TEST BANK
Essentials of Maternity, Newborn, and Women's Health Nursing
Susan Scott Ricci
6th Edition
,Table of Contents
Chapter 01: Perspectives on Maternal, Newborn, and Women's Health Care 1
Chapter 02: Family-Centered Community-Based Care 14
Chapter 03: Anatomy and Physiology of the Female Reproductive System 26
Chapter 04: Common Gynecologic Issues 38
Chapter 05: Sexually Transmitted Infections 49
Chapter 06: Disorders of the Breasts 61
Chapter 07: Benign Disorders of the Female Reproductive Tract 73
Chapter 08: Cancers of the Female Reproductive Tract 85
Chapter 09: Violence and Abuse 96
Chapter 10: Fetal Development and Genetics 107
Chapter 11: Maternal Adaptation During Pregnancy 119
Chapter 12: Nursing Management During Pregnancy 131
Chapter 13: Labor and Birth Process 143
Chapter 14: Nursing Management During Labor and Birth 155
Chapter 15: Postpartum Adaptations 167
Chapter 16: Nursing Management During the Postpartum Period 179
Chapter 17: Newborn Transitioning 191
Chapter 18: Nursing Management of the Newborn 203
Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related
Complications 214
Chapter 20: Nursing Management of the Pregnancy at Risk: Selected Health Conditions
and Vulnerable Populations 225
Chapter 21: Nursing Management of Labor and Birth at Risk 237
Chapter 22: Nursing Management of the Postpartum Patient at Risk 249
Chapter 23: Nursing Care of the Newborn With Special Needs 260
Chapter 24: Nursing Management of the Newborn at Risk: Congenital and Acquired
Newborn Conditions 272
,______________________________________________________________________________________________
Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
Chapter 01: Perspectives on Maternal, Newborn, and Women's Health Care
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.
ANS: B
The lack of prenatal care during pregnancy is a major contributing factor to a poor outcome.
Prenatal care is well known to prevent complications of pregnancy and to support the birth
of healthy infants. Infant mortality commonly includes problems occurring at birth or
shortly thereafter. Thus, assuring early and adequate prenatal care would have the greatest
impact on decreasing these rates. Receiving immunizations will help prevent some infant
diseases, but it does not have a major impact on overall maternal and infant mortality.
Directing clients to IPV shelters would be helpful for those pregnant clients who are
experiencing intimate partner violence. Encouraging pregnant clients to eat a balanced diet
helps, but it does not prevent genetic factors that could be detected by ensuring early and
adequate prenatal care.
PTS: 1 REF: Page and Header: 9, Mortality
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
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.
ANS: C
Family-centered care is based on the following principles: Birth affects the entire family,
and relationships will change; birth is viewed as a normal, healthy event in the life of the
family; and families are capable of making decisions about their own care if given adequate
information and professional support.
PTS: 1 REF: Page and Header: 7, Family Centered Care
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Caring BLM: Cognitive Level: Understand
NOT: Multiple Choice
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1|Page
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
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
ANS: D
In the 20th century (1900s), birth centers were developed. Puerperal fever epidemics, the
first cesarean birth, and x-rays to assess pelvic size were events that occurred during the
19th century (1800s).
PTS: 1 REF: Page and Header: 7, Family Centered Care
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
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
ANS: B
The group needs to address cardiovascular disease, the number one cause of death in women
regardless of racial or ethnic group. Smoking is related to heart disease and the development
of cancer. However, heart disease and cancer can occur in any woman regardless of their
smoking history. Cancer is the second leading cause of death, with women having a 1 in 3
lifetime risk of developing cancer. Diabetes is another important health condition that can
affect women. However, it is not the major health problem that heart disease is.
PTS: 1 REF: Page and Header: 11-12, Morbidity
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Remember NOT: Multiple Choice
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
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
D. getting verbal consent over the phone for an emergency procedure from the spouse
of a unconscious client
ANS: B
Explaining the risks and benefits of any procedure requiring informed consent is the role of
the health care provider. In most states, only clients over the age of 18 can legally provide
consent for health care and children under 18 require parental consent. Serving as a witness
to the signature process, asking whether the client understands what they are signing,
reinforcing the health care provider's education, and getting verbal consent over the phone
for emergency procedures are all critical to informed consent and are not violations.
PTS: 1
REF: Page and Header: , LEGAL AND ETHICAL ISSUES IN MATERNAL,
NEWBORN, AND WOMEN'S HEALTH CARE
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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 fulfill multiple roles.
ANS: A
The family is the basic unit of society. For this concept to work well, members of the family
must work together. Families make a central contribution to enhance the quality of our
society. Families must consider how their actions will impact others. One member of a
family cannot fulfill all roles within the family.
