Maternal-Child Exam II Questions with
Verified Answers
1. A postpartum woman (gravida 1, para 1) asks the nurse immediately after delivery if
she should request rooming-in with her newborn. Which of the following
A This puts too much responsibility on the first time mother
B. It depends on whether you will breastfeed or not.
C. Resting for the first 3 day postpartum will be better for you
D. Rooming-in allows increased maternal-newborn contact - ANSWERSD. Rooming-in
allows increased maternal-newborn contact
2. The nurse is assessing a child who has been diagnosed with mononucleosis for
splenomegaly. Which area of the abdomen would be palpated to identify this
abnormality
a. RUQ
b. LUQ
c. RLQ
d. LLQ - ANSWERSb. LUQ
3. Which action by the mother relates to the nurse that she is accepting her child?
A. She turns her face to meet the newborn's eyes when she holds her
B. She fills out the birth certificate while in the hospital
C. She has many visitors in the room
D. Her husband spends time holding the baby - ANSWERSA. She turns her face to
meet the newborn's eyes when she holds her
4. The nurse is providing discharge teaching to the postpartum client regarding mood
changes to report. In differentiating between the baby blues and postpartum depression,
which of the following statements should be included..
A. Baby blues are the result of hormonal shifts and should resolve by the end of the
sixth postpartum week
B. Baby blues may present in the first few days after birth and resolve prior to the
second postpartum week
C. Postpartum depression may occur on the 5th postpartum day but will resolve
spontaneously by the end of the 6th week.
D. Postpartum depression is the result of hormonal changes related to the end of
pregnancy and will not require intervention or medication management - ANSWERSB.
Baby blues may present in the first few days after birth and resolve prior to the second
postpartum week
5. After delivery, a client is diagnosed with postpartum preeclampsia. What care will the
nurse provide to this client (Select all)
A. Maintain on bed rest with bathroom privileges
,B. Monitor urine output and daily weight
C. Instruct on the need for a fluid bolus
D. Administer magnesium sulfate as prescribed
E. Administer antihypertensive medication as prescribed - ANSWERSA. Maintain on
bed rest with bathroom privileges
B. Monitor urine output and daily weight
D. Administer magnesium sulfate as prescribed
E. Administer antihypertensive medication as prescribed
6. While assessing the newborn's 5 minute apgar score, the nurse notes the following:
heart rate 154, respiratory effort lusty cry, muscle tone well flexed with active
movement, reflex irritability crying vigorously with stimulation, color hands and feet are
blue. What score would she assign to this newborn?
A. 6
B. 7
C. 9
D. 10 - ANSWERSC. 9
7. The nurse is preparing formula for a preterm newborn. Which type of formula will
most likely be prescribed for this client
A. Glucose water
B. 20 calories per ounce
C. Iron supplemented
D. 24 calorie per ounce - ANSWERSD. 24 calorie per ounce
When planning care for a postpartum client, the nurse is aware that which site is the
most common for postpartum infection
A. Milk ducts
B. Urinary bladder
C. Blood stream
D. Reproductive tract - ANSWERSD. Reproductive tract
9. A newborn is jaundiced and receiving phototherapy. Which of the following is an
appropriate intervention when caring for a newborn with hyperbilirubinemia
A. Apply an oil based lotion to the newborns skin to prevent drying and cracking
B. Change the newborns position every 4 hours
C. Limit the newborns intake of milk to prevent nausea, vomiting, and diarrhea
D. Place eye shields over the newborns closed eyes. - ANSWERSD. Place eye shields
over the newborns closed eyes.
10. The nurse is assessing the fundus on a client on postpartum day 2. What should the
nurse expect when palpating the fundus?
