NR 327 Maternal-Child Nursing Week 6 Practice Quiz 2026
|Chamberlain College
1. A nurse is assessing a newborn at 1 minute of life. The heart rate is 110 bpm,
the infant has a slow/irregular respiratory effort, some flexion of extremities, a
grimace during suctioning, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 6
C. 7
D. 8
Answer: B
Rationale: Heart rate >100 (2), Slow/irregular respirations (1), Some flexion (1), Grimace
(1), Acrocyanosis (1). Total = 6.
2. Which postpartum assessment finding should the nurse report to the
provider immediately?
A. Lochia rubra on day 2 postpartum
B. Fundus firm at the umbilicus
C. Mild cramping during breastfeeding
D. A saturated perineal pad in 15 minutes
Answer: D
Rationale: Saturating a pad in 15 minutes or less indicates excessive bleeding and
potential postpartum hemorrhage.
,3. A nurse is caring for a client who is 4 hours postpartum and has not voided.
The fundus is 2 cm above the umbilicus and displaced to the right. What is the
priority action?
A. Massage the fundus
B. Administer oxytocin IM
C. Assist the client to the bathroom to void
D. Notify the provider of a potential hematoma
Answer: C
Rationale: A displaced fundus to the right usually indicates a full bladder, which prevents
uterine contraction.
4. 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 via direct contact with a colder surface.
5. What is the primary purpose of administering Vitamin K (Phytonadione) to a
newborn?
A. To prevent ophthalmia neonatorum
B. To stimulate surfactant production
C. To treat physiological jaundice
D. To prevent vitamin K deficiency bleeding
Answer: D
Rationale: Newborns are born with low vitamin K levels because it does not cross the
placenta easily and the gut is sterile, lacking the bacteria needed to synthesize it.
, 6. A nurse notes a ‘flea-bite’ type rash with small white vesicles on a 2-day-old
newborn’s chest. What is this common finding?
A. Milium
B. Erythema toxicum
C. Nevus flammeus
D. Mongolian spots
Answer: B
Rationale: Erythema toxicum is a benign newborn rash that appears in the first few days
and requires no treatment.
7. Which phase of maternal adjustment is characterized by the mother being
focused on her own needs for food and sleep?
A. Taking-in phase
B. Taking-hold phase
C. Letting-go phase
D. Transition phase
Answer: A
Rationale: In the Taking-in phase (first 24-48 hours), the mother is passive and
dependent, focusing on her own physical recovery.
8. A breastfeeding mother reports bilateral breast engorgement on day 3. Which
intervention is appropriate?
A. Apply warm compresses just before feeding
B. Avoid breastfeeding for 24 hours
C. Wear a loose-fitting bra
D. Apply cold cabbage leaves between feedings
Answer: A
Rationale: Warmth helps stimulate the let-down reflex and milk flow. Cold cabbage leaves
are usually for weaning or severe pain after feeding.
|Chamberlain College
1. A nurse is assessing a newborn at 1 minute of life. The heart rate is 110 bpm,
the infant has a slow/irregular respiratory effort, some flexion of extremities, a
grimace during suctioning, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 6
C. 7
D. 8
Answer: B
Rationale: Heart rate >100 (2), Slow/irregular respirations (1), Some flexion (1), Grimace
(1), Acrocyanosis (1). Total = 6.
2. Which postpartum assessment finding should the nurse report to the
provider immediately?
A. Lochia rubra on day 2 postpartum
B. Fundus firm at the umbilicus
C. Mild cramping during breastfeeding
D. A saturated perineal pad in 15 minutes
Answer: D
Rationale: Saturating a pad in 15 minutes or less indicates excessive bleeding and
potential postpartum hemorrhage.
,3. A nurse is caring for a client who is 4 hours postpartum and has not voided.
The fundus is 2 cm above the umbilicus and displaced to the right. What is the
priority action?
A. Massage the fundus
B. Administer oxytocin IM
C. Assist the client to the bathroom to void
D. Notify the provider of a potential hematoma
Answer: C
Rationale: A displaced fundus to the right usually indicates a full bladder, which prevents
uterine contraction.
4. 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 via direct contact with a colder surface.
5. What is the primary purpose of administering Vitamin K (Phytonadione) to a
newborn?
A. To prevent ophthalmia neonatorum
B. To stimulate surfactant production
C. To treat physiological jaundice
D. To prevent vitamin K deficiency bleeding
Answer: D
Rationale: Newborns are born with low vitamin K levels because it does not cross the
placenta easily and the gut is sterile, lacking the bacteria needed to synthesize it.
, 6. A nurse notes a ‘flea-bite’ type rash with small white vesicles on a 2-day-old
newborn’s chest. What is this common finding?
A. Milium
B. Erythema toxicum
C. Nevus flammeus
D. Mongolian spots
Answer: B
Rationale: Erythema toxicum is a benign newborn rash that appears in the first few days
and requires no treatment.
7. Which phase of maternal adjustment is characterized by the mother being
focused on her own needs for food and sleep?
A. Taking-in phase
B. Taking-hold phase
C. Letting-go phase
D. Transition phase
Answer: A
Rationale: In the Taking-in phase (first 24-48 hours), the mother is passive and
dependent, focusing on her own physical recovery.
8. A breastfeeding mother reports bilateral breast engorgement on day 3. Which
intervention is appropriate?
A. Apply warm compresses just before feeding
B. Avoid breastfeeding for 24 hours
C. Wear a loose-fitting bra
D. Apply cold cabbage leaves between feedings
Answer: A
Rationale: Warmth helps stimulate the let-down reflex and milk flow. Cold cabbage leaves
are usually for weaning or severe pain after feeding.
