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Introduction to Maternity and
Pediatric Nursing (Leifer) – Test Bank
Edition/Reference: 10th Edition
Chapter List
UNIT I: AN OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
1. The Past, Present, and Future
2. The Nurse’s Role in Women’s Health Care
UNIT II: MATERNAL-NEWBORN NURSING AND WOMEN’S HEALTH
3. Human Reproductive Anatomy and Physiology
4. Fetal Development
5. Prenatal Care and Adaptations to Pregnancy
6. Nursing Care of Women With Complications During Pregnancy
7. Nursing Care of Mother and Infant During Labor and Birth
8. Nursing Management of Pain During Labor and Birth
9. Nursing Care of Women With Complications During Labor and Birth
10. The Family After Birth
11. Nursing Care of Women With Complications After Birth
12. The Term Newborn
13. Preterm and Postterm Newborns
14. The Newborn With a Perinatal Injury or Congenital Malformation
UNIT III: THE GROWING CHILD AND FAMILY
15. An Overview of Growth, Development, and Nutrition
16. The Infant
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17. The Toddler
18. The Preschool Child
19. The School-Age Child
20. The Adolescent
UNIT IV: ADAPTING CARE TO THE PEDIATRIC PATIENT
21. The Child’s Experience of Hospitalization
22. Health Care Adaptations for the Child and Family
23. Complementary and Alternative Therapies in Maternity and Pediatric Nursing
24. The Child With a Sensory or Neurological Condition
25. The Child With a Musculoskeletal Condition
26. The Child With a Respiratory Disorder
27. The Child With a Cardiovascular Disorder
28. The Child With a Condition of the Blood, Blood-Forming Organs, or
Lymphatic System
29. The Child With a Gastrointestinal Condition
30. The Child With a Genitourinary Condition
31. The Child With a Skin Condition
32. The Child With a Metabolic Condition
33. The Child With a Communicable Disease and Immune Response
34. The Child With an Emotional or Behavioral Condition
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UNIT I: AN OVERVIEW OF MATERNITY AND PEDIATRIC
NURSING
Chapter 1: The Past, Present, and Future
Question 1. A nurse is planning care related to the past, present, and future and
wants to address maternal adaptation. Which action is most appropriate?
A. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
B. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
C. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
D. Collect focused data, identify risk factors, and tailor the plan to the patient’s
current goals and functional status.
✅ Correct Answer: D
Rationale: D is correct because maternal adaptation in the past, present, and future
is best managed when the nurse uses patient-specific assessment data and connects
those findings to a plan that is timely, individualized, and measurable. This
approach supports safer clinical judgment, better symptom recognition, and more
relevant education or follow-up. The other options are less appropriate because
they either delay needed assessment, rely on a one-size-fits-all response, minimize
potentially important findings, or substitute documentation for active nursing
decision-making.
DIF: Easy
TOP: The Past, Present, and Future / maternal adaptation
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MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
Question 2. Which finding best indicates that care involving fetal wellbeing is
effective in the context of the past, present, and future?
A. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
B. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
C. Use the least invasive evidence-informed intervention first while monitoring for
changes that require escalation.
D. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
✅ Correct Answer: C
Rationale: C is correct because fetal wellbeing in the past, present, and future is
best managed when the nurse uses patient-specific assessment data and connects
those findings to a plan that is timely, individualized, and measurable. This
approach supports safer clinical judgment, better symptom recognition, and more
relevant education or follow-up. The other options are less appropriate because
they either delay needed assessment, rely on a one-size-fits-all response, minimize
potentially important findings, or substitute documentation for active nursing
decision-making.
DIF: Moderate
TOP: The Past, Present, and Future / fetal wellbeing
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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Question 3. The nurse provides teaching about family-centered teaching during
care focused on the past, present, and future. Which statement by the patient shows
correct understanding?
A. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
B. Involve the patient and family in clear teaching that links symptoms, self-
management steps, and when to seek help.
C. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
D. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
✅ Correct Answer: B
Rationale: B is correct because family-centered teaching in the past, present, and
future is best managed when the nurse uses patient-specific assessment data and
connects those findings to a plan that is timely, individualized, and measurable.
This approach supports safer clinical judgment, better symptom recognition, and
more relevant education or follow-up. The other options are less appropriate
because they either delay needed assessment, rely on a one-size-fits-all response,
minimize potentially important findings, or substitute documentation for active
nursing decision-making.
