Maternal Child Lecture Exam 2 Questions and Correct
Answer Key with Rationale | Latest Update 2026/27
Maternal Child Lecture Exam 2
1. A newborn who was delivered 2 hours ago is being assessed in the nursery. Upon exam,
the nurse notes a flattened nasal bridge, wide set eyes, low set ears, and overall decrease in
tone. Given these exam findings, what diagnostic tests would the nurse anticipate that the
physician will order?
1. Hemoglobin electrophoresis.
2. Chromosomal blood testing
3. Computed tomography (ct) of the brain.
4. Meconium toxicology testing.
2. Calculate a client’s total intake in milliliters (ml) from 0700 to 1500. Continuous IV
infusion of lactated Ringer’s 125 ml/hr. Oral intake 1⁄2 of green tea, 8 oz glass apple juice
1/2bowl cream of wheat.
3. The nurse is called to the room of a client who had a term delivery of a 9 lb 8 oz.
newborn 24 hours ago. The client is noted to have lost consciousness on her way to the
bathroom what is the priory nursing assessment for the client.
1. Assess ability to void
2. Assess the fundus
3. Assess blood pressure and heart rate
4. Call the provider
4. A postpartum woman (gravida 1, para ) asks the nurse immediately after delivery if she
should request rooming-in with her infant. Which of the following responses by the nurse
would be correct.
1. This puts too much responsibility on a first-time mother
2. It depends on whether you breastfeed or not
, 3. Rooming-in allows increased maternal-newborn contact
4. Resting for the first 3 days postpartum will be better for you.
5. A newborn is prescribed to receive vitamin k 0.5 mg intramuscularly. How should the
nurse administer this medication to the newborn.
1. Administer the medication in the deltoid muscle
2. Administer the medication into the vastus lateralis
3. Provide the medication immediately before breastfeeding
4. Notify the physician for swelling and irritation at the injection site.
6. When assessing a newborn, the Apgar score assesses the ability of the newborn to
transition to extra uterine life. Which of the following does the
Apgar score assess. (select all that apply)
1. Gender
2. Color
3. Heart rate
4. Birth time
5. Respirations
7. A newborn infant has loose, yellow stools, the infant appears healthy, but his mother is
concerned that this means he is allergic to breast milk. Which of the following is the nurse’s
best response.
1. Try burping the infant more frequently
2. breastfeed infants’ stool are normally loose
3. Consider changing to a soybean formula
4. You may need to have the infant investigated for bile duct disease.
8. The newborn’s birthweight is 8 lb 8 oz. What is the weight in kg (round to the nearest
tenth)
9. A neonatal is assessing a 2-hour old male newborn. She notes that the urethra meatus is
not midline, but displaced on the dorsal surface( top side) of the penis, what is the medical
term.
1. Hypospadias
, 2. Undescended testicle
3. Epispadias
4. Varicocele.
10. The nurse is evaluating a new mother’s ability to effectively breastfeed her infant. Which
criteria indicates that the mother should be able to breastfeed independently select all that
apply. a. Nipples are everted
b. Breasts are soft and nontender
c. The mother holds the infant close to her breast in a football hold
d. Infant swallows spontaneously are frequently
e. Nurses place pillows under the baby for support.
11. In providing care to the postpartum client the nurse recognizes that women are
hypercoagulable during the third trimester of pregnancy and that assessment of this client
should include which of the following evaluation for the development of venous
thromboembolism. which of the following should be included in this evaluation.
1. Observe the distal upper extremities for swelling /edema
2. Observe the lower extremities for symmetry
3. Auscultation of lung sounds
4. Observation of respiratory rate and effort
5. Assessment of uterine cramping.
12. When collecting data from an infant, which of the following techniques should the nurse
use to elicit the stepping reflex.
1. Strike a flat surface on which the infant is lying
2. Place an object in the infant’s palm
3. Stroke the outer edge of the sole of the infant’s foot up toward the toes
4. Hold the infant upright with his feet touching a flat surface.
13. The nurse provides discharge instructions to a postpartum client. Which client
statement indicates that teaching has been effective. a. I should limit stair climbing to four
times a day
b. I can begin having intercourse when I get home
c. I can return to my full-time job after 6 weeks
Answer Key with Rationale | Latest Update 2026/27
Maternal Child Lecture Exam 2
1. A newborn who was delivered 2 hours ago is being assessed in the nursery. Upon exam,
the nurse notes a flattened nasal bridge, wide set eyes, low set ears, and overall decrease in
tone. Given these exam findings, what diagnostic tests would the nurse anticipate that the
physician will order?
