LPN/LVN Maternal-Newborn and Pediatric Nursing Comprehensive
Exam 2026/2027 UPDATE |SBON
1. A nurse is teaching a pregnant client about the importance of folic acid.
Which of the following is the primary reason for this supplement?
A. To prevent gestational diabetes
B. To reduce the risk of neural tube defects
C. To improve maternal iron absorption
D. To increase the baby’s birth weight
Answer: B
Rationale: Folic acid is essential during early pregnancy to prevent neural tube defects,
such as spina bifida and anencephaly.
2. Which developmental milestone should the nurse expect a 6-month-old
infant to have achieved?
A. Rolling from back to abdomen
B. Sitting steadily without support
C. Speaking three to five words
D. Walking with assistance
Answer: A
Rationale: At 6 months, infants typically roll from back to front. Sitting without support
usually occurs by 8 months.
,3. A newborn has an Apgar score of 9 at 1 minute. What does this score
indicate?
A. Excellent condition and stable transition
B. Moderate difficulty in adjusting to extrauterine life
C. Severe distress requiring resuscitation
D. A need for immediate oxygen administration
Answer: A
Rationale: Apgar scores between 7 and 10 are considered normal and indicate the
newborn is in good condition.
4. Which finding should the nurse report immediately in a client receiving
magnesium sulfate for preeclampsia?
A. Urine output of 20 mL/hr
B. Deep tendon reflexes of 2+
C. Respiratory rate of 16 breaths/min
D. Occasional feelings of warmth
Answer: A
Rationale: Magnesium sulfate is excreted by the kidneys. Urine output less than 30 mL/hr
indicates possible toxicity.
5. A child is admitted with suspected epiglottitis. Which action is
contraindicated for the nurse?
A. Applying a pulse oximeter
B. Visualizing the throat with a tongue depressor
C. Monitoring for inspiratory stridor
D. Administering humidified oxygen
Answer: B
Rationale: Using a tongue depressor in a child with epiglottitis can cause laryngospasm
and complete airway obstruction.
, 6. When assessing a client 2 hours postpartum, the nurse finds the fundus is
boggy and displaced to the right. What is the priority nursing action?
A. Administer oxytocin as ordered
B. Notify the healthcare provider
C. Assist the client to void
D. Perform fundal massage
Answer: C
Rationale: A displaced fundus to the right usually indicates a full bladder, which prevents
uterine contraction.
7. A nurse is caring for a 4-year-old child. According to Erikson, which
developmental task should the child be working on?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Answer: B
Rationale: The preschool-age child (3-6 years) is in the stage of Initiative vs. Guilt.
8. Which of the following instructions should be given to a parent of a child with
pediculosis capitis?
A. Apply kerosene to the scalp to kill lice
B. Seal non-washable items in plastic bags for 14 days
C. Wash hair once a month with medicated shampoo
D. Share hats and brushes to build immunity
Answer: B
Rationale: Items that cannot be laundered should be sealed in plastic bags for 2 weeks to
ensure lice and nits are dead.
Exam 2026/2027 UPDATE |SBON
1. A nurse is teaching a pregnant client about the importance of folic acid.
Which of the following is the primary reason for this supplement?
A. To prevent gestational diabetes
B. To reduce the risk of neural tube defects
C. To improve maternal iron absorption
D. To increase the baby’s birth weight
Answer: B
Rationale: Folic acid is essential during early pregnancy to prevent neural tube defects,
such as spina bifida and anencephaly.
2. Which developmental milestone should the nurse expect a 6-month-old
infant to have achieved?
A. Rolling from back to abdomen
B. Sitting steadily without support
C. Speaking three to five words
D. Walking with assistance
Answer: A
Rationale: At 6 months, infants typically roll from back to front. Sitting without support
usually occurs by 8 months.
,3. A newborn has an Apgar score of 9 at 1 minute. What does this score
indicate?
A. Excellent condition and stable transition
B. Moderate difficulty in adjusting to extrauterine life
C. Severe distress requiring resuscitation
D. A need for immediate oxygen administration
Answer: A
Rationale: Apgar scores between 7 and 10 are considered normal and indicate the
newborn is in good condition.
4. Which finding should the nurse report immediately in a client receiving
magnesium sulfate for preeclampsia?
A. Urine output of 20 mL/hr
B. Deep tendon reflexes of 2+
C. Respiratory rate of 16 breaths/min
D. Occasional feelings of warmth
Answer: A
Rationale: Magnesium sulfate is excreted by the kidneys. Urine output less than 30 mL/hr
indicates possible toxicity.
5. A child is admitted with suspected epiglottitis. Which action is
contraindicated for the nurse?
A. Applying a pulse oximeter
B. Visualizing the throat with a tongue depressor
C. Monitoring for inspiratory stridor
D. Administering humidified oxygen
Answer: B
Rationale: Using a tongue depressor in a child with epiglottitis can cause laryngospasm
and complete airway obstruction.
, 6. When assessing a client 2 hours postpartum, the nurse finds the fundus is
boggy and displaced to the right. What is the priority nursing action?
A. Administer oxytocin as ordered
B. Notify the healthcare provider
C. Assist the client to void
D. Perform fundal massage
Answer: C
Rationale: A displaced fundus to the right usually indicates a full bladder, which prevents
uterine contraction.
7. A nurse is caring for a 4-year-old child. According to Erikson, which
developmental task should the child be working on?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Answer: B
Rationale: The preschool-age child (3-6 years) is in the stage of Initiative vs. Guilt.
8. Which of the following instructions should be given to a parent of a child with
pediculosis capitis?
A. Apply kerosene to the scalp to kill lice
B. Seal non-washable items in plastic bags for 14 days
C. Wash hair once a month with medicated shampoo
D. Share hats and brushes to build immunity
Answer: B
Rationale: Items that cannot be laundered should be sealed in plastic bags for 2 weeks to
ensure lice and nits are dead.