PTS: 1 REF: Page and Header: 12, Family
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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.
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
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
ANS: A, B, D, E
The following factors have contributed to the decline in the maternal mortality rate:
• Increased participation of clients in prenatal care
• Greater detection of disorders such as ectopic pregnancy or placenta previa
• Prevention of related complications through the use of ultrasound
• Increased control of complications associated with gestational hypertension
• Decreased use of anesthesia with birth
PTS: 1 REF: Page and Header: 9, Mortality
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Selection
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
ANS: A, D, E
Certain health promotion strategies after birth can significantly improve an infant's health
and chances of survival. Breastfeeding has been shown to reduce rates of infection in infants
and to improve their long-term health. Placing an infant on their back, not their stomach,
when sleeping will reduce the incidence of sudden unexpected infant death (SUID).
Encouraging parents to join support groups to prevent postpartum depression and learn
sound child-rearing practices will improve the health of both the parents and their infants.
Developmental screening should begin at 9 months, not 1 month. Vaccinations are shown to
improve infant survival.
PTS: 1 REF: Page and Header: 10, Mortality
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Selection
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."
ANS: A
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4|Page
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
Birth affects the entire family, and relationships will change. Birth is viewed as a normal life
event, not a medical procedure. Families are very capable of making health care decisions
about their own care with proper information and support.
PTS: 1 REF: Page and Header: 6-7, Family-Centered Care
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
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
ANS: D
The focus on health has shifted in the 21st century to disease prevention, health promotion,
and wellness. In the 20th century, much of the focus was on analyzing morbidity and
mortality rates.
PTS: 1 REF: Page and Header: 8, HEALTH STATUS GOALS
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Remember NOT: Multiple Choice
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
ANS: C
Research has demonstrated that educating the client about the importance of a support
person during labor and birth can improve and enhance the birthing experience. There is no
evidence to suggest that adherence to strict, specific routines or the involvement of a
pediatrician enhances the birth experience. Research indicates that the support, when
provided by someone other than a facility staff member and initiated early in labor, proved
to be more effective; therefore, assigning several nurses to act as a support team would not
be as effective.
PTS: 1
REF: Page and Header: 6, EVIDENCE-BASED PRACTICE 1.1 Birthing Parents'
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
Response to Continuous Labor Support
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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."
ANS: B
Family-centered care is based on the following principles: birth affects the entire family, and
relationships will change. Educating the client on their feeding options and allowing them to
make their own informed decisions with support from the health care professionals
demonstrates family-centered care. Family-centered care allows the pregnant client the right
to continuous support during labor. Support people are not required to step out of the room
unless the client requests. Family- centered care acknowledges that childbirth affects the
entire family; statements suggesting it will only affect the pregnant client should not be
made. Family- centered care notes that parents and newborns should stay together with
skin-to- skin contact. Most required screening can be done at the bedside with the newborn
on the parent's chest.
PTS: 1 REF: Page and Header: 7, Family-
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
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
ANS: C
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
In the United States, Black clients suffer a maternal mortality rate more than double the rate
of non-Hispanic or white clients. Researchers do not entirely understand what accounts for
this disparity, but it is believed these differences are related to social and structural
determinants rather than having a biological basis. The CDC has called for more research
and monitoring to understand and address racial disparities, along with increased funding
for prenatal and postpartum care. Maternal mortality rates also increase as the client's age
increases. A Black client of advanced age for pregnancy (38) with a history of hypertension
is at high risk for complications. Although smoking and the advanced age for pregnancy of
the other clients listed would increase their risk for mortality, their risk is not the highest of
the group. Neither a history of anorexia nervosa nor the presence of RH-negative blood
increases the chance of maternal mortality.
PTS: 1 REF: Page and Header: 9-10, Mortality
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
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
ANS: C
The group needs to address cardiovascular disease, the number one cause of death in women
regardless of racial or ethnic group. Thus, education for adopting a heart-healthy lifestyle
would be the priority. Smoking is related to heart disease and the development of cancer.
However, heart disease and cancer can occur in any woman regardless of smoking history.
Cancer is the second leading cause of death, with women having a 1 in 3 lifetime risk of
developing cancer. Diabetes is another important health condition that can affect women.
However, it is not the major health problem that heart disease is, and thus educational
programs focusing on smoking cessation, cancer screening and early detection, and diabetes
risk reduction would be lesser priorities.
