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Maternal child exam 2 - complete practice solutions, Exams of Obstetrics

Virginia State University (VSU)Obstetrics

Maternal child exam 2 - complete practice solutions

Typology: Exams

2025/2026

Available from 11/06/2025

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Maternal child exam 2 - complete
practice solutions
1. A newborn who was delivered 2 hours ago is being assessed in the
nursery.Upon exam, the nurse notes a flattened nasal bridge ,wide set eyes,
low set ears , and overall decrease in tone.Given these exam findings, what
diagnostic tests would the nurse anticipate that the physician will order?
a. Hemoglobin electrophoresis.
b. Chromosomal blood testing
c. Computed tomography (ct) of the brain.
d. Meconium toxicology testing.
2. Calculate a client’s total intake in milliliters (ml) from 0700 to 1500 .Continuous
IV infusion of lactated Ringer’s 125 ml/hr. Oral intake ½ of green tea, 8 oz glass
apple juice 1/2bowl cream of wheat.
1504.
3. The nurse is called to the room of a client who had a term delivery of a 9 lb 8 oz
.newborn 24 hours ago.the client is noted to have lost consciousness on her way to
the bathroom what is the priory nursing assessment for the client.
a. Assess ability to void
b. Assess the fundus
c. Assess blood pressure and heart rate
d. Call the provider
4. A postpartum woman ( gravida 1 , para ) asks the nurse immediately after
delivery if she should request rooming-in with her infant.which of the following
responses by the nurse would be correct.
a. This puts too much responsibility on a first-time mother
b. It depends on whether you breastfeed or not
c. Rooming-in allows increased maternal-newborn contact
d. Resting for the first 3 days postpartum will be better for you.
5. A newborn is prescribed to receive vitamin k 0.5 mg intramuscularly.How
should the nurse nurse administer this medication to the newborn.
a. Administer the medication in the deltoid muscle
b. Administer the medication into the vastus lateralis
c. Provide the medication immediately before breastfeeding
d. Notify the physician for swelling and irritation at the injection site.
6. When assessing a newborn ,the apgar score assesses the ability of the newborn
to transition to extra uterine life.which of the following does the apgar score
assess.( select all that apply)
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe

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Maternal child exam 2 - complete

practice solutions

  1. A newborn who was delivered 2 hours ago is being assessed in the nursery.Upon exam, the nurse notes a flattened nasal bridge ,wide set eyes, low set ears , and overall decrease in tone.Given these exam findings, what diagnostic tests would the nurse anticipate that the physician will order? a. Hemoglobin electrophoresis. b. Chromosomal blood testing c. Computed tomography (ct) of the brain. d. Meconium toxicology testing.
  2. Calculate a client’s total intake in milliliters (ml) from 0700 to 1500 .Continuous IV infusion of lactated Ringer’s 125 ml/hr. Oral intake ½ of green tea, 8 oz glass apple juice 1/2bowl cream of wheat.
  4. The nurse is called to the room of a client who had a term delivery of a 9 lb 8 oz .newborn 24 hours ago.the client is noted to have lost consciousness on her way to the bathroom what is the priory nursing assessment for the client. a. Assess ability to void b. Assess the fundus c. Assess blood pressure and heart rate d. Call the provider
  5. A postpartum woman ( gravida 1 , para ) asks the nurse immediately after delivery if she should request rooming-in with her infant.which of the following responses by the nurse would be correct. a. This puts too much responsibility on a first-time mother b. It depends on whether you breastfeed or not c. Rooming-in allows increased maternal-newborn contact d. Resting for the first 3 days postpartum will be better for you.
  6. A newborn is prescribed to receive vitamin k 0.5 mg intramuscularly.How should the nurse nurse administer this medication to the newborn. a. Administer the medication in the deltoid muscle b. Administer the medication into the vastus lateralis c. Provide the medication immediately before breastfeeding d. Notify the physician for swelling and irritation at the injection site.
  7. When assessing a newborn ,the apgar score assesses the ability of the newborn to transition to extra uterine life.which of the following does the apgar score assess.( select all that apply)

