OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 1
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
OpenStax Maternal-Newborn Nursing Test
Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
Review Questions
Multiple Choice
1. Healthy People 2030 addresses all of the following except
A. addiction
B. equal pay *
C. family planning
D. vaccinations
LO: 1.1.1
Difficulty: Easy
Blooms: Understand
AACN: 1.1a
2. In the United States, what is the number one cause of preventable pregnancy-related
deaths?
A. cardiac conditions
B. hemorrhage
C. infection
D. mental health conditions *
LO: 1.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
3. In the United States, what has decreased the rate of teen pregnancy?
A. access to abortion
B. access to birth control *
C. access to doctors
D. access to education
LO: 1.1.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 2
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
4. A nurse is educating a teen about condom use because she is planning on having sex with
her boyfriend. Which of the following statements by the patient demonstrates
understanding of the information?
A. “I should carry condoms with me just in case.” *
B. “I will ask my boyfriend to get condoms.”
C. “My friends will think I sleep around if I carry condoms.”
D. “My parents won’t allow me to take birth control.”
LO: 1.1.3
Difficulty: Difficult
Blooms: Application
AACN: 1.1b
5. The new generation of AFAB persons have expectations of being treated fairly, having
health-care information remain confidential, and
A. being part of a decision-making process *
B. letting family participate in care
C. utilizing Internet information
D. utilizing telehealth
LO: 1.1.4
Difficulty: Moderate
Blooms: Understand
AACN: 1.1b
6. ACOG recommends that all AFAB pregnant patients see an OB/GYN by the ________ week
of pregnancy.
A. 8th
B. 10th
C. 12th *
D. 16th
LO: 1.2.1
Difficulty: Easy
Blooms: Remember
AACN: 2.5c
7. The movement for women’s reproductive rights in the United States began in the
A. 1900s *
B. 1920s
C. 1940s
D. 1970s
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 3
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
LO: 1.2.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
8. Once women started to give birth in hospitals in the 1900s, there was a rise in what?
A. maternal death
B. antepartum hemorrhage
C. postpartum infection *
D. pain related to childbirth
LO: 1.2.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
9. You are caring for a pregnant patient who has a complex medical problem that may require
surgery and a blood transfusion, as well as a stay in the ICU after delivery. At what level-of-
care hospital should the patient deliver?
A. level 1
B. level 2
C. level 3 *
D. level 4
LO: 1.3.1
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1b
10. A low-risk pregnant patient wants to deliver with as few medical interventions as possible.
Where should the patient deliver?
A. birthing center *
B. level 1 hospital
C. level 2 hospital
D. level 3 hospital
LO: 1.3.1
Difficulty: Moderate
Blooms: Analyze
AACN: 1.1b
11. Which of the following is an example of where a community-based nurse may be working?
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 4
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
A. a birthing center
B. a blood pressure screening clinic in a church *
C. a clinic in the hospital
D. an inpatient unit in the hospital
LO: 1.3.3
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1b
12. Informed consent for antepartum interventions or testing, including benefits and risks, must
be thoroughly explained to the pregnant patient. Participation in research studies causing
benefit or harm to the fetus could also require
A. ethics committee consent
B. family consent
C. paternal consent *
D. provider consent
LO: 1.4.4
Difficulty: Difficult
Blooms: Apply
AACN: 1.1b
13. Which of the following is a common error for lawsuits in OB?
A. allowing the patient to walk
B. improper administration of magnesium sulfate *
C. involving the patient in the plan of care
D. using continuous fetal monitoring
LO: 1.4.3
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
14. What is one of the reasons for the closing of many OB practices?
A. high malpractice premiums *
B. low malpractice premiums
C. not enough patients
D. too many patients
LO: 1.4.3
Difficulty: Moderate
Blooms: Understand
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 5
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
AACN: 1.1a
15. Which of the following may be a barrier to access to quality maternity care?
A. evidence-based practice
B. provider fear of litigation *
C. patient-centered care
D. quality improvement teams
LO: 1.4.1
Difficulty: Easy
Blooms: Understand
AACN: 1.1a
True/False
16. True or false? The death of an infant before their first birthday is called childhood mortality.
Answer: False
The death of an infant before their first birthday is called infant mortality.
