NUR 2513 MATERNAL CHILD NURSING
EXAM 1 2026 COMPREHENSIVE STUDY
GUIDE 300 PLUS QUESTIONS WITH
ANSWERS AND RATIONALES
⩥ On a newborn's initial assessment, it is noted that the newborn's head
is misshapen and elongated with swelling of the soft tissue of the skull.
What nursing intervention is needed? Answer: No interventions are
needed. This will resolve on its own over the next several days.
⩥ While assessing a newborn, the nurse notes that half the body appears
red while the other half appears pale. The nurse interprets this finding as:
Answer: harlequin sign.
⩥ A nurse is teaching new parents about keeping follow-up
appointments and calling their health care provider if they notice signs
of illness in their newborn. The nurse determines that the teaching was
successful when the parents identify which signs as needing to be
reported? Select all that apply. Answer: temperature of 38.3° C (101° F)
or higher
refuse feeding
abdominal distention
,⩥ The nurse is caring for a newborn after the parents have spent time
bonding. As the nurse performs the assessment and evidence-based care,
which eye care will the nurse prioritize? Answer: Instill 0.5%
ophthalmic erythromycin.
⩥ The nurse is assessing a male neonate in the presence of the parents
and notes that the neonate has hypospadias. How should the nurse
respond when questioned by the parents as to what this means? Answer:
"The opening of his urethra in located on the under surface of the tip of
the penis."
⩥ A woman who is about to be discharged after a vaginal birth notices a
flea-like rash on her newborn's chest that consists of tiny red lesions all
across the nipple line. What is the best response from the nurse when
explaining this to the woman? Answer: "It is a normal skin finding in a
newborn."
⩥ A laboring mother requests that she be allowed to participate in
"kangaroo care" following the birth. The nurse understands that this
involves what action? Answer: Placing the diapered newborn skin-to-
skin with the mother and covering them both with a blanket.
⩥ A new mother asks the nurse why newborns receive an injection of
vitamin K after delivery. What will be the best response from the nurse?
Answer: "Newborns lack the intestinal flora needed to produce vitamin
K, so it is given to prevent bleeding episodes."
, ⩥ A nurse determines that a newborn has a 1-minute Apgar score of 5
points. What conclusion would the nurse make from this finding?
Answer: The infant is experiencing moderate difficulty in adjusting to
extrauterine life.
⩥ A woman who is about to be discharged after a vaginal birth notices a
flea-like rash on her newborn's chest. The rash has tiny red lesions all
across the nipple line. What does this rash indicate? Answer: It is a
normal skin finding in a newborn.
⩥ The nurse is preparing the nursing care plan for a newborn who was
born via a cesarean delivery. Which diagnosis should the nurse
prioritize? Answer: Ineffective airway clearance related to mucus and
secretions
⩥ The nurse is educating a client who is breastfeeding her 2-week-old
newborn regarding the nutritional requirements of newborns, according
to the recommendations of the American Academy of Pediatrics (AAP).
Which response by the mother would validate her understanding of the
information she received? Answer: "I will give him vitamin D
supplements daily for the first 2 months of life."
⩥ The primipara tells the nurse, "My baby jumps every time I pick her
up. Is she afraid that I will drop her?" Which response by the nurse
would be best? Answer: "No, it is the Moro reflex. This reflex simulates
the action of warding off an attacker."
EXAM 1 2026 COMPREHENSIVE STUDY
GUIDE 300 PLUS QUESTIONS WITH
ANSWERS AND RATIONALES
⩥ On a newborn's initial assessment, it is noted that the newborn's head
is misshapen and elongated with swelling of the soft tissue of the skull.
What nursing intervention is needed? Answer: No interventions are
needed. This will resolve on its own over the next several days.
⩥ While assessing a newborn, the nurse notes that half the body appears
red while the other half appears pale. The nurse interprets this finding as:
Answer: harlequin sign.
⩥ A nurse is teaching new parents about keeping follow-up
appointments and calling their health care provider if they notice signs
of illness in their newborn. The nurse determines that the teaching was
successful when the parents identify which signs as needing to be
reported? Select all that apply. Answer: temperature of 38.3° C (101° F)
or higher
refuse feeding
abdominal distention
,⩥ The nurse is caring for a newborn after the parents have spent time
bonding. As the nurse performs the assessment and evidence-based care,
which eye care will the nurse prioritize? Answer: Instill 0.5%
ophthalmic erythromycin.
⩥ The nurse is assessing a male neonate in the presence of the parents
and notes that the neonate has hypospadias. How should the nurse
respond when questioned by the parents as to what this means? Answer:
"The opening of his urethra in located on the under surface of the tip of
the penis."
⩥ A woman who is about to be discharged after a vaginal birth notices a
flea-like rash on her newborn's chest that consists of tiny red lesions all
across the nipple line. What is the best response from the nurse when
explaining this to the woman? Answer: "It is a normal skin finding in a
newborn."
⩥ A laboring mother requests that she be allowed to participate in
"kangaroo care" following the birth. The nurse understands that this
involves what action? Answer: Placing the diapered newborn skin-to-
skin with the mother and covering them both with a blanket.
⩥ A new mother asks the nurse why newborns receive an injection of
vitamin K after delivery. What will be the best response from the nurse?
Answer: "Newborns lack the intestinal flora needed to produce vitamin
K, so it is given to prevent bleeding episodes."
, ⩥ A nurse determines that a newborn has a 1-minute Apgar score of 5
points. What conclusion would the nurse make from this finding?
Answer: The infant is experiencing moderate difficulty in adjusting to
extrauterine life.
⩥ A woman who is about to be discharged after a vaginal birth notices a
flea-like rash on her newborn's chest. The rash has tiny red lesions all
across the nipple line. What does this rash indicate? Answer: It is a
normal skin finding in a newborn.
⩥ The nurse is preparing the nursing care plan for a newborn who was
born via a cesarean delivery. Which diagnosis should the nurse
prioritize? Answer: Ineffective airway clearance related to mucus and
secretions
⩥ The nurse is educating a client who is breastfeeding her 2-week-old
newborn regarding the nutritional requirements of newborns, according
to the recommendations of the American Academy of Pediatrics (AAP).
Which response by the mother would validate her understanding of the
information she received? Answer: "I will give him vitamin D
supplements daily for the first 2 months of life."
⩥ The primipara tells the nurse, "My baby jumps every time I pick her
up. Is she afraid that I will drop her?" Which response by the nurse
would be best? Answer: "No, it is the Moro reflex. This reflex simulates
the action of warding off an attacker."
