NUR 426 EXAM 2 - MATERNAL-
NEWBORN AND PEDIATRIC HEALTH
NURSING QUESTIONS WITH VERIFIED
ANSWERS 2026/2027
1. A nurse is caring for a client at 34 weeks gestation diagnosed with severe preeclampsia.
The nurse notes a respiratory rate of 10/min and absent patellar reflexes. Which medication
should the nurse prepare to administer immediately?
A. Nifedipine
B. Diazepam
C. Hydralazine
D. Calcium gluconate
Answer: D
Conceptual Explanation: Absent deep tendon reflexes and bradypnea are signs of
magnesium sulfate toxicity. Calcium gluconate is the specific antidote for magnesium
toxicity.
2. A multiparous client is 4 hours postpartum and reports heavy vaginal bleeding. The nurse
assesses the fundus and finds it to be boggy and displaced to the right. What is the priority
nursing action?
A. Assist the client to the bathroom to void
,B. Administer 0.2 mg Methylergonovine IM
C. Perform vigorous fundal massage
D. Increase the IV oxytocin rate
Answer: A
Conceptual Explanation: A fundus displaced to the right is a classic sign of bladder
distention, which prevents the uterus from contracting efficiently. Emptying the bladder is
the priority to allow the fundus to return to midline.
3. A nurse is reviewing the lab results for a client with HELLP syndrome. Which finding is
consistent with this diagnosis?
A. Platelet count of 350,000/mm3
B. Low serum creatinine
C. Increased hemoglobin and hematocrit
D. Elevated ALT and AST
Answer: D
Conceptual Explanation: HELLP stands for Hemolysis, Elevated Liver enzymes, and Low
Platelets. Elevated AST and ALT indicate liver involvement characteristic of this syndrome.
4. A 2-year-old child with Tetralogy of Fallot begins to cry and becomes cyanotic with rapid
breathing. Which action should the nurse take first?
A. Place the child in a knee-chest position
, B. Administer 100% oxygen via face mask
C. Administer morphine sulfate subcutaneously
D. Notify the pediatric cardiologist
Answer: A
Conceptual Explanation: This is a ‘Tet spell.’ Placing the child in a knee-chest position
increases systemic vascular resistance, reducing the right-to-left shunt and improving
oxygenation.
5. A nurse is assessing a newborn with suspected Tracheoesophageal Fistula (TEF). Which of
the following ‘3 Cs’ are clinical manifestations of this condition?
A. Cyanosis, crying, constipation
B. Coughing, choking, cyanosis
C. Convulsions, coldness, capping
D. Crying, congestion, colic
Answer: B
Conceptual Explanation: The classic presentation of TEF includes coughing, choking, and
cyanosis, especially during feedings.
6. Which assessment finding in a 6-month-old infant requires immediate intervention by the
nurse?
A. Inability to sit without support
NEWBORN AND PEDIATRIC HEALTH
NURSING QUESTIONS WITH VERIFIED
ANSWERS 2026/2027
1. A nurse is caring for a client at 34 weeks gestation diagnosed with severe preeclampsia.
The nurse notes a respiratory rate of 10/min and absent patellar reflexes. Which medication
should the nurse prepare to administer immediately?
A. Nifedipine
B. Diazepam
C. Hydralazine
D. Calcium gluconate
Answer: D
Conceptual Explanation: Absent deep tendon reflexes and bradypnea are signs of
magnesium sulfate toxicity. Calcium gluconate is the specific antidote for magnesium
toxicity.
2. A multiparous client is 4 hours postpartum and reports heavy vaginal bleeding. The nurse
assesses the fundus and finds it to be boggy and displaced to the right. What is the priority
nursing action?
A. Assist the client to the bathroom to void
,B. Administer 0.2 mg Methylergonovine IM
C. Perform vigorous fundal massage
D. Increase the IV oxytocin rate
Answer: A
Conceptual Explanation: A fundus displaced to the right is a classic sign of bladder
distention, which prevents the uterus from contracting efficiently. Emptying the bladder is
the priority to allow the fundus to return to midline.
3. A nurse is reviewing the lab results for a client with HELLP syndrome. Which finding is
consistent with this diagnosis?
A. Platelet count of 350,000/mm3
B. Low serum creatinine
C. Increased hemoglobin and hematocrit
D. Elevated ALT and AST
Answer: D
Conceptual Explanation: HELLP stands for Hemolysis, Elevated Liver enzymes, and Low
Platelets. Elevated AST and ALT indicate liver involvement characteristic of this syndrome.
4. A 2-year-old child with Tetralogy of Fallot begins to cry and becomes cyanotic with rapid
breathing. Which action should the nurse take first?
A. Place the child in a knee-chest position
, B. Administer 100% oxygen via face mask
C. Administer morphine sulfate subcutaneously
D. Notify the pediatric cardiologist
Answer: A
Conceptual Explanation: This is a ‘Tet spell.’ Placing the child in a knee-chest position
increases systemic vascular resistance, reducing the right-to-left shunt and improving
oxygenation.
5. A nurse is assessing a newborn with suspected Tracheoesophageal Fistula (TEF). Which of
the following ‘3 Cs’ are clinical manifestations of this condition?
A. Cyanosis, crying, constipation
B. Coughing, choking, cyanosis
C. Convulsions, coldness, capping
D. Crying, congestion, colic
Answer: B
Conceptual Explanation: The classic presentation of TEF includes coughing, choking, and
cyanosis, especially during feedings.
6. Which assessment finding in a 6-month-old infant requires immediate intervention by the
nurse?
A. Inability to sit without support