LO: 1.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
17. True or false? Self-advocacy is the ability to overcome challenges in health care in which a
person’s preferences, needs, and values are met.
Answer: True
LO: 1.1.4
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
18. True or false? Transgender men do not to see a gynecologic health provider.
Answer: False
Gynecologic providers can provide testosterone, birth control, STI testing and treatment, Pap
smears, breast exams, and health promotion education.
LO: 1.2.1
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 6
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
19. True or false? Community-based perinatal care has been shown to decrease the cost of
maternity care and reduce patient experiences.
Answer: False
Community-based care has been shown to reduce the cost of maternity care and improve
patient experiences.
LO: 1.3.2
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1a
20. True or false? Nurses have the same laws in every state.
Answer: False
Every state has a nurse practice act that describes the laws governing the practice of nursing,
and every state board of nursing is responsible for enforcing these laws.
LO: 1.4.1
Difficulty: Easy
Blooms: Understand
AACN: 1.1a
Identification
A. patient-centered care
B. teamwork and collaboration
C. evidence-based practice
D. quality improvement
E. safety
21. Ensuring that policies and procedures are followed appropriately
Answer: E
LO: 1.4.2
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
22. Changing a practice based on clinical guidelines
Answer: C
LO: 1.4.2
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 7
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
23. Reviewing incidents to determine if there was a problem with the process
Answer: D
LO: 1.4.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1b
24. Helping another nurse with her difficult patient assignment and discussing the plan of care
Answer: B
LO: 1.4.2
Difficulty: Difficult
Blooms: Apply
AACN: 1.1b
25. Providing individualized care while collaborating with the patient
Answer: A
LO: 1.4.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1b
Fill in the Blank
26. Healthy People 2030 is a set of ________ ________ ________ aimed at improving health
and wellness.
Answer: evidence-based objectives
LO: 1.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
27. Persons who self-advocate can improve their quality of life and possibly reduce health-care
________.
Answer: disparities
LO: 1.1.4
Difficulty: Moderate
Blooms: Understand
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 8
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
28. Research has shown that community-based care can ________ health inequities.
Answer: reduce
LO: 1.3.2
Difficulty: Easy
Blooms: Recognize
AACN: 1.1a
29. ________ are persons who carry and birth a baby with the intent of giving the child to
another person or couple.
Answer: Surrogates
LO: 1.4.4
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1a
30. When a health-care provider touches a patient’s vulva or vagina without consent,
devastating emotional ________ can occur.
Answer: trauma
LO: 1.4.4
Difficulty: Moderate
Blooms: Understand
AACN: 1.1b
Short Answer
31. Explain the difference between morbidity and mortality.
Sample Answer: Morbidity is a term used to describe a specific condition or disease affecting
people. Mortality is a term used to describe the number of deaths due to a specific condition or
disease. These terms are usually reported as a ratio or rate. The results are used to evaluate the
health of a population to investigate the cause of the death or illness.
LO: 1.1.2
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1a
32. Some countries, such as Pakistan, treat women as subordinates. List three of the delays
discussed in the Three Delays Model increasing the risk of pregnancy complications.
Sample Answer:
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 9
, OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
delay in making the decision to seek care
delay in reaching a health-care facility
delay in receiving the required maternal health care
LO: 1.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1b
33. Identify at least 3 ways that AFAB persons can advocate for themselves.
Sample Answer:
pay attention to what their body is telling them;
make sure their health-care provider listens to them;
ask questions about treatment; and
gather support from friends, families, and health groups
LO: 1.1.4
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
34. Mrs. Smith is 28 weeks pregnant and tells her nurse that she went to see a holistic
provider. What are some reasons that AFAB persons are seeking holistic care?
Sample Answer: Reasons for patients using complementary medicine practitioners include
lack of continuity in care provider
lack of empowerment
lack of personal autonomy and decision making
increased use of medications and interventions in childbirth
LO: 1.2.3
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
35. You are a community health nurse seeing patients. Identify at least 3 responsibilities of the
community health nurse?
