Maryville NR 410 Maternal Child
Nursing Final Exam With Actual 120
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A postpartum client reports feeling sad, tearful, and overwhelmed 5 days after
delivery. Which condition is most likely?
a. Postpartum depression
b. Postpartum blues
c. Psychosis
d. Bipolar disorder
Rationale: Postpartum blues are common within the first 2 weeks postpartum,
characterized by mood swings, tearfulness, and anxiety.
2. The nurse is assessing a newborn with respiratory distress syndrome (RDS). Which
finding is expected?
a. Bradycardia
b. Grunting respirations
c. Pink mucous membranes
d. Hyperactive bowel sounds
Rationale: Grunting, nasal flaring, and retractions are common signs of RDS due to
surfactant deficiency.
3. A nurse is caring for a pregnant client at 36 weeks with severe preeclampsia. Which
medication should the nurse anticipate?
a. Oxytocin
b. Magnesium sulfate
c. Terbutaline
d. Misoprostol
, Rationale: Magnesium sulfate is given to prevent seizures in clients with
preeclampsia.
4. A nurse is teaching a new mother about breastfeeding. Which instruction is most
important?
a. Feed every 4 hours
b. Ensure a deep latch
c. Limit feedings to 10 minutes
d. Supplement with formula after each feeding
Rationale: A deep latch ensures effective milk transfer and prevents nipple trauma.
5. A newborn’s APGAR score is 4 at 1 minute. What is the nurse’s priority?
a. Place skin-to-skin
b. Provide positive pressure ventilation
c. Initiate breastfeeding
d. Administer vitamin K
Rationale: An APGAR of 4 indicates poor oxygenation; immediate resuscitation is
required.
6. Which maternal condition is a contraindication for breastfeeding?
a. Mastitis
b. Maternal diabetes
c. HIV infection
d. Hypertension
Rationale: HIV-positive mothers should avoid breastfeeding to prevent
transmission.
7. A nurse is reviewing fetal heart rate tracings. Which finding requires immediate
intervention?
a. Moderate variability
b. Accelerations with movement
c. Late decelerations
d. Early decelerations
Rationale: Late decelerations indicate uteroplacental insufficiency and fetal
compromise.
8. A nurse is providing discharge teaching to parents of a newborn with
hyperbilirubinemia. Which instruction is correct?
a. Avoid breastfeeding until bilirubin decreases
b. Place the infant under phototherapy as prescribed
c. Give water between feedings
d. Expect stools to remain dark and tarry
, Rationale: Phototherapy helps break down bilirubin; stools often become loose and
green.
9. A nurse is caring for a client in labor with variable decelerations on the monitor.
What is the priority action?
a. Increase oxytocin infusion
b. Reposition the mother
c. Administer methylergometrine
d. Prepare for cesarean birth
Rationale: Repositioning relieves cord compression causing variable decelerations.
10. Which finding indicates effective breastfeeding in a newborn?
a. Sleeps 6 hours between feeds
b. Audible swallowing during feeds
c. Weight loss of 15% in first week
d. Crying after every feeding
Rationale: Audible swallowing demonstrates milk transfer.
11. A nurse is assessing a 2-day-old newborn. Which finding requires immediate
intervention?
a. Irregular respirations
b. Chest retractions
c. Positive Moro reflex
d. Acrocyanosis
Rationale: Retractions suggest respiratory distress and require urgent care.
12. The nurse is educating a client about car seat safety. Which statement indicates
correct understanding?
a. “I should place the car seat forward-facing at 6 months.”
b. “The car seat should be rear-facing until at least age 2.”
c. “A booster seat is appropriate after 1 year.”
d. “The seat belt alone is safe after 2 years.”
Rationale: Rear-facing is recommended until at least age 2 for safety.
13. Which complication is most associated with gestational diabetes?
a. Preterm labor
b. Macrosomia
c. Low birth weight
d. Oligohydramnios
Rationale: Excess glucose leads to fetal overgrowth (macrosomia).
