Galen College NU 170 Exam 4 (pdf) | 2026/2027 | Maternal-Child
Nursing Q&A | Maternal-Child Nursing
1. A nurse is assessing a 12-month-old infant at a well-child visit. Which
weight finding is expected?
A) The infant weighs double the birth weight.
B) The infant weighs triple the birth weight.
C) The infant weighs quadruple the birth weight.
D) The infant weighs five times the birth weight.
Correct Answer: The infant weighs triple the birth weight.
Rationale: By 12 months, a healthy infant typically triples their birth weight.
Doubling occurs by about 5–6 months, while quadrupling happens around 2
years of age. This is a key developmental milestone used to assess adequate
growth and nutrition.
2. According to Erikson, a toddler who insists on doing things independently
is in which psychosocial stage?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: Autonomy vs. Shame and Doubt
Rationale: Toddlers (1–3 years) assert independence, and successful
resolution of this stage leads to autonomy. Restricting or shaming efforts can
lead to doubt. This stage is characterized by the child's desire to do things
for themselves.
,3. A preschooler is observed talking to an imaginary friend and believes the
sun follows them. According to Piaget, this is characteristic of which stage?
A) Sensorimotor
B) Preoperational
C) Concrete operational
D) Formal operational
Correct Answer: Preoperational
Rationale: The preoperational stage (2–7 years) is characterized by magical
thinking, egocentrism, and imaginary play. Believing the sun follows them
and having imaginary friends are classic examples of this cognitive stage.
4. A term newborn has minimal lanugo on the skin. The nurse interprets this
finding as:
A) Indicating prematurity
B) Consistent with a gestational age of 38 weeks
C) A sign of intrauterine growth restriction
D) Abnormal and requiring further evaluation
Correct Answer: Consistent with a gestational age of 38 weeks
Rationale: By 38 weeks' gestation, lanugo has largely disappeared.
Premature infants have abundant lanugo, while post-term infants may have
peeling skin. Minimal lanugo is a normal finding for a term infant.
5. Which assessment finding is consistent with a male infant born at 38
weeks?
A) Peeling skin
,B) Absent vernix
C) Minimal lanugo
D) Undescended testes
Correct Answer: Minimal lanugo
Rationale: At 38 weeks, lanugo is typically minimal or absent. Peeling skin is
more common in post-term infants, and undescended testes may indicate
prematurity or other concerns.
6. A nurse is assessing a newborn. Which finding is a priority for the nurse to
follow up?
A) RR of 49 breaths per minute
B) Chin quivering
C) HR of 95 beats per minute
D) Milia on face
Correct Answer: HR of 95 beats per minute
Rationale: A normal newborn heart rate is 110–160 bpm. A heart rate of 95
bpm is bradycardic and requires further evaluation. A respiratory rate of 49 is
within normal limits (30–60), chin quivering and milia are normal newborn
findings.
7. The nurse is caring for a postpartum patient and notices heavy lochia
rubra. The patient is alert and oriented. What should the nurse do first?
A) Palpate the bladder and have the patient void if full
B) Change the patient's peri-pad
C) Administer oxygen
, D) Call the provider
Correct Answer: Palpate the bladder and have the patient void if full
Rationale: A full bladder can displace the uterus and cause uterine atony,
leading to heavy bleeding. The nurse should first ensure the bladder is
empty. If bleeding continues after voiding, further interventions are needed.
8. Which finding demonstrates successful bonding between mother and
infant?
A) Infant is crying while mom is watching television
B) Mom is talking to visitors, unaware of the baby
C) Mom is texting on her cell phone while the baby cries
D) When asked how she feels about her baby, the mom grins and seems
happy
Correct Answer: When asked how she feels about her baby, the mom grins
and seems happy
Rationale: Positive verbal and nonverbal expressions about the infant
indicate successful maternal-infant bonding. This shows emotional
connection and attachment. The other options demonstrate disengagement
or lack of attunement.