DIF: Hard
TOP: The Past, Present, and Future / family-centered teaching
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
Question 4. A patient scenario involving the past, present, and future raises a
question about safety priorities. Which nursing response is best?
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A. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
B. Coordinate with the interprofessional team so assessment findings translate into
timely, individualized care decisions.
C. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
D. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
✅ Correct Answer: B
Rationale: B is correct because safety priorities in the past, present, and future is
best managed when the nurse uses patient-specific assessment data and connects
those findings to a plan that is timely, individualized, and measurable. This
approach supports safer clinical judgment, better symptom recognition, and more
relevant education or follow-up. The other options are less appropriate because
they either delay needed assessment, rely on a one-size-fits-all response, minimize
potentially important findings, or substitute documentation for active nursing
decision-making.
DIF: Easy
TOP: The Past, Present, and Future / safety priorities
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 5. During assessment of a 68-year-old patient, the nurse identifies an
issue linked to maternal adaptation within the past, present, and future. What is the
priority nursing action?
A. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
B. Delay action until multiple additional problems emerge, because early changes
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are rarely clinically useful on their own.
C. Collect focused data, identify risk factors, and tailor the plan to the patient’s
current goals and functional status.
D. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
✅ Correct Answer: C
Rationale: C is correct because maternal adaptation in the past, present, and future
is best managed when the nurse uses patient-specific assessment data and connects
those findings to a plan that is timely, individualized, and measurable. This
approach supports safer clinical judgment, better symptom recognition, and more
relevant education or follow-up. The other options are less appropriate because
they either delay needed assessment, rely on a one-size-fits-all response, minimize
potentially important findings, or substitute documentation for active nursing
decision-making.
DIF: Moderate
TOP: The Past, Present, and Future / maternal adaptation
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
Question 6. A nurse is planning care related to the past, present, and future and
wants to address fetal wellbeing. Which action is most appropriate?
A. Use the least invasive evidence-informed intervention first while monitoring for
changes that require escalation.
B. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
C. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
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Introduction to Maternity and
Pediatric Nursing (Leifer) – Test Bank
Edition/Reference: 10th Edition
Chapter List
UNIT I: AN OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
1. The Past, Present, and Future
2. The Nurse’s Role in Women’s Health Care
UNIT II: MATERNAL-NEWBORN NURSING AND WOMEN’S HEALTH
3. Human Reproductive Anatomy and Physiology
4. Fetal Development
5. Prenatal Care and Adaptations to Pregnancy
6. Nursing Care of Women With Complications During Pregnancy
7. Nursing Care of Mother and Infant During Labor and Birth
8. Nursing Management of Pain During Labor and Birth
9. Nursing Care of Women With Complications During Labor and Birth
10. The Family After Birth
11. Nursing Care of Women With Complications After Birth
12. The Term Newborn
13. Preterm and Postterm Newborns
14. The Newborn With a Perinatal Injury or Congenital Malformation
UNIT III: THE GROWING CHILD AND FAMILY
15. An Overview of Growth, Development, and Nutrition
16. The Infant
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17. The Toddler
18. The Preschool Child
19. The School-Age Child
20. The Adolescent
UNIT IV: ADAPTING CARE TO THE PEDIATRIC PATIENT
21. The Child’s Experience of Hospitalization
22. Health Care Adaptations for the Child and Family
23. Complementary and Alternative Therapies in Maternity and Pediatric Nursing
24. The Child With a Sensory or Neurological Condition
25. The Child With a Musculoskeletal Condition
26. The Child With a Respiratory Disorder
27. The Child With a Cardiovascular Disorder
28. The Child With a Condition of the Blood, Blood-Forming Organs, or
Lymphatic System
29. The Child With a Gastrointestinal Condition
30. The Child With a Genitourinary Condition
31. The Child With a Skin Condition
32. The Child With a Metabolic Condition
33. The Child With a Communicable Disease and Immune Response
34. The Child With an Emotional or Behavioral Condition
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UNIT I: AN OVERVIEW OF MATERNITY AND PEDIATRIC
NURSING
Chapter 1: The Past, Present, and Future
Question 1. A nurse is planning care related to the past, present, and future and
wants to address maternal adaptation. Which action is most appropriate?
A. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
B. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
C. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
D. Collect focused data, identify risk factors, and tailor the plan to the patient’s
current goals and functional status.
