MATERNITY & PEDIATRIC NURSING, 10E
TEST BANK
Aligned with the subject coverage of
Introduction to Maternity & Pediatric Nursing, 10th Edition
Leifer
1,000 A-D
Questions Answers + Rationales
PROTECT TWO PATIENTS. THINK DEVELOPMENTALLY.
Independent study resource • Original questions • Not an official publisher or instructor test bank
MATERNITY & PEDIATRIC NURSING, 10E • ORIGINAL QUESTIONS
,QUESTION DISTRIBUTION
Chapter-Aligned Topic Distribution
No. Topic area Questions
1 Maternal-Child Nursing 50
Foundations
2 Reproductive Health 50
3 Prenatal Care 50
4 Pregnancy Complications 50
5 Labor 50
6 Birth Complications 50
7 Postpartum Care 50
8 Newborn Care 50
9 High-Risk Newborn 50
10 Pediatric Growth and 50
Development
11 Pediatric Assessment 50
12 Respiratory Disorders 50
13 Cardiac Disorders 50
14 GI Disorders 50
15 Neurologic Disorders 50
16 Renal Disorders 50
17 Endocrine Disorders 50
18 Infectious Disorders 50
19 Pediatric Emergencies 50
20 Family-Centered Care 50
MATERNITY & PEDIATRIC NURSING, 10E • ORIGINAL QUESTIONS
,Chapter 1: Maternal-Child Nursing Foundations
1. A pregnant patient at 35 weeks has persistent hypertension and a severe headache.
Which assessment should the nurse prioritize?
A. Ignore headache if edema is mild
B. Monitor blood pressure, neurologic symptoms, urine protein, labs, and fetal status
C. Encourage high sodium intake
D. Use routine vaginal exams to assess severity
Correct Answer: B. Monitor blood pressure, neurologic symptoms, urine protein, labs, and
fetal status
Rationale: Preeclampsia can progress to severe hypertension, seizures, liver injury,
thrombocytopenia, and fetal compromise. Headache or visual changes are warning signs. The
other choices either delay priority care, rely on an unsafe assumption, or do not address the key
mechanism.
2. Two hours after a vaginal birth, a patient has heavy lochia and a boggy uterus. Which
nursing action should be performed first?
A. Assess uterine tone and quantify blood loss while initiating hemorrhage protocol
B. Delay fundal assessment
C. Leave the patient alone to rest
D. Rely on visual blood-loss estimates only
Correct Answer: A. Assess uterine tone and quantify blood loss while initiating
hemorrhage protocol
Rationale: Uterine atony is a common cause of postpartum hemorrhage. Rapid assessment of
tone, bleeding, vital signs, and response to uterotonics is essential. Applied consistently, this
principle improves both safety and the quality of clinical decision-making.
3. During fetal monitoring, the nurse notes minimal baseline variability. Which action best
supports accurate interpretation of fetal status?
A. Treat every deceleration as identical
B. Ignore uterine activity
C. Interpret baseline, variability, accelerations, and decelerations in clinical context
D. Use fetal heart rate without maternal assessment
Correct Answer: C. Interpret baseline, variability, accelerations, and decelerations in
clinical context
Rationale: Fetal heart patterns reflect autonomic function and oxygenation. Interpretation
considers timing with contractions and maternal/fetal conditions. In practice, the nurse would
MATERNITY & PEDIATRIC NURSING, 10E • ORIGINAL QUESTIONS
, reassess the patient after the intervention and escalate care if the expected response does not
occur.
4. A patient in active labor reports increasing rectal pressure. Which assessment best
evaluates labor progress?
A. Use contraction frequency alone
B. Perform exams unnecessarily often after membrane rupture
C. Assess cervical change, fetal descent, contractions, and maternal-fetal response
D. Assume pain intensity equals dilation
Correct Answer: C. Assess cervical change, fetal descent, contractions, and maternal-fetal
response
Rationale: Labor assessment integrates the five Ps and minimizes infection risk. Progress is
based on cervical change and descent rather than pain alone. The deciding point is the
relationship between the patient cue and the underlying physiologic or safety concern.
5. A patient in early pregnancy reports unilateral pelvic pain and vaginal spotting. Which
finding requires the most urgent follow-up?
A. Recognize unilateral pain, bleeding, and signs of rupture or shock
B. Delay pregnancy testing
C. Reassure severe shoulder pain is normal
D. Give food before urgent evaluation
Correct Answer: A. Recognize unilateral pain, bleeding, and signs of rupture or shock
Rationale: Ectopic pregnancy can rupture and cause life-threatening hemorrhage. Pain, bleeding,
syncope, or shoulder pain require urgent assessment. This approach addresses the most
important risk without adding an unnecessary intervention.
6. A pregnant patient in the third trimester has dark vaginal bleeding and uterine
tenderness. Which complication should the nurse suspect and assess for?
A. Assume absence of visible blood excludes abruption
B. Perform digital vaginal exam first
C. Recognize painful bleeding, uterine tenderness, and fetal compromise
D. Encourage ambulation
Correct Answer: C. Recognize painful bleeding, uterine tenderness, and fetal compromise
Rationale: Abruption may involve concealed bleeding and fetal hypoxia. Maternal hemodynamics
and fetal status are priorities. The other choices either delay priority care, rely on an unsafe
assumption, or do not address the key mechanism.
