Page |1
Maternal and Newborn Nursing Questions
and Correct Answers/ Latest Update /
Already Graded
A nurse is assessing a client who is 14 hr postpartum and has a 3rd
degree perineal laceration. The client's temperature is 37.8C (100F),
and her fundus is firm and slightly deviated to the right. The client
reports a gush of blood when she ambulates and no bowel movement
since delivery. Which action should the nurse take?
Ans: assist to empty her bladder
A nurse is assessing a 2 day old newborn and notes an egg shaped,
edematous bluish discoloration that does not cross the suture line.
What is the nurse's response?
Ans: This will resolve within 3-6 weeks without treatment
A nurse is assessing a newborn for congenital hip dysplasia. What
finding should the nurse expect?
Ans: Limited abduction of one hip
A nurse is providing teaching to a client who is postpartum and does
not plan to breastfeed her newborn. What instructions should the
nurse include in the teaching?
All rights reserved © 2025/ 2026 |
, Page |2
Ans: Place ice packs on your breasts
A nurse is caring for a newborn who is premature at 30 weeks of
gestation. What finding should the nurse expect?
Ans: Abundant lanugo
A nurse is caring for a newborn immediately following delivery. What
action should the nurse take first?
Ans: Place the newborn directly on the client's chest
A nurse is testing the reflexes of a newborn to assess neurologic
maturity. What reflex is the nurse assessing when she quickly and
gently turns the newborn's head to one side?
Ans: Tonic Neck
A nurse is assessing a client who is postpartum following a vacuum-
assisted birth. Which finding should the nurse monitor to identify a
cervical laceration?
Ans: slow trickle of bright vaginal bleeding and a firm fundus
All rights reserved © 2025/ 2026 |
, Page |3
A nurse is preparing to administer morphine oral solution 0.04mg/kg to
a newborn who weighs 2.5kg. The amount available is morphine oral
solution 0.4mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest hundredth. Use a leading zero if it
applies. Do not use a trailing zero.)
Ans: 0.25 ml
Which eye medication should the nurse administer to the newborn
within 1 to 2 hr of delivery?
Ans: Erythromycin ophthalmic ointment
A nurse is assessing a newborn 1 min after birth and notes a heart rate
of 136/min, respiratory rate of 36/min, well flexed extremities,
responding to stimuli with a cry, and blue hands and feet. What Apgar
score should the nurse assign to the newborn?
Ans: 9
A nurse is assessing a 12 hour old newborn and notes a respiratory rate
of 44/min with shallow respirations and periods of apnea lasting up to
10 seconds. What action should the nurse take?
Ans: continue routine monitoring
All rights reserved © 2025/ 2026 |
Maternal and Newborn Nursing Questions
and Correct Answers/ Latest Update /
Already Graded
A nurse is assessing a client who is 14 hr postpartum and has a 3rd
degree perineal laceration. The client's temperature is 37.8C (100F),
and her fundus is firm and slightly deviated to the right. The client
reports a gush of blood when she ambulates and no bowel movement
since delivery. Which action should the nurse take?
Ans: assist to empty her bladder
A nurse is assessing a 2 day old newborn and notes an egg shaped,
edematous bluish discoloration that does not cross the suture line.
What is the nurse's response?
Ans: This will resolve within 3-6 weeks without treatment
A nurse is assessing a newborn for congenital hip dysplasia. What
finding should the nurse expect?
Ans: Limited abduction of one hip
A nurse is providing teaching to a client who is postpartum and does
not plan to breastfeed her newborn. What instructions should the
nurse include in the teaching?
All rights reserved © 2025/ 2026 |
, Page |2
Ans: Place ice packs on your breasts
A nurse is caring for a newborn who is premature at 30 weeks of
gestation. What finding should the nurse expect?
Ans: Abundant lanugo
A nurse is caring for a newborn immediately following delivery. What
action should the nurse take first?
Ans: Place the newborn directly on the client's chest
A nurse is testing the reflexes of a newborn to assess neurologic
maturity. What reflex is the nurse assessing when she quickly and
gently turns the newborn's head to one side?
Ans: Tonic Neck
A nurse is assessing a client who is postpartum following a vacuum-
assisted birth. Which finding should the nurse monitor to identify a
cervical laceration?
Ans: slow trickle of bright vaginal bleeding and a firm fundus
All rights reserved © 2025/ 2026 |
, Page |3
A nurse is preparing to administer morphine oral solution 0.04mg/kg to
a newborn who weighs 2.5kg. The amount available is morphine oral
solution 0.4mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest hundredth. Use a leading zero if it
applies. Do not use a trailing zero.)
Ans: 0.25 ml
Which eye medication should the nurse administer to the newborn
within 1 to 2 hr of delivery?
Ans: Erythromycin ophthalmic ointment
A nurse is assessing a newborn 1 min after birth and notes a heart rate
of 136/min, respiratory rate of 36/min, well flexed extremities,
responding to stimuli with a cry, and blue hands and feet. What Apgar
score should the nurse assign to the newborn?
Ans: 9
A nurse is assessing a 12 hour old newborn and notes a respiratory rate
of 44/min with shallow respirations and periods of apnea lasting up to
10 seconds. What action should the nurse take?
Ans: continue routine monitoring
All rights reserved © 2025/ 2026 |
