NR 327 Maternal-Child Nursing Week 6 Practice Questions 2026
|Chamberlain College
1. A nurse is assessing a newborn and observes blue-black pigmented areas on
the lumbosacral region. Which action should the nurse take?
A. Document the finding as Mongolian spots.
B. Report the findings as a sign of physical abuse.
C. Apply a warm compress to the area.
D. Request a dermatology consultation for a potential hemangioma.
Answer: A
Rationale: Mongolian spots are flat, bluish-gray skin markings that are common in
newborns of color and are benign; documenting them is the appropriate action.
2. Which of the following findings in a newborn should the nurse report to the
provider immediately?
A. Acrocyanosis in the hands and feet.
B. Nasal flaring and chest retractions.
C. Milia on the bridge of the nose.
D. Vigorous crying during assessment.
Answer: B
Rationale: Nasal flaring and chest retractions are signs of respiratory distress in a
newborn and require immediate intervention.
,3. A nurse is teaching a parent about the purpose of the Vitamin K injection for
their newborn. What should the nurse include?
A. It promotes the absorption of calcium in the gut.
B. It provides passive immunity against common infections.
C. It stimulates the production of red blood cells.
D. It prevents serious bleeding by assisting with blood clotting.
Answer: D
Rationale: Newborns are born with low levels of Vitamin K because it does not cross the
placenta easily and the sterile gut does not yet produce it; it is essential for the synthesis of
clotting factors.
4. A newborn has a 1-minute APGAR score of 7. How should the nurse interpret
this result?
A. The newborn is in good condition with minimal difficulty transitioning.
B. The newborn is stable but requires moderate difficulty in transition.
C. The newborn is in severe distress and needs resuscitation.
D. The newborn is brain dead.
Answer: A
Rationale: APGAR scores between 7 and 10 indicate that the newborn is in good condition
and is adapting well to extrauterine life.
5. When performing a gestational age assessment using the New Ballard Scale,
which physical characteristic is associated with greater maturity?
A. Smooth, translucent skin with visible veins.
B. Leathery, cracked, and wrinkled skin.
C. Abundant lanugo over the entire body.
D. Flat areola with no breast bud.
Answer: B
, Rationale: Post-term or mature infants have leathery, cracked skin; translucent skin is
characteristic of preterm infants.
6. Which type of heat loss occurs when a newborn is placed on a cold metal
scale?
A. Convection
B. Conduction
C. Evaporation
D. Radiation
Answer: B
Rationale: Conduction is the loss of heat through direct contact with a cooler surface.
7. A nurse notes a swelling on a newborn’s head that crosses the suture lines.
This is characteristic of:
A. Cephalohematoma
B. Subgaleal hemorrhage
C. Caput succedaneum
D. Craniosynostosis
Answer: C
Rationale: Caput succedaneum is generalized edema of the scalp that crosses suture lines,
whereas cephalohematoma does not cross suture lines.
8. What is the primary reason for administering erythromycin ophthalmic
ointment to a newborn?
A. To prevent ophthalmia neonatorum caused by gonorrhea or chlamydia.
B. To treat an active eye infection.
C. To prevent vision loss from cataracts.
D. To prevent Group B Streptococcus transmission to the eyes.
Answer: A
|Chamberlain College
1. A nurse is assessing a newborn and observes blue-black pigmented areas on
the lumbosacral region. Which action should the nurse take?
A. Document the finding as Mongolian spots.
B. Report the findings as a sign of physical abuse.
C. Apply a warm compress to the area.
D. Request a dermatology consultation for a potential hemangioma.
Answer: A
Rationale: Mongolian spots are flat, bluish-gray skin markings that are common in
newborns of color and are benign; documenting them is the appropriate action.
2. Which of the following findings in a newborn should the nurse report to the
provider immediately?
A. Acrocyanosis in the hands and feet.
B. Nasal flaring and chest retractions.
C. Milia on the bridge of the nose.
D. Vigorous crying during assessment.
Answer: B
Rationale: Nasal flaring and chest retractions are signs of respiratory distress in a
newborn and require immediate intervention.
,3. A nurse is teaching a parent about the purpose of the Vitamin K injection for
their newborn. What should the nurse include?
A. It promotes the absorption of calcium in the gut.
B. It provides passive immunity against common infections.
C. It stimulates the production of red blood cells.
D. It prevents serious bleeding by assisting with blood clotting.
Answer: D
Rationale: Newborns are born with low levels of Vitamin K because it does not cross the
placenta easily and the sterile gut does not yet produce it; it is essential for the synthesis of
clotting factors.
4. A newborn has a 1-minute APGAR score of 7. How should the nurse interpret
this result?
A. The newborn is in good condition with minimal difficulty transitioning.
B. The newborn is stable but requires moderate difficulty in transition.
C. The newborn is in severe distress and needs resuscitation.
D. The newborn is brain dead.
Answer: A
Rationale: APGAR scores between 7 and 10 indicate that the newborn is in good condition
and is adapting well to extrauterine life.
5. When performing a gestational age assessment using the New Ballard Scale,
which physical characteristic is associated with greater maturity?
A. Smooth, translucent skin with visible veins.
B. Leathery, cracked, and wrinkled skin.
C. Abundant lanugo over the entire body.
D. Flat areola with no breast bud.
Answer: B
, Rationale: Post-term or mature infants have leathery, cracked skin; translucent skin is
characteristic of preterm infants.
6. Which type of heat loss occurs when a newborn is placed on a cold metal
scale?
A. Convection
B. Conduction
C. Evaporation
D. Radiation
Answer: B
Rationale: Conduction is the loss of heat through direct contact with a cooler surface.
7. A nurse notes a swelling on a newborn’s head that crosses the suture lines.
This is characteristic of:
A. Cephalohematoma
B. Subgaleal hemorrhage
C. Caput succedaneum
D. Craniosynostosis
Answer: C
Rationale: Caput succedaneum is generalized edema of the scalp that crosses suture lines,
whereas cephalohematoma does not cross suture lines.
8. What is the primary reason for administering erythromycin ophthalmic
ointment to a newborn?
A. To prevent ophthalmia neonatorum caused by gonorrhea or chlamydia.
B. To treat an active eye infection.
C. To prevent vision loss from cataracts.
D. To prevent Group B Streptococcus transmission to the eyes.
Answer: A
