Test Bank for Maternity Newborn and Women’s
Health Nursing
A couple discusses their childbirth preparation options with the nurse. They want the father to
be actively involved, and for the expectant mother to avoid medications during the birthing
process. The nurse's best response is:
1. "The hospital will follow your wishes."
2. "The Leboyer method will provide what you want."
3. "The Bradley method will provide for your needs."
4. "The Lamaze method will be easy to follow." - ANSWER-Correct Answer: 3
Rationale 1: The hospital method is not an option for preparation.
Rationale 2: The Leboyer method emphasizes the provision of a gentle and peaceful
environment for the birth process.
Rationale 3: The Bradley method is referred to as partner- or husband-coached natural
childbirth.
Rationale 4: The Lamaze method involves the breathing technique that facilitates delivery by
relaxing at the proper time.
While teaching a preconception class, the nurse should include which recommendation to
decrease the risk of neural tube defects?
1. 500 mg vitamin C every day
2. 0.4 mg folate every day
3. 1500 mg calcium every day
4. 400 IUs vitamin A daily - ANSWER-Correct Answer: 2
Rationale 1: Vitamin C does not have anything to do with development of neural tube defects.
Rationale 2: Folic acid supplementation prior to conception is recommended, since this
decreases the risk of neural tube defects.
Rationale 3: Calcium does nor decrease the risk of neural tube defects.
Rationale 4: Vitamin A does not decrease the risk of neural tube defects.
,A couple is allowing electronic monitoring to be applied during labor. After the nurse applies the
equipment, risks for which the nurse should assess include:
Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that
apply.
1. Supine postural hypotension.
2. Cord prolapse with ruptured membranes.
3. Monitoring the machine, not the patient.
4. Intrauterine perforation.
5. Slowing of contractions in active labor. - ANSWER-Correct Answer: 1,3,4
Rationale 1: Supine postural hypotension is a risk of electronic fetal monitoring.
Rationale 2: Use of electronic fetal monitoring does not cause cord prolapse with ruptured
membranes.
Rationale 3: Use of electronic fetal monitoring decreases personal interaction with mother
because of attention paid to the machine.
Rationale 4: Intrauterine perforation is a risk of electronic fetal monitoring when an internal
uterine pressure device is used.
Rationale 5: Use of electronic fetal monitoring does not cause the slowing of contractions in
active labor.
A new patient is having a preconception physical exam. During the exam, the clinic nurse
assesses the patient for:
Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that
apply.
1. Pattern of exercise.
2. An acceptable birth plan.
3. Body mass index over 30.
4. Diarrhea.
5. Hemoglobin under 12 g/dl. - ANSWER-Correct Answer: 3,4,5
Rationale 1: The pattern of exercise is important, and would be part of the history, not of the
physical exam.
, Rationale 2: An acceptable birth plan is important, but not until after conception has occurred.
Rationale 3: The prenatal physical must include the body mass index measurement to assess for
obesity, which is indicated by a body mass index over 30.
Rationale 4: The prenatal physical must include data concerning diarrhea, which could indicate
an intestinal infection.
Rationale 5: The prenatal physical must include a hemoglobin test to ensure that anemia is not
present. Hemoglobin under 12 g/dl indicates anemia.
The nurse is planning for an adolescent parenting class. Which topics would be priorities for the
nurse to include in the adolescent class? Select all that apply.
1. Sexuality in pregnancy
2. Newborn care
3. Birth settings
4. Health dangers for the baby
5. How to be a good parent - ANSWER-Correct Answer: 2,4,5
Rationale 1: Sexuality in pregnancy would not be a priority.
Rationale 2: Areas of concern for teens include how to care for the new baby.
Rationale 3: Birth settings are not a priority.
Rationale 4: Areas of concern for teens include health dangers to the baby.
Rationale 5: Areas of concern for teens include how to be a good parent.
A couple would like their 5-year-old child to attend the birth of their baby. Which statement by
the nurse would assist in the plan of care for the child?
1. "You should let your child stay home, because you will be focusing on the birth."
2. "Children under 12 are not allowed to be present at the birth."
3. "You should bring someone who can tend solely to any specific needs of your child."
4. "Bring some toys to keep your child occupied." - ANSWER-Correct Answer: 3
Rationale 1: Telling the parents their child should remain at home does not assist them with
their wish to have their child present at the birth.
