TEST BANK LEIFER S INTRODUCTION TO
MATERNITY AND PEDIATRIC NURSING 10TH
EDITION LATEST VERSION 2025/2026 ]{A+} EXAM
QUESTIONS AND CORRECT ANSWERS (
100%verified answers) Q & A 2026 /INSTANT
DOWNLOAD PDF
1. A woman at 32 weeks of gestation reports painless vaginal bleeding. What is
the nurse’s priority action?
A. Perform a vaginal examination
B. Prepare the client for labor induction
C. Assess fetal heart rate
D. Encourage ambulation
Correct Answer: C
Rationale: Painless bleeding in the third trimester suggests placenta previa; fetal
status must be assessed first. Vaginal exams are contraindicated.
2. Which sign is most indicative of true labor?
A. Irregular contractions that stop with rest
B. Contractions felt in the abdomen only
C. Progressive cervical dilation and effacement
D. Pain relieved by hydration
Correct Answer: C
Rationale: True labor is characterized by progressive cervical change.
,3. A newborn’s Apgar score at 1 minute is 4. What is the nurse’s priority action?
A. Routine observation
B. Immediate resuscitation measures
C. Encourage breastfeeding
D. Document and reassess at 5 minutes
Correct Answer: B
Rationale: A score of 4 indicates moderate distress requiring immediate
intervention.
4. Which finding indicates preeclampsia?
A. Proteinuria and hypertension
B. Hypoglycemia
C. Bradycardia
D. Low body temperature
Correct Answer: A
Rationale: Preeclampsia is defined by hypertension and protein in urine after 20
weeks gestation.
5. A newborn is born with meconium-stained amniotic fluid. What is the first
action?
A. Stimulate the newborn
B. Suction the airway immediately
C. Start feeding
D. Dry and wrap the infant
Correct Answer: B
Rationale: Airway suctioning is priority to prevent meconium aspiration syndrome.
,6. What is the normal respiratory rate for a newborn?
A. 10–20 breaths/min
B. 20–30 breaths/min
C. 30–60 breaths/min
D. 60–80 breaths/min
Correct Answer: C
Rationale: Normal neonatal respiratory rate is 30–60 breaths per minute.
7. A pregnant woman is diagnosed with iron-deficiency anemia. Which food is
best recommended?
A. White rice
B. Leafy green vegetables
C. Sugary drinks
D. Processed meat
Correct Answer: B
Rationale: Leafy greens are rich in iron and support hemoglobin production.
8. What is the most important sign of respiratory distress in an infant?
A. Mild crying
B. Nasal flaring
C. Sleeping for long hours
D. Feeding frequently
Correct Answer: B
Rationale: Nasal flaring indicates increased work of breathing.
, 9. A child with dehydration shows sunken eyes and poor skin turgor. What is the
priority intervention?
A. Oral fluids
B. IV fluid replacement
C. Antipyretics
D. Antibiotics
Correct Answer: B
Rationale: Moderate to severe dehydration requires IV fluid replacement.
10. Which vaccine is given at birth?
A. DPT
B. BCG
C. Measles
D. HPV
Correct Answer: B
Rationale: BCG vaccine is administered at birth to prevent tuberculosis.
11. A postpartum woman has heavy vaginal bleeding and a soft uterus. What is
the priority nursing action?
A. Apply ice packs
B. Perform fundal massage
C. Encourage ambulation
D. Administer antibiotics
Correct Answer: B
Rationale: A boggy uterus suggests uterine atony; fundal massage helps contract
the uterus.
MATERNITY AND PEDIATRIC NURSING 10TH
EDITION LATEST VERSION 2025/2026 ]{A+} EXAM
QUESTIONS AND CORRECT ANSWERS (
100%verified answers) Q & A 2026 /INSTANT
DOWNLOAD PDF
1. A woman at 32 weeks of gestation reports painless vaginal bleeding. What is
the nurse’s priority action?
A. Perform a vaginal examination
B. Prepare the client for labor induction
C. Assess fetal heart rate
D. Encourage ambulation
Correct Answer: C
Rationale: Painless bleeding in the third trimester suggests placenta previa; fetal
status must be assessed first. Vaginal exams are contraindicated.
2. Which sign is most indicative of true labor?
A. Irregular contractions that stop with rest
B. Contractions felt in the abdomen only
C. Progressive cervical dilation and effacement
D. Pain relieved by hydration
Correct Answer: C
Rationale: True labor is characterized by progressive cervical change.
,3. A newborn’s Apgar score at 1 minute is 4. What is the nurse’s priority action?
A. Routine observation
B. Immediate resuscitation measures
C. Encourage breastfeeding
D. Document and reassess at 5 minutes
Correct Answer: B
Rationale: A score of 4 indicates moderate distress requiring immediate
intervention.
4. Which finding indicates preeclampsia?
A. Proteinuria and hypertension
B. Hypoglycemia
C. Bradycardia
D. Low body temperature
Correct Answer: A
Rationale: Preeclampsia is defined by hypertension and protein in urine after 20
weeks gestation.
5. A newborn is born with meconium-stained amniotic fluid. What is the first
action?
A. Stimulate the newborn
B. Suction the airway immediately
C. Start feeding
D. Dry and wrap the infant
Correct Answer: B
Rationale: Airway suctioning is priority to prevent meconium aspiration syndrome.
,6. What is the normal respiratory rate for a newborn?
A. 10–20 breaths/min
B. 20–30 breaths/min
C. 30–60 breaths/min
D. 60–80 breaths/min
Correct Answer: C
Rationale: Normal neonatal respiratory rate is 30–60 breaths per minute.
7. A pregnant woman is diagnosed with iron-deficiency anemia. Which food is
best recommended?
A. White rice
B. Leafy green vegetables
C. Sugary drinks
D. Processed meat
Correct Answer: B
Rationale: Leafy greens are rich in iron and support hemoglobin production.
8. What is the most important sign of respiratory distress in an infant?
A. Mild crying
B. Nasal flaring
C. Sleeping for long hours
D. Feeding frequently
Correct Answer: B
Rationale: Nasal flaring indicates increased work of breathing.
, 9. A child with dehydration shows sunken eyes and poor skin turgor. What is the
priority intervention?
A. Oral fluids
B. IV fluid replacement
C. Antipyretics
D. Antibiotics
Correct Answer: B
Rationale: Moderate to severe dehydration requires IV fluid replacement.
10. Which vaccine is given at birth?
A. DPT
B. BCG
C. Measles
D. HPV
Correct Answer: B
Rationale: BCG vaccine is administered at birth to prevent tuberculosis.
11. A postpartum woman has heavy vaginal bleeding and a soft uterus. What is
the priority nursing action?
A. Apply ice packs
B. Perform fundal massage
C. Encourage ambulation
D. Administer antibiotics
Correct Answer: B
Rationale: A boggy uterus suggests uterine atony; fundal massage helps contract
the uterus.
