Comprehensive Maternal and Nursing Care 2026: Test Bank for Exam Success

Podofilox is primarily used for which of the following? A. Antibiotic for bacterial vaginosis B. Topical treatment for HPV lesions C. Antiviral for influenza D. Oral treatment for diabetes Rationale: Podofilox is a topical agent specifically used to treat HPV lesions such as genital warts. It is not an antibiotic, antiviral, or systemic treatment for diabetes. Clindamycin is commonly prescribed for: A. Treatment of diabetes B. Bacterial vaginosis C. HPV lesions D. Chronic hypertension Rationale: Clindamycin is an antibiotic effective against bacterial infections, particularly bacterial vaginosis. It does not treat viral infections, diabetes, or hypertension. Which maternal medical risk factor is most frequently reported in pregnancy? A. Chronic hypertension B. Mitral valve prolapse C. Anemia D. Diabetes mellitus Rationale: Diabetes mellitus is among the most frequently reported maternal medical risk factors in pregnancy. Chronic hypertension, MVP, and anemia are relevant but less frequently reported. SBAR is a communication framework in nursing. What does it stand for? A. Situation, Background, Assessment, Recommendation B. Situation, Background, Assessment, Recommendation C. Symptoms, Behavior, Analysis, Response D. Safety, Balance, Accountability, Response Rationale: SBAR is a structured communication tool used in healthcare to convey critical patient information. Options C and D do not represent the correct framework. Which action is most important for preventing or controlling risk factors associated with infant mortality? A. Nutrition assessment B. Social worker referral C. Prenatal care appointments D. Maternity jargon avoidance Rationale: Early and consistent prenatal care allows for early diagnosis and management of risk factors. Nutrition assessment and social worker referrals are important but secondary; avoiding maternity jargon improves communication but does not directly prevent mortality. Health literacy in patient care involves: A. Using complex medical terminology B. Using simple words and evaluating patient understanding C. Referring patients to the internet D. Providing long, detailed written instructions Rationale: Nurses improve patient comprehension by using clear, simple language and confirming understanding. The other options may lead to misunderstanding or confusion. Which nursing process category emphasizes assessing patient needs? A. Safe and Effective Care Environment B. Health Promotion and Maintenance C. Physiologic Integrity D. Ethics Rationale: Physiologic Integrity focuses on the patient’s physical assessment and care. Safe care focuses on environmental safety, health promotion focuses on prevention, and ethics guides practice standards. A major barrier to accessing healthcare is: A. High blood pressure B. Maternal obesity C. Inability to pay D. Low health literacy Rationale: Financial limitations are the most significant barrier, often leading to refusal of care. While other factors influence outcomes, they are not as immediate a barrier. Which cognitive level involves recalling facts and basic concepts? A. Application B. Knowledge C. Analysis D. Evaluation Rationale: Knowledge is the recall of factual information. Application requires using knowledge in practice; analysis involves breaking down information; evaluation involves judging outcomes. The step in the nursing process where care plans are executed is: A. Assessment B. Planning C. Diagnosis D. Implementation Rationale: Implementation is the action phase of nursing care, where planned interventions are carried out. Assessment collects data, planning develops strategies, and diagnosis identifies problems. Ethics in nursing refers to: A. Examination of outcomes B. Working relationship with colleagues C. A code to guide practice D. Accountability for legal responsibilities Rationale: Ethics guides nurses in professional decision-making. Accountability is legal responsibility; collegiality is teamwork; evaluation examines the effectiveness of interventions. Patients have the right to refuse which standard of care? A. Nutrition assessment B. Fetal monitoring C. Prenatal care appointments D. Medication education Rationale: Patients can refuse fetal monitoring after informed consent. Nutrition assessments, prenatal care, and education are recommended but generally do not involve consent-based refusal in the same legal sense. Podofilox is most appropriately used in which of the following patient scenarios? A. A pregnant woman with chronic hypertension B. A patient with genital warts caused by HPV C. A patient with bacterial vaginosis D. A patient with anemia Rationale: Podofilox is a topical antiviral treatment for HPV-related lesions. It does not treat bacterial infections, hypertension, or anemia. Tetracycline is primarily used to treat: A. Viral infections B. Various