Rationale 2: Children are allowed to be present at births.
Health Nursing
A couple discusses their childbirth preparation options with the nurse. They want the father to
be actively involved, and for the expectant mother to avoid medications during the birthing
process. The nurse's best response is:
1. "The hospital will follow your wishes."
2. "The Leboyer method will provide what you want."
3. "The Bradley method will provide for your needs."
4. "The Lamaze method will be easy to follow." - ANSWER-Correct Answer: 3
Rationale 1: The hospital method is not an option for preparation.
Rationale 2: The Leboyer method emphasizes the provision of a gentle and peaceful
environment for the birth process.
Rationale 3: The Bradley method is referred to as partner- or husband-coached natural
childbirth.
Rationale 4: The Lamaze method involves the breathing technique that facilitates delivery by
relaxing at the proper time.
While teaching a preconception class, the nurse should include which recommendation to
decrease the risk of neural tube defects?
1. 500 mg vitamin C every day
2. 0.4 mg folate every day
3. 1500 mg calcium every day
4. 400 IUs vitamin A daily - ANSWER-Correct Answer: 2
Rationale 1: Vitamin C does not have anything to do with development of neural tube defects.
Rationale 2: Folic acid supplementation prior to conception is recommended, since this
decreases the risk of neural tube defects.
Rationale 3: Calcium does nor decrease the risk of neural tube defects.
Rationale 4: Vitamin A does not decrease the risk of neural tube defects.
,A couple is allowing electronic monitoring to be applied during labor. After the nurse applies the
equipment, risks for which the nurse should assess include:
Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that
apply.
1. Supine postural hypotension.
2. Cord prolapse with ruptured membranes.
3. Monitoring the machine, not the patient.
4. Intrauterine perforation.
5. Slowing of contractions in active labor. - ANSWER-Correct Answer: 1,3,4
Rationale 1: Supine postural hypotension is a risk of electronic fetal monitoring.
Rationale 2: Use of electronic fetal monitoring does not cause cord prolapse with ruptured
membranes.
Rationale 3: Use of electronic fetal monitoring decreases personal interaction with mother
because of attention paid to the machine.
Rationale 4: Intrauterine perforation is a risk of electronic fetal monitoring when an internal
uterine pressure device is used.
Rationale 5: Use of electronic fetal monitoring does not cause the slowing of contractions in
active labor.
A new patient is having a preconception physical exam. During the exam, the clinic nurse
assesses the patient for:
Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that
apply.
1. Pattern of exercise.
2. An acceptable birth plan.
3. Body mass index over 30.
4. Diarrhea.
5. Hemoglobin under 12 g/dl. - ANSWER-Correct Answer: 3,4,5
Rationale 1: The pattern of exercise is important, and would be part of the history, not of the
physical exam.
, Rationale 2: An acceptable birth plan is important, but not until after conception has occurred.
Rationale 3: The prenatal physical must include the body mass index measurement to assess for
obesity, which is indicated by a body mass index over 30.
Rationale 4: The prenatal physical must include data concerning diarrhea, which could indicate
an intestinal infection.
Rationale 5: The prenatal physical must include a hemoglobin test to ensure that anemia is not
present. Hemoglobin under 12 g/dl indicates anemia.
The nurse is planning for an adolescent parenting class. Which topics would be priorities for the
nurse to include in the adolescent class? Select all that apply.
1. Sexuality in pregnancy
2. Newborn care
3. Birth settings
4. Health dangers for the baby
5. How to be a good parent - ANSWER-Correct Answer: 2,4,5
Rationale 1: Sexuality in pregnancy would not be a priority.
Rationale 2: Areas of concern for teens include how to care for the new baby.
Rationale 3: Birth settings are not a priority.
Rationale 4: Areas of concern for teens include health dangers to the baby.
Rationale 5: Areas of concern for teens include how to be a good parent.
A couple would like their 5-year-old child to attend the birth of their baby. Which statement by
the nurse would assist in the plan of care for the child?
1. "You should let your child stay home, because you will be focusing on the birth."
2. "Children under 12 are not allowed to be present at the birth."
3. "You should bring someone who can tend solely to any specific needs of your child."
4. "Bring some toys to keep your child occupied." - ANSWER-Correct Answer: 3
Rationale 1: Telling the parents their child should remain at home does not assist them with
their wish to have their child present at the birth.
Rationale 2: Children are allowed to be present at births.
