Te
st Bank Questions, Chapter 01: Perspectives on
Maternal, Newborn, and Women’s Health Care
Test Bank Answer Key : Page 165 for All Chapters
1. A group of nurses is discussing United States rankings for infant and maternal
mortality and what impact the nurses could make on these mortality rates in their
practice. Which action could nurses implement to reduce these rates?
A. Encourage all pregnant clients to receive their immunizations.
B. Ensure early and adequate prenatal care.
C. Direct more clients to shelters that protect women who have experienced intimate
partner violence (IPV)
D. Educate on the importance of eating a balanced diet.
2. When integrating the principles of family-centered care into the birthing process,
the nurse bases care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
3. When preparing a teaching plan for a group of clients during their first pregnancy,
the nurse reviews how maternity care has changed over the years. Which information
will the nurse include when discussing events occurring in the 20th century?
A. epidemics of puerperal fever
B. performance of the first cesarean birth
C. x-ray developed to assess pelvic size
D. development of birthing centers
1
,4. The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. The group will design educational
programs to address which priority condition?
A. smoking
B. heart disease
C. diabetes
D. cancer
5. A nurse is conducting an orientation program for a group of newly hired nurses. As
part of the program, the nurse is reviewing the issue of informed consent. The nurse
determines that the teaching was effective when the group identifies which nursing
action as a violation of informed consent?
A. administering blood products to a 15-year-old child after getting parental consent
B. explaining the risks and benefits of a treatment to a client and obtaining their
signature on the consent form
C. asking whether the client understands what they are signing after reinforcing the
health care provider's education
D. getting verbal consent over the phone for an emergency procedure from the spouse
of a unconscious client
6. The family is the basic unit of society. Which statement correctly illustrates the
importance of this concept related to how society functions?
A. Healthy, well-functioning families provide members of all ages with fulfilling,
supporting relationships.
B. The family serves as a place that encourages members to autonomously function in
pursuit of personal pleasures.
C. Society functions best when families determine how they will interface with others
without having to deal with the overall consequences.
D. Work is an important part of family function but is not necessary for success if one
member can fulfil multiple roles.
7. A nursing group is examining their hospital's maternal outcomes for the previous 5
years. Which identified factor(s) has contributed to the decline in the maternal
mortality rate? Select all that apply.
2
,A. increased participation of pregnant clients in prenatal care
B. use of ultrasound to detect disorders
C. increased use of anesthesia with birth
D. closer monitoring for complications associated with gestational hypertension
E. better management of hemorrhage and infection
8. The nurse instructs the new parent about health promotion strategies that could
significantly improve their infant's health. Which education will the nurse include?
Select all that apply.
A. breastfeeding
B. placing infant on their stomach to sleep
C. scheduling a developmental screening at 1 month
D. joining a parental support group
E. adhering to vaccination schedules
9. A nurse is integrating information about family-centered care when developing a
teaching plan for a pregnant client and their family. Which statement by the client
indicates to the nurse that the teaching was effective?
A. "It is not just me affected by the baby. My whole family will be affected."
B. "This is a stressful time for our family, so we will not be making any of the health
care decisions."
C. "Because I am the birth parent, this whole process of birth will affect me primarily."
D. "Birth is a medical problem, so it can affect everyone."
10. A nurse is reading a journal article about health status goals and how they have
evolved over the years. Which health care priority from the 20th century would the
nurse recognize as a focal point?
A. widespread implementation of vaccination programs to prevent infectious diseases
B. the establishment of community health clinics to address primary care needs
C. advancements in surgical techniques and medical interventions for chronic
conditions
D. implementation of public health campaigns to reduce maternal and infant mortality
rates
3
, 11. A nurse is developing a plan of care for a pregnant client to address the continuum
of care from pregnancy through birth. Which aspect would the nurse include as
essential to enhancing the client's birthing experience?
A. ensuring adherence to strict, specific routines
B. involving a pediatrician for care of the child after birth
C. educating the client about the importance of a support person
D. assigning several nurses to act as the client's support team
12. A nurse is educating a pregnant client in early labor. Which statement by the nurse
best promotes family-centered care?
A. "Always ensure you sleep when the baby sleeps since you will most likely be the
one up with the baby at night."
B. "Both breast milk and formula are safe for your baby. The choice of how you feed
your baby is between you and your family."
C. "Your partner will step out of the room while we do cervical exams."
D. "Your baby will go to the nursery for all their required screenings."
13. A nurse is assessing multiple clients in a labor and delivery triage unit. Which U.S.
client does the nurse note is statistically at the highest risk for maternal mortality?
A. white client, age 34, who smokes two packs of cigarettes a day
B. white client, age 42, with a history of anorexia nervosa
C. Black client, age 38, with hypertension
D. Black client, age 42, with Rh-negative blood
14. The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. Which educational program would the
group identify as the priority?
