MATERNAL CHILD NURSING 6 BY EMILY SLONE
2026 PRACTICE TEST PACK COMPLETE
SOLUTIONS VERIFIED INSIGHTS
◉ The nurse is planning care for a client at 30-weeks gestation who
is experiencing preterm labor. What maternal prescription is most
important in preventing this fetus from developing respiratory
distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
Answer: A. Betamethasone (Celestone) 12 mg deep IM
◉ A 3-month-old with myelomeningocele and atonic bladder is
catheterized every 4 hours to prevent urinary retention. The home
health nurse notes that the child has developed episodes of
sneezing, urticaria, watery eyes, and a rash in the diaper area. What
action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
,Answer: C. Change to latex-free gloves when handling infant
◉ The nurse is caring for a female client, a primigravida, with
preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg,
facial and hand swelling, complaints of blurry vision and a severe
frontal headache. Which medication should the nurse anticipate for
this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
Answer: D. Magnesium sulfate
◉ A client at 35-weeks gestation complains of a "pain whenever the
baby moves." On assessment, the nurse notes the client's
temperature to be 101.2F, with severe abdominal or uterine
tenderness on palpation. The nurse knows that these findings are
indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection.
Answer: B. Chorioamnionitis
,◉ A male infant with a 2-day history of fever and diarrhea is brought
to a clinic by his mother who tells the nurse that the child refuses to
drink anything. The nurse determines that the child has a weak cry
with no tears. Which prescription is most important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket
Answer: B. Infuse normal saline intravenously
◉ A 6-month old child who had a cleft-lip repair has elbow
restraints in place. What nursing intervention should the nurse plan
to implement?
A. remove restraints q4h for 30 minutes and place gloves on the
child's hands
B. record observations of the restraints q2h and ensure that they are
in place at all times
C. obtain the HCP advice as to when the restraints should be
removed
D. remove restraints one at a time to provide ROM exercises
Answer: D. remove restraints one at a time to provide ROM exercises
, ◉ A new mother calls the nurse stating that she wants to start
feeding her 6-month-old child something besides breast milk, but is
concerned that the infant is too young to start eating solid foods.
How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of
the infant
B. advise the mother to wait at least another month before starting
any solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at
each meal
D. reassure the mother that the infant is old enough to eat iron-
fortified cereal
Answer: D. reassure the mother that the infant is old enough to eat
iron-fortified cereal
◉ While caring for a laboring client on continuous fetal monitoring,
the nurse notes a fetal heart rate pattern that falls and rises abruptly
with a "V" shaped appearance. What action should the nurse take
first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position
Answer: D. Change the maternal position
2026 PRACTICE TEST PACK COMPLETE
SOLUTIONS VERIFIED INSIGHTS
◉ The nurse is planning care for a client at 30-weeks gestation who
is experiencing preterm labor. What maternal prescription is most
important in preventing this fetus from developing respiratory
distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
Answer: A. Betamethasone (Celestone) 12 mg deep IM
◉ A 3-month-old with myelomeningocele and atonic bladder is
catheterized every 4 hours to prevent urinary retention. The home
health nurse notes that the child has developed episodes of
sneezing, urticaria, watery eyes, and a rash in the diaper area. What
action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
,Answer: C. Change to latex-free gloves when handling infant
◉ The nurse is caring for a female client, a primigravida, with
preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg,
facial and hand swelling, complaints of blurry vision and a severe
frontal headache. Which medication should the nurse anticipate for
this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
Answer: D. Magnesium sulfate
◉ A client at 35-weeks gestation complains of a "pain whenever the
baby moves." On assessment, the nurse notes the client's
temperature to be 101.2F, with severe abdominal or uterine
tenderness on palpation. The nurse knows that these findings are
indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection.
Answer: B. Chorioamnionitis
,◉ A male infant with a 2-day history of fever and diarrhea is brought
to a clinic by his mother who tells the nurse that the child refuses to
drink anything. The nurse determines that the child has a weak cry
with no tears. Which prescription is most important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket
Answer: B. Infuse normal saline intravenously
◉ A 6-month old child who had a cleft-lip repair has elbow
restraints in place. What nursing intervention should the nurse plan
to implement?
A. remove restraints q4h for 30 minutes and place gloves on the
child's hands
B. record observations of the restraints q2h and ensure that they are
in place at all times
C. obtain the HCP advice as to when the restraints should be
removed
D. remove restraints one at a time to provide ROM exercises
Answer: D. remove restraints one at a time to provide ROM exercises
, ◉ A new mother calls the nurse stating that she wants to start
feeding her 6-month-old child something besides breast milk, but is
concerned that the infant is too young to start eating solid foods.
How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of
the infant
B. advise the mother to wait at least another month before starting
any solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at
each meal
D. reassure the mother that the infant is old enough to eat iron-
fortified cereal
Answer: D. reassure the mother that the infant is old enough to eat
iron-fortified cereal
◉ While caring for a laboring client on continuous fetal monitoring,
the nurse notes a fetal heart rate pattern that falls and rises abruptly
with a "V" shaped appearance. What action should the nurse take
first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position
Answer: D. Change the maternal position
