NR 327 Maternal-Child Nursing Week 6 Study Guide 2026/2027
|Chamberlain College
1. A nurse is assessing a postpartum client and finds the fundus is boggy and
displaced to the right. What is the priority nursing action?
A. Massage the fundus until firm
B. Administer oxytocin as ordered
C. Assist the client to the bathroom to void
D. Notify the provider immediately
Answer: C
Rationale: A displaced fundus, especially to the right, usually indicates a full bladder which
prevents the uterus from contracting effectively. Emptying the bladder is the priority.
2. Which clinical finding is most indicative of Respiratory Distress Syndrome
(RDS) in a preterm newborn?
A. Acrocyanosis
B. Heart rate of 140 beats per minute
C. Nasal flaring and intercostal retractions
D. Abdominal breathing
Answer: C
Rationale: Nasal flaring, grunting, and retractions are classic signs of respiratory distress
in newborns, indicating increased work of breathing.
,3. A newborn is exhibiting jitteriness, irritability, and a high-pitched cry. The
nurse should suspect which condition?
A. Neonatal Abstinence Syndrome (NAS)
B. Fetal alcohol syndrome
C. Hyperbilirubinemia
D. Hypocalcemia
Answer: A
Rationale: NAS results from withdrawal from opioids or other drugs; symptoms include
neurological excitability like high-pitched crying and jitteriness.
4. What is the primary rationale for administering Vitamin K (phytonadione) to a
newborn within 1 hour of birth?
A. To promote the growth of normal intestinal flora
B. To prevent hemorrhagic disease of the newborn
C. To stimulate the production of red blood cells
D. To enhance the absorption of calcium
Answer: B
Rationale: Newborns have sterile guts and lack the bacteria needed to synthesize Vitamin
K, which is essential for the activation of clotting factors.
5. A client with mastitis asks the nurse if she should stop breastfeeding from the
affected breast. What is the best response?
A. Continue to breastfeed or pump frequently to prevent stasis
B. Stop breastfeeding until 24 hours after starting antibiotics
C. Only breastfeed from the unaffected side
D. Switch to formula until the infection resolves
Answer: A
Rationale: Emptying the breast is critical in treating mastitis to prevent the formation of
an abscess and to resolve milk stasis.
, 6. When caring for a newborn receiving phototherapy for jaundice, which
nursing intervention is essential?
A. Apply lotion to the skin to prevent drying
B. Keep the newborn dressed in a diaper and t-shirt
C. Limit fluid intake to prevent diarrhea
D. Cover the newborn’s eyes with opaque shields
Answer: D
Rationale: Eye shields are necessary to protect the newborn’s retina from the high-
intensity light used in phototherapy.
7. A postpartum client reports a fever, foul-smelling lochia, and uterine
tenderness. These symptoms are most consistent with:
A. Postpartum blues
B. Endometritis
C. Urinary tract infection
D. Normal postpartum recovery
Answer: B
Rationale: Endometritis is an infection of the uterine lining characterized by fever, pelvic
pain, and malodorous vaginal discharge.
8. What is an early sign of Necrotizing Enterocolitis (NEC) in a preterm infant?
A. Increased bowel sounds
B. Bradycardia and hypertension
C. High-pitched, shrill cry
D. Abdominal distention and gastric residuals
Answer: D
Rationale: NEC is a gastrointestinal emergency in preemies; abdominal distention and
inability to tolerate feedings (residuals) are primary early markers.
|Chamberlain College
1. A nurse is assessing a postpartum client and finds the fundus is boggy and
displaced to the right. What is the priority nursing action?
A. Massage the fundus until firm
B. Administer oxytocin as ordered
C. Assist the client to the bathroom to void
D. Notify the provider immediately
Answer: C
Rationale: A displaced fundus, especially to the right, usually indicates a full bladder which
prevents the uterus from contracting effectively. Emptying the bladder is the priority.
2. Which clinical finding is most indicative of Respiratory Distress Syndrome
(RDS) in a preterm newborn?
A. Acrocyanosis
B. Heart rate of 140 beats per minute
C. Nasal flaring and intercostal retractions
D. Abdominal breathing
Answer: C
Rationale: Nasal flaring, grunting, and retractions are classic signs of respiratory distress
in newborns, indicating increased work of breathing.
,3. A newborn is exhibiting jitteriness, irritability, and a high-pitched cry. The
nurse should suspect which condition?
A. Neonatal Abstinence Syndrome (NAS)
B. Fetal alcohol syndrome
C. Hyperbilirubinemia
D. Hypocalcemia
Answer: A
Rationale: NAS results from withdrawal from opioids or other drugs; symptoms include
neurological excitability like high-pitched crying and jitteriness.
4. What is the primary rationale for administering Vitamin K (phytonadione) to a
newborn within 1 hour of birth?
A. To promote the growth of normal intestinal flora
B. To prevent hemorrhagic disease of the newborn
C. To stimulate the production of red blood cells
D. To enhance the absorption of calcium
Answer: B
Rationale: Newborns have sterile guts and lack the bacteria needed to synthesize Vitamin
K, which is essential for the activation of clotting factors.
5. A client with mastitis asks the nurse if she should stop breastfeeding from the
affected breast. What is the best response?
A. Continue to breastfeed or pump frequently to prevent stasis
B. Stop breastfeeding until 24 hours after starting antibiotics
C. Only breastfeed from the unaffected side
D. Switch to formula until the infection resolves
Answer: A
Rationale: Emptying the breast is critical in treating mastitis to prevent the formation of
an abscess and to resolve milk stasis.
, 6. When caring for a newborn receiving phototherapy for jaundice, which
nursing intervention is essential?
A. Apply lotion to the skin to prevent drying
B. Keep the newborn dressed in a diaper and t-shirt
C. Limit fluid intake to prevent diarrhea
D. Cover the newborn’s eyes with opaque shields
Answer: D
Rationale: Eye shields are necessary to protect the newborn’s retina from the high-
intensity light used in phototherapy.
7. A postpartum client reports a fever, foul-smelling lochia, and uterine
tenderness. These symptoms are most consistent with:
A. Postpartum blues
B. Endometritis
C. Urinary tract infection
D. Normal postpartum recovery
Answer: B
Rationale: Endometritis is an infection of the uterine lining characterized by fever, pelvic
pain, and malodorous vaginal discharge.
8. What is an early sign of Necrotizing Enterocolitis (NEC) in a preterm infant?
A. Increased bowel sounds
B. Bradycardia and hypertension
C. High-pitched, shrill cry
D. Abdominal distention and gastric residuals
Answer: D
Rationale: NEC is a gastrointestinal emergency in preemies; abdominal distention and
inability to tolerate feedings (residuals) are primary early markers.