PTS: 1 REF: Page and Header: 11-12, Morbidity
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
15. A nurse manager is interviewing a potential candidate for employment in the perinatal
clinic. During the interview, the nurse manager asks the applicant about their understanding
of family-centered care. Which statement by the applicant demonstrates an understanding of
this concept?
A. "Family-centered care involves keeping the family informed about the client's
condition and treatment plan."
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
B. "Allowing family members in the room during medical procedures is an important
aspect of family-centered care."
C. "Providing emotional support to the client's family members during their hospital
stay enforces family-centered care."
D. "I would involve the family in the decision-making process as we develop a plan
that aligns with their values."
ANS: D
Family-centered care requires the nurse to apply sensitivity to the client's and family's
beliefs and those supporting their culture. This involves listening to the family's needs and
shifting the nurse's authoritarian role to the family to empower them to make their own
decisions within the context of a supportive environment. A true family perspective should
be applied in maternity care and the new parents viewed as a family unit, not as a medical
case. Birth is viewed as a normal life event, not a medical procedure. Keeping the client
informed on the client's treatment plan and allowing family members to be present during
medical procedures are all at the consent of the client, not the nurse. Although nurses can
provide emotional support to family members, it is not the priority in family- centered care.
PTS: 1 REF: Page and Header: 6-7, Family Centered Care
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Caring BLM: Cognitive Level: Understand
NOT: Multiple Choice
16. A nurse is reading a journal article about the trends in health care and health care delivery
over the past several centuries. Which practice below uses the knowledge of Western
nursing practices in the 18th century to influence their approach to current care?
A. clear communication to a medical doctor during the birthing process
B. implementing home-like settings in hospitals for a personalized birthing
experience
C. assessing the effectiveness of twilight sleep for birth
D. encouraging male birthing partners to support the client during labor
ANS: B
During the 18th century (1700s), female midwives attended most births at home. Men did
not attend births because it was thought to be indecent. The use of primary care providers
for birth occurred during the 19th century. Twilight sleep was used in the 20th century.
PTS: 1
REF: Page and Header: 4-5, BOX 1.1 Childbirth in the United States: A Timeline
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Remember NOT: Multiple Choice
17. A nurse is conducting a presentation to a local women's community group about strategies
to promote health and wellness and prevent illness. After the presentation, the nurse
determines that the teaching was successful based on which statement by the group when
describing health?
A. "Health is the state of being completely disease-free."
______________________________________________________________________________________________
8|Page
Essentials of Maternity, Newborn, and Women's Health Nursing
Susan Scott Ricci
6th Edition
,Table of Contents
Chapter 01: Perspectives on Maternal, Newborn, and Women's Health Care 1
Chapter 02: Family-Centered Community-Based Care 14
Chapter 03: Anatomy and Physiology of the Female Reproductive System 26
Chapter 04: Common Gynecologic Issues 38
Chapter 05: Sexually Transmitted Infections 49
Chapter 06: Disorders of the Breasts 61
Chapter 07: Benign Disorders of the Female Reproductive Tract 73
Chapter 08: Cancers of the Female Reproductive Tract 85
Chapter 09: Violence and Abuse 96
Chapter 10: Fetal Development and Genetics 107
Chapter 11: Maternal Adaptation During Pregnancy 119
Chapter 12: Nursing Management During Pregnancy 131
Chapter 13: Labor and Birth Process 143
Chapter 14: Nursing Management During Labor and Birth 155
Chapter 15: Postpartum Adaptations 167
Chapter 16: Nursing Management During the Postpartum Period 179
Chapter 17: Newborn Transitioning 191
Chapter 18: Nursing Management of the Newborn 203
Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related
Complications 214
Chapter 20: Nursing Management of the Pregnancy at Risk: Selected Health Conditions
and Vulnerable Populations 225
Chapter 21: Nursing Management of Labor and Birth at Risk 237
Chapter 22: Nursing Management of the Postpartum Patient at Risk 249
Chapter 23: Nursing Care of the Newborn With Special Needs 260
Chapter 24: Nursing Management of the Newborn at Risk: Congenital and Acquired
Newborn Conditions 272
,______________________________________________________________________________________________
Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
Chapter 01: Perspectives on Maternal, Newborn, and Women's Health Care
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.
ANS: B
The lack of prenatal care during pregnancy is a major contributing factor to a poor outcome.
Prenatal care is well known to prevent complications of pregnancy and to support the birth
of healthy infants. Infant mortality commonly includes problems occurring at birth or
shortly thereafter. Thus, assuring early and adequate prenatal care would have the greatest
impact on decreasing these rates. Receiving immunizations will help prevent some infant
diseases, but it does not have a major impact on overall maternal and infant mortality.
