Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
Test Bank 1 for Safe Maternity and Pediatric
Nursing Care 3rd Edition (F.A Davis) by Luanne
Linnard Palmer, Isbn no; 9781719648844, All
38 Chapters Covered| 2026 Updated
On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5 C (97.7 F). What will her
temperature most likely be if ovulation takes place on day 14?
A. 35.9 C (96.7 F)
B. 36.3 C (97.3 F)
C. 36.7 C (98.1 F)
D. 37.1 C (98.9 F)
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
CORRECT: C. 36.7 C (98.1 F).
Basal body temperature rises slightly after ovulation due to the thermogenic effect of progesterone
released by the corpus luteum. The rise is typically 0.2 to 0.5 C (0.4 to 0.9 F) above the preovulatory
baseline. Starting from a baseline of 36.5 C, a rise of approximately 0.2 C places the postovulatory
temperature at about 36.7 C. This sustained rise indicates that ovulation has occurred. A temperature
decrease or no change would not reflect the expected progesterone-driven rise. A rise to 37.1 C would
be an excessively large jump beyond the expected range.
Which assessment of the newborn should be reported?
A. Head circumference is 5 cm greater than the chest circumference.
B. Hands and feet are warm with a blue color.
C. Temperature is 36.6 C (97.8 F).
D. Head has a longer than normal shape to it.
CORRECT: A. Head circumference is 5 cm greater than the chest circumference.
Normal head circumference is approximately 2 cm greater than chest circumference, averaging 33 to
35 cm. A head circumference 5 cm greater than the chest is abnormally large and may indicate
hydrocephalus, an accumulation of cerebrospinal fluid in the ventricles causing increased intracranial
pressure. This requires immediate provider notification. Blue hands and feet with warm temperature is
acrocyanosis, which is normal in the first hours of life. A temperature of 36.6 C is within the normal
axillary range of 36.4 to 37.2 C. A longer than normal head shape is molding, which is normal after
vaginal delivery and resolves within days.
What noninvasive forms of pain relief might a nurse implement with a newborn? (Select all that apply.)
a. Swaddling
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
b. Rocking
c. Offering a pacifier
d. Distraction
e. Cuddling
All five are correct.
A. Swaddling wraps the infant snugly in a blanket, mimicking the containment of the uterine
environment. It reduces startle responses, decreases motor activity, and promotes a calm organized
state which reduces the perception of pain.
B. Rocking provides rhythmic vestibular stimulation that soothes the infant and decreases crying and
pain responses. It activates the vestibular system in a way that competes with pain signals.
C. Offering a pacifier provides non-nutritive sucking which stimulates the release of endogenous
opioids and activates the descending pain inhibitory pathways. It is one of the most effective
nonpharmacological pain relief measures for minor procedures in newborns.
D. Distraction in the newborn context refers to redirecting the infant's attention through visual stimuli,
sound, or touch. While less applicable in newborns than older children, any competing sensory input
can modulate pain perception through the gate control mechanism.
E. Cuddling provides skin-to-skin contact and warmth which activates the parasympathetic nervous
system, reduces cortisol levels, and promotes feelings of security. Skin-to-skin contact specifically has
been shown to reduce procedural pain responses in newborns.
The textbook also includes sucrose solution on the tongue before painful procedures as another
nonpharmacological option. All five listed are appropriate and correct.
The nurse is assessing Apgar score on a newborn. What will be evaluated? (Select all that apply.)
a. Reflexes
b. Color
c. Heart rate
d. Respiration
e. Weight
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
A, B, C, and D are correct. E is wrong.
A. Reflexes evaluated as reflex irritability, the infant's response to stimulation such as a catheter in the
nostril or a slap to the sole. Scored 0 for no response, 1 for grimace, 2 for cry or vigorous response.
B. Color assessed as central versus peripheral color. Scored 0 for blue all over, 1 for pink body with blue
extremities (acrocyanosis), 2 for completely pink.
C. Heart rate counted by auscultation or palpation of the umbilical cord. Scored 0 for absent, 1 for
below 100 bpm, 2 for 100 bpm or above.
D. Respiration assessed for effort and quality of the cry. Scored 0 for absent, 1 for slow and irregular, 2
for good strong cry.
E. Weight is not part of the Apgar score. Weight is measured separately as part of the newborn
physical assessment. The five Apgar criteria are heart rate, respirations, muscle tone, reflex irritability,
and color. The memory device is Appearance, Pulse, Grimace, Activity, Respirations.
The nurse reminds new parents that newborns must be protected from environments that are too
cold or too hot because of which aspects of the newborns physiology? (Select all that apply.)
a. Very little subcutaneous fat
b. Low metabolic rates
c. Ineffective sweat glands
d. Small fluid reserves
e. Low red blood cell counts
a. Very little subcutaneous fat
c. Ineffective sweat glands
Rationale:
a. Very little subcutaneous fat (Correct): Newborns have thin skin and very limited layers of insulating
subcutaneous fat. This means they transfer heat from their body core to the environment very rapidly,
making them highly vulnerable to dropping their body temperature in cold environments.
