NCLEX Maternal & Child Newborn
Assessment Practice Questions and
100% correct answer graded A+
1) A nurse in a delivery room is assisting with the delivery of a newborn infant. After
the delivery, the nurse prepares to prevent heat loss in the newborn resulting from
evaporation by:
A. Warming the crib pad
B. Turning on the overhead radiant warmer
C. Closing the doors to the room
D. Drying the infant in a warm blanket
2) A nurse is assessing a newborn infant following circumcision and notes that the
circumcised area is red with a small amount of bloody drainage. Which of the
following nursing actions would be most appropriate?
A. Document the findings
B. Contact the physician
C. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
D. Reinforce the dressing
3) A nurse in the newborn nursery is monitoring a preterm newborn infant for
respiratory distress syndrome. Which assessment signs if noted in the newborn infant
would alert the nurse to the possibility of this syndrome?
A. Hypotension and Bradycardia
B. Tachypnea and retractions
C. Acrocyanosis and grunting
D. The presence of a barrel chest with grunting
4) A nurse in a newborn nursery is performing an assessment of a newborn infant. The
nurse is preparing to measure the head circumference of the infant. The nurse would
most appropriately:
A. Wrap the tape measure around the infant’s head and measure just above the
eyebrows.
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, B. Place the tape measure under the infants head at the base of the skull and wrap
around to the front just above the eyes
C. Place the tape measure under the infants head, wrap around the occiput, and
measure just above the eyes
D. Place the tape measure at the back of the infant’s head, wrap around across the
ears, and measure across the infant’s mouth.
5) A postpartum nurse is providing instructions to the mother of a newborn infant with
hyperbilirubinemia who is being breastfed. The nurse provides which most
appropriate instructions to the mother?
A. Switch to bottle feeding the baby for 2 weeks
B. Stop the breast feedings and switch to bottle-feeding permanently
C. Feed the newborn infant less frequently
D. Continue to breast-feed every 2-4 hours
6) A nurse on the newborn nursery floor is caring for a neonate. On assessment the
infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting.
Respiratory distress syndrome is diagnosed, and the physician prescribes surfactant
replacement therapy. The nurse would prepare to administer this therapy by:
A. Subcutaneous injection
B. Intravenous injection
C. Instillation of the preparation into the lungs through an endotracheal tube
D. Intramuscular injection
7) A nurse is assessing a newborn infant who was born to a mother who is addicted to
drugs. Which of the following assessment findings would the nurse expect to note
during the assessment of this newborn?
A. Sleepiness
B. Cuddles when being held
C. Lethargy
D. Incessant crying
8) A nurse prepares to administer a vitamin K injection to a newborn infant. The
mother asks the nurse why her newborn infant needs the injection. The best response
by the nurse would be:
A. “You infant needs vitamin K to develop immunity.”
B. “The vitamin K will protect your infant from being jaundiced.”
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Assessment Practice Questions and
100% correct answer graded A+
1) A nurse in a delivery room is assisting with the delivery of a newborn infant. After
the delivery, the nurse prepares to prevent heat loss in the newborn resulting from
evaporation by:
A. Warming the crib pad
B. Turning on the overhead radiant warmer
C. Closing the doors to the room
D. Drying the infant in a warm blanket
2) A nurse is assessing a newborn infant following circumcision and notes that the
circumcised area is red with a small amount of bloody drainage. Which of the
following nursing actions would be most appropriate?
A. Document the findings
B. Contact the physician
C. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
D. Reinforce the dressing
3) A nurse in the newborn nursery is monitoring a preterm newborn infant for
respiratory distress syndrome. Which assessment signs if noted in the newborn infant
would alert the nurse to the possibility of this syndrome?
A. Hypotension and Bradycardia
B. Tachypnea and retractions
C. Acrocyanosis and grunting
D. The presence of a barrel chest with grunting
4) A nurse in a newborn nursery is performing an assessment of a newborn infant. The
nurse is preparing to measure the head circumference of the infant. The nurse would
most appropriately:
A. Wrap the tape measure around the infant’s head and measure just above the
eyebrows.
Page 1 of 12
, B. Place the tape measure under the infants head at the base of the skull and wrap
around to the front just above the eyes
C. Place the tape measure under the infants head, wrap around the occiput, and
measure just above the eyes
D. Place the tape measure at the back of the infant’s head, wrap around across the
ears, and measure across the infant’s mouth.
5) A postpartum nurse is providing instructions to the mother of a newborn infant with
hyperbilirubinemia who is being breastfed. The nurse provides which most
appropriate instructions to the mother?
A. Switch to bottle feeding the baby for 2 weeks
B. Stop the breast feedings and switch to bottle-feeding permanently
C. Feed the newborn infant less frequently
D. Continue to breast-feed every 2-4 hours
6) A nurse on the newborn nursery floor is caring for a neonate. On assessment the
infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting.
Respiratory distress syndrome is diagnosed, and the physician prescribes surfactant
replacement therapy. The nurse would prepare to administer this therapy by:
A. Subcutaneous injection
B. Intravenous injection
C. Instillation of the preparation into the lungs through an endotracheal tube
D. Intramuscular injection
7) A nurse is assessing a newborn infant who was born to a mother who is addicted to
drugs. Which of the following assessment findings would the nurse expect to note
during the assessment of this newborn?
A. Sleepiness
B. Cuddles when being held
C. Lethargy
D. Incessant crying
8) A nurse prepares to administer a vitamin K injection to a newborn infant. The
mother asks the nurse why her newborn infant needs the injection. The best response
by the nurse would be:
A. “You infant needs vitamin K to develop immunity.”
B. “The vitamin K will protect your infant from being jaundiced.”
Page 2 of 12