Directing clients to IPV shelters would be helpful for those pregnant clients who are
experiencing intimate partner violence. Encouraging pregnant clients to eat a balanced diet
helps, but it does not prevent genetic factors that could be detected by ensuring early and
adequate prenatal care.
PTS: 1 REF: Page and Header: 9, Mortality
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
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.
ANS: C
Family-centered care is based on the following principles: Birth affects the entire family,
and relationships will change; birth is viewed as a normal, healthy event in the life of the
family; and families are capable of making decisions about their own care if given adequate
information and professional support.
PTS: 1 REF: Page and Header: 7, Family Centered Care
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Caring BLM: Cognitive Level: Understand
NOT: Multiple Choice
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
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
ANS: D
In the 20th century (1900s), birth centers were developed. Puerperal fever epidemics, the
first cesarean birth, and x-rays to assess pelvic size were events that occurred during the
19th century (1800s).
PTS: 1 REF: Page and Header: 7, Family Centered Care
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
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
ANS: B
The group needs to address cardiovascular disease, the number one cause of death in women
regardless of racial or ethnic group. Smoking is related to heart disease and the development
of cancer. However, heart disease and cancer can occur in any woman regardless of their
smoking history. Cancer is the second leading cause of death, with women having a 1 in 3
lifetime risk of developing cancer. Diabetes is another important health condition that can
affect women. However, it is not the major health problem that heart disease is.
PTS: 1 REF: Page and Header: 11-12, Morbidity
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Remember NOT: Multiple Choice
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
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
D. getting verbal consent over the phone for an emergency procedure from the spouse
of a unconscious client
ANS: B
Explaining the risks and benefits of any procedure requiring informed consent is the role of
the health care provider. In most states, only clients over the age of 18 can legally provide
consent for health care and children under 18 require parental consent. Serving as a witness
to the signature process, asking whether the client understands what they are signing,
reinforcing the health care provider's education, and getting verbal consent over the phone
for emergency procedures are all critical to informed consent and are not violations.
PTS: 1
REF: Page and Header: , LEGAL AND ETHICAL ISSUES IN MATERNAL,
NEWBORN, AND WOMEN'S HEALTH CARE
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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 fulfill multiple roles.
ANS: A
The family is the basic unit of society. For this concept to work well, members of the family
must work together. Families make a central contribution to enhance the quality of our
society. Families must consider how their actions will impact others. One member of a
family cannot fulfill all roles within the family.
PTS: 1 REF: Page and Header: 12, Family
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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.
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
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
ANS: A, B, D, E
The following factors have contributed to the decline in the maternal mortality rate:
• Increased participation of clients in prenatal care
• Greater detection of disorders such as ectopic pregnancy or placenta previa
• Prevention of related complications through the use of ultrasound
• Increased control of complications associated with gestational hypertension
• Decreased use of anesthesia with birth
PTS: 1 REF: Page and Header: 9, Mortality
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Selection
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
ANS: A, D, E
Certain health promotion strategies after birth can significantly improve an infant's health
and chances of survival. Breastfeeding has been shown to reduce rates of infection in infants
and to improve their long-term health. Placing an infant on their back, not their stomach,
when sleeping will reduce the incidence of sudden unexpected infant death (SUID).
Encouraging parents to join support groups to prevent postpartum depression and learn
sound child-rearing practices will improve the health of both the parents and their infants.
Developmental screening should begin at 9 months, not 1 month. Vaccinations are shown to
improve infant survival.
PTS: 1 REF: Page and Header: 10, Mortality
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Selection
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."
ANS: A
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
Birth affects the entire family, and relationships will change. Birth is viewed as a normal life
event, not a medical procedure. Families are very capable of making health care decisions
about their own care with proper information and support.
PTS: 1 REF: Page and Header: 6-7, Family-Centered Care
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
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
ANS: D
The focus on health has shifted in the 21st century to disease prevention, health promotion,
and wellness. In the 20th century, much of the focus was on analyzing morbidity and
mortality rates.
PTS: 1 REF: Page and Header: 8, HEALTH STATUS GOALS
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Remember NOT: Multiple Choice
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
ANS: C
Research has demonstrated that educating the client about the importance of a support
person during labor and birth can improve and enhance the birthing experience. There is no
evidence to suggest that adherence to strict, specific routines or the involvement of a
pediatrician enhances the birth experience. Research indicates that the support, when
provided by someone other than a facility staff member and initiated early in labor, proved
to be more effective; therefore, assigning several nurses to act as a support team would not
be as effective.
PTS: 1
REF: Page and Header: 6, EVIDENCE-BASED PRACTICE 1.1 Birthing Parents'
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
Response to Continuous Labor Support
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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."