A. Fundus 4 cm above the symphysis pubis and firm
B. Fundus 4 cm below the umbilicus and midline
C. Funs two fingerbreadths above symphysis pubis and firm
, D. Fundus two fingerbreadths below the umbilicus and firm - ANSWERSD. Fundus two
fingerbreadths below the umbilicus and firm
11. At birth the newborn has dry, cracked skin, absence of vernix, lack of subcutaneous
fat, and fingernails extending beyond the fingertips. Based on these findings
A. Postterm
B. Preterm
C. SGA
D. LGA - ANSWERSA. Postterm
12. By the time children reach their twelfth birthday, they should have learned to trust
others and should have developed a sense of what
A. Integrity
B. Intimacy
C. Identity
D. Industry - ANSWERSD. Industry
13. During the assessment of a 7-year-old male the nurse notes an abnormal
depression of the lower portion of the sternum. The child is alert and orientated and in
no apparent distress.
A. Anterior chest wall trauma
B. Pectus carinatum
C. Pneumothorax
D. Pectus excavatum - ANSWERSD. Pectus excavatum
14. The nurse is preparing a seminar on breastfeeding for a group of pregnant clients.
Which information should the nurse include during the seminar?
A. Uterine involution is slowed by breastfeeding.
B. Breastfeeding enhances bonding with the newborn
C. Breastfeeding might increase the risk of breast cancer
D. Breastfeeding mothers have a decreased risk of developing thrombophlebitis -
ANSWERSB. Breastfeeding enhances bonding with the newborn
15. A nurse is assessing a newborn for congenital hip dysplasia. Which signs or
symptoms should be brought to the attention of the health care provider for further
assessment? (select all that apply)
A. Newborn who is actively moving all extremities
B. Newborn has one leg that appears longer than the other
C. Newborn whos bilateral leg length is symmetric
D. Newborn who has extra skin folds on the inner thigh of one leg
E. Newborn who has a click in the hip joint when one hip is maneuvered - ANSWERSB.
Newborn has one leg that appears longer than the other
D. Newborn who has extra skin folds on the inner thigh of one leg
E. Newborn who has a click in the hip joint when one hip is maneuvered
16. Which technique is used to palpate the fundal height on a postpartum client?
Verified Answers
1. A postpartum woman (gravida 1, para 1) asks the nurse immediately after delivery if
she should request rooming-in with her newborn. Which of the following
A This puts too much responsibility on the first time mother
B. It depends on whether you will breastfeed or not.
C. Resting for the first 3 day postpartum will be better for you
D. Rooming-in allows increased maternal-newborn contact - ANSWERSD. Rooming-in
allows increased maternal-newborn contact
2. The nurse is assessing a child who has been diagnosed with mononucleosis for
splenomegaly. Which area of the abdomen would be palpated to identify this
abnormality
a. RUQ
b. LUQ
c. RLQ
d. LLQ - ANSWERSb. LUQ
3. Which action by the mother relates to the nurse that she is accepting her child?
A. She turns her face to meet the newborn's eyes when she holds her
B. She fills out the birth certificate while in the hospital
C. She has many visitors in the room
D. Her husband spends time holding the baby - ANSWERSA. She turns her face to
meet the newborn's eyes when she holds her
4. The nurse is providing discharge teaching to the postpartum client regarding mood
changes to report. In differentiating between the baby blues and postpartum depression,
which of the following statements should be included..
A. Baby blues are the result of hormonal shifts and should resolve by the end of the
sixth postpartum week
B. Baby blues may present in the first few days after birth and resolve prior to the
second postpartum week
C. Postpartum depression may occur on the 5th postpartum day but will resolve
spontaneously by the end of the 6th week.
D. Postpartum depression is the result of hormonal changes related to the end of
pregnancy and will not require intervention or medication management - ANSWERSB.
