Answers included with rationales ✅
Test Bank Questions, Chapter 01: Perspectives
on Maternal, Newborn, and Women's Health Care
1. A group of nurses is discussing United States rankings for infant and maternal
mortality and what impact the nurses could make on these mortality rates in
their practice. Which action could nurses implement to reduce these rates?
A. Encourage all pregnant clients to receive their immunizations.
B. Ensure early and adequate prenatal care.
C. Direct more clients to shelters that protect women who have experienced
intimate partner violence (IPV)
D. Educate on the importance of eating a balanced diet.
2. When integrating the principles of family-centered care into the birthing
process, the nurse bases care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
3. When preparing a teaching plan for a group of clients during their first
pregnancy, the nurse reviews how maternity care has changed over the years.
Which information will the nurse include when discussing events occurring in the
20th century?
A. epidemics of puerperal fever
B. performance of the first cesarean birth
C. x-ray developed to assess pelvic size
D. development of birthing centers
4. The nurse is working with a group of community health members to develop a
plan to address the special health needs of women. The group will design
educational programs to address which priority condition?
A. smoking
B. heart disease
C. diabetes
D. cancer
5. A nurse is conducting an orientation program for a group of newly hired
nurses. As part of the program, the nurse is reviewing the issue of informed
consent. The nurse determines that the teaching was effective when the group
identifies which nursing action as a violation of informed consent?
A. administering blood products to a 15-year-old child after getting parental
consent
B. explaining the risks and benefits of a treatment to a client and obtaining their
signature on the consent form
,C. asking whether the client understands what they are signing after reinforcing
the health care provider's education
D. getting verbal consent over the phone for an emergency procedure from the
spouse of a unconscious client
6. The family is the basic unit of society. Which statement correctly illustrates
the importance of this concept related to how society functions?
A. Healthy, well-functioning families provide members of all ages with fulfilling,
supporting relationships.
B. The family serves as a place that encourages members to autonomously
function in pursuit of personal pleasures.
C. Society functions best when families determine how they will interface with
others without having to deal with the overall consequences.
D. Work is an important part of family function but is not necessary for success if
one member can fulfill multiple roles.
7. A nursing group is examining their hospital's maternal outcomes for the
previous 5 years. Which identified factor(s) has contributed to the decline in the
maternal mortality rate? Select all that apply.
A. increased participation of pregnant clients in prenatal care
B. use of ultrasound to detect disorders
C. increased use of anesthesia with birth
D. closer monitoring for complications associated with gestational hypertension
E. better management of hemorrhage and infection
8. The nurse instructs the new parent about health promotion strategies that
could significantly improve their infant's health. Which education will the nurse
include? Select all that apply.
A. breastfeeding
B. placing infant on their stomach to sleep
C. scheduling a developmental screening at 1 month
D. joining a parental support group
E. adhering to vaccination schedules
9. A nurse is integrating information about family-centered care when
developing a teaching plan for a pregnant client and their family. Which
statement by the client indicates to the nurse that the teaching was effective?
A. "It is not just me affected by the baby. My whole family will be affected."
B. "This is a stressful time for our family, so we will not be making any of the
health care decisions."
C. "Because I am the birth parent, this whole process of birth will affect me
primarily."
D. "Birth is a medical problem, so it can affect everyone."
10. A nurse is reading a journal article about health status goals and how they
have evolved over the years. Which health care priority from the 20th century
would the nurse recognize as a focal point?
,A. widespread implementation of vaccination programs to prevent infectious
diseases
B. the establishment of community health clinics to address primary care needs
C. advancements in surgical techniques and medical interventions for chronic
conditions
D. implementation of public health campaigns to reduce maternal and infant
mortality rates
11. A nurse is developing a plan of care for a pregnant client to address the
continuum of care from pregnancy through birth. Which aspect would the nurse
include as essential to enhancing the client's birthing experience?
A. ensuring adherence to strict, specific routines
B. involving a pediatrician for care of the child after birth
C. educating the client about the importance of a support person
D. assigning several nurses to act as the client's support team
12. A nurse is educating a pregnant client in early labor. Which statement by the
nurse best promotes family-centered care?
A. "Always ensure you sleep when the baby sleeps since you will most likely be
the one up with the baby at night."
B. "Both breast milk and formula are safe for your baby. The choice of how you
feed your baby is between you and your family."
C. "Your partner will step out of the room while we do cervical exams."
D. "Your baby will go to the nursery for all their required screenings."
13. A nurse is assessing multiple clients in a labor and delivery triage unit.
Which U.S. client does the nurse note is statistically at the highest risk for
maternal mortality?
A. white client, age 34, who smokes two packs of cigarettes a day
B. white client, age 42, with a history of anorexia nervosa
C. Black client, age 38, with hypertension
D. Black client, age 42, with RH-negative blood
14. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. Which educational
program would the group identify as the priority?
