Maryville NR 410 Maternal Child
Nursing Exam 2 With Actual 120
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is caring for a newborn with respiratory distress syndrome. Which
intervention is the priority?
a. Maintain neutral thermal environment
b. Administer oxygen therapy as prescribed
c. Initiate early feedings
d. Monitor for hypoglycemia
b. Administer oxygen therapy as prescribed
Rationale: Oxygen therapy is the priority to support adequate gas exchange in a
newborn with respiratory distress syndrome. Other interventions are supportive
but secondary.
2. A postpartum woman reports increased lochia with foul odor and abdominal pain.
What should the nurse suspect?
a. Normal postpartum healing
b. Endometritis
c. Postpartum depression
d. Mastitis
b. Endometritis
Rationale: Foul-smelling lochia and uterine tenderness are hallmark signs of
endometritis, a postpartum infection.
3. Which newborn finding requires immediate intervention?
a. Caput succedaneum
b. Nasal flaring
, c. Overlapping sutures
d. Mongolian spots
b. Nasal flaring
Rationale: Nasal flaring is a sign of respiratory distress in a newborn and requires
prompt intervention.
4. A nurse is teaching a mother about breastfeeding. Which statement indicates correct
understanding?
a. "I should feed my baby every 6–8 hours."
b. "I should alternate breasts with each feeding."
c. "I will introduce water after feedings."
d. "I should expect my baby to have 1–2 wet diapers daily."
b. "I should alternate breasts with each feeding."
Rationale: Alternating breasts promotes equal stimulation and milk production.
Newborns need feeding every 2–3 hours, and they should have 6–8 wet diapers
daily.
5. Which is the best position for a newborn immediately after birth to promote airway
clearance?
a. Supine with head flat
b. Side-lying with head slightly lower than chest
c. Trendelenburg position
d. Prone with head elevated
b. Side-lying with head slightly lower than chest
Rationale: This position promotes drainage of secretions and airway clearance in
the immediate newborn period.
6. A pregnant patient at 32 weeks reports severe right upper quadrant pain, headache,
and visual changes. What complication is suspected?
a. Gestational diabetes
b. Placenta previa
c. Preeclampsia with severe features
d. Hyperemesis gravidarum
c. Preeclampsia with severe features
Rationale: RUQ pain, headache, and visual disturbances are signs of preeclampsia
with severe features.
7. A nurse notes that a postpartum patient has a boggy uterus with heavy vaginal
bleeding. What is the first action?
a. Call the provider
b. Start oxygen therapy
c. Massage the fundus
d. Increase IV fluids
, c. Massage the fundus
Rationale: Uterine massage stimulates contraction, which is the first step in
managing postpartum hemorrhage from uterine atony.
8. A newborn’s Apgar score at 1 minute is 4. What is the nurse’s next step?
a. Document findings
b. Begin chest compressions
c. Provide positive pressure ventilation
d. Place skin-to-skin with mother
c. Provide positive pressure ventilation
Rationale: An Apgar score less than 7 indicates the need for resuscitation, and
positive pressure ventilation is required.
9. Which assessment finding is normal in a healthy newborn?
a. Expiratory grunting
b. Central cyanosis
c. Positive Babinski reflex
d. Intercostal retractions
c. Positive Babinski reflex
Rationale: A positive Babinski reflex is normal in newborns up to 1 year. The other
findings indicate respiratory distress.
10. A nurse is providing discharge teaching to a postpartum patient with mastitis. Which
instruction is appropriate?
a. Stop breastfeeding until infection resolves
b. Apply cold compresses after feeding
c. Wear a tight-fitting bra
d. Apply warm compresses before breastfeeding
d. Apply warm compresses before breastfeeding
Rationale: Warm compresses increase circulation and milk flow, aiding in
treatment of mastitis.
11. A nurse is caring for a newborn who is jittery, has a high-pitched cry, and is difficult to
console. The mother has a history of opioid use during pregnancy. What should the
nurse suspect?
a. Hypoglycemia
b. Neonatal abstinence syndrome
c. Sepsis
d. Hyperbilirubinemia
b. Neonatal abstinence syndrome
Rationale: Jitteriness, high-pitched cry, and irritability are classic signs of
withdrawal in a newborn exposed to opioids in utero.