9. Parents of a baby with a cleft palate should be taught to feed the infant:
A) With a regular nipple
B) With a special nipple to control formula flow
C) With a syringe
D) By spoon-feeding only
Nursing Q&A | Maternal-Child Nursing
1. A nurse is assessing a 12-month-old infant at a well-child visit. Which
weight finding is expected?
A) The infant weighs double the birth weight.
B) The infant weighs triple the birth weight.
C) The infant weighs quadruple the birth weight.
D) The infant weighs five times the birth weight.
Correct Answer: The infant weighs triple the birth weight.
Rationale: By 12 months, a healthy infant typically triples their birth weight.
Doubling occurs by about 5–6 months, while quadrupling happens around 2
years of age. This is a key developmental milestone used to assess adequate
growth and nutrition.
2. According to Erikson, a toddler who insists on doing things independently
is in which psychosocial stage?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: Autonomy vs. Shame and Doubt
Rationale: Toddlers (1–3 years) assert independence, and successful
resolution of this stage leads to autonomy. Restricting or shaming efforts can
lead to doubt. This stage is characterized by the child's desire to do things
for themselves.
,3. A preschooler is observed talking to an imaginary friend and believes the
sun follows them. According to Piaget, this is characteristic of which stage?
A) Sensorimotor
B) Preoperational
C) Concrete operational
D) Formal operational
Correct Answer: Preoperational
Rationale: The preoperational stage (2–7 years) is characterized by magical
thinking, egocentrism, and imaginary play. Believing the sun follows them
and having imaginary friends are classic examples of this cognitive stage.
4. A term newborn has minimal lanugo on the skin. The nurse interprets this
finding as:
A) Indicating prematurity
B) Consistent with a gestational age of 38 weeks
C) A sign of intrauterine growth restriction
D) Abnormal and requiring further evaluation
Correct Answer: Consistent with a gestational age of 38 weeks
Rationale: By 38 weeks' gestation, lanugo has largely disappeared.
Premature infants have abundant lanugo, while post-term infants may have
peeling skin. Minimal lanugo is a normal finding for a term infant.
5. Which assessment finding is consistent with a male infant born at 38
weeks?
A) Peeling skin
,B) Absent vernix
C) Minimal lanugo
D) Undescended testes
Correct Answer: Minimal lanugo
Rationale: At 38 weeks, lanugo is typically minimal or absent. Peeling skin is
more common in post-term infants, and undescended testes may indicate
prematurity or other concerns.
6. A nurse is assessing a newborn. Which finding is a priority for the nurse to
follow up?
A) RR of 49 breaths per minute
B) Chin quivering
C) HR of 95 beats per minute
D) Milia on face
Correct Answer: HR of 95 beats per minute
Rationale: A normal newborn heart rate is 110–160 bpm. A heart rate of 95
bpm is bradycardic and requires further evaluation. A respiratory rate of 49 is
within normal limits (30–60), chin quivering and milia are normal newborn
findings.
7. The nurse is caring for a postpartum patient and notices heavy lochia
rubra. The patient is alert and oriented. What should the nurse do first?
A) Palpate the bladder and have the patient void if full
B) Change the patient's peri-pad
C) Administer oxygen
, D) Call the provider
Correct Answer: Palpate the bladder and have the patient void if full
Rationale: A full bladder can displace the uterus and cause uterine atony,
leading to heavy bleeding. The nurse should first ensure the bladder is
empty. If bleeding continues after voiding, further interventions are needed.
8. Which finding demonstrates successful bonding between mother and
infant?
A) Infant is crying while mom is watching television
B) Mom is talking to visitors, unaware of the baby
C) Mom is texting on her cell phone while the baby cries
D) When asked how she feels about her baby, the mom grins and seems
happy
Correct Answer: When asked how she feels about her baby, the mom grins
and seems happy
Rationale: Positive verbal and nonverbal expressions about the infant
indicate successful maternal-infant bonding. This shows emotional
connection and attachment. The other options demonstrate disengagement
or lack of attunement.
9. Parents of a baby with a cleft palate should be taught to feed the infant:
A) With a regular nipple
B) With a special nipple to control formula flow
C) With a syringe
D) By spoon-feeding only
