Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
Chapter 1 – Perspectives on Maternal, Newborn, and Women’s Health Care
(Introduces the scope, trends, and challenges in women’s and family health
nursing. Emphasizes evidence-based, culturally competent, and family-centered
care.)
1.
What is the primary goal of family-centered maternity care?
A. To emphasize technological monitoring to ensure safety
B. To minimize family involvement in decision-making
C. To promote collaborative care that supports family roles and choices
D. To restrict family access during childbirth to prevent stress
✅ Correct Answer: C
Rationale: Family-centered care prioritizes the family’s involvement in decision-
making and recognizes childbirth as a natural, shared experience. Unlike options A
and D, which stress control and restriction, option C emphasizes empowerment and
collaboration. Option B contradicts the foundation of family-centered care.
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Cognitive Level: Apply
Keywords: family-centered care, collaboration, maternity nursing
2.
Which factor best explains why culturally competent care is essential in maternal–
newborn nursing?
A. It reduces nurse workload by standardizing communication.
B. It prevents conflicts between the nurse and physician.
C. It ensures equitable care by respecting diverse health beliefs.
D. It eliminates the need for evidence-based guidelines.
✅ Correct Answer: C
Rationale: Culturally competent care acknowledges patients’ unique health
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
beliefs, values, and traditions, which fosters equity and improves outcomes. Option
A oversimplifies the concept. Option B is unrelated to cultural competence. Option
D is incorrect because cultural competence complements, not replaces, evidence-
based practice.
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Cognitive Level: Analyze
Keywords: cultural competence, diversity, equity
3.
What is the most important reason for using evidence-based practice in women’s
health nursing?
A. To reduce nursing education requirements
B. To support decision-making with the best available research
C. To eliminate patient choice in care decisions
D. To increase reliance on traditional care methods
✅ Correct Answer: B
Rationale: Evidence-based practice ensures clinical decisions are guided by
current, high-quality research combined with clinical expertise and patient
preferences. Option A is unrelated. Option C opposes patient autonomy. Option D
contradicts the principle of integrating updated knowledge.
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process
Cognitive Level: Understand
Keywords: evidence-based practice, decision-making, women’s health
4.
Which trend in maternal health care has most influenced the shift toward outpatient
and community-based care?
A. Shorter hospital stays due to cost-containment measures
B. Increased number of physicians specializing in obstetrics
C. Higher preference for hospital-based births among families
D. Reduction in the use of midwifery services
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
✅ Correct Answer: A
Rationale: Cost-containment policies and advances in health care have led to
shorter hospital stays, increasing the need for follow-up and community-based
care. Options B, C, and D do not reflect the driving economic and policy factors.
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Cognitive Level: Analyze
Keywords: community-based care, cost-containment, health trends
5.
Which principle most distinguishes maternity nursing as a specialty?
A. Exclusive focus on the physical needs of the mother
B. Consideration of the impact of childbirth on the whole family
C. Reliance on physician-directed medical interventions
D. Standardization of care to minimize cultural differences
✅ Correct Answer: B
Rationale: Maternity nursing uniquely emphasizes the family as a unit and how
childbirth influences relationships and adaptation. Option A is too narrow. Option
C ignores the nurse’s central role. Option D undermines individualized, culturally
sensitive care.
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Cognitive Level: Apply
Keywords: maternity nursing, family-centered, holistic care
6.
Why is maternal mortality considered a sentinel indicator of a nation’s health
status?
A. It directly reflects the number of available physicians.
B. It is closely associated with health care access and system quality.
C. It only measures emergency obstetric outcomes.
D. It is unaffected by social determinants of health.
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
✅ Correct Answer: B
Rationale: Maternal mortality reflects both the accessibility and quality of health
care systems, as well as social, economic, and cultural factors. Options A, C, and D
are incorrect because maternal mortality is multidimensional, not limited to
provider numbers or emergency care, and is strongly influenced by social
determinants.
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Cognitive Level: Analyze
Keywords: maternal mortality, health indicators, public health
7.
