and Pediatric Nursing Test Bank | 250+ Verified
Practice Questions with Correct Answers & Detailed
Rationales | Comprehensive Study Guide on
Pregnancy, Newborn Care, Child Development &
Pediatric Disorders | Nursing School & NCLEX
Exam Prep
Question 1: A nurse is assessing a pregnant woman in her third trimester.
What is the most important assessment to monitor for potential
complications?
A) Maternal weight gain
B) Fetal heart rate
C) Maternal blood pressure
D) Uterine contractions (CORRECT)
RATIONALE: Monitoring uterine contractions is crucial in the third trimester to identify
signs of preterm labor or other complications.
Question 2: A pediatric nurse is caring for a 5-year-old with asthma. What is
the most effective way to teach the child about using an inhaler?
A) Show a video of inhaler use
B) Explain the process verbally
C) Demonstrate the inhaler technique on a doll
D) Allow the child to practice with the inhaler (CORRECT)
RATIONALE: Allowing the child to practice with the inhaler helps reinforce learning
through hands-on experience, making it more likely they will remember how to use it
correctly.
Question 3: A nurse is teaching a new mother about breastfeeding. What
should be included as a key benefit of breastfeeding?
A) It is less time-consuming than formula feeding
B) Formula is more nutritious
C) It requires less frequent feeding
D) It provides antibodies to the infant (CORRECT)
RATIONALE: Breastfeeding provides essential antibodies that help protect the infant
from infections and diseases.
,Question 4: A 2-month-old infant is brought to the clinic for a well-child visit.
What developmental milestone should the nurse expect the infant to have
achieved?
A) Sitting without support
B) Smiling responsively (CORRECT)
C) Crawling
D) Walking
RATIONALE: By 2 months, infants typically start to smile responsively, which is an
important social and emotional milestone.
Question 5: A nurse is caring for a postpartum patient who is experiencing
heavy bleeding. What is the priority nursing intervention?
A) Assess the fundus
B) Administer an analgesic
C) Encourage ambulation
D) Administer uterotonics (CORRECT)
RATIONALE: Administering uterotonics is crucial for managing postpartum
hemorrhage by promoting uterine contraction and reducing bleeding.
Question 6: A child with cystic fibrosis is being educated about dietary needs.
What should the nurse emphasize regarding nutrition?
A) High carbohydrate intake
B) Low-fat diet
C) Increased calorie and protein intake (CORRECT)
D) Avoidance of salt
RATIONALE: Children with cystic fibrosis require increased calorie and protein intake
to meet their energy needs due to malabsorption and increased metabolic demands.
Question 7: A nurse is teaching a group of expectant parents about signs of
preterm labor. Which sign should be emphasized?
A) Occasional back pain
B) Increased fetal movement
C) Mild pelvic pressure
D) Regular contractions (CORRECT)
RATIONALE: Regular contractions are a significant indicator of preterm labor and
require immediate medical attention.
,Question 8: During a well-child visit, a mother expresses concern about her
child's weight. What should the nurse assess first?
A) The child's growth chart (CORRECT)
B) The child's diet
C) The child's activity level
D) The mother's dietary habits
RATIONALE: The growth chart provides objective data on the child's growth patterns
and helps identify any deviations from expected growth.
Question 9: A nurse is assessing a newborn. Which finding would be a cause
for concern?
A) Acrocyanosis
B) Reflexive grasp
C) Molding of the head
D) Jaundice within the first 24 hours (CORRECT)
RATIONALE: Jaundice appearing within the first 24 hours of life can indicate
pathological conditions and requires further evaluation.
Question 10: A mother asks the nurse about immunizations for her 12-month-
old child. What is the most appropriate response?
A) “Your child should receive the MMR and varicella vaccines now.”
(CORRECT)
B) “Only the flu vaccine is recommended at this age.”
C) “Immunizations are not necessary until age 2.”
D) “You should wait until your child is school-aged to start vaccinations.”
RATIONALE: The MMR (measles, mumps, rubella) and varicella (chickenpox) vaccines
are recommended at 12 months of age.
Question 11: A nurse is caring for a child with a history of febrile seizures.
What education should the nurse provide to the parents?
A) Avoid all medications
B) Monitor the child’s temperature regularly (CORRECT)
C) Limit fluid intake
D) Use cold packs to reduce fever
RATIONALE: Monitoring the child’s temperature helps in managing fevers that can
lead to febrile seizures.
, Question 12: A nurse is assessing a pregnant woman for risk factors for
gestational diabetes. Which factor is most significant?
A) Family history of diabetes (CORRECT)
B) Maternal age over 30
C) Previous low-birth-weight infant
D) High caffeine intake
RATIONALE: A family history of diabetes is a significant risk factor for developing
gestational diabetes during pregnancy.
Question 13: A nurse is caring for a child diagnosed with acute lymphoblastic
leukemia (ALL). What is the priority nursing intervention?
A) Administering pain medication
B) Providing emotional support
C) Monitoring for signs of infection (CORRECT)
D) Encouraging fluid intake
RATIONALE: Children with ALL are at high risk for infection due to
immunosuppression from the disease and treatment, making infection monitoring a
priority.
Question 14: A nurse is caring for a postpartum patient who is experiencing
difficulty with breastfeeding. What is the first nursing action?
A) Assess the infant's latch (CORRECT)
B) Provide formula as an alternative
C) Suggest using a breast pump
D) Encourage the mother to stop breastfeeding
RATIONALE: Assessing the infant's latch is critical in identifying potential
breastfeeding issues and providing appropriate support.
Question 15: A 4-year-old child is being evaluated for developmental
milestones. Which milestone should be expected at this age?
A) Riding a bicycle
B) Writing their name
C) Drawing a person with at least three body parts (CORRECT)
D) Using complete sentences
RATIONALE: By age 4, children typically can draw a person with basic features,
reflecting their developing fine motor skills and cognitive development.