Sample Answer:
being a community advocate;
providing referrals;
encouraging health promotion through nutrition, wellness, and disease prevention;
providing health screenings; and
providing family planning education
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 10
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 1
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
OpenStax Maternal-Newborn Nursing Test
Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
Review Questions
Multiple Choice
1. Healthy People 2030 addresses all of the following except
A. addiction
B. equal pay *
C. family planning
D. vaccinations
LO: 1.1.1
Difficulty: Easy
Blooms: Understand
AACN: 1.1a
2. In the United States, what is the number one cause of preventable pregnancy-related
deaths?
A. cardiac conditions
B. hemorrhage
C. infection
D. mental health conditions *
LO: 1.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
3. In the United States, what has decreased the rate of teen pregnancy?
A. access to abortion
B. access to birth control *
C. access to doctors
D. access to education
LO: 1.1.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 2
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
4. A nurse is educating a teen about condom use because she is planning on having sex with
her boyfriend. Which of the following statements by the patient demonstrates
understanding of the information?
A. “I should carry condoms with me just in case.” *
B. “I will ask my boyfriend to get condoms.”
C. “My friends will think I sleep around if I carry condoms.”
D. “My parents won’t allow me to take birth control.”
LO: 1.1.3
Difficulty: Difficult
Blooms: Application
AACN: 1.1b
5. The new generation of AFAB persons have expectations of being treated fairly, having
health-care information remain confidential, and
A. being part of a decision-making process *
B. letting family participate in care
C. utilizing Internet information
D. utilizing telehealth
LO: 1.1.4
Difficulty: Moderate
Blooms: Understand
AACN: 1.1b
6. ACOG recommends that all AFAB pregnant patients see an OB/GYN by the ________ week
of pregnancy.
A. 8th
B. 10th
C. 12th *
D. 16th
LO: 1.2.1
Difficulty: Easy
Blooms: Remember
AACN: 2.5c
7. The movement for women’s reproductive rights in the United States began in the
A. 1900s *
B. 1920s
C. 1940s
D. 1970s
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 3
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
LO: 1.2.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
8. Once women started to give birth in hospitals in the 1900s, there was a rise in what?
A. maternal death
B. antepartum hemorrhage
C. postpartum infection *
D. pain related to childbirth
LO: 1.2.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
9. You are caring for a pregnant patient who has a complex medical problem that may require
surgery and a blood transfusion, as well as a stay in the ICU after delivery. At what level-of-
care hospital should the patient deliver?
A. level 1
B. level 2
C. level 3 *
D. level 4
LO: 1.3.1
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1b
10. A low-risk pregnant patient wants to deliver with as few medical interventions as possible.
Where should the patient deliver?
A. birthing center *
B. level 1 hospital
C. level 2 hospital
D. level 3 hospital
LO: 1.3.1
Difficulty: Moderate
Blooms: Analyze
AACN: 1.1b
11. Which of the following is an example of where a community-based nurse may be working?
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 4
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
A. a birthing center
B. a blood pressure screening clinic in a church *
C. a clinic in the hospital
D. an inpatient unit in the hospital
LO: 1.3.3
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1b
12. Informed consent for antepartum interventions or testing, including benefits and risks, must
be thoroughly explained to the pregnant patient. Participation in research studies causing
benefit or harm to the fetus could also require
A. ethics committee consent
B. family consent
C. paternal consent *
D. provider consent
LO: 1.4.4
Difficulty: Difficult
Blooms: Apply
AACN: 1.1b
13. Which of the following is a common error for lawsuits in OB?
A. allowing the patient to walk
B. improper administration of magnesium sulfate *
C. involving the patient in the plan of care
D. using continuous fetal monitoring
LO: 1.4.3
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
14. What is one of the reasons for the closing of many OB practices?
A. high malpractice premiums *
B. low malpractice premiums
C. not enough patients
D. too many patients
LO: 1.4.3
Difficulty: Moderate
Blooms: Understand
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 5
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
AACN: 1.1a
15. Which of the following may be a barrier to access to quality maternity care?
A. evidence-based practice
B. provider fear of litigation *
C. patient-centered care
D. quality improvement teams
LO: 1.4.1
Difficulty: Easy
Blooms: Understand
AACN: 1.1a
True/False
16. True or false? The death of an infant before their first birthday is called childhood mortality.
Answer: False
The death of an infant before their first birthday is called infant mortality.
LO: 1.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
17. True or false? Self-advocacy is the ability to overcome challenges in health care in which a
person’s preferences, needs, and values are met.