✅ Correct Answer: D
Rationale: D is correct because maternal adaptation in the past, present, and future
is best managed when the nurse uses patient-specific assessment data and connects
those findings to a plan that is timely, individualized, and measurable. This
approach supports safer clinical judgment, better symptom recognition, and more
relevant education or follow-up. The other options are less appropriate because
they either delay needed assessment, rely on a one-size-fits-all response, minimize
potentially important findings, or substitute documentation for active nursing
decision-making.
DIF: Easy
TOP: The Past, Present, and Future / maternal adaptation
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MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
Question 2. Which finding best indicates that care involving fetal wellbeing is
effective in the context of the past, present, and future?
A. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
B. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
C. Use the least invasive evidence-informed intervention first while monitoring for
changes that require escalation.
D. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
✅ Correct Answer: C
Rationale: C is correct because fetal wellbeing in the past, present, and future is
best managed when the nurse uses patient-specific assessment data and connects
those findings to a plan that is timely, individualized, and measurable. This
approach supports safer clinical judgment, better symptom recognition, and more
relevant education or follow-up. The other options are less appropriate because
they either delay needed assessment, rely on a one-size-fits-all response, minimize
potentially important findings, or substitute documentation for active nursing
decision-making.
DIF: Moderate
TOP: The Past, Present, and Future / fetal wellbeing
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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Question 3. The nurse provides teaching about family-centered teaching during
care focused on the past, present, and future. Which statement by the patient shows
correct understanding?
A. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
B. Involve the patient and family in clear teaching that links symptoms, self-
management steps, and when to seek help.
C. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
D. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
✅ Correct Answer: B
Rationale: B is correct because family-centered teaching in the past, present, and
future is best managed when the nurse uses patient-specific assessment data and
connects those findings to a plan that is timely, individualized, and measurable.
This approach supports safer clinical judgment, better symptom recognition, and
more relevant education or follow-up. The other options are less appropriate
because they either delay needed assessment, rely on a one-size-fits-all response,
minimize potentially important findings, or substitute documentation for active
nursing decision-making.
DIF: Hard
TOP: The Past, Present, and Future / family-centered teaching
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
Question 4. A patient scenario involving the past, present, and future raises a
question about safety priorities. Which nursing response is best?
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A. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
B. Coordinate with the interprofessional team so assessment findings translate into
timely, individualized care decisions.
C. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
D. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
✅ Correct Answer: B
Rationale: B is correct because safety priorities in the past, present, and future is
best managed when the nurse uses patient-specific assessment data and connects
those findings to a plan that is timely, individualized, and measurable. This
approach supports safer clinical judgment, better symptom recognition, and more
relevant education or follow-up. The other options are less appropriate because
they either delay needed assessment, rely on a one-size-fits-all response, minimize
potentially important findings, or substitute documentation for active nursing
decision-making.
DIF: Easy
TOP: The Past, Present, and Future / safety priorities
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 5. During assessment of a 68-year-old patient, the nurse identifies an
issue linked to maternal adaptation within the past, present, and future. What is the
priority nursing action?
A. Apply the same standard plan used for all patients, regardless of age,
preferences, setting, or baseline function.
B. Delay action until multiple additional problems emerge, because early changes
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are rarely clinically useful on their own.
C. Collect focused data, identify risk factors, and tailor the plan to the patient’s
current goals and functional status.
D. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
✅ Correct Answer: C
Rationale: C is correct because maternal adaptation in the past, present, and future
is best managed when the nurse uses patient-specific assessment data and connects
those findings to a plan that is timely, individualized, and measurable. This
approach supports safer clinical judgment, better symptom recognition, and more
relevant education or follow-up. The other options are less appropriate because
they either delay needed assessment, rely on a one-size-fits-all response, minimize
potentially important findings, or substitute documentation for active nursing
decision-making.
DIF: Moderate
TOP: The Past, Present, and Future / maternal adaptation
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological
Adaptation
Question 6. A nurse is planning care related to the past, present, and future and
wants to address fetal wellbeing. Which action is most appropriate?
A. Use the least invasive evidence-informed intervention first while monitoring for
changes that require escalation.
B. Rely primarily on reassurance and avoid further assessment so the patient is not
overwhelmed by information.
C. Delay action until multiple additional problems emerge, because early changes
are rarely clinically useful on their own.
