Maternity & Pediatric Nursing, 10th Edition
(2026) | Chapter 1–34 Practice Questions &
Detailed Rationales
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Resource Overview
This comprehensive maternity and pediatric nursing practice resource has been independently developed to
support students studying Leifer’s Introduction to Maternity & Pediatric Nursing, 10th Edition. It includes
structured, exam-style practice questions covering Chapters 1–34, designed to reinforce essential maternal-
newborn and pediatric nursing concepts.
The material focuses on strengthening clinical reasoning, safety awareness, developmental understanding, and
nursing interventions related to maternity and pediatric care. Questions emphasize application and analysis
rather than memorization.
Each item includes a detailed rationale explaining the correct answer and clarifying why alternative options
are incorrect, helping students avoid common exam mistakes.
Content Coverage
This resource includes practice questions addressing:
• Foundations of maternity nursing
• Pregnancy assessment and prenatal care
• Labor and delivery management
• Postpartum care and complications
• Newborn assessment and care
• Growth and development principles
• Pediatric health promotion
• Common childhood disorders
• Pediatric pharmacology and safety
• Family-centered care concepts
• Comprehensive mixed review questions
How to Use This Study Guide
This material is ideal for:
• Reinforcing lecture content
• Preparing for quizzes and exams
• NCLEX-style concept reinforcement
• Strengthening maternal-child clinical reasoning
• Identifying weak knowledge areas before assessments
Students are encouraged to complete questions independently before reviewing rationales.
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
pregnancy. What doesthe CNMs scope of practice include?
,a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries,
and ensuresthat a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
and unwashedhands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashedhands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page
2TOP: The Past KEY: Nursing Process Step:
N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response
, reflecting cultural sensitivity?
a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.
c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step:
ImplementationMSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does
this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
births per year.DIF: Cognitive Level: Comprehension REF: Page 12