A. risk reduction strategies for diabetes
B. methods for smoking cessation
C. ways to adopt a heart-healthy lifestyle
D. importance of cancer screening and early detection
4
st Bank Questions, Chapter 01: Perspectives on
Maternal, Newborn, and Women’s Health Care
Test Bank Answer Key : Page 165 for All Chapters
1. A group of nurses is discussing United States rankings for infant and maternal
mortality and what impact the nurses could make on these mortality rates in their
practice. Which action could nurses implement to reduce these rates?
A. Encourage all pregnant clients to receive their immunizations.
B. Ensure early and adequate prenatal care.
C. Direct more clients to shelters that protect women who have experienced intimate
partner violence (IPV)
D. Educate on the importance of eating a balanced diet.
2. When integrating the principles of family-centered care into the birthing process,
the nurse bases care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
3. When preparing a teaching plan for a group of clients during their first pregnancy,
the nurse reviews how maternity care has changed over the years. Which information
will the nurse include when discussing events occurring in the 20th century?
A. epidemics of puerperal fever
B. performance of the first cesarean birth
C. x-ray developed to assess pelvic size
D. development of birthing centers
1
,4. The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. The group will design educational
programs to address which priority condition?
A. smoking
B. heart disease
C. diabetes
D. cancer
5. A nurse is conducting an orientation program for a group of newly hired nurses. As
part of the program, the nurse is reviewing the issue of informed consent. The nurse
determines that the teaching was effective when the group identifies which nursing
action as a violation of informed consent?
A. administering blood products to a 15-year-old child after getting parental consent
B. explaining the risks and benefits of a treatment to a client and obtaining their
signature on the consent form
C. asking whether the client understands what they are signing after reinforcing the
health care provider's education
D. getting verbal consent over the phone for an emergency procedure from the spouse
of a unconscious client
6. The family is the basic unit of society. Which statement correctly illustrates the
importance of this concept related to how society functions?
A. Healthy, well-functioning families provide members of all ages with fulfilling,
supporting relationships.
B. The family serves as a place that encourages members to autonomously function in
pursuit of personal pleasures.
C. Society functions best when families determine how they will interface with others
without having to deal with the overall consequences.
D. Work is an important part of family function but is not necessary for success if one
member can fulfil multiple roles.
7. A nursing group is examining their hospital's maternal outcomes for the previous 5
years. Which identified factor(s) has contributed to the decline in the maternal
mortality rate? Select all that apply.
2
,A. increased participation of pregnant clients in prenatal care
B. use of ultrasound to detect disorders
C. increased use of anesthesia with birth
D. closer monitoring for complications associated with gestational hypertension
E. better management of hemorrhage and infection
8. The nurse instructs the new parent about health promotion strategies that could
significantly improve their infant's health. Which education will the nurse include?
Select all that apply.
A. breastfeeding
B. placing infant on their stomach to sleep
C. scheduling a developmental screening at 1 month
D. joining a parental support group
E. adhering to vaccination schedules
9. A nurse is integrating information about family-centered care when developing a
teaching plan for a pregnant client and their family. Which statement by the client
indicates to the nurse that the teaching was effective?
A. "It is not just me affected by the baby. My whole family will be affected."
B. "This is a stressful time for our family, so we will not be making any of the health
care decisions."
C. "Because I am the birth parent, this whole process of birth will affect me primarily."
D. "Birth is a medical problem, so it can affect everyone."
10. A nurse is reading a journal article about health status goals and how they have
evolved over the years. Which health care priority from the 20th century would the
nurse recognize as a focal point?
A. widespread implementation of vaccination programs to prevent infectious diseases
B. the establishment of community health clinics to address primary care needs
C. advancements in surgical techniques and medical interventions for chronic
conditions
D. implementation of public health campaigns to reduce maternal and infant mortality
rates
3
, 11. A nurse is developing a plan of care for a pregnant client to address the continuum
of care from pregnancy through birth. Which aspect would the nurse include as
essential to enhancing the client's birthing experience?
A. ensuring adherence to strict, specific routines
B. involving a pediatrician for care of the child after birth
C. educating the client about the importance of a support person
D. assigning several nurses to act as the client's support team
12. A nurse is educating a pregnant client in early labor. Which statement by the nurse
best promotes family-centered care?
A. "Always ensure you sleep when the baby sleeps since you will most likely be the
one up with the baby at night."
B. "Both breast milk and formula are safe for your baby. The choice of how you feed
your baby is between you and your family."
C. "Your partner will step out of the room while we do cervical exams."
D. "Your baby will go to the nursery for all their required screenings."
13. A nurse is assessing multiple clients in a labor and delivery triage unit. Which U.S.
client does the nurse note is statistically at the highest risk for maternal mortality?
A. white client, age 34, who smokes two packs of cigarettes a day
B. white client, age 42, with a history of anorexia nervosa
C. Black client, age 38, with hypertension
D. Black client, age 42, with Rh-negative blood
14. The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. Which educational program would the
group identify as the priority?
A. risk reduction strategies for diabetes
B. methods for smoking cessation
C. ways to adopt a heart-healthy lifestyle
D. importance of cancer screening and early detection
4
