D
7. What is the most accurate method for assessing gestational age in the first trimester?
a) Fundal height measurement
b) Last menstrual period (LMP)
c) Ultrasound (Crown-rump length)
d) Quickening date
8. A client at 32 weeks gestation complains of heartburn. What is the best dietary
advice?
a) Increase spicy foods to build tolerance.
b) Drink fluids with meals.
c) Eat small, frequent meals and avoid lying down after eating.
d) Consume a large meal at bedtime.
9. The third stage of labor is defined as:
a) Onset of regular contractions to full cervical dilation.
b) Full dilation to birth of the infant.
c) Birth of the infant to delivery of the placenta.
d) The first 1-4 hours postpartum.
10. Gravida 3, Para 2 indicates a woman:
a) Has had 3 pregnancies and 2 living children.
b) Is currently pregnant for the 3rd time and has delivered 2 infants past 20 weeks.
, c) Has had 3 abortions and 2 live births.
d) Has 3 children, one of whom was a twin.
Section 2: Maternity Nursing (Intrapartum)
11. The presenting part in a normal vertex delivery is the:
a) Breech
b) Shoulder
c) Sacrum
d) Occiput
12. The fetal heart rate (FHR) baseline is considered normal between:
a) 100-140 bpm
b) 110-160 bpm
c) 120-180 bpm
d) 90-150 bpm
13. Variable decelerations on the FHR monitor are most often caused by:
a) Uteroplacental insufficiency
b) Head compression
c) Umbilical cord compression
d) Maternal hypotension
14. The nurse observes late decelerations on the monitor. What is the priority action?
a) Prepare for immediate forceps delivery.
b) Turn the mother to her left side, administer O2, increase IV fluids, and notify the
provider.
c) Have the mother push with contractions.
d) Document the finding as a normal pattern.
15. The strongest part of a uterine contraction is:
a) The increment
b) The acme (peak)
c) The decrement
d) The fundus
16. Effacement refers to:
a) The opening of the cervix.
b) The thinning of the cervix.
c) The station of the presenting part.
d) The position of the fetus.
, 17. A station of +2 indicates the presenting part is:
a) At the ischial spines.
b) 2 cm above the ischial spines.
c) 2 cm below the ischial spines.
d) Fully engaged.
18. Pharmacological pain management during labor that provides analgesia without loss
of consciousness is:
a) General anesthesia
b) An epidural block
c) A sedative-hypnotic
d) Paracervical block
19. The primary risk associated with oxytocin (Pitocin) administration is:
a) Maternal hypertension
b) Fetal bradycardia
c) Uterine tachysystole/hyperstimulation
d) Postpartum hemorrhage
20. Meconium-stained amniotic fluid is a concern because it may indicate:
a) Maternal infection.
b) Fetal maturity.
c) Fetal stress/hypoxia.
d) Placenta previa.
Section 3: Maternity Nursing (Postpartum & Newborn)
21. Postpartum, the nurse assesses the fundus. It should be:
a) Deviated to the left and 2 cm below the umbilicus.
b) Firm, midline, and at the level of the umbilicus or below.
c) Soft and above the umbilicus.
d) Non-palpable.
22. Lochia rubra is characterized by:
a) A pinkish-brown discharge.
a) A white or yellow discharge.
b) A bright red discharge containing blood and decidua.
c) The absence of any discharge.
23. A postpartum temperature of 100.4°F (38°C) or higher on 2 consecutive days after the
first 24 hours suggests:
