MATERNAL AND CHILD HEALTH NURSING BY
SILBERT 2026 ACTUAL TEST PAPER QUESTIONS
SOLUTIONS VERIFIED COMPLETE STUDY
PACKAGE
◉ The nurse is assessing a 2-hour-old infant born by cesarean
delivery at 39-weeks gestation. Which assessment finding should
receive the highest priority when planning this infants care?
A. Blood pressure 76/42 mm/Hg
B. Faint heart murmur
C. Respiratory rate 76 breaths/min
D. Blood glucose 45 mg/dl
Answer: C. Respiratory rate 76 breaths/min
◉ At 20-weeks gestation, a client who has gained 20 pounds during
this pregnancy tells the nurse that she is feeling fetal movement.
Fundal height measurement is 20 cm, and the clients only complaint
is that her breasts are leaking clear fluid. Which assessment finding
warrants further evaluation?
A. Presence of fetal movements.
B. Gestational weight gain
C. Fundal height measurement
D. Leakage from breasts
,Answer: B. Gestational weight gain
◉ The nurse is planning discharge teaching for a client who had an
evacuation of gestational
trophoblastic disease (GTD) two days ago. Which information is
most important for the nurse to
include in this client's teaching plan?
Answer: Oral contraceptive use for at least one year.
◉ A pregnant woman in the first trimester of pregnancy has a
hemoglobin of 8.6 mg/dl and a hematocrit of 25.1%. What food
should the nurse encourage this client to include in her diet?
A. Carrots
B. Chicken
C. Yogurt
D. Cheese
Answer: B. Chicken
◉ The newborn nursery admission protocol includes a prescption
for phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to
newborns upon admission. The ampoule provides 2 mg/ml. How
many ml should the nurse administer?
Answer: 0.3
, ◉ The nurse places one hand above the symphysis while massaging
the fundus of a multiparous client
whose uterine tone is boggy 15 minutes after delivering a 7 pound
10 ounce infant. Which information
should the nurse provide the client about this finding?
Answer: Both the lower uterine segment and the fundus must be
massaged.
◉ The nurse is preparing to administer methylergonovine maleate
(Methergine)
to a postpartum client. Based on what assessment finding should the
nurse
withhold the drug?
A. Respiratory rate of 22 breaths/min
B. A large amount of lochia rubra
C. Blood pressure 149/90
D. Positive Homan's sign
Answer: C. Blood pressure 149/90
◉ At 6-weeks gestation, the rubella titer of a client indicates she is
non-immune. When is the best time
to administer a rubella vaccine to this client?
SILBERT 2026 ACTUAL TEST PAPER QUESTIONS
SOLUTIONS VERIFIED COMPLETE STUDY
PACKAGE
◉ The nurse is assessing a 2-hour-old infant born by cesarean
delivery at 39-weeks gestation. Which assessment finding should
receive the highest priority when planning this infants care?
A. Blood pressure 76/42 mm/Hg
B. Faint heart murmur
C. Respiratory rate 76 breaths/min
D. Blood glucose 45 mg/dl
Answer: C. Respiratory rate 76 breaths/min
◉ At 20-weeks gestation, a client who has gained 20 pounds during
this pregnancy tells the nurse that she is feeling fetal movement.
Fundal height measurement is 20 cm, and the clients only complaint
is that her breasts are leaking clear fluid. Which assessment finding
warrants further evaluation?
A. Presence of fetal movements.
B. Gestational weight gain
C. Fundal height measurement
D. Leakage from breasts
,Answer: B. Gestational weight gain
◉ The nurse is planning discharge teaching for a client who had an
evacuation of gestational
trophoblastic disease (GTD) two days ago. Which information is
most important for the nurse to
include in this client's teaching plan?
Answer: Oral contraceptive use for at least one year.
◉ A pregnant woman in the first trimester of pregnancy has a
hemoglobin of 8.6 mg/dl and a hematocrit of 25.1%. What food
should the nurse encourage this client to include in her diet?
A. Carrots
B. Chicken
C. Yogurt
D. Cheese
Answer: B. Chicken
◉ The newborn nursery admission protocol includes a prescption
for phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to
newborns upon admission. The ampoule provides 2 mg/ml. How
many ml should the nurse administer?
Answer: 0.3
, ◉ The nurse places one hand above the symphysis while massaging
the fundus of a multiparous client
whose uterine tone is boggy 15 minutes after delivering a 7 pound
10 ounce infant. Which information
should the nurse provide the client about this finding?
Answer: Both the lower uterine segment and the fundus must be
massaged.
◉ The nurse is preparing to administer methylergonovine maleate
(Methergine)
to a postpartum client. Based on what assessment finding should the
nurse
withhold the drug?
A. Respiratory rate of 22 breaths/min
B. A large amount of lochia rubra
C. Blood pressure 149/90
D. Positive Homan's sign
Answer: C. Blood pressure 149/90
◉ At 6-weeks gestation, the rubella titer of a client indicates she is
non-immune. When is the best time
to administer a rubella vaccine to this client?
