NSG-432 Exam 1: Maternal-Newborn Nursing – Antepartum, Fetal
Development, Pregnancy Adaptations, Contraception, STIs | Q&A | Grade A |
100% Correct (Verified Answers) – Nursing Program
Subject: Maternal-Newborn Nursing – Stages of Maternity Care (Preconception, Prenatal, Intrapartum,
Postpartum); Vulnerable Populations; Healthy People 2030 Goals; Infant & Maternal Mortality Trends;
Prenatal Care; Family-Centered Care; Standards of Care (ANA, AWHONN, ACNM, NANN); Cultural
Competence; Contraception Methods; STIs (Bacterial vs Viral); Fetal Development (Embryonic & Fetal
Stages, Teratogens, Fetal Circulation); Maternal Physiologic Adaptations (CV, Respiratory, Urinary, GI,
Reproductive Systems); GTPAL; Signs of Pregnancy; Infertility; Newborn Care
Source: NSG-432 Exam 1 Bank – Latest 2026/2027 Curriculum
Format: Q&A Guide with Clinical Rationale
1. What are the four stages included in maternity nursing care?
Correct Answer: Preconception (prior to conceiving), Prenatal or Antepartum (pregnancy, approx 40
weeks), Intrapartum (labor and birth), Postpartum (birth to 6 weeks).
1. Comprehensive maternity care spans all four stages.
2. Each stage has unique nursing considerations and interventions.
2. What are vulnerable populations in maternity care?
Correct Answer: Women, racial and ethnic minorities, adolescent girls, older women, incarcerated
women, immigrants and refugees, homeless, rural communities.
1. These groups face disparities in access to care and health outcomes.
2. Targeted interventions are needed to reduce inequities.
3. How does race impact birth outcomes?
Correct Answer: Black women face greater risk than white women; non-Hispanic black women have
an even higher risk. The United States mortality rate during birth is higher compared with other
developed countries.
1. Systemic racism and implicit bias contribute to disparities.
2. Maternal mortality is 3-4x higher for Black women than white women.
4. What are the Healthy People 2030 specific maternal, fetal, and newborn goals?
Correct Answer: Reduce rate of fetal and newborn deaths, increase proportion of clients who attend
childbirth classes, reduce maternal mortality rates.
1. Focus of Healthy People 2030 in relation to maternity care is reducing fetal/newborn deaths.
2. Measurable objectives guide public health initiatives.
5. What are infant mortality trends?
Correct Answer: Increased risk in low birth weight and preterm birth. Leading causes: birth defects,
preterm, pregnancy complications, SIDS, and injuries.
1. Preterm birth is a major contributor to infant mortality.
2. SIDS prevention: back to sleep campaign.
, 6. What are maternal mortality trends?
Correct Answer: Non-white race, lack of prenatal care, and age (younger than 20 and older than 35)
are risk factors.
1. Maternal mortality is a key indicator of healthcare quality.
2. Hypertension and hemorrhage are leading causes.
7. How does obesity affect pregnancy?
Correct Answer: Associated with hypertension and diabetes in pregnancy, decreased fertility,
congenital anomalies, miscarriage, and fetal death.
1. Obesity increases risk of complications for both mother and fetus.
2. Preconception weight loss recommended.
8. What is the importance of prenatal care?
Correct Answer: Leads to better pregnancy outcomes, early risk assessment, promoting of healthy
behavior.
1. Early and regular prenatal care reduces maternal and infant mortality.
2. Identifies and manages risk factors.
9. What is family-centered care during birth?
Correct Answer: Partners, siblings, extended family encouraged to attend; assist with delivery
"catching the baby"; skin to skin immediately after birth; cutting the cord.
1. Promotes bonding and positive birth experience.
2. Evidence-based benefits of skin-to-skin contact.
10. What is standard of care in maternity nursing?
Correct Answer: The level of practice that a reasonably prudent nurse would provide in the same or
similar circumstances. If uncertain about how to perform a procedure, nurse should consult the agency's
policies and procedures documents.
1. Legal standard for nursing practice.
2. Follow evidence-based guidelines and facility policies.
11. What organizations set standards for maternal-child health nursing?
Correct Answer: ANA: standards for maternal-child health nursing; AWHONN: standards for perinatal
nurses; American College of Nurse-Midwives (ACNM): standards for nurse midwives; National
Association of Neonatal Nurses: standards for neonatal nurses.
1. Professional organizations guide evidence-based practice.
2. Standards ensure quality and safety.
12. What questions should be asked to elicit cultural expectations about childbearing?
Correct Answer: What do you and your family think you should do to remain healthy during
pregnancy? What can you do to improve your health and the health of your baby? What foods will help
to make a healthy baby? What can your labor support person do to help you be the most comfortable
during labor? What actions are important for you and your family after the baby's birth? What do you
and your family expect from the nurse(s) caring for you? How will family members participate in your
pregnancy, birth, and parenting?