bacterial infections C. Diabetes mellitus D. Maternal hypertension Rationale: Tetracycline is an antibiotic effective against multiple bacterial infections. It is not antiviral, nor does it manage chronic conditions like diabetes or hypertension. Which of the following maternal conditions is NOT among the most frequently reported medical risk factors in pregnancy? A. Diabetes mellitus B. Hypertension associated with pregnancy C. Mitral valve prolapse (MVP) D. Chronic hypertension Rationale: MVP is not a common risk factor during pregnancy. Diabetes and pregnancyassociated hypertension are frequently reported, while chronic hypertension is relevant but less common. Evidence-based practice in maternity nursing emphasizes: A. Following traditional methods only B. Using research and data to guide patient care C. Relying on patient anecdotal reports only D. Referring all decisions to the obstetrician Rationale: Evidence-based practice uses scientific data to improve patient outcomes. Traditional methods or anecdotal reports are insufficient; referral alone does not ensure evidence-based care. The initial assessment during a prenatal intake interview involves: A. Nutrition assessment only B. Obtaining comprehensive health information C. Scheduling prenatal visits D. Referring to a social worker Rationale: Initial assessment focuses on collecting health history and identifying risks. Nutrition assessment is part of it, scheduling visits is administrative, and social worker referrals are situational. Which of the following best represents a safe nursing communication approach? A. Using maternity jargon frequently B. Avoiding jargon to ensure patient understanding C. Speaking only to clinicians D. Using complex medical terminology to teach Rationale: Clear communication avoids medical jargon to improve patient comprehension. Talking only to clinicians or using complex terms can lead to misunderstanding. Maternal obesity during pregnancy is associated with: A. Both diabetes and hypertension B. Mitral valve prolapse C. Chronic anemia D. Health literacy issues Rationale: Maternal obesity increases the risk of gestational diabetes and hypertension. MVP and anemia are unrelated; health literacy is unrelated to maternal obesity. Which of the following is the nurse’s primary role in research? A. Conducting all laboratory experiments B. Writing patient education materials only C. Identifying researchable problems for evidence-based practice D. Referring all cases to a physician Rationale: Nurses identify problems that can be studied to improve practice. Conducting experiments or writing materials is secondary, and referral does not constitute research. Which step of the nursing process focuses on evaluating the effectiveness of care? A. Assessment B. Diagnosis C. Planning D. Evaluation Rationale: Evaluation determines whether nursing interventions achieved desired outcomes. Assessment gathers data, diagnosis identifies problems, and planning develops strategies. Which action is essential for reducing infant mortality? A. Nutrition assessment B. Ensuring early and ongoing prenatal care C. Social worker referral D. Holistic health approach Rationale: Early prenatal care enables risk identification and interventions to reduce infant mortality. Nutrition and holistic care are important but secondary, and social work referral supports broader needs. Racial disparities in health care are primarily reflected in: A. Communication barriers B. Differences in morbidity and mortality outcomes C. Patient refusal of treatment D. Nursing ethics Rationale: Health disparities often manifest as measurable differences in outcomes based on race. Communication barriers or ethics may contribute but are not the direct measurement of disparity. Integrative health care combines: A. Only conventional Western medicine B. Complementary/alternative therapies with conventional treatments C. Only herbal remedies D. Research-based interventions exclusively Rationale: Integrative health care blends evidence-based conventional medicine with complementary therapies to address the whole patient. Limiting to only one approach does not define integrative care. Violation of patient privacy on social media is considered: A. A minor professional issue B. The most significant pitfall for nurses using technology C. Acceptable if anonymized D. Only relevant in research Rationale: Breaching confidentiality on social media is a major legal and ethical issue. Minor infractions or research-only contexts are not as critical; anonymization does not always prevent privacy violations. Clindamycin is indicated for which type of infection? A. Viral infection B. Fungal infection C. Bacterial vaginosis D. Parasitic infection Rationale: Clindamycin is an antibiotic effective against bacterial infections, specifically bacterial vaginosis. It does not treat viral, fungal, or parasitic infections.