AND WOMEN’S HEALTH NURSING 8TH EDITION BY
MURRAY|ALL CHAPTERS | ANSWERS WITH RATIONALES
NEWEST VERSION
,CHAPTER 1: OVERVIEW OF MATERNAL-NEWBORN AND WOMEN’S
HEALTH NURSING
1. A nurse is preparing a teaching plan for a group of adolescent girls about
reproductive health. Which statement by a student indicates a need for
further teaching?
A. "Menstruation should occur approximately every 28 days."
B. "Ovulation occurs about 14 days before the start of my next period."
C. "All menstrual cycles are exactly 28 days long."
D. "Hormonal changes during adolescence can affect mood and behavior."
Answer: C
Rationale: Menstrual cycles vary among individuals, ranging from 21–35 days;
not all are exactly 28 days.
2. A nurse is discussing the role of maternal-newborn nursing. Which action is
consistent with the nurse’s primary responsibility?
A. Prescribing medications for pregnancy complications
B. Supporting the mother in meeting her health needs
C. Performing surgery to correct birth defects
D. Providing genetic counseling independent of physician guidance
Answer: B
Rationale: Maternal-newborn nurses focus on supporting, educating, and
promoting the health of women and newborns, not independently performing
medical procedures outside their scope.
, 3. A pregnant client asks why she should attend prenatal visits. Which
statement best explains the importance of these visits?
A. "They allow the nurse to monitor your home environment."
B. "They ensure timely detection and prevention of complications."
C. "They provide opportunities to socialize with other pregnant women."
D. "They replace the need for labor preparation classes."
Answer: B
Rationale: Prenatal visits help detect potential complications early, provide
education, and promote maternal-fetal well-being.
4. A nurse is reviewing risk factors for maternal mortality. Which client is at
greatest risk?
A. 25-year-old primigravida with gestational diabetes
B. 30-year-old multipara with previous cesarean section
C. 17-year-old adolescent with poor prenatal care
D. 32-year-old woman with a healthy lifestyle
Answer: C
Rationale: Adolescents with inadequate prenatal care are at higher risk for
maternal morbidity and mortality due to physiologic immaturity and delayed care.
5. A nurse is counseling a couple planning pregnancy about folic acid. What is
the recommended daily dose for women of childbearing age?
A. 100 mcg
B. 400 mcg
C. 800 mcg
D. 1000 mcg
Answer: B
Rationale: Women of childbearing age should take 400 mcg of folic acid daily to
reduce the risk of neural tube defects.
, 6. A client expresses concern about her partner’s involvement during
pregnancy. Which intervention best supports family-centered care?
A. Encourage the partner to attend prenatal visits and classes
B. Suggest the partner remain uninvolved to reduce stress
C. Recommend the partner focus solely on financial support
D. Advise the partner that their role is optional
Answer: A
Rationale: Family-centered care promotes involvement of significant others to
enhance support and improve maternal and neonatal outcomes.
7. A nurse is reviewing ethical principles. Which statement illustrates
autonomy?
A. "The nurse insists that a client undergoes a recommended procedure."
B. "The client chooses whether to continue with a prenatal screening test."
C. "The nurse decides the best care plan without input."
D. "The family makes all decisions for the client regardless of her wishes."
Answer: B
Rationale: Autonomy refers to the client’s right to make informed decisions about
her own care.
8. A nurse is teaching a group of pregnant women about common discomforts.
Which symptom should prompt immediate evaluation?
A. Mild nausea during the first trimester
B. Occasional backache in the third trimester
C. Severe headache with visual changes
D. Leg cramps at night
Answer: C
Rationale: Severe headache with visual changes may indicate preeclampsia, which
requires immediate assessment and intervention.