1. Open-ended questions respect cultural diversity.
2. Tailor care to individual beliefs and practices.
Development, Pregnancy Adaptations, Contraception, STIs | Q&A | Grade A |
100% Correct (Verified Answers) – Nursing Program
Subject: Maternal-Newborn Nursing – Stages of Maternity Care (Preconception, Prenatal, Intrapartum,
Postpartum); Vulnerable Populations; Healthy People 2030 Goals; Infant & Maternal Mortality Trends;
Prenatal Care; Family-Centered Care; Standards of Care (ANA, AWHONN, ACNM, NANN); Cultural
Competence; Contraception Methods; STIs (Bacterial vs Viral); Fetal Development (Embryonic & Fetal
Stages, Teratogens, Fetal Circulation); Maternal Physiologic Adaptations (CV, Respiratory, Urinary, GI,
Reproductive Systems); GTPAL; Signs of Pregnancy; Infertility; Newborn Care
Source: NSG-432 Exam 1 Bank – Latest 2026/2027 Curriculum
Format: Q&A Guide with Clinical Rationale
1. What are the four stages included in maternity nursing care?
Correct Answer: Preconception (prior to conceiving), Prenatal or Antepartum (pregnancy, approx 40
weeks), Intrapartum (labor and birth), Postpartum (birth to 6 weeks).
1. Comprehensive maternity care spans all four stages.
2. Each stage has unique nursing considerations and interventions.
2. What are vulnerable populations in maternity care?
Correct Answer: Women, racial and ethnic minorities, adolescent girls, older women, incarcerated
women, immigrants and refugees, homeless, rural communities.
1. These groups face disparities in access to care and health outcomes.
2. Targeted interventions are needed to reduce inequities.
3. How does race impact birth outcomes?
Correct Answer: Black women face greater risk than white women; non-Hispanic black women have
an even higher risk. The United States mortality rate during birth is higher compared with other
developed countries.
1. Systemic racism and implicit bias contribute to disparities.
2. Maternal mortality is 3-4x higher for Black women than white women.
4. What are the Healthy People 2030 specific maternal, fetal, and newborn goals?
Correct Answer: Reduce rate of fetal and newborn deaths, increase proportion of clients who attend
childbirth classes, reduce maternal mortality rates.
1. Focus of Healthy People 2030 in relation to maternity care is reducing fetal/newborn deaths.
2. Measurable objectives guide public health initiatives.
5. What are infant mortality trends?
Correct Answer: Increased risk in low birth weight and preterm birth. Leading causes: birth defects,
preterm, pregnancy complications, SIDS, and injuries.
1. Preterm birth is a major contributor to infant mortality.
2. SIDS prevention: back to sleep campaign.
, 6. What are maternal mortality trends?
Correct Answer: Non-white race, lack of prenatal care, and age (younger than 20 and older than 35)
are risk factors.
1. Maternal mortality is a key indicator of healthcare quality.
2. Hypertension and hemorrhage are leading causes.
7. How does obesity affect pregnancy?
Correct Answer: Associated with hypertension and diabetes in pregnancy, decreased fertility,
congenital anomalies, miscarriage, and fetal death.
1. Obesity increases risk of complications for both mother and fetus.
2. Preconception weight loss recommended.
8. What is the importance of prenatal care?
Correct Answer: Leads to better pregnancy outcomes, early risk assessment, promoting of healthy
behavior.
1. Early and regular prenatal care reduces maternal and infant mortality.
2. Identifies and manages risk factors.
9. What is family-centered care during birth?
Correct Answer: Partners, siblings, extended family encouraged to attend; assist with delivery
"catching the baby"; skin to skin immediately after birth; cutting the cord.
1. Promotes bonding and positive birth experience.
2. Evidence-based benefits of skin-to-skin contact.
10. What is standard of care in maternity nursing?
Correct Answer: The level of practice that a reasonably prudent nurse would provide in the same or
similar circumstances. If uncertain about how to perform a procedure, nurse should consult the agency's
policies and procedures documents.
1. Legal standard for nursing practice.
2. Follow evidence-based guidelines and facility policies.
11. What organizations set standards for maternal-child health nursing?
Correct Answer: ANA: standards for maternal-child health nursing; AWHONN: standards for perinatal
nurses; American College of Nurse-Midwives (ACNM): standards for nurse midwives; National
Association of Neonatal Nurses: standards for neonatal nurses.
1. Professional organizations guide evidence-based practice.
2. Standards ensure quality and safety.
12. What questions should be asked to elicit cultural expectations about childbearing?
Correct Answer: What do you and your family think you should do to remain healthy during
pregnancy? What can you do to improve your health and the health of your baby? What foods will help
to make a healthy baby? What can your labor support person do to help you be the most comfortable
during labor? What actions are important for you and your family after the baby's birth? What do you
and your family expect from the nurse(s) caring for you? How will family members participate in your
pregnancy, birth, and parenting?
1. Open-ended questions respect cultural diversity.
2. Tailor care to individual beliefs and practices.
