Maternal & Child Health Nursing Practice
Exam – 100 Questions With Correct and
Verified Answers [GRADED A+] | Latest
Updated Text Bank
1. A pregnant client at 28 weeks’ gestation reports sudden gush of
fluid from the vagina. What is the priority nursing action?
• Assess for signs of labor
• Perform a sterile speculum examination to confirm rupture of
membranes
• Monitor fetal heart rate
• Encourage the client to rest
Rationale: Confirmation of rupture of membranes is necessary to
prevent infection and assess labor progression.
2. A nurse is teaching a postpartum client about perineal care after
vaginal delivery. Which instruction is correct?
• Use regular toilet paper only
• Use a peri bottle with warm water to cleanse the perineum
• Avoid changing pads frequently
• Apply alcohol-based wipes
Rationale: Peri bottles reduce the risk of infection and promote healing
of the perineal area.
, 3. A newborn exhibits a persistent high-pitched cry, tremors, and
poor feeding. The nurse suspects:
• Hypoglycemia
• Neonatal abstinence syndrome (NAS)
• Hyperbilirubinemia
• Sepsis
Rationale: These are classic signs of withdrawal in neonates exposed to
substances in utero.
4. A nurse is teaching a client about Rh incompatibility. Which
statement indicates understanding?
• "My blood type doesn’t matter in pregnancy."
• "I may need Rh immunoglobulin if I am Rh-negative."
• "Rh incompatibility only occurs in my first pregnancy."
• "Rh incompatibility causes maternal hypertension."
Rationale: Rh-negative mothers require Rh immunoglobulin to prevent
isoimmunization in Rh-positive fetuses.
5. A client at 36 weeks’ gestation reports regular uterine
contractions, back pain, and bloody show. The nurse should:
• Assess fetal position
• Assess cervical dilation and effacement
• Administer tocolytics immediately
• Encourage ambulation
Rationale: Assessment of cervical changes confirms labor status and
guides management.
, 6. A 2-day-old newborn has jaundice on the face and chest. What
should the nurse do first?
• Prepare for phototherapy
• Assess bilirubin levels
• Encourage frequent breastfeeding
• Notify pediatrician
Rationale: Bilirubin assessment determines severity and guides
treatment decisions.
7. Which action should the nurse take when a breastfeeding mother
reports nipple pain?
• Advise weaning
• Assess latch and positioning
• Apply alcohol-based cream
• Feed every 4 hours
Rationale: Correct latch and positioning prevent nipple trauma and
promote effective breastfeeding.
8. A pregnant client with gestational diabetes has a fasting blood
glucose of 105 mg/dL. The nurse should:
• Consult the provider regarding insulin therapy
• Encourage only diet modification
• Restrict all carbohydrates
• Initiate exercise immediately
Rationale: Fasting glucose above 95 mg/dL may require insulin to
prevent maternal and fetal complications.
, 9. During a routine prenatal visit, the nurse notes a fundal height
discrepancy. The most appropriate action is:
• Reassure the client
• Perform ultrasound to assess fetal growth
• Recommend bed rest
• Encourage hydration
Rationale: Ultrasound helps identify growth restriction or macrosomia,
ensuring appropriate prenatal care.
10. A 4-year-old child is admitted with croup. Which assessment
finding is most concerning?
• Barking cough
• Stridor at rest
• Mild fever
• Retractions and cyanosis
Rationale: Retractions and cyanosis indicate respiratory distress
requiring immediate intervention.
11. A nurse is teaching a 15-year-old client about menstrual
hygiene. Which statement indicates correct understanding?
• "I should use one pad for the entire day."
• "I should change pads every 4–6 hours."
• "I should use scented pads to prevent odor."
• "I should avoid bathing during menses."
Rationale: Regular pad changes reduce infection risk and maintain
hygiene.
Exam – 100 Questions With Correct and
Verified Answers [GRADED A+] | Latest
Updated Text Bank
1. A pregnant client at 28 weeks’ gestation reports sudden gush of
fluid from the vagina. What is the priority nursing action?
• Assess for signs of labor
• Perform a sterile speculum examination to confirm rupture of
membranes
• Monitor fetal heart rate
• Encourage the client to rest
Rationale: Confirmation of rupture of membranes is necessary to
prevent infection and assess labor progression.
2. A nurse is teaching a postpartum client about perineal care after
vaginal delivery. Which instruction is correct?
• Use regular toilet paper only
• Use a peri bottle with warm water to cleanse the perineum
• Avoid changing pads frequently
• Apply alcohol-based wipes
Rationale: Peri bottles reduce the risk of infection and promote healing
of the perineal area.
, 3. A newborn exhibits a persistent high-pitched cry, tremors, and
poor feeding. The nurse suspects:
• Hypoglycemia
• Neonatal abstinence syndrome (NAS)
• Hyperbilirubinemia
• Sepsis
Rationale: These are classic signs of withdrawal in neonates exposed to
substances in utero.
4. A nurse is teaching a client about Rh incompatibility. Which
statement indicates understanding?
• "My blood type doesn’t matter in pregnancy."
• "I may need Rh immunoglobulin if I am Rh-negative."
• "Rh incompatibility only occurs in my first pregnancy."
• "Rh incompatibility causes maternal hypertension."
Rationale: Rh-negative mothers require Rh immunoglobulin to prevent
isoimmunization in Rh-positive fetuses.
5. A client at 36 weeks’ gestation reports regular uterine
contractions, back pain, and bloody show. The nurse should:
• Assess fetal position
• Assess cervical dilation and effacement
• Administer tocolytics immediately
• Encourage ambulation
Rationale: Assessment of cervical changes confirms labor status and
guides management.
, 6. A 2-day-old newborn has jaundice on the face and chest. What
should the nurse do first?
• Prepare for phototherapy
• Assess bilirubin levels
• Encourage frequent breastfeeding
• Notify pediatrician
Rationale: Bilirubin assessment determines severity and guides
treatment decisions.
7. Which action should the nurse take when a breastfeeding mother
reports nipple pain?
• Advise weaning
• Assess latch and positioning
• Apply alcohol-based cream
• Feed every 4 hours
Rationale: Correct latch and positioning prevent nipple trauma and
promote effective breastfeeding.
8. A pregnant client with gestational diabetes has a fasting blood
glucose of 105 mg/dL. The nurse should:
• Consult the provider regarding insulin therapy
• Encourage only diet modification
• Restrict all carbohydrates
• Initiate exercise immediately
Rationale: Fasting glucose above 95 mg/dL may require insulin to
prevent maternal and fetal complications.
, 9. During a routine prenatal visit, the nurse notes a fundal height
discrepancy. The most appropriate action is:
• Reassure the client
• Perform ultrasound to assess fetal growth
• Recommend bed rest
• Encourage hydration
Rationale: Ultrasound helps identify growth restriction or macrosomia,
ensuring appropriate prenatal care.
10. A 4-year-old child is admitted with croup. Which assessment
finding is most concerning?
• Barking cough
• Stridor at rest
• Mild fever
• Retractions and cyanosis
Rationale: Retractions and cyanosis indicate respiratory distress
requiring immediate intervention.
11. A nurse is teaching a 15-year-old client about menstrual
hygiene. Which statement indicates correct understanding?
• "I should use one pad for the entire day."
• "I should change pads every 4–6 hours."
• "I should use scented pads to prevent odor."
• "I should avoid bathing during menses."
Rationale: Regular pad changes reduce infection risk and maintain
hygiene.
