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Chapters 2–7: Maternity and Pediatric Nursing Care 2025/2026 – Comprehensive Q&A Review | NCLEX, ATI, HESI Exam Prep (Pregnancy, Puberty, Fetal Development, Labor, and Birth)

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Ace your nursing exams in 2025/2026 with this high-yield, exam-aligned review guide covering Chapters 2–7 of maternity and pediatric nursing. This file includes hundreds of real-world NCLEX-style questions and answers, tailored to support success on NCLEX, ATI, HESI, and nursing school exams. Chapters and Topics Covered: Chapter 2: Puberty and Human Reproduction Puberty signs, hormonal regulation, sperm/egg production, male/female anatomy Chapter 3: Fetal Development and Fertilization Zygote to fetus stages, implantation, placental function, fetal circulation, surfactant Chapter 4: Prenatal Care and Pregnancy Adaptations Chadwick’s & Goodell’s signs, Naegele’s Rule, fundal height, common discomforts Chapter 5: Prenatal Complications Gestational diabetes, preeclampsia, placenta previa, Rh incompatibility Chapter 6: Labor and Delivery True vs. false labor, Leopold's maneuvers, stages of labor, contractions, fetal positions Chapter 7: Pain Management & Birth Processes Epidural vs. spinal anesthesia, effleurage, gate control theory, Lamaze, Apgar scores Perfect For: Nursing students in Maternal-Newborn, OB, Peds, or Med-Surg rotations Students prepping for unit tests, finals, or NCLEX licensure exams Tutors and instructors building question banks and test reviews Learners using Gloria Leifer’s textbook in class or clinical

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Maternity and pedi ch 2,3,4,5,6,7, review
questions and answers 2025/2026 latest
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A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse
indicate are related to the production of testosterone?

a. Stimulation of production of white cells and platelets

b. Promotion of growth of small bones

c. Increase in muscle mass and strength

d. Decrease in production of sebaceous gland secretions - answerC



The nurse is educating high school students about puberty. What will the nurse indicate regulates the
production of sperm and secretion hormones?

a. Testes

b. Vas deferens

c. Ejaculatory ducts d. Prostate gland - answerA



. The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is
a factor that can decrease sperm production?

a. Infrequent sexual intercourse

b. The man not being circumcised

c. The penis and testes being small d. The testes being too warm - answerD



When describing the female reproductive tract to a pregnant woman, the nurse would explain that
which uterine layer is involved in implantation?

a. Perimetrium

b. Endometrium

c. Myometrium d. Internal os - answerB



A group of nursing students plans to teach a class of sixth-grade girls about menstruation. What correct
information will the nursing students teach to the class?

,a. Menarche usually occurs around 12 years of age.

b. Ovulation occurs regularly from the very first cycle.

c. A regular cycle is established by the third period.

d. Typically, menstrual flow is heavy and lasts up to 10 days. - answerA



A 10-year-old girl asks the nurse, What is the first sign of puberty? What is the correct nursing response?
a. An increase in height

b. Breast development

c. Appearance of axillary hair

d. The first menstrual period - answerB



A 12-year-old female pediatric patient experienced menarche 3 months ago. Her mother voices concern
to the pediatric office nurse regarding the irregularity of her daughters menstrual cycle. What is the
nurses best response?

a. Worrying is not the answer.

b. I will talk to the pediatrician about a gynecological referral. c. I can only discuss this with your
daughter.

d. Early cycles are often irregular. - answerD



Which hormone initiates the maturation of the ovarian follicle? a. Estrogen

b. Follicle-stimulating hormone

c. Progesterone

d. Luteinizing hormone - answerB



What statement indicates a woman has correct information about oogenesis? a. Women make fewer
ova as they age.

b. Women have all of their ova at the time they are born.

c. Ova production begins at birth and continues until puberty.

d. New ova are made every month from puberty to climacteric. - answerB

,A pregnant woman asks the nurse, Will I be able to have a vaginal delivery? The nurse knows that which
is the most favorable pelvic type for vaginal birth?

a. Gynecoid

b. Android

c. Anthropoid d. Platypelloid - answerA



A mother is anxious about her ability to breastfeed after her child is born because of her small breast
size. What would be an important point to teach this mother?

a. Milk is produced in ducts and lobules regardless of breast size.

b. Supplementing breastfeeding with formula allows the infant to receive adequate nutrition.

c. Breast size can be increased with exercise.

d. Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk. - answerA



For what is the decrease in estrogen and progesterone during the menstrual cycle responsible? a.
Degeneration of the corpus luteum

b. Ovulation

c. Follicle maturation

d. Shedding of the endometrium - answerD



The nurse is assisting with pelvic inlet measurements on a pregnant woman. What measurement will

NURSINGTB.COM



INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 15

provide the nurse with information about whether the woman can deliver vaginally? a. Diagonal
conjugate

b. Obstetric conjugate

c. Transverse diameter

d. Anteroposterior diameter - answerB

, The nurse has explained menstruation to a 13-year-old girl. What statement indicates the girl needs
additional education?

a. Periods last about 5 days.

b. My cycle should get regular in 6 months.

c. I should expect heavy bleeding with clots. d. Periods come about every 4 weeks. - answerC



A mother asks the nurse, When will I know my child has entered puberty? What will the nurse state
based on an understanding of changes associated with puberty?

NURSINGTB.COM

a. Your daughter will have her first period.

b. Youll recognize puberty by the mood swings.

c. The child becomes interested in the opposite sex.

d. Secondary sex characteristics, such as pubic hair, appear. - answerD



A nurse is planning to teach couples about the physiology of the sex act. What correct information will
the nurse provide?

a. Fertilization of an ovum requires penetration by several sperm.

b. An ovum must be fertilized within 24 hours of ovulation.

c. It takes 4 to 5 days for sperm to reach the fallopian tubes. d. Sperm live for only 24 hours following
ejaculation. - answerB



A newly married couple tells the nurse they would like to wait a few years before starting a family.
Which

NURSINGTB.COM



INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 16

statement made by the man indicates an understanding about sexual activity and pregnancy? a. My wife
cant get pregnant if I withdraw before climax.

b. A man can secrete semen before ejaculation.

c. If we dont have intercourse very often, my wife wont get pregnant.

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