a. Gender b. Color c. Heart rate d. Birth time e. Respirations

  1. A newborn infant has loose,yellow stools,the infant appears healthy , but his mother is concerned that this means he is allergic to breast milk.which of the following is the nurse’s best response. a. Try burping the infant more frequently b. breasteed infants stool are normally loose c. Consider changing to a soybean formula d. You may need to have the infant investigated for bile duct disease.
  2. The newborn’s birthweight is 8 lb 8 oz.what is the weight in kg ( round to the nearest tenth) 3.
  3. A neonatal is assessing a 2-hour old male newborn.she notes that the urethra meatus is not midline ,but displaced on the dorsal surface( top side) of the penis,what is the medical term. a. Hypospadias b. Undescended testicle c. Epispadias d. Varicocele. 10.The nurse is evaluating a new mother’s ability to effectively breastfeed her infant.which criteria indicates that the mother should be able to breastfeed independently select all that apply. a. Nipples are everted b. Breasts are soft and nontender c. The mother holds the infant close to her breast in a football hold d. Infant swallows spontaneously are frequently e. Nurses place pillows under the baby for support. 11.In providing care to the postpartum client the nurse recognizes that women are hypercoagulable during the third trimester of pregnancy and that assessment of this client should include which of the following evaluation for the development of venous thromboembolism .which of the following should be included in this evaluation. a. Observe the distal upper extremities for swelling /edema b. Observe the lower extremities for symmetry c. Auscultation of lung sounds d. Observation of respiratory rate and effort e. Assessment of uterine cramping. 12.When collecting data from an infant ,which of the following techniques should the nurse use to elicit the stepping reflex. a. Strike a flat surface on which the infant is lying

c. Stroke the outer edge of the sole of the infant’s foot up toward the toes d. Hold the infant upright with his feet touching a flat surface. 13.The nurse provides discharge instructions to a postpartum client.which client statement indicates that teaching has been effective. a. I should limit stair climbing to four times a day b. I can begin having intercourse when i get home c. I can return to my full time job after 6 weeks d. I should notify the physician if my discharge decreases in amount. 14.A nurse is assessing a newborn that was admitted to the newborn nursery 28 hours ago .mother’s history includes addiction to recreational drugs.which of the following would the nurse expect to note during the assessment of this newborn a. Sleepiness b. Flaccid extremities c. Incessant crying d. Quiets with swaddling. 15.While inspecting a newborn’s head , the nurse identifies a swelling of the scalp on the right posterior side of the head that does not cross the suture line , what term a. Caput succedaneum b. Cephalohematoma c. Enlarged fontanelle d. Molding 16.The nurse is providing discharge teaching to the postpartum client regarding mood changes to report in differentiating between the baby blues and postpartum depression ,which of the following statements should be included in the instruction. a. Baby blues are the result of hormonal shifts and should resolve by the end of the sixth postpartum week. b. Baby blues may be present in the first few days after birth and resolve prior to the second postpartum week c. Postpartum depression may occur on the 5th postpartum day but will resolve spontaneously by the end of the 6th week. d. Postpartum depression is the result of hormonal changes related to the end of pregnancy and will not require intervention or medication management. 17.Why are postpartum women prone to urinary retention a. Catheterization at the time of delivery reduces bladder toxicity b. Decreased bladder sensation results from edema because of pressure of birth. c. Frequent partial voiding never relieves the bladder pressure. d. Mild dehydration causes a concentrated urine volume in the bladder.

18.The nurse is assessing the breast of a woman who is 1 month postpartum.the woman reports a painful ,inflamed area on one breast .upon assessment the nurse notes a wedged shaped area on one breast to be red and warm to touch.client’s temperature is 101.8 f.what should the nurse consider as the potential diagnosis. a. Breast yeast infection b. Mastitis c. Plugged milk duct d. Engorgement. 19.At birth the infant has dry ,cracked skin,absence of vernix ,lack of subcutaneous fat, fingernail extending beyond the fingertips and poor skin turgor based on these findings how would the nurse classify this neonate a. Post term b. Preterm c. Small for gestational age d. Large for gestational age. 20.A preterm infant in placed in a radiant heat warmer immediately after birth.which of the following nursing diagnosis is this intervention addressing. a. ineffective thermoregulation related to immaturity B. risk for imbalanced nutrition less than body movement C. risk for deficient fluid volume related to insensible water loss D. impaired gas exchange related to immature pulmonary functioning. 21.The nurse on the postpartum unit is reviewing uterotonic ( oxytocic) medications with a group of nursing students which of the following would be included in this condition a. Terbutaline b. Misoprostol c. Magnesium sulfate d. Phytonadione 22.A new mother asks the nurse how to determine if the baby is receiving enough breast milk.how should the nurse respond to the mother. a. The infant should not become constipated b. The infant should sleep at least 3 hours between feedings c. You need to weigh the infant before and after each feeding d. The infant should gain weight and have six wet diapers daily 23.According to piaget ,which basic concept will the child learn during the first year of life. a. He is not an extension of their parents b. He cannot be fooled by changing shapes c. His parents are not perfect d. Most procedures can be reversed.