Baby blues may present in the first few days after birth and resolve prior to the second
postpartum week
5. After delivery, a client is diagnosed with postpartum preeclampsia. What care will the
nurse provide to this client (Select all)
A. Maintain on bed rest with bathroom privileges
,B. Monitor urine output and daily weight
C. Instruct on the need for a fluid bolus
D. Administer magnesium sulfate as prescribed
E. Administer antihypertensive medication as prescribed - ANSWERSA. Maintain on
bed rest with bathroom privileges
B. Monitor urine output and daily weight
D. Administer magnesium sulfate as prescribed
E. Administer antihypertensive medication as prescribed
6. While assessing the newborn's 5 minute apgar score, the nurse notes the following:
heart rate 154, respiratory effort lusty cry, muscle tone well flexed with active
movement, reflex irritability crying vigorously with stimulation, color hands and feet are
blue. What score would she assign to this newborn?
A. 6
B. 7
C. 9
D. 10 - ANSWERSC. 9
7. The nurse is preparing formula for a preterm newborn. Which type of formula will
most likely be prescribed for this client
A. Glucose water
B. 20 calories per ounce
C. Iron supplemented
D. 24 calorie per ounce - ANSWERSD. 24 calorie per ounce
When planning care for a postpartum client, the nurse is aware that which site is the
most common for postpartum infection
A. Milk ducts
B. Urinary bladder
C. Blood stream
D. Reproductive tract - ANSWERSD. Reproductive tract
9. A newborn is jaundiced and receiving phototherapy. Which of the following is an
appropriate intervention when caring for a newborn with hyperbilirubinemia
A. Apply an oil based lotion to the newborns skin to prevent drying and cracking
B. Change the newborns position every 4 hours
C. Limit the newborns intake of milk to prevent nausea, vomiting, and diarrhea
D. Place eye shields over the newborns closed eyes. - ANSWERSD. Place eye shields
over the newborns closed eyes.
10. The nurse is assessing the fundus on a client on postpartum day 2. What should the
nurse expect when palpating the fundus?
A. Fundus 4 cm above the symphysis pubis and firm
B. Fundus 4 cm below the umbilicus and midline
C. Funs two fingerbreadths above symphysis pubis and firm
, D. Fundus two fingerbreadths below the umbilicus and firm - ANSWERSD. Fundus two
fingerbreadths below the umbilicus and firm
11. At birth the newborn has dry, cracked skin, absence of vernix, lack of subcutaneous
fat, and fingernails extending beyond the fingertips. Based on these findings
A. Postterm
B. Preterm
C. SGA
D. LGA - ANSWERSA. Postterm
12. By the time children reach their twelfth birthday, they should have learned to trust
others and should have developed a sense of what
A. Integrity
B. Intimacy
C. Identity
D. Industry - ANSWERSD. Industry
13. During the assessment of a 7-year-old male the nurse notes an abnormal
depression of the lower portion of the sternum. The child is alert and orientated and in
no apparent distress.
A. Anterior chest wall trauma
B. Pectus carinatum
C. Pneumothorax
D. Pectus excavatum - ANSWERSD. Pectus excavatum
14. The nurse is preparing a seminar on breastfeeding for a group of pregnant clients.
Which information should the nurse include during the seminar?
A. Uterine involution is slowed by breastfeeding.
B. Breastfeeding enhances bonding with the newborn
C. Breastfeeding might increase the risk of breast cancer
D. Breastfeeding mothers have a decreased risk of developing thrombophlebitis -
ANSWERSB. Breastfeeding enhances bonding with the newborn
15. A nurse is assessing a newborn for congenital hip dysplasia. Which signs or
symptoms should be brought to the attention of the health care provider for further
assessment? (select all that apply)
A. Newborn who is actively moving all extremities
B. Newborn has one leg that appears longer than the other
C. Newborn whos bilateral leg length is symmetric
D. Newborn who has extra skin folds on the inner thigh of one leg
E. Newborn who has a click in the hip joint when one hip is maneuvered - ANSWERSB.
Newborn has one leg that appears longer than the other
D. Newborn who has extra skin folds on the inner thigh of one leg
E. Newborn who has a click in the hip joint when one hip is maneuvered
16. Which technique is used to palpate the fundal height on a postpartum client?
