Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition (Susan Ricci)
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Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition (Susan Ricci)
Test Bank – Chapter 1: Perspectives on Maternal, Newborn, and Women’s
Health Care
1. What is the primary focus of family-centered maternity care?
A. Promoting the nurse’s role as the decision-maker
B. Emphasizing hospital policy over patient preference
C. Supporting the family as the central decision-making unit
D. Reducing family involvement to decrease stress
✅ Correct Answer: C
Rationale: Family-centered care emphasizes that the family is the primary
decision-making unit, and the nurse’s role is to provide information, support, and
advocacy. A and B are incorrect because care is not nurse- or institution-centered.
D is incorrect because family participation is encouraged, not minimized.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Family-centered care, decision-making
BLM: Cognitive Level: Apply
2. Which principle best reflects evidence-based practice in maternity nursing?
A. Using tradition and past experiences as the foundation of care
B. Basing clinical decisions on intuition and observation
C. Integrating research findings into clinical decision-making
D. Prioritizing physician preference over scientific data
✅ Correct Answer: C
Rationale: Evidence-based practice requires the integration of current, high-
quality research into care decisions. A and B are outdated and subjective. D
prioritizes authority rather than evidence.
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Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition (Susan Ricci)
NAT: Client Needs: Safe and Effective Care Environment
KEY: Evidence-based practice, clinical decision-making
BLM: Cognitive Level: Analyze
3. Which strategy demonstrates culturally competent maternity care?
A. Applying a single care approach to all clients
B. Incorporating cultural beliefs into care planning
C. Ignoring cultural differences to avoid conflict
D. Expecting families to adopt Western health practices
✅ Correct Answer: B
Rationale: Culturally competent care involves integrating the client’s cultural
beliefs into individualized care plans. A and C are incorrect as they neglect client
diversity. D disregards cultural respect and may harm trust.
NAT: Client Needs: Psychosocial Integrity
KEY: Cultural competence, individualized care
BLM: Cognitive Level: Apply
4. What is the most important role of the nurse in promoting women’s health
across the lifespan?
A. Acting only as a provider of clinical procedures
B. Encouraging women to depend solely on physicians for decisions
C. Facilitating health promotion, prevention, and education
D. Restricting health discussions to pregnancy-related issues
✅ Correct Answer: C
Rationale: Nurses promote women’s health by focusing on health promotion,
prevention, and education across all stages of life. A and B reduce the nurse’s role
to a passive or dependent one. D is too narrow, as women’s health extends beyond
pregnancy.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Women’s health, health promotion
BLM: Cognitive Level: Understand
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Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition (Susan Ricci)
5. Which trend has most influenced modern maternal and newborn health care?
A. Decline in the use of technology in labor
B. Increase in home births attended by unlicensed providers
C. Greater emphasis on evidence-based, family-centered care
D. Reduction in the role of nursing in patient education
✅ Correct Answer: C
Rationale: Current trends highlight evidence-based, family-centered, and
culturally competent care. A and B do not reflect mainstream practice. D is
incorrect, as education is increasingly central to nursing.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Health care trends, family-centered care
BLM: Cognitive Level: Analyze
6. How has the shift toward shorter hospital stays after childbirth affected nursing
care?
A. Nurses provide less education before discharge
B. Nurses must emphasize early discharge teaching and support
C. Nurses discourage families from participating in care
D. Nurses limit follow-up to reduce health system costs
✅ Correct Answer: B
Rationale: Shorter stays require nurses to prioritize teaching, support, and referrals
for follow-up. A is unsafe. C is contrary to family-centered care. D undermines
patient safety.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Postpartum care, discharge planning
BLM: Cognitive Level: Apply
7. Which public health strategy best reflects prevention in maternal and newborn
nursing?
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Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition (Susan Ricci)
A. Treating gestational diabetes after diagnosis
B. Providing immunizations to women of childbearing age
C. Managing hemorrhage during postpartum recovery
D. Administering antibiotics for postpartum infections
✅ Correct Answer: B
Rationale: Prevention strategies focus on reducing risks before illness occurs, such
as immunization. A, C, and D are treatment-focused, not prevention-focused.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Prevention, public health
BLM: Cognitive Level: Apply
8. Which outcome reflects the success of women’s health promotion programs?
A. Increased rates of preventable gynecologic cancers
B. Improved maternal and infant mortality rates
C. Rising numbers of pregnancy-related complications
D. Increased reliance on emergency care services
✅ Correct Answer: B
Rationale: Successful health promotion reduces maternal and infant mortality. A
and C indicate poor outcomes. D shows failure in preventive care.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Health outcomes, women’s health
BLM: Cognitive Level: Evaluate
9. What is the nurse’s role in reducing health disparities in maternity care?
A. Providing identical care to every patient regardless of need
B. Addressing social determinants of health in patient teaching
C. Limiting services to hospital-based care only
D. Expecting patients to independently find resources
✅ Correct Answer: B
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Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition (Susan Ricci)
Rationale: Nurses help reduce disparities by addressing factors like income,
access, and education. A ignores individual needs. C restricts care access. D
abdicates the nurse’s role in advocacy.
NAT: Client Needs: Safe and Effective Care Environment
KEY: Health disparities, advocacy
BLM: Cognitive Level: Analyze
10. Which factor most influences global maternal mortality?
A. Access to emergency obstetric care
B. Use of prenatal vitamins
C. Presence of midwives in developed countries
D. Women’s participation in childbirth classes
✅ Correct Answer: A
Rationale: Access to emergency care is the most critical determinant of maternal
survival globally. B, C, and D improve outcomes but are less directly linked to
mortality reduction.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Maternal mortality, access to care
BLM: Cognitive Level: Analyze
11. Which ethical principle guides culturally competent nursing care?
A. Justice—providing equitable care regardless of background
B. Beneficence—acting in the nurse’s best interest
C. Fidelity—placing institutional policy above patient needs
D. Autonomy—allowing families no role in decisions
✅ Correct Answer: A
Rationale: Justice ensures fairness and respect for diversity. B is misapplied here.
C prioritizes the institution, not patients. D violates autonomy and family-centered
care.