Introduction to Maternity and Pediatric Nursing 9th Edition
Gloria Leifer Test Bank Chapters 1–34
UNIT I: OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
Chapter 1: The Past, Present, and Future (Questions 1–5)
1. A nurse is reviewing the historical roots of maternity nursing. Which
individual is credited with first using antiseptic techniques to reduce puerperal
fever?
A) Louis Pasteur
B) Joseph Lister
C) Ignaz Semmelweis
D) Karl Credé
Answer: C
Rationale: Ignaz Semmelweis demonstrated that puerperal fever was transmitted
by the unwashed hands of physicians and medical students and instituted
handwashing with chlorinated lime solution.
2. A nurse is caring for a postpartum patient who is from a culture where
extended family is highly involved in decision-making. Which nursing action best
demonstrates culturally competent care?
A) Tell the patient that she must make her own decisions
B) Ask the patient who should be included in health care discussions
C) Exclude family members to respect patient privacy
D) Follow hospital policy regardless of cultural preferences
Answer: B
Rationale: Asking the patient about family involvement respects cultural values
and promotes patient-centered care.
3. The nurse explains to a pregnant patient that the Children's Bureau was
established in 1912 primarily to address which issue?
,A) Maternal mortality
B) Child labor laws
C) Child welfare and infant mortality
D) School health programs
Answer: C
Rationale: The Children's Bureau was established to address child welfare issues,
including high infant mortality rates.
4. A nurse is implementing clinical pathways for postpartum patients. What is
the primary purpose of a clinical pathway?
A) Replace the nursing care plan
B) Reduce hospital costs regardless of outcomes
C) Standardize multidisciplinary care with expected outcomes and timeframes
D) Eliminate the need for physician orders
Answer: C
Rationale: Clinical pathways (critical pathways) are multidisciplinary guidelines
that specify expected outcomes and timeframes for care delivery.
5. A community health nurse is developing a program to reduce the local infant
mortality rate. Which intervention would have the greatest impact?
A) Providing free car seats to all new mothers
B) Ensuring early and adequate prenatal care for all pregnant women
C) Offering breastfeeding classes in the community
D) Distributing safe sleep education materials
Answer: B
Rationale: Early and adequate prenatal care is the single most important factor in
reducing infant mortality rates.
Chapter 2: Human Reproductive Anatomy and Physiology (Questions 6–10)
,6. A patient asks the nurse when ovulation typically occurs in a 28-day
menstrual cycle. The nurse's best response is:
A) "7 days after the last day of menstruation"
B) "14 days before the onset of the next menstrual cycle"
C) "14 days after the last day of the menstrual cycle"
D) "On the first day of menstruation"
Answer: B
Rationale: Ovulation occurs approximately 14 days before the onset of the next
menstrual cycle, regardless of cycle length.
7. The nurse is teaching a group of adolescents about the menstrual cycle.
Which statement accurately describes the role of the corpus luteum?
A) "The corpus luteum produces follicle-stimulating hormone (FSH)"
B) "The corpus luteum secretes progesterone to maintain the endometrial lining"
C) "The corpus luteum releases the mature ovum during ovulation"
D) "The corpus luteum is responsible for the onset of menstruation"
Answer: B
Rationale: After ovulation, the corpus luteum secretes progesterone to maintain
the endometrial lining for potential implantation.
8. A patient asks the nurse about the function of Montgomery's glands during
pregnancy. Which response is correct?
A) "They secrete a lubricant into the vagina for intercourse"
B) "They create an alkaline environment for sperm progression"
C) "They secrete a protective substance on the areola during lactation"
D) "They produce estrogen during the menstrual cycle"
Answer: C
Rationale: Montgomery's glands are sebaceous glands on the areola that secrete
a protective, lubricating substance during pregnancy and lactation.
, 9. The nurse is teaching a patient about the menstrual cycle. Which phase
corresponds with follicular development?
A) Menstrual phase
B) Proliferative phase
C) Secretory phase
D) Ischemic phase
Answer: B
Rationale: The proliferative (follicular) phase coincides with ovarian follicle
development and estrogen secretion.
10. A 13-year-old patient has not yet experienced her first menstrual period. Her
mother asks the nurse if this is normal. What is the best response?
A) "Your daughter should be evaluated by a specialist immediately"
B) "Menarche typically occurs between ages 12 and 13 years, but it is normal as
late as age 15"
C) "Most girls have their first period by age 11 years"
D) "Your daughter will likely never menstruate if she hasn't by now"
Answer: B
Rationale: Menarche typically occurs around age 12–13 years but may be delayed
until age 15 years and still be within normal limits.
Chapter 3: Fetal Development (Questions 11–15)
11. A nurse is teaching a prenatal class about fetal development. At
approximately how many weeks of gestation is a fetus considered viable?
A) 20 weeks
B) 22 weeks
C) 24 weeks
D) 28 weeks
Answer: C
Rationale: Fetal viability is generally achieved around 24 weeks of gestation,
though survival rates improve significantly after this point.