ANS: B
Family-centered care is based on the following principles: birth affects the entire family, and
relationships will change. Educating the client on their feeding options and allowing them to
make their own informed decisions with support from the health care professionals
demonstrates family-centered care. Family-centered care allows the pregnant client the right
to continuous support during labor. Support people are not required to step out of the room
unless the client requests. Family- centered care acknowledges that childbirth affects the
entire family; statements suggesting it will only affect the pregnant client should not be
made. Family- centered care notes that parents and newborns should stay together with
skin-to- skin contact. Most required screening can be done at the bedside with the newborn
on the parent's chest.
PTS: 1 REF: Page and Header: 7, Family-
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
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
ANS: C
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
In the United States, Black clients suffer a maternal mortality rate more than double the rate
of non-Hispanic or white clients. Researchers do not entirely understand what accounts for
this disparity, but it is believed these differences are related to social and structural
determinants rather than having a biological basis. The CDC has called for more research
and monitoring to understand and address racial disparities, along with increased funding
for prenatal and postpartum care. Maternal mortality rates also increase as the client's age
increases. A Black client of advanced age for pregnancy (38) with a history of hypertension
is at high risk for complications. Although smoking and the advanced age for pregnancy of
the other clients listed would increase their risk for mortality, their risk is not the highest of
the group. Neither a history of anorexia nervosa nor the presence of RH-negative blood
increases the chance of maternal mortality.
PTS: 1 REF: Page and Header: 9-10, Mortality
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
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
ANS: C
The group needs to address cardiovascular disease, the number one cause of death in women
regardless of racial or ethnic group. Thus, education for adopting a heart-healthy lifestyle
would be the priority. Smoking is related to heart disease and the development of cancer.
However, heart disease and cancer can occur in any woman regardless of smoking history.
Cancer is the second leading cause of death, with women having a 1 in 3 lifetime risk of
developing cancer. Diabetes is another important health condition that can affect women.
However, it is not the major health problem that heart disease is, and thus educational
programs focusing on smoking cessation, cancer screening and early detection, and diabetes
risk reduction would be lesser priorities.
PTS: 1 REF: Page and Header: 11-12, Morbidity
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
15. A nurse manager is interviewing a potential candidate for employment in the perinatal
clinic. During the interview, the nurse manager asks the applicant about their understanding
of family-centered care. Which statement by the applicant demonstrates an understanding of
this concept?
A. "Family-centered care involves keeping the family informed about the client's
condition and treatment plan."
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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing, 6th Edition (Ricci, 2025)
B. "Allowing family members in the room during medical procedures is an important
aspect of family-centered care."
C. "Providing emotional support to the client's family members during their hospital
stay enforces family-centered care."
D. "I would involve the family in the decision-making process as we develop a plan
that aligns with their values."
ANS: D
Family-centered care requires the nurse to apply sensitivity to the client's and family's
beliefs and those supporting their culture. This involves listening to the family's needs and
shifting the nurse's authoritarian role to the family to empower them to make their own
decisions within the context of a supportive environment. A true family perspective should
be applied in maternity care and the new parents viewed as a family unit, not as a medical
case. Birth is viewed as a normal life event, not a medical procedure. Keeping the client
informed on the client's treatment plan and allowing family members to be present during
medical procedures are all at the consent of the client, not the nurse. Although nurses can
provide emotional support to family members, it is not the priority in family- centered care.
PTS: 1 REF: Page and Header: 6-7, Family Centered Care
NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Caring BLM: Cognitive Level: Understand
NOT: Multiple Choice
16. A nurse is reading a journal article about the trends in health care and health care delivery
over the past several centuries. Which practice below uses the knowledge of Western
nursing practices in the 18th century to influence their approach to current care?
A. clear communication to a medical doctor during the birthing process
B. implementing home-like settings in hospitals for a personalized birthing
experience
C. assessing the effectiveness of twilight sleep for birth
D. encouraging male birthing partners to support the client during labor
ANS: B
During the 18th century (1700s), female midwives attended most births at home. Men did
not attend births because it was thought to be indecent. The use of primary care providers
for birth occurred during the 19th century. Twilight sleep was used in the 20th century.
PTS: 1
REF: Page and Header: 4-5, BOX 1.1 Childbirth in the United States: A Timeline
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Remember NOT: Multiple Choice
17. A nurse is conducting a presentation to a local women's community group about strategies
to promote health and wellness and prevent illness. After the presentation, the nurse
determines that the teaching was successful based on which statement by the group when
describing health?
A. "Health is the state of being completely disease-free."
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