Nursing Final Exam With Actual 120
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A postpartum client reports feeling sad, tearful, and overwhelmed 5 days after
delivery. Which condition is most likely?
a. Postpartum depression
b. Postpartum blues
c. Psychosis
d. Bipolar disorder
Rationale: Postpartum blues are common within the first 2 weeks postpartum,
characterized by mood swings, tearfulness, and anxiety.
2. The nurse is assessing a newborn with respiratory distress syndrome (RDS). Which
finding is expected?
a. Bradycardia
b. Grunting respirations
c. Pink mucous membranes
d. Hyperactive bowel sounds
Rationale: Grunting, nasal flaring, and retractions are common signs of RDS due to
surfactant deficiency.
3. A nurse is caring for a pregnant client at 36 weeks with severe preeclampsia. Which
medication should the nurse anticipate?
a. Oxytocin
b. Magnesium sulfate
c. Terbutaline
d. Misoprostol
, Rationale: Magnesium sulfate is given to prevent seizures in clients with
preeclampsia.
4. A nurse is teaching a new mother about breastfeeding. Which instruction is most
important?
a. Feed every 4 hours
b. Ensure a deep latch
c. Limit feedings to 10 minutes
d. Supplement with formula after each feeding
Rationale: A deep latch ensures effective milk transfer and prevents nipple trauma.
5. A newborn’s APGAR score is 4 at 1 minute. What is the nurse’s priority?
a. Place skin-to-skin
b. Provide positive pressure ventilation
c. Initiate breastfeeding
d. Administer vitamin K
Rationale: An APGAR of 4 indicates poor oxygenation; immediate resuscitation is
required.
6. Which maternal condition is a contraindication for breastfeeding?
a. Mastitis
b. Maternal diabetes
c. HIV infection
d. Hypertension
Rationale: HIV-positive mothers should avoid breastfeeding to prevent
transmission.
7. A nurse is reviewing fetal heart rate tracings. Which finding requires immediate
intervention?
a. Moderate variability
b. Accelerations with movement
c. Late decelerations
d. Early decelerations
Rationale: Late decelerations indicate uteroplacental insufficiency and fetal
compromise.
8. A nurse is providing discharge teaching to parents of a newborn with
hyperbilirubinemia. Which instruction is correct?
a. Avoid breastfeeding until bilirubin decreases
b. Place the infant under phototherapy as prescribed
c. Give water between feedings
d. Expect stools to remain dark and tarry
, Rationale: Phototherapy helps break down bilirubin; stools often become loose and
green.
9. A nurse is caring for a client in labor with variable decelerations on the monitor.
What is the priority action?
a. Increase oxytocin infusion
b. Reposition the mother
c. Administer methylergometrine
d. Prepare for cesarean birth
Rationale: Repositioning relieves cord compression causing variable decelerations.
10. Which finding indicates effective breastfeeding in a newborn?
a. Sleeps 6 hours between feeds
b. Audible swallowing during feeds
c. Weight loss of 15% in first week
d. Crying after every feeding
Rationale: Audible swallowing demonstrates milk transfer.
11. A nurse is assessing a 2-day-old newborn. Which finding requires immediate
intervention?
a. Irregular respirations
b. Chest retractions
c. Positive Moro reflex
d. Acrocyanosis
Rationale: Retractions suggest respiratory distress and require urgent care.
12. The nurse is educating a client about car seat safety. Which statement indicates
correct understanding?
a. “I should place the car seat forward-facing at 6 months.”
b. “The car seat should be rear-facing until at least age 2.”
c. “A booster seat is appropriate after 1 year.”
d. “The seat belt alone is safe after 2 years.”
Rationale: Rear-facing is recommended until at least age 2 for safety.
13. Which complication is most associated with gestational diabetes?
a. Preterm labor
b. Macrosomia
c. Low birth weight
d. Oligohydramnios
Rationale: Excess glucose leads to fetal overgrowth (macrosomia).