A. risk reduction strategies for diabetes
B. methods for smoking cessation
C. ways to adopt a heart-healthy lifestyle
D. importance of cancer screening and early detection
15. A nurse manager is interviewing a potential candidate for employment in the
perinatal clinic. During the interview, the nurse manager asks the applicant
about their understanding of family-centered care. Which statement by the
applicant demonstrates an understanding of this concept?
A. "Family-centered care involves keeping the family informed about the client's
condition and treatment plan."
, B. "Allowing family members in the room during medical procedures is an
important aspect of family-centered care."
C. "Providing emotional support to the client's family members during their
hospital stay enforces family-centered care."
D. "I would involve the family in the decision-making process as we develop a
plan that aligns with their values."
16. A nurse is reading a journal article about the trends in health care and health
care delivery over the past several centuries. Which practice below uses the
knowledge of Western nursing practices in the 18th century to influence their
approach to current care?
A. clear communication to a medical doctor during the birthing process
B. implementing home-like settings in hospitals for a personalized birthing
experience
C. assessing the effectiveness of twilight sleep for birth
D. encouraging male birthing partners to support the client during labor
17. A nurse is conducting a presentation to a local women's community group
about strategies to promote health and wellness and prevent illness. After the
presentation, the nurse determines that the teaching was successful based on
which statement by the group when describing health?
A. "Health is the state of being completely disease-free."
B. "It is based on analysis of statistics about diseases and deaths."
C. "Health is simply a state of overall wellness."
D. "It is complete physical, mental, and social well-being."
18. A nurse is providing family-centered care to a laboring client and their
family. When implementing care, which action by the nurse would be most
appropriate?
A. educating the client on the possibility of a cesarean birth in an emergency
B. educating the client about the infant being taken to the nursery right after
delivery
C. informing the client what pain relief methods will be used during labor
D. asking the client about their plans for labor and birth
19. A charge nurse is educating a group of new pediatric nurses on infant
mortality. The nurse should explain that which finding(s) would place an infant
at a higher risk for mortality? Select all that apply.
A. diagnosis of tricuspid atresia
B. born at 39 weeks' gestational age
C. 2100 g birth weight
D. thin blankets in the infant's crib
E. diagnosis of spina bifida
20. The nurse is committed to promoting women's health aligned with the
Healthy People 2030 goals. Which action applies these goals to address maternal
health disparities?
Test Bank Questions, Chapter 01: Perspectives
on Maternal, Newborn, and Women's Health Care
1. A group of nurses is discussing United States rankings for infant and maternal
mortality and what impact the nurses could make on these mortality rates in
their practice. Which action could nurses implement to reduce these rates?
A. Encourage all pregnant clients to receive their immunizations.
B. Ensure early and adequate prenatal care.
C. Direct more clients to shelters that protect women who have experienced
intimate partner violence (IPV)
D. Educate on the importance of eating a balanced diet.
2. When integrating the principles of family-centered care into the birthing
process, the nurse bases care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
3. When preparing a teaching plan for a group of clients during their first
pregnancy, the nurse reviews how maternity care has changed over the years.
Which information will the nurse include when discussing events occurring in the
20th century?
A. epidemics of puerperal fever
B. performance of the first cesarean birth
C. x-ray developed to assess pelvic size
D. development of birthing centers
4. The nurse is working with a group of community health members to develop a
plan to address the special health needs of women. The group will design
educational programs to address which priority condition?
A. smoking
B. heart disease
C. diabetes
D. cancer
5. A nurse is conducting an orientation program for a group of newly hired
nurses. As part of the program, the nurse is reviewing the issue of informed
consent. The nurse determines that the teaching was effective when the group
identifies which nursing action as a violation of informed consent?
A. administering blood products to a 15-year-old child after getting parental
consent
B. explaining the risks and benefits of a treatment to a client and obtaining their
signature on the consent form
,C. asking whether the client understands what they are signing after reinforcing
the health care provider's education
D. getting verbal consent over the phone for an emergency procedure from the
spouse of a unconscious client
6. The family is the basic unit of society. Which statement correctly illustrates
the importance of this concept related to how society functions?
A. Healthy, well-functioning families provide members of all ages with fulfilling,
supporting relationships.
B. The family serves as a place that encourages members to autonomously
function in pursuit of personal pleasures.
C. Society functions best when families determine how they will interface with
others without having to deal with the overall consequences.
D. Work is an important part of family function but is not necessary for success if
one member can fulfill multiple roles.
7. A nursing group is examining their hospital's maternal outcomes for the
previous 5 years. Which identified factor(s) has contributed to the decline in the
maternal mortality rate? Select all that apply.