1. Hemoglobin electrophoresis.
2. Chromosomal blood testing
3. Computed tomography (ct) of the brain.
4. Meconium toxicology testing.
2. Calculate a client’s total intake in milliliters (ml) from 0700 to 1500. Continuous IV
infusion of lactated Ringer’s 125 ml/hr. Oral intake 1⁄2 of green tea, 8 oz glass apple juice
1/2bowl cream of wheat.
3. The nurse is called to the room of a client who had a term delivery of a 9 lb 8 oz.
newborn 24 hours ago. The client is noted to have lost consciousness on her way to the
bathroom what is the priory nursing assessment for the client.
1. Assess ability to void
2. Assess the fundus
3. Assess blood pressure and heart rate
4. Call the provider
4. A postpartum woman (gravida 1, para ) asks the nurse immediately after delivery if she
should request rooming-in with her infant. Which of the following responses by the nurse
would be correct.
1. This puts too much responsibility on a first-time mother
2. It depends on whether you breastfeed or not
, 3. Rooming-in allows increased maternal-newborn contact
4. Resting for the first 3 days postpartum will be better for you.
5. A newborn is prescribed to receive vitamin k 0.5 mg intramuscularly. How should the
nurse administer this medication to the newborn.
1. Administer the medication in the deltoid muscle
2. Administer the medication into the vastus lateralis
3. Provide the medication immediately before breastfeeding
4. Notify the physician for swelling and irritation at the injection site.
6. When assessing a newborn, the Apgar score assesses the ability of the newborn to
transition to extra uterine life. Which of the following does the
Apgar score assess. (select all that apply)
1. Gender
2. Color
3. Heart rate
4. Birth time
5. Respirations
7. A newborn infant has loose, yellow stools, the infant appears healthy, but his mother is
concerned that this means he is allergic to breast milk. Which of the following is the nurse’s
best response.
1. Try burping the infant more frequently
2. breastfeed infants’ stool are normally loose
3. Consider changing to a soybean formula
4. You may need to have the infant investigated for bile duct disease.
8. The newborn’s birthweight is 8 lb 8 oz. What is the weight in kg (round to the nearest
tenth)
9. A neonatal is assessing a 2-hour old male newborn. She notes that the urethra meatus is
not midline, but displaced on the dorsal surface( top side) of the penis, what is the medical
term.
1. Hypospadias
, 2. Undescended testicle
3. Epispadias
4. Varicocele.
10. The nurse is evaluating a new mother’s ability to effectively breastfeed her infant. Which
criteria indicates that the mother should be able to breastfeed independently select all that
apply. a. Nipples are everted
b. Breasts are soft and nontender
c. The mother holds the infant close to her breast in a football hold
d. Infant swallows spontaneously are frequently
e. Nurses place pillows under the baby for support.
11. In providing care to the postpartum client the nurse recognizes that women are
hypercoagulable during the third trimester of pregnancy and that assessment of this client
should include which of the following evaluation for the development of venous
thromboembolism. which of the following should be included in this evaluation.
1. Observe the distal upper extremities for swelling /edema
2. Observe the lower extremities for symmetry
3. Auscultation of lung sounds
4. Observation of respiratory rate and effort
5. Assessment of uterine cramping.
12. When collecting data from an infant, which of the following techniques should the nurse
use to elicit the stepping reflex.
1. Strike a flat surface on which the infant is lying
2. Place an object in the infant’s palm
3. Stroke the outer edge of the sole of the infant’s foot up toward the toes
4. Hold the infant upright with his feet touching a flat surface.
13. The nurse provides discharge instructions to a postpartum client. Which client
statement indicates that teaching has been effective. a. I should limit stair climbing to four
times a day
b. I can begin having intercourse when I get home
c. I can return to my full-time job after 6 weeks
