MATERNAL CHILD NURSING
COMPREHENSIVE EXAMINATION TEST
QUESTIONS AND SOLUTIONS FULLY
VERIFIED
●● Most families now recognize that they have choices in the childbirth
experience. What are the basic principles of family-centered care?
Answer: Clients can be involved in decision making.
Family dynamics are impacted by childbirth.
Childbirth is typically a normal, healthy event.
A focus on family or the support person(s) should be maintained.
●● Which factors will help to reduce maternal mortality in the United
States? Select all that apply.
Answer: Availability of high-risk, maternal-infant care centers.
Use of a specialized antepartum maternity clinic.
Delivery by a certified nurse midwife (CNM).
,●● When reviewing nursing history, which factors led to increased
mortality rates and negative pregnancy outcomes? Select all that apply.
Answer: Women were passive in the delivery process
Short hospital stays
Communicable diseases
Poor maternal nutrition
Risk of hemorrhaging post-delivery
●● Evidence has shown that certain clients are at higher risk for injury
during pregnancy, labor, and delivery. Multiple healthcare organizations
are trying to find ways to reduce the factors that contribute to poor
outcomes. Based on the evidence, which practices improve
maternal/newborn outcomes? Select all that apply.
Answer: Keeping infants with mothers after delivery
Mandated minimum length of stay and home visits
More family involvement in birth
Fostering family unity while maintaining safety
●● Which job description correctly defines the role and responsibility of
an advanced practice nurse?
Answer: Neonatal nurse practitioners (NNP) provide emergency care in
the post-birth setting to high-risk infants.
,●● Match the nursing actions with the core measures that they support.
Answer: *Decrease rate of elective deliveries:*
• Encourage prenatal classes.
• Educate moms on signs of labor and maintaining overall health to
reduce blood pressure and diabetes issues. Discuss newborn risks when
delivered early.
*Decrease the rate of Cesarean births:*
• Provide support for domestic violence and human trafficking victims.
• Support laboring women.
• Teach about the risks of drug use.
*Increase the rate of antenatal administration of steroids in preterm
labor:*
• Collaborate with high risk providers.
*Decrease the rate of newborns with septicemia or bacteremia:*
• Administer maternal antibiotics as needed.
• Use personal protective equipment (PPE) appropriately.
*Increase rate of exclusive breastfeeding:*
• Connect client with lactation consultants.
• Teach breastfeeding classes.
, ●● Nurses are responsible for advocating for their clients. They should
also apply their __________ and constantly assess the client to decide
the best plan of care. Using their knowledge of culture and religion,
nurses __________ what their client's preferences are. Nurses also need
to follow up and evaluate how the client has responded to the care they
received.
Answer: Clinical knowledge
Should inquire
●● The nurse is reviewing the principles of family-centered care with a
mom who delivered her first child over 10 years ago. Which statements
suggest the client may need further education? Select all that apply.
Answer: "Birth is a natural process, so I am glad that nothing can really
go wrong."
"Because my partner loves me, the baby's birth will not change our
family dynamics."
●● A client at 35 weeks of gestation states, "Why can't I have an
induction now? I am so tired of being pregnant. The stretch marks are
ugly, and I don't want my body to be ruined. I will never be able to wear
a bikini again."
Which cues about the infant born at 35 weeks should the nurse consider
when answering?
COMPREHENSIVE EXAMINATION TEST
QUESTIONS AND SOLUTIONS FULLY
VERIFIED
●● Most families now recognize that they have choices in the childbirth
experience. What are the basic principles of family-centered care?
Answer: Clients can be involved in decision making.
Family dynamics are impacted by childbirth.
Childbirth is typically a normal, healthy event.
A focus on family or the support person(s) should be maintained.
●● Which factors will help to reduce maternal mortality in the United
States? Select all that apply.
Answer: Availability of high-risk, maternal-infant care centers.
Use of a specialized antepartum maternity clinic.
Delivery by a certified nurse midwife (CNM).
,●● When reviewing nursing history, which factors led to increased
mortality rates and negative pregnancy outcomes? Select all that apply.
Answer: Women were passive in the delivery process
Short hospital stays
Communicable diseases
Poor maternal nutrition
Risk of hemorrhaging post-delivery
●● Evidence has shown that certain clients are at higher risk for injury
during pregnancy, labor, and delivery. Multiple healthcare organizations
are trying to find ways to reduce the factors that contribute to poor
outcomes. Based on the evidence, which practices improve
maternal/newborn outcomes? Select all that apply.
Answer: Keeping infants with mothers after delivery
Mandated minimum length of stay and home visits
More family involvement in birth
Fostering family unity while maintaining safety
●● Which job description correctly defines the role and responsibility of
an advanced practice nurse?
Answer: Neonatal nurse practitioners (NNP) provide emergency care in
the post-birth setting to high-risk infants.
,●● Match the nursing actions with the core measures that they support.
Answer: *Decrease rate of elective deliveries:*
• Encourage prenatal classes.
• Educate moms on signs of labor and maintaining overall health to
reduce blood pressure and diabetes issues. Discuss newborn risks when
delivered early.
*Decrease the rate of Cesarean births:*
• Provide support for domestic violence and human trafficking victims.
• Support laboring women.
• Teach about the risks of drug use.
*Increase the rate of antenatal administration of steroids in preterm
labor:*
• Collaborate with high risk providers.
*Decrease the rate of newborns with septicemia or bacteremia:*
• Administer maternal antibiotics as needed.
• Use personal protective equipment (PPE) appropriately.
*Increase rate of exclusive breastfeeding:*
• Connect client with lactation consultants.
• Teach breastfeeding classes.
, ●● Nurses are responsible for advocating for their clients. They should
also apply their __________ and constantly assess the client to decide
the best plan of care. Using their knowledge of culture and religion,
nurses __________ what their client's preferences are. Nurses also need
to follow up and evaluate how the client has responded to the care they
received.
Answer: Clinical knowledge
Should inquire
●● The nurse is reviewing the principles of family-centered care with a
mom who delivered her first child over 10 years ago. Which statements
suggest the client may need further education? Select all that apply.
Answer: "Birth is a natural process, so I am glad that nothing can really
go wrong."
"Because my partner loves me, the baby's birth will not change our
family dynamics."
●● A client at 35 weeks of gestation states, "Why can't I have an
induction now? I am so tired of being pregnant. The stretch marks are
ugly, and I don't want my body to be ruined. I will never be able to wear
a bikini again."
Which cues about the infant born at 35 weeks should the nurse consider
when answering?