Which nursing intervention best reflects the use of primary prevention in women’s
health?
A. Providing genetic counseling for families with inherited disorders
B. Teaching pregnant women about nutrition and exercise
C. Screening for postpartum depression
D. Administering antibiotics to treat a urinary tract infection
✅ Correct Answer: B
Rationale: Primary prevention focuses on preventing illness before it occurs, such
as promoting healthy lifestyles during pregnancy. Option A is secondary
prevention, option C is screening (secondary), and option D is treatment (tertiary).
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Cognitive Level: Apply
Keywords: prevention, health promotion, maternal care
8.
What is the most significant challenge for nurses when providing care to uninsured
pregnant women in the United States?
A. Limited access to prenatal care services
B. Overuse of high-cost technology
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
C. Lack of physician willingness to care for them
D. Resistance to family-centered care models
✅ Correct Answer: A
Rationale: Uninsured women often lack access to consistent prenatal care,
increasing the risk of complications. Options B, C, and D may occur but are not the
most significant systemic barrier.
Client Needs: Safe and Effective Care Environment
Integrated Process: Advocacy
Cognitive Level: Analyze
Keywords: uninsured, access to care, disparities
9.
Which principle should guide the nurse when addressing health disparities in
women’s health care?
A. Equal access means identical services for all patients.
B. Equity requires care tailored to each woman’s unique needs.
C. Disparities are unavoidable due to cultural differences.
D. Equity is achieved only when health outcomes are identical.
✅ Correct Answer: B
Rationale: Equity in health care involves tailoring care to address barriers and
unique patient needs, not simply providing identical services. Options A and D
misinterpret equity. Option C is incorrect, as disparities can be reduced through
systemic changes.
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Cognitive Level: Analyze
Keywords: equity, disparities, women’s health
10.
Which outcome demonstrates successful integration of evidence-based maternity
care practices?
A. Decreased use of patient education to save time
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
Chapter 1 – Perspectives on Maternal, Newborn, and Women’s Health Care
(Introduces the scope, trends, and challenges in women’s and family health
nursing. Emphasizes evidence-based, culturally competent, and family-centered
care.)
1.
What is the primary goal of family-centered maternity care?
A. To emphasize technological monitoring to ensure safety
B. To minimize family involvement in decision-making
C. To promote collaborative care that supports family roles and choices
D. To restrict family access during childbirth to prevent stress
✅ Correct Answer: C
Rationale: Family-centered care prioritizes the family’s involvement in decision-
making and recognizes childbirth as a natural, shared experience. Unlike options A
and D, which stress control and restriction, option C emphasizes empowerment and
collaboration. Option B contradicts the foundation of family-centered care.
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Cognitive Level: Apply
Keywords: family-centered care, collaboration, maternity nursing
2.
Which factor best explains why culturally competent care is essential in maternal–
newborn nursing?
A. It reduces nurse workload by standardizing communication.
B. It prevents conflicts between the nurse and physician.
C. It ensures equitable care by respecting diverse health beliefs.
D. It eliminates the need for evidence-based guidelines.
✅ Correct Answer: C
Rationale: Culturally competent care acknowledges patients’ unique health
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
beliefs, values, and traditions, which fosters equity and improves outcomes. Option
A oversimplifies the concept. Option B is unrelated to cultural competence. Option
D is incorrect because cultural competence complements, not replaces, evidence-
based practice.
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Cognitive Level: Analyze
Keywords: cultural competence, diversity, equity
3.
What is the most important reason for using evidence-based practice in women’s
health nursing?
A. To reduce nursing education requirements
B. To support decision-making with the best available research
C. To eliminate patient choice in care decisions
D. To increase reliance on traditional care methods
✅ Correct Answer: B
Rationale: Evidence-based practice ensures clinical decisions are guided by
current, high-quality research combined with clinical expertise and patient
preferences. Option A is unrelated. Option C opposes patient autonomy. Option D
contradicts the principle of integrating updated knowledge.