Answer: True
LO: 1.1.4
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
18. True or false? Transgender men do not to see a gynecologic health provider.
Answer: False
Gynecologic providers can provide testosterone, birth control, STI testing and treatment, Pap
smears, breast exams, and health promotion education.
LO: 1.2.1
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 6
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
19. True or false? Community-based perinatal care has been shown to decrease the cost of
maternity care and reduce patient experiences.
Answer: False
Community-based care has been shown to reduce the cost of maternity care and improve
patient experiences.
LO: 1.3.2
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1a
20. True or false? Nurses have the same laws in every state.
Answer: False
Every state has a nurse practice act that describes the laws governing the practice of nursing,
and every state board of nursing is responsible for enforcing these laws.
LO: 1.4.1
Difficulty: Easy
Blooms: Understand
AACN: 1.1a
Identification
A. patient-centered care
B. teamwork and collaboration
C. evidence-based practice
D. quality improvement
E. safety
21. Ensuring that policies and procedures are followed appropriately
Answer: E
LO: 1.4.2
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
22. Changing a practice based on clinical guidelines
Answer: C
LO: 1.4.2
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 7
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
23. Reviewing incidents to determine if there was a problem with the process
Answer: D
LO: 1.4.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1b
24. Helping another nurse with her difficult patient assignment and discussing the plan of care
Answer: B
LO: 1.4.2
Difficulty: Difficult
Blooms: Apply
AACN: 1.1b
25. Providing individualized care while collaborating with the patient
Answer: A
LO: 1.4.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1b
Fill in the Blank
26. Healthy People 2030 is a set of ________ ________ ________ aimed at improving health
and wellness.
Answer: evidence-based objectives
LO: 1.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
27. Persons who self-advocate can improve their quality of life and possibly reduce health-care
________.
Answer: disparities
LO: 1.1.4
Difficulty: Moderate
Blooms: Understand
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 8
,OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
28. Research has shown that community-based care can ________ health inequities.
Answer: reduce
LO: 1.3.2
Difficulty: Easy
Blooms: Recognize
AACN: 1.1a
29. ________ are persons who carry and birth a baby with the intent of giving the child to
another person or couple.
Answer: Surrogates
LO: 1.4.4
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1a
30. When a health-care provider touches a patient’s vulva or vagina without consent,
devastating emotional ________ can occur.
Answer: trauma
LO: 1.4.4
Difficulty: Moderate
Blooms: Understand
AACN: 1.1b
Short Answer
31. Explain the difference between morbidity and mortality.
Sample Answer: Morbidity is a term used to describe a specific condition or disease affecting
people. Mortality is a term used to describe the number of deaths due to a specific condition or
disease. These terms are usually reported as a ratio or rate. The results are used to evaluate the
health of a population to investigate the cause of the death or illness.
LO: 1.1.2
Difficulty: Difficult
Blooms: Analyze
AACN: 1.1a
32. Some countries, such as Pakistan, treat women as subordinates. List three of the delays
discussed in the Three Delays Model increasing the risk of pregnancy complications.
Sample Answer:
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 9
, OpenStax Maternal-Newborn Nursing Test Bank
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
delay in making the decision to seek care
delay in reaching a health-care facility
delay in receiving the required maternal health care
LO: 1.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1b
33. Identify at least 3 ways that AFAB persons can advocate for themselves.
Sample Answer:
pay attention to what their body is telling them;
make sure their health-care provider listens to them;
ask questions about treatment; and
gather support from friends, families, and health groups
LO: 1.1.4
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
34. Mrs. Smith is 28 weeks pregnant and tells her nurse that she went to see a holistic
provider. What are some reasons that AFAB persons are seeking holistic care?
Sample Answer: Reasons for patients using complementary medicine practitioners include
lack of continuity in care provider
lack of empowerment
lack of personal autonomy and decision making
increased use of medications and interventions in childbirth
LO: 1.2.3
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
35. You are a community health nurse seeing patients. Identify at least 3 responsibilities of the
community health nurse?
Sample Answer:
being a community advocate;
providing referrals;
encouraging health promotion through nutrition, wellness, and disease prevention;
providing health screenings; and
providing family planning education
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
7/10/2024 10