Gloria Leifer Test Bank Chapters 1–34
UNIT I: OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
Chapter 1: The Past, Present, and Future (Questions 1–5)
1. A nurse is reviewing the historical roots of maternity nursing. Which
individual is credited with first using antiseptic techniques to reduce puerperal
fever?
A) Louis Pasteur
B) Joseph Lister
C) Ignaz Semmelweis
D) Karl Credé
Answer: C
Rationale: Ignaz Semmelweis demonstrated that puerperal fever was transmitted
by the unwashed hands of physicians and medical students and instituted
handwashing with chlorinated lime solution.
2. A nurse is caring for a postpartum patient who is from a culture where
extended family is highly involved in decision-making. Which nursing action best
demonstrates culturally competent care?
A) Tell the patient that she must make her own decisions
B) Ask the patient who should be included in health care discussions
C) Exclude family members to respect patient privacy
D) Follow hospital policy regardless of cultural preferences
Answer: B
Rationale: Asking the patient about family involvement respects cultural values
and promotes patient-centered care.
3. The nurse explains to a pregnant patient that the Children's Bureau was
established in 1912 primarily to address which issue?
,A) Maternal mortality
B) Child labor laws
C) Child welfare and infant mortality
D) School health programs
Answer: C
Rationale: The Children's Bureau was established to address child welfare issues,
including high infant mortality rates.
4. A nurse is implementing clinical pathways for postpartum patients. What is
the primary purpose of a clinical pathway?
A) Replace the nursing care plan
B) Reduce hospital costs regardless of outcomes
C) Standardize multidisciplinary care with expected outcomes and timeframes
D) Eliminate the need for physician orders
Answer: C
Rationale: Clinical pathways (critical pathways) are multidisciplinary guidelines
that specify expected outcomes and timeframes for care delivery.
5. A community health nurse is developing a program to reduce the local infant
mortality rate. Which intervention would have the greatest impact?
A) Providing free car seats to all new mothers
B) Ensuring early and adequate prenatal care for all pregnant women
C) Offering breastfeeding classes in the community
D) Distributing safe sleep education materials
Answer: B
Rationale: Early and adequate prenatal care is the single most important factor in
reducing infant mortality rates.
Chapter 2: Human Reproductive Anatomy and Physiology (Questions 6–10)
,6. A patient asks the nurse when ovulation typically occurs in a 28-day
menstrual cycle. The nurse's best response is:
A) "7 days after the last day of menstruation"
B) "14 days before the onset of the next menstrual cycle"
C) "14 days after the last day of the menstrual cycle"
D) "On the first day of menstruation"
Answer: B
Rationale: Ovulation occurs approximately 14 days before the onset of the next
menstrual cycle, regardless of cycle length.
7. The nurse is teaching a group of adolescents about the menstrual cycle.
Which statement accurately describes the role of the corpus luteum?
A) "The corpus luteum produces follicle-stimulating hormone (FSH)"
B) "The corpus luteum secretes progesterone to maintain the endometrial lining"
C) "The corpus luteum releases the mature ovum during ovulation"
D) "The corpus luteum is responsible for the onset of menstruation"
Answer: B
Rationale: After ovulation, the corpus luteum secretes progesterone to maintain
the endometrial lining for potential implantation.
8. A patient asks the nurse about the function of Montgomery's glands during
pregnancy. Which response is correct?
A) "They secrete a lubricant into the vagina for intercourse"
B) "They create an alkaline environment for sperm progression"
C) "They secrete a protective substance on the areola during lactation"
D) "They produce estrogen during the menstrual cycle"
Answer: C
Rationale: Montgomery's glands are sebaceous glands on the areola that secrete
a protective, lubricating substance during pregnancy and lactation.
, 9. The nurse is teaching a patient about the menstrual cycle. Which phase
corresponds with follicular development?
A) Menstrual phase
B) Proliferative phase
C) Secretory phase
D) Ischemic phase
Answer: B
Rationale: The proliferative (follicular) phase coincides with ovarian follicle
development and estrogen secretion.
10. A 13-year-old patient has not yet experienced her first menstrual period. Her
mother asks the nurse if this is normal. What is the best response?
A) "Your daughter should be evaluated by a specialist immediately"
B) "Menarche typically occurs between ages 12 and 13 years, but it is normal as
late as age 15"
C) "Most girls have their first period by age 11 years"
D) "Your daughter will likely never menstruate if she hasn't by now"
Answer: B
Rationale: Menarche typically occurs around age 12–13 years but may be delayed
until age 15 years and still be within normal limits.
Chapter 3: Fetal Development (Questions 11–15)
11. A nurse is teaching a prenatal class about fetal development. At
approximately how many weeks of gestation is a fetus considered viable?
A) 20 weeks
B) 22 weeks
C) 24 weeks
D) 28 weeks
Answer: C
Rationale: Fetal viability is generally achieved around 24 weeks of gestation,
though survival rates improve significantly after this point.