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process
Cognitive Level: Understand
Keywords: evidence-based practice, decision-making, women’s health
4.
Which trend in maternal health care has most influenced the shift toward outpatient
and community-based care?
A. Shorter hospital stays due to cost-containment measures
B. Increased number of physicians specializing in obstetrics
C. Higher preference for hospital-based births among families
D. Reduction in the use of midwifery services
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
✅ Correct Answer: A
Rationale: Cost-containment policies and advances in health care have led to
shorter hospital stays, increasing the need for follow-up and community-based
care. Options B, C, and D do not reflect the driving economic and policy factors.
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Cognitive Level: Analyze
Keywords: community-based care, cost-containment, health trends
5.
Which principle most distinguishes maternity nursing as a specialty?
A. Exclusive focus on the physical needs of the mother
B. Consideration of the impact of childbirth on the whole family
C. Reliance on physician-directed medical interventions
D. Standardization of care to minimize cultural differences
✅ Correct Answer: B
Rationale: Maternity nursing uniquely emphasizes the family as a unit and how
childbirth influences relationships and adaptation. Option A is too narrow. Option
C ignores the nurse’s central role. Option D undermines individualized, culturally
sensitive care.
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Cognitive Level: Apply
Keywords: maternity nursing, family-centered, holistic care
6.
Why is maternal mortality considered a sentinel indicator of a nation’s health
status?
A. It directly reflects the number of available physicians.
B. It is closely associated with health care access and system quality.
C. It only measures emergency obstetric outcomes.
D. It is unaffected by social determinants of health.
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
✅ Correct Answer: B
Rationale: Maternal mortality reflects both the accessibility and quality of health
care systems, as well as social, economic, and cultural factors. Options A, C, and D
are incorrect because maternal mortality is multidimensional, not limited to
provider numbers or emergency care, and is strongly influenced by social
determinants.
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Cognitive Level: Analyze
Keywords: maternal mortality, health indicators, public health
7.
Which nursing intervention best reflects the use of primary prevention in women’s
health?
A. Providing genetic counseling for families with inherited disorders
B. Teaching pregnant women about nutrition and exercise
C. Screening for postpartum depression
D. Administering antibiotics to treat a urinary tract infection
✅ Correct Answer: B
Rationale: Primary prevention focuses on preventing illness before it occurs, such
as promoting healthy lifestyles during pregnancy. Option A is secondary
prevention, option C is screening (secondary), and option D is treatment (tertiary).
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Cognitive Level: Apply
Keywords: prevention, health promotion, maternal care
8.
What is the most significant challenge for nurses when providing care to uninsured
pregnant women in the United States?
A. Limited access to prenatal care services
B. Overuse of high-cost technology
, Full test bank for
Essentials of Maternity, Newborn, and Women’s Health Nursing, 6th Edition by Ricci.
C. Lack of physician willingness to care for them
D. Resistance to family-centered care models
✅ Correct Answer: A
Rationale: Uninsured women often lack access to consistent prenatal care,
increasing the risk of complications. Options B, C, and D may occur but are not the
most significant systemic barrier.
Client Needs: Safe and Effective Care Environment
Integrated Process: Advocacy
Cognitive Level: Analyze
Keywords: uninsured, access to care, disparities
9.
Which principle should guide the nurse when addressing health disparities in
women’s health care?
A. Equal access means identical services for all patients.
B. Equity requires care tailored to each woman’s unique needs.
C. Disparities are unavoidable due to cultural differences.
D. Equity is achieved only when health outcomes are identical.
✅ Correct Answer: B
Rationale: Equity in health care involves tailoring care to address barriers and
unique patient needs, not simply providing identical services. Options A and D
misinterpret equity. Option C is incorrect, as disparities can be reduced through
systemic changes.
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Cognitive Level: Analyze
Keywords: equity, disparities, women’s health
10.
Which outcome demonstrates successful integration of evidence-based maternity
care practices?
A. Decreased use of patient education to save time
