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Test Bank for Maternity and Pediatric Nursing 5th
Edition – Comprehensive 150-Question Practice
Examination | Maternal-Child Nursing | Correct
Answers & Detailed Rationales
Description: This comprehensive 150-question test bank is designed for
nursing students and healthcare professionals using the Maternity and
Pediatric Nursing 5th Edition textbook. The assessment covers all key
content areas including antepartum, intrapartum, and postpartum nursing
care, newborn assessment and management, growth and development
across the pediatric lifespan, common childhood illnesses, pediatric
pharmacology, and family-centered care. Based on current evidence-
based practice and NCLEX-style questioning, this exam tests both
foundational knowledge and clinical application expected of competent
maternal-child nurses.
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SECTION 1: QUESTIONS 1-50
Question 1
A nurse is caring for a client at 32 weeks of gestation who is admitted
with preeclampsia. The client's blood pressure is 158/96 mm Hg, and
urine protein is 3+. Which assessment finding indicates the client is at
risk for a seizure?
A) Blood pressure of 158/96 mm Hg
B) Urine protein of 3+
C) Deep tendon reflexes 4+
D) Blurred vision
Answer: C
Rationale: Hyperreflexia (deep tendon reflexes 4+) is a sign of central
nervous system irritability and indicates increased risk for seizures in
preeclampsia. While elevated blood pressure and proteinuria are
diagnostic criteria for preeclampsia, hyperreflexia is the more direct
indicator of impending seizure activity. Blurred vision may indicate
cerebral edema but is not the primary indicator of seizure risk.
---
Question 2
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A nurse is providing teaching to a client who is at 28 weeks of gestation
and is diagnosed with gestational diabetes mellitus (GDM). Which of the
following should be included in the teaching?
A) Limit weight gain to 10 pounds during pregnancy
B) Increase carbohydrate intake to 60% of total calories
C) Monitor blood glucose levels daily
D) Insulin therapy is always required
Answer: C
Rationale: Clients with GDM should monitor their blood glucose levels
daily to assess the effectiveness of dietary management and identify the
need for medication. Weight gain goals are individualized based on pre-
pregnancy BMI. Carbohydrates should be distributed throughout the
day, typically 40-45% of total calories. Insulin is used when dietary
management fails to control blood glucose levels.
---
Question 3
A nurse is assessing a newborn who is 24 hours old. Which finding
should be reported to the healthcare provider?
A) Respiratory rate of 45 breaths per minute
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B) Heart rate of 150 beats per minute
C) Axillary temperature of 97.2 degrees Fahrenheit (36.2 degrees
Celsius)
D) Capillary refill of 2 seconds
Answer: C
Rationale: A newborn's axillary temperature should be between 97.7
degrees Fahrenheit (36.5 degrees Celsius) and 99.5 degrees Fahrenheit
(37.5 degrees Celsius). A temperature of 97.2 degrees Fahrenheit is
below normal and may indicate hypothermia, which should be reported.
Respiratory rate of 30-60 breaths per minute, heart rate of 120-160 beats
per minute, and capillary refill less than 3 seconds are normal newborn
findings.
---
Question 4
A nurse is providing education to a new mother about newborn safety.
Which statement by the mother indicates a need for further teaching?
A) "I will place my baby on the back to sleep."
B) "I will keep the crib free of soft objects and loose bedding."
C) "I will place the crib near a window for fresh air."
D) "I will use a firm mattress in the crib."
Test Bank for Maternity and Pediatric Nursing 5th
Edition – Comprehensive 150-Question Practice
Examination | Maternal-Child Nursing | Correct
Answers & Detailed Rationales
Description: This comprehensive 150-question test bank is designed for
nursing students and healthcare professionals using the Maternity and
Pediatric Nursing 5th Edition textbook. The assessment covers all key
content areas including antepartum, intrapartum, and postpartum nursing
care, newborn assessment and management, growth and development
across the pediatric lifespan, common childhood illnesses, pediatric
pharmacology, and family-centered care. Based on current evidence-
based practice and NCLEX-style questioning, this exam tests both
foundational knowledge and clinical application expected of competent
maternal-child nurses.
,2|Page
SECTION 1: QUESTIONS 1-50
Question 1
A nurse is caring for a client at 32 weeks of gestation who is admitted
with preeclampsia. The client's blood pressure is 158/96 mm Hg, and
urine protein is 3+. Which assessment finding indicates the client is at
risk for a seizure?
A) Blood pressure of 158/96 mm Hg
B) Urine protein of 3+
C) Deep tendon reflexes 4+
D) Blurred vision
Answer: C
Rationale: Hyperreflexia (deep tendon reflexes 4+) is a sign of central
nervous system irritability and indicates increased risk for seizures in
preeclampsia. While elevated blood pressure and proteinuria are
diagnostic criteria for preeclampsia, hyperreflexia is the more direct
indicator of impending seizure activity. Blurred vision may indicate
cerebral edema but is not the primary indicator of seizure risk.
---
Question 2
,3|Page
A nurse is providing teaching to a client who is at 28 weeks of gestation
and is diagnosed with gestational diabetes mellitus (GDM). Which of the
following should be included in the teaching?
A) Limit weight gain to 10 pounds during pregnancy
B) Increase carbohydrate intake to 60% of total calories
C) Monitor blood glucose levels daily
D) Insulin therapy is always required
Answer: C
Rationale: Clients with GDM should monitor their blood glucose levels
daily to assess the effectiveness of dietary management and identify the
need for medication. Weight gain goals are individualized based on pre-
pregnancy BMI. Carbohydrates should be distributed throughout the
day, typically 40-45% of total calories. Insulin is used when dietary
management fails to control blood glucose levels.
---
Question 3
A nurse is assessing a newborn who is 24 hours old. Which finding
should be reported to the healthcare provider?
A) Respiratory rate of 45 breaths per minute
, 4|Page
B) Heart rate of 150 beats per minute
C) Axillary temperature of 97.2 degrees Fahrenheit (36.2 degrees
Celsius)
D) Capillary refill of 2 seconds
Answer: C
Rationale: A newborn's axillary temperature should be between 97.7
degrees Fahrenheit (36.5 degrees Celsius) and 99.5 degrees Fahrenheit
(37.5 degrees Celsius). A temperature of 97.2 degrees Fahrenheit is
below normal and may indicate hypothermia, which should be reported.
Respiratory rate of 30-60 breaths per minute, heart rate of 120-160 beats
per minute, and capillary refill less than 3 seconds are normal newborn
findings.
---
Question 4
A nurse is providing education to a new mother about newborn safety.
Which statement by the mother indicates a need for further teaching?
A) "I will place my baby on the back to sleep."
B) "I will keep the crib free of soft objects and loose bedding."
C) "I will place the crib near a window for fresh air."
D) "I will use a firm mattress in the crib."