30.A woman who delivered a term neonate 3 days ago is complaining of fever,fatigue,and heavy vaginal discharge on assessment,the nurse notes that her fundus is tender on palpitation and heavy with foul smelling lochia what is the most likely cause of these symptoms. a. mastitis b. Urinary tract infection c. Postpartum hemorrhage d. Endometritis 31.The nurse is assessing the fundus of a client on postpartum day 2 what should the nurse expect when expect when palpating the fundus a. Fundus 4 cm above the symphysis pubis and firm b. Fundus 4 cm below the umbilicus and midline c. Fundus two fingerbreadths below the umbilicus and firm d. Fundus two fingerbreadths above the symphysis pubis and firm. 32.A new mother asks the nurse how soon she can try to breastfeed after delivery .which of the following would be the nurse’s best response? a. Immediately after birth b. After the infant’s allowed to rest c. Once the infant has a first feeding of formula d. In 24 hours after the infant is given water. 33.The nurse is concerned that a new mother is not showing interest in the newborn and does not participate in newborn care. What action should the nurse take to help both the mother and the newborn at this time. a. Notify the social services department due to neglect to remove the newborn from the home. b. Consult a case manager to complete a postpartum assessment c. Contact a family member to care for the infant upon discharge d. Ask the client if it would be better for the baby to put up for adoption 34.After delivery a client is diagnosed with postpartum preeclampsia what care will the nurse provide to this client.select all that apply a. Maintain on bedrest b. Monitor urine output c. Instruct on the need for a fluid bolus d. Administer magnesium sulfate as prescribed e. Administer antihypertensive medication as prescribed 35.During a home visit the nurse determines that a toddler has a difficulty temperament what did the nurse observe in this toddler.select all that apply a. Rhythmic b. Withdrawing c. Intense mood

d. Minimal adaptability. 36.When caring for a newborn several hours after birth what should the nurse a. 12 to 16 breaths /min b. 16 to 20 breaths/min c. 20 to 30 breaths/min d. 30 to 60 breaths /min 37.A medication order states ,administer ketorolac 7.5 mg IV now available is ketorolac 15 mg/ml.how many ml should the nurse administer.( record answer to the nearest tenth). 0. 38.The nurse observes a mother telling a toddler that pasta and potatoes will make the child fat what should the nurse instruct the mother about these food items? a. Toddlers need carbohydrates for brain function b. It is more important to restrict protein than carbohydrates c. No more than 30% of all food should be from carbohydrates sources. d. The child should be instructed to restrict carbohydrates after the age of 5 years. 39.The nurse is teaching new parents how to calculate the amount of formula to feed their newborn each day.the baby weights 8 lbs how much formula should the nurse teach the parents to provide. a. 20 to 24 oz b. 30 to 36 oz c. 42 to 54 oz d. 60 to 72 oz 40.The nurse is assisting a new mother to begin breastfeeding her newborn son. Which action is the most appropriate for the nurse to take. a. Positioning the infant near her breast and stroking his cheek to encourage him to suck (c) b. Stressing that breastfeeding is a normal process and minimal help is needed to learn it c. Cautioning her not to allow the infant to grasp the areola of her breast to prevent soreness d. Encouraging her to lie on her side and help the baby become wide awake by talking to him. 41.The nurse instructs the parents of a newborn on actions to prevent sudden infant death syndrome which observation indicates that teaching has been effective. a. Newborn is placed on the back to sleep b. Mother removes a pacifier from the baby’s mouth c. The baby is on an every-2 hour formula feeding schedule

48.The nurse is assessing a term newborn.which findings should the nurse expect when assessing the patterns of sole creases. a. Creases on two thirds of the foot (correct) b. Heel creases but no anterior creases c. Longitudinal but no horizontal creases d. Creases covering one fourth of the footh. 49.A parent is describing to the nurse activities that her 3 year old preschool child is achieving .the nurse knows that this child is experiencing which task od erickson’s psychosocial stage of development a. Trust vs mistrust b. Autonomy vs shame /doubt c. Initiative vs guilt d. industry vs inferiority 50.An infant develops hydrocephalus at 2 weeks of age. Which finding would the nurse expect to assess. a. A soft fretful cry b. Hypothermia in the late afternoon c. Bulging fontanels d. Excessive thirst. 51.A nurse is helping her postpartum client up to the bathroom for the first time after delivery which finding indicates her locia is within normal limits a. Lochia contains large clots b. The flow is over 500 ml c. Her uterus is boggy and soft d. The color of the flow is red. 52.The nurse is called to the room of a client who delivered a macrosomic infant 20 hours ago.upon assessment the fundus is noted to be boggy and displaced to the left and a moderate vaginal bleeding is noted.what is the priority nursing action. a. Provide pain medication b. Empty bladder c. Administer uterotonic medication d. Initiate IV access. 53.The nurse is assessing a client at her 8 week postpartum appointment the client states that she feels tired all the time.has trouble falling and staying asleep ,feels very overwhelmed and forgetful and just doesn’t feel connected to her baby she denies thoughts of harming herself other baby.these symptoms may indicate which of the following to the nurse. a. Normal postpartum feelings b. Baby blues c. Postpartum depression