Nursing Exam 2 With Actual 120
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is caring for a newborn with respiratory distress syndrome. Which
intervention is the priority?
a. Maintain neutral thermal environment
b. Administer oxygen therapy as prescribed
c. Initiate early feedings
d. Monitor for hypoglycemia
b. Administer oxygen therapy as prescribed
Rationale: Oxygen therapy is the priority to support adequate gas exchange in a
newborn with respiratory distress syndrome. Other interventions are supportive
but secondary.
2. A postpartum woman reports increased lochia with foul odor and abdominal pain.
What should the nurse suspect?
a. Normal postpartum healing
b. Endometritis
c. Postpartum depression
d. Mastitis
b. Endometritis
Rationale: Foul-smelling lochia and uterine tenderness are hallmark signs of
endometritis, a postpartum infection.
3. Which newborn finding requires immediate intervention?
a. Caput succedaneum
b. Nasal flaring
, c. Overlapping sutures
d. Mongolian spots
b. Nasal flaring
Rationale: Nasal flaring is a sign of respiratory distress in a newborn and requires
prompt intervention.
4. A nurse is teaching a mother about breastfeeding. Which statement indicates correct
understanding?
a. "I should feed my baby every 6–8 hours."
b. "I should alternate breasts with each feeding."
c. "I will introduce water after feedings."
d. "I should expect my baby to have 1–2 wet diapers daily."
b. "I should alternate breasts with each feeding."
Rationale: Alternating breasts promotes equal stimulation and milk production.
Newborns need feeding every 2–3 hours, and they should have 6–8 wet diapers
daily.
5. Which is the best position for a newborn immediately after birth to promote airway
clearance?
a. Supine with head flat
b. Side-lying with head slightly lower than chest
c. Trendelenburg position
d. Prone with head elevated
b. Side-lying with head slightly lower than chest
Rationale: This position promotes drainage of secretions and airway clearance in
the immediate newborn period.
6. A pregnant patient at 32 weeks reports severe right upper quadrant pain, headache,
and visual changes. What complication is suspected?
a. Gestational diabetes
b. Placenta previa
c. Preeclampsia with severe features
d. Hyperemesis gravidarum
c. Preeclampsia with severe features
Rationale: RUQ pain, headache, and visual disturbances are signs of preeclampsia
with severe features.
7. A nurse notes that a postpartum patient has a boggy uterus with heavy vaginal
bleeding. What is the first action?
a. Call the provider
b. Start oxygen therapy
c. Massage the fundus
d. Increase IV fluids
, c. Massage the fundus
Rationale: Uterine massage stimulates contraction, which is the first step in
managing postpartum hemorrhage from uterine atony.
8. A newborn’s Apgar score at 1 minute is 4. What is the nurse’s next step?
a. Document findings
b. Begin chest compressions
c. Provide positive pressure ventilation
d. Place skin-to-skin with mother
c. Provide positive pressure ventilation
Rationale: An Apgar score less than 7 indicates the need for resuscitation, and
positive pressure ventilation is required.
9. Which assessment finding is normal in a healthy newborn?
a. Expiratory grunting
b. Central cyanosis
c. Positive Babinski reflex
d. Intercostal retractions
c. Positive Babinski reflex
Rationale: A positive Babinski reflex is normal in newborns up to 1 year. The other
findings indicate respiratory distress.
10. A nurse is providing discharge teaching to a postpartum patient with mastitis. Which
instruction is appropriate?
a. Stop breastfeeding until infection resolves
b. Apply cold compresses after feeding
c. Wear a tight-fitting bra
d. Apply warm compresses before breastfeeding
d. Apply warm compresses before breastfeeding
Rationale: Warm compresses increase circulation and milk flow, aiding in
treatment of mastitis.
11. A nurse is caring for a newborn who is jittery, has a high-pitched cry, and is difficult to
console. The mother has a history of opioid use during pregnancy. What should the
nurse suspect?
a. Hypoglycemia
b. Neonatal abstinence syndrome
c. Sepsis
d. Hyperbilirubinemia
b. Neonatal abstinence syndrome
Rationale: Jitteriness, high-pitched cry, and irritability are classic signs of
withdrawal in a newborn exposed to opioids in utero.