A. increased participation of pregnant clients in prenatal care
B. use of ultrasound to detect disorders
C. increased use of anesthesia with birth
D. closer monitoring for complications associated with gestational hypertension
E. better management of hemorrhage and infection
8. The nurse instructs the new parent about health promotion strategies that
could significantly improve their infant's health. Which education will the nurse
include? Select all that apply.
A. breastfeeding
B. placing infant on their stomach to sleep
C. scheduling a developmental screening at 1 month
D. joining a parental support group
E. adhering to vaccination schedules
9. A nurse is integrating information about family-centered care when
developing a teaching plan for a pregnant client and their family. Which
statement by the client indicates to the nurse that the teaching was effective?
A. "It is not just me affected by the baby. My whole family will be affected."
B. "This is a stressful time for our family, so we will not be making any of the
health care decisions."
C. "Because I am the birth parent, this whole process of birth will affect me
primarily."
D. "Birth is a medical problem, so it can affect everyone."
10. A nurse is reading a journal article about health status goals and how they
have evolved over the years. Which health care priority from the 20th century
would the nurse recognize as a focal point?
,A. widespread implementation of vaccination programs to prevent infectious
diseases
B. the establishment of community health clinics to address primary care needs
C. advancements in surgical techniques and medical interventions for chronic
conditions
D. implementation of public health campaigns to reduce maternal and infant
mortality rates
11. A nurse is developing a plan of care for a pregnant client to address the
continuum of care from pregnancy through birth. Which aspect would the nurse
include as essential to enhancing the client's birthing experience?
A. ensuring adherence to strict, specific routines
B. involving a pediatrician for care of the child after birth
C. educating the client about the importance of a support person
D. assigning several nurses to act as the client's support team
12. A nurse is educating a pregnant client in early labor. Which statement by the
nurse best promotes family-centered care?
A. "Always ensure you sleep when the baby sleeps since you will most likely be
the one up with the baby at night."
B. "Both breast milk and formula are safe for your baby. The choice of how you
feed your baby is between you and your family."
C. "Your partner will step out of the room while we do cervical exams."
D. "Your baby will go to the nursery for all their required screenings."
13. A nurse is assessing multiple clients in a labor and delivery triage unit.
Which U.S. client does the nurse note is statistically at the highest risk for
maternal mortality?
A. white client, age 34, who smokes two packs of cigarettes a day
B. white client, age 42, with a history of anorexia nervosa
C. Black client, age 38, with hypertension
D. Black client, age 42, with RH-negative blood
14. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. Which educational
program would the group identify as the priority?
A. risk reduction strategies for diabetes
B. methods for smoking cessation
C. ways to adopt a heart-healthy lifestyle
D. importance of cancer screening and early detection
15. A nurse manager is interviewing a potential candidate for employment in the
perinatal clinic. During the interview, the nurse manager asks the applicant
about their understanding of family-centered care. Which statement by the
applicant demonstrates an understanding of this concept?
A. "Family-centered care involves keeping the family informed about the client's
condition and treatment plan."
, B. "Allowing family members in the room during medical procedures is an
important aspect of family-centered care."
C. "Providing emotional support to the client's family members during their
hospital stay enforces family-centered care."
D. "I would involve the family in the decision-making process as we develop a
plan that aligns with their values."
16. A nurse is reading a journal article about the trends in health care and health
care delivery over the past several centuries. Which practice below uses the
knowledge of Western nursing practices in the 18th century to influence their
approach to current care?
A. clear communication to a medical doctor during the birthing process
B. implementing home-like settings in hospitals for a personalized birthing
experience
C. assessing the effectiveness of twilight sleep for birth
D. encouraging male birthing partners to support the client during labor
17. A nurse is conducting a presentation to a local women's community group
about strategies to promote health and wellness and prevent illness. After the
presentation, the nurse determines that the teaching was successful based on
which statement by the group when describing health?
A. "Health is the state of being completely disease-free."
B. "It is based on analysis of statistics about diseases and deaths."
C. "Health is simply a state of overall wellness."
D. "It is complete physical, mental, and social well-being."
18. A nurse is providing family-centered care to a laboring client and their
family. When implementing care, which action by the nurse would be most
appropriate?
A. educating the client on the possibility of a cesarean birth in an emergency
B. educating the client about the infant being taken to the nursery right after
delivery
C. informing the client what pain relief methods will be used during labor
D. asking the client about their plans for labor and birth
19. A charge nurse is educating a group of new pediatric nurses on infant
mortality. The nurse should explain that which finding(s) would place an infant
at a higher risk for mortality? Select all that apply.
A. diagnosis of tricuspid atresia
B. born at 39 weeks' gestational age
C. 2100 g birth weight
D. thin blankets in the infant's crib
E. diagnosis of spina bifida
20. The nurse is committed to promoting women's health aligned with the
Healthy People 2030 goals. Which action applies these goals to address maternal
health disparities?