d. Postpartum psychosis. 54.During a home visit , a postpartum client is complaining of a sore area on one breast.the nurse notes a local area on the left breast to be lumpy,red and warm to the touch and palpates a small lump for which health problems should the nurse plan care for a thick client. a. mastitis b. Breast cancer c. Engorgement d. Plugged milk duct. 55.Which of the following actions should the nurse take to prepare the preschool aged child for a physical examination a. Allow the child to role play b. Use medical terminology to describe what will happen c. Separate the child from the caregiver during the exam d. Keep medical equipment visible to the child 56.Which assessment finding indicates to the nurse that a newborn has hip subluxation a. Inward rotation of the right foot b. Inability of the right hip to abduct c. Crying on straightening of the right leg d. Drawing of the legs underneath while prone. 57.In caring for the postpartum client the nurse will include assessment and observation for signs of postpartum hemorrhage which of the following would increase the risk for postpartum hemorrhage.select all that apply a. Macrosomic infant b. Dysfunctional or prolonged labor c. Multiparity d. Maternal blood type A- e. History of iron deficiency anemia 58.A nurse is caring for a client who has just delivered her first newborn.the infant has been diagnosed with hyperbilirubinemia .while providing education to the client on this condition the nurse should include which of the following as potential causes of this condition select all that apply a. Allergy to breast milk b. Biliary atresia c. Prenatal alcohol consumption d. ABO incompatibility e. Rh isoimmunization 59.Hypoglycemia in a mature infant is defined as a blood glucose level below which amount a. 100 mg/100 ml whole blood

c. It would be best to switch from breastfeeding to formula feeding to help the baby excrete the bilirubin d. This buildup of bilirubin in the baby occurred because your wife and baby are both negative blood types. 66.The nurse is inspecting a male newborn’s genitalia which action should the nurse avoid when conducting this assessment a. Inspecting the genital area for irritated skin b. Inspecting if the urethral opening appears circular c. Palpating if testes are descended into the scrotal sac. d. Retracting the foreskin over the glans to assess for secretions 67.The physician ordered promethazine 25 mg at bedtime for the client.promethazine is supplied as 6.25 mg/5 ml record as a whole number 20 68.The nurse is caring for a client for a postpartum woman 18 hours after primary cesarean section for preeclampsia the client noted to have a boggy uterus and a moderate to large amount of vaginal bleeding the nurse notifies the physicians of theses findings and expects an order for which of the following medications a. Terbutaline b. Hydrocodone /acetaminophen c. Carboprost d. Magnesium sulfate. 69.The nurse is assessing a newborn which would be considered a normal finding a. Acrocyanosis b. Apnea c. Atonia d. Asymmetry 70.A postpartum is prescribed an antibiotic because of endometritis her breast-fed infant should be observed particularly for which of the foillowing a. Decreased sleep levels and increased appetite b. Jaundice that does not respond to phototherapy c. irritability and loss of appetite d. Signs of thrush and easy bruising 71.The nurse had instructed a mother on the importance of providing a toddler with a balanced diet which observation during a home visit indicates that instructions has been effective a. The child is eating a piece of cake and ice cream for lunch b. The mother prepares a scrambled egg for the toddler’s breakfast c. The mother places a serving of fried finger foods on a plate for the child d. The child takes candy from a dish that is placed on the coffee table in the living room.

72.The parents of a newborn are concerned that something is wrong with their newborn’s eyesight. What should the nurse instruct the patient as being an expected finding in the newborn. a. Produces tears when he cries b. Follows a light to the midline c. Has a write rather than a red reflex d. Follows the finger a full 180 degrees. 73.A nurse is assessing a newborn infant for congenital hip dysplasia which signs or symptoms should be brought to the attention of the health care provider for further evaluation a. An infant who is actively moving all extremities b. An infant who has one leg that appears longer than the order c. An infant whose bilateral leg length is symmetric d. An infant who has extra skin folds on the inner thigh of one leg e. An infant who has a click in the hip joint when one hip is maneuvered. 74.While assessing the newborn’s 5 minute apgar score, the nurse notes the infant’s hands and feet to be blue heart rate at 154 beats per minute crying vigorously and actively moving arms legs what score would she assign to this infant. a. 6 b. 7 c. 9 d. 10 75.During a home visit a new mother is concerned that after three meconium stools her newborn now has yellow /seedy stools what should the nurse explain to the mother a. This is a normal newborn finding b. This is most likely a symptom of diarrhea c. The baby may be developing an allergy to breast milk d. The child will need to be isolated until the stool can be cultured.