MATERNITY & PEDIATRIC NURSING, 10E • ORIGINAL QUESTIONS
TEST BANK
Aligned with the subject coverage of
Introduction to Maternity & Pediatric Nursing, 10th Edition
Leifer
1,000 A-D
Questions Answers + Rationales
PROTECT TWO PATIENTS. THINK DEVELOPMENTALLY.
Independent study resource • Original questions • Not an official publisher or instructor test bank
MATERNITY & PEDIATRIC NURSING, 10E • ORIGINAL QUESTIONS
,QUESTION DISTRIBUTION
Chapter-Aligned Topic Distribution
No. Topic area Questions
1 Maternal-Child Nursing 50
Foundations
2 Reproductive Health 50
3 Prenatal Care 50
4 Pregnancy Complications 50
5 Labor 50
6 Birth Complications 50
7 Postpartum Care 50
8 Newborn Care 50
9 High-Risk Newborn 50
10 Pediatric Growth and 50
Development
11 Pediatric Assessment 50
12 Respiratory Disorders 50
13 Cardiac Disorders 50
14 GI Disorders 50
15 Neurologic Disorders 50
16 Renal Disorders 50
17 Endocrine Disorders 50
18 Infectious Disorders 50
19 Pediatric Emergencies 50
20 Family-Centered Care 50
MATERNITY & PEDIATRIC NURSING, 10E • ORIGINAL QUESTIONS
,Chapter 1: Maternal-Child Nursing Foundations
1. A pregnant patient at 35 weeks has persistent hypertension and a severe headache.
Which assessment should the nurse prioritize?
A. Ignore headache if edema is mild
B. Monitor blood pressure, neurologic symptoms, urine protein, labs, and fetal status
C. Encourage high sodium intake
D. Use routine vaginal exams to assess severity
Correct Answer: B. Monitor blood pressure, neurologic symptoms, urine protein, labs, and
fetal status
Rationale: Preeclampsia can progress to severe hypertension, seizures, liver injury,
thrombocytopenia, and fetal compromise. Headache or visual changes are warning signs. The
other choices either delay priority care, rely on an unsafe assumption, or do not address the key
mechanism.
2. Two hours after a vaginal birth, a patient has heavy lochia and a boggy uterus. Which
nursing action should be performed first?
A. Assess uterine tone and quantify blood loss while initiating hemorrhage protocol
B. Delay fundal assessment
C. Leave the patient alone to rest
D. Rely on visual blood-loss estimates only
Correct Answer: A. Assess uterine tone and quantify blood loss while initiating
hemorrhage protocol
Rationale: Uterine atony is a common cause of postpartum hemorrhage. Rapid assessment of
tone, bleeding, vital signs, and response to uterotonics is essential. Applied consistently, this
principle improves both safety and the quality of clinical decision-making.
3. During fetal monitoring, the nurse notes minimal baseline variability. Which action best
supports accurate interpretation of fetal status?
A. Treat every deceleration as identical
B. Ignore uterine activity
C. Interpret baseline, variability, accelerations, and decelerations in clinical context
D. Use fetal heart rate without maternal assessment
Correct Answer: C. Interpret baseline, variability, accelerations, and decelerations in
clinical context
Rationale: Fetal heart patterns reflect autonomic function and oxygenation. Interpretation
considers timing with contractions and maternal/fetal conditions. In practice, the nurse would
MATERNITY & PEDIATRIC NURSING, 10E • ORIGINAL QUESTIONS
, reassess the patient after the intervention and escalate care if the expected response does not
occur.
4. A patient in active labor reports increasing rectal pressure. Which assessment best
evaluates labor progress?
A. Use contraction frequency alone
B. Perform exams unnecessarily often after membrane rupture
C. Assess cervical change, fetal descent, contractions, and maternal-fetal response
D. Assume pain intensity equals dilation
Correct Answer: C. Assess cervical change, fetal descent, contractions, and maternal-fetal
response
Rationale: Labor assessment integrates the five Ps and minimizes infection risk. Progress is
based on cervical change and descent rather than pain alone. The deciding point is the
relationship between the patient cue and the underlying physiologic or safety concern.
5. A patient in early pregnancy reports unilateral pelvic pain and vaginal spotting. Which
finding requires the most urgent follow-up?
A. Recognize unilateral pain, bleeding, and signs of rupture or shock
B. Delay pregnancy testing
C. Reassure severe shoulder pain is normal
D. Give food before urgent evaluation
Correct Answer: A. Recognize unilateral pain, bleeding, and signs of rupture or shock
Rationale: Ectopic pregnancy can rupture and cause life-threatening hemorrhage. Pain, bleeding,
syncope, or shoulder pain require urgent assessment. This approach addresses the most
important risk without adding an unnecessary intervention.
6. A pregnant patient in the third trimester has dark vaginal bleeding and uterine
tenderness. Which complication should the nurse suspect and assess for?
A. Assume absence of visible blood excludes abruption
B. Perform digital vaginal exam first
C. Recognize painful bleeding, uterine tenderness, and fetal compromise
D. Encourage ambulation
Correct Answer: C. Recognize painful bleeding, uterine tenderness, and fetal compromise
Rationale: Abruption may involve concealed bleeding and fetal hypoxia. Maternal hemodynamics
and fetal status are priorities. The other choices either delay priority care, rely on an unsafe
assumption, or do not address the key mechanism.
MATERNITY & PEDIATRIC NURSING, 10E • ORIGINAL QUESTIONS