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Maternity and 08/26/2026
Pediatric Nursing Care
Test Bank 1 for Safe Maternity and Pediatric
Nursing Care 3rd Edition (F.A Davis) by Luanne
Linnard Palmer, Isbn no; 9781719648844, All
38 Chapters Covered| 2026 Updated
On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5 C (97.7 F). What will her
temperature most likely be if ovulation takes place on day 14?
A. 35.9 C (96.7 F)
B. 36.3 C (97.3 F)
C. 36.7 C (98.1 F)
D. 37.1 C (98.9 F)
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
CORRECT: C. 36.7 C (98.1 F).
Basal body temperature rises slightly after ovulation due to the thermogenic effect of progesterone
released by the corpus luteum. The rise is typically 0.2 to 0.5 C (0.4 to 0.9 F) above the preovulatory
baseline. Starting from a baseline of 36.5 C, a rise of approximately 0.2 C places the postovulatory
temperature at about 36.7 C. This sustained rise indicates that ovulation has occurred. A temperature
decrease or no change would not reflect the expected progesterone-driven rise. A rise to 37.1 C would
be an excessively large jump beyond the expected range.
Which assessment of the newborn should be reported?
A. Head circumference is 5 cm greater than the chest circumference.
B. Hands and feet are warm with a blue color.
C. Temperature is 36.6 C (97.8 F).
D. Head has a longer than normal shape to it.
CORRECT: A. Head circumference is 5 cm greater than the chest circumference.
Normal head circumference is approximately 2 cm greater than chest circumference, averaging 33 to
35 cm. A head circumference 5 cm greater than the chest is abnormally large and may indicate
hydrocephalus, an accumulation of cerebrospinal fluid in the ventricles causing increased intracranial
pressure. This requires immediate provider notification. Blue hands and feet with warm temperature is
acrocyanosis, which is normal in the first hours of life. A temperature of 36.6 C is within the normal
axillary range of 36.4 to 37.2 C. A longer than normal head shape is molding, which is normal after
vaginal delivery and resolves within days.
What noninvasive forms of pain relief might a nurse implement with a newborn? (Select all that apply.)
a. Swaddling
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
b. Rocking
c. Offering a pacifier
d. Distraction
e. Cuddling
All five are correct.
A. Swaddling wraps the infant snugly in a blanket, mimicking the containment of the uterine
environment. It reduces startle responses, decreases motor activity, and promotes a calm organized
state which reduces the perception of pain.
B. Rocking provides rhythmic vestibular stimulation that soothes the infant and decreases crying and
pain responses. It activates the vestibular system in a way that competes with pain signals.
C. Offering a pacifier provides non-nutritive sucking which stimulates the release of endogenous
opioids and activates the descending pain inhibitory pathways. It is one of the most effective
nonpharmacological pain relief measures for minor procedures in newborns.
D. Distraction in the newborn context refers to redirecting the infant's attention through visual stimuli,
sound, or touch. While less applicable in newborns than older children, any competing sensory input
can modulate pain perception through the gate control mechanism.
E. Cuddling provides skin-to-skin contact and warmth which activates the parasympathetic nervous
system, reduces cortisol levels, and promotes feelings of security. Skin-to-skin contact specifically has
been shown to reduce procedural pain responses in newborns.
The textbook also includes sucrose solution on the tongue before painful procedures as another
nonpharmacological option. All five listed are appropriate and correct.
The nurse is assessing Apgar score on a newborn. What will be evaluated? (Select all that apply.)
a. Reflexes
b. Color
c. Heart rate
d. Respiration
e. Weight
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
A, B, C, and D are correct. E is wrong.
A. Reflexes evaluated as reflex irritability, the infant's response to stimulation such as a catheter in the
nostril or a slap to the sole. Scored 0 for no response, 1 for grimace, 2 for cry or vigorous response.
B. Color assessed as central versus peripheral color. Scored 0 for blue all over, 1 for pink body with blue
extremities (acrocyanosis), 2 for completely pink.
C. Heart rate counted by auscultation or palpation of the umbilical cord. Scored 0 for absent, 1 for
below 100 bpm, 2 for 100 bpm or above.
D. Respiration assessed for effort and quality of the cry. Scored 0 for absent, 1 for slow and irregular, 2
for good strong cry.
E. Weight is not part of the Apgar score. Weight is measured separately as part of the newborn
physical assessment. The five Apgar criteria are heart rate, respirations, muscle tone, reflex irritability,
and color. The memory device is Appearance, Pulse, Grimace, Activity, Respirations.
The nurse reminds new parents that newborns must be protected from environments that are too
cold or too hot because of which aspects of the newborns physiology? (Select all that apply.)
a. Very little subcutaneous fat
b. Low metabolic rates
c. Ineffective sweat glands
d. Small fluid reserves
e. Low red blood cell counts
a. Very little subcutaneous fat
c. Ineffective sweat glands
Rationale:
a. Very little subcutaneous fat (Correct): Newborns have thin skin and very limited layers of insulating
subcutaneous fat. This means they transfer heat from their body core to the environment very rapidly,
making them highly vulnerable to dropping their body temperature in cold environments.
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