NR 327 Maternal-Child Nursing Week 7 Practice Quiz 2026
|Chamberlain College
1. A nurse is performing an APGAR score at 1 minute of life. The newborn has a
heart rate of 110 bpm, a slow/irregular cry, some flexion of extremities, a
grimace when stimulated, and a pink body with blue extremities. What is the
total score?
A. 6
B. 5
C. 7
D. 8
Answer: A
Rationale: Heart rate >100 (2), Slow cry (1), Flexion (1), Grimace (1), Acrocyanosis (1).
Total = 6.
2. Which of the following is the priority nursing intervention for a client
experiencing postpartum hemorrhage due to uterine atony?
A. Administer oxygen via non-rebreather mask
B. Catheterize the bladder
C. Check blood pressure and heart rate
D. Perform fundal massage
Answer: D
Rationale: Fundal massage is the immediate priority to stimulate uterine contractions and
minimize blood loss.
,3. A nurse is providing discharge teaching about cord care. Which statement by
the parent indicates an understanding of the teaching?
A. I will keep the diaper folded down below the cord
B. I will give my baby a tub bath every day
C. I will apply alcohol to the cord every diaper change
D. I will pull the cord off if it is still hanging by a thread
Answer: A
Rationale: Folding the diaper down prevents irritation and contamination from urine,
allowing the cord to air dry.
4. A newborn is 2 hours old and has a blood glucose level of 38 mg/dL. Which
action should the nurse take first?
A. Administer IV glucose
B. Initiate breastfeeding or formula feeding
C. Recheck the glucose in 4 hours
D. Wrap the baby in a warm blanket
Answer: B
Rationale: Normal newborn glucose is >40 mg/dL. Feeding is the first-line treatment for
asymptomatic hypoglycemia.
5. Where should the nurse administer the Vitamin K injection to a newborn?
A. Gluteus maximus
B. Vastus lateralis
C. Deltoid muscle
D. Abdomen
Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in newborns due to
muscle mass development.
, 6. A client is 2 days postpartum and reports breast engorgement. Which advice
should the nurse provide to a breastfeeding mother?
A. Apply warm compresses just before feeding
B. Apply cold cabbage leaves between feedings
C. Avoid pumping or breastfeeding for 12 hours
D. Wear a tight-fitting bra 24 hours a day
Answer: A
Rationale: Warmth helps stimulate the let-down reflex and softens the breast for better
latching during engorgement.
7. Which finding should the nurse expect when assessing a newborn who has
Cephalohematoma?
A. Edema that crosses the suture lines
B. Localized softening of the cranial bones
C. Bulging fontanels and high-pitched cry
D. A swelling that does not cross the suture line
Answer: D
Rationale: Cephalohematoma is a collection of blood between the periosteum and the skull
bone, so it does not cross suture lines.
8. A nurse is teaching a mother about the Moro reflex. Which action triggers this
reflex?
A. Turning the infant’s head to one side
B. Stroking the sole of the foot
C. Touching the cheek of the infant
D. A sudden loud noise or a sense of falling
Answer: D
Rationale: The Moro reflex is a startle response occurring with a sudden change in
position or loud noise.
|Chamberlain College
1. A nurse is performing an APGAR score at 1 minute of life. The newborn has a
heart rate of 110 bpm, a slow/irregular cry, some flexion of extremities, a
grimace when stimulated, and a pink body with blue extremities. What is the
total score?
A. 6
B. 5
C. 7
D. 8
Answer: A
Rationale: Heart rate >100 (2), Slow cry (1), Flexion (1), Grimace (1), Acrocyanosis (1).
Total = 6.
2. Which of the following is the priority nursing intervention for a client
experiencing postpartum hemorrhage due to uterine atony?
A. Administer oxygen via non-rebreather mask
B. Catheterize the bladder
C. Check blood pressure and heart rate
D. Perform fundal massage
Answer: D
Rationale: Fundal massage is the immediate priority to stimulate uterine contractions and
minimize blood loss.
,3. A nurse is providing discharge teaching about cord care. Which statement by
the parent indicates an understanding of the teaching?
A. I will keep the diaper folded down below the cord
B. I will give my baby a tub bath every day
C. I will apply alcohol to the cord every diaper change
D. I will pull the cord off if it is still hanging by a thread
Answer: A
Rationale: Folding the diaper down prevents irritation and contamination from urine,
allowing the cord to air dry.
4. A newborn is 2 hours old and has a blood glucose level of 38 mg/dL. Which
action should the nurse take first?
A. Administer IV glucose
B. Initiate breastfeeding or formula feeding
C. Recheck the glucose in 4 hours
D. Wrap the baby in a warm blanket
Answer: B
Rationale: Normal newborn glucose is >40 mg/dL. Feeding is the first-line treatment for
asymptomatic hypoglycemia.
5. Where should the nurse administer the Vitamin K injection to a newborn?
A. Gluteus maximus
B. Vastus lateralis
C. Deltoid muscle
D. Abdomen
Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in newborns due to
muscle mass development.
, 6. A client is 2 days postpartum and reports breast engorgement. Which advice
should the nurse provide to a breastfeeding mother?
A. Apply warm compresses just before feeding
B. Apply cold cabbage leaves between feedings
C. Avoid pumping or breastfeeding for 12 hours
D. Wear a tight-fitting bra 24 hours a day
Answer: A
Rationale: Warmth helps stimulate the let-down reflex and softens the breast for better
latching during engorgement.
7. Which finding should the nurse expect when assessing a newborn who has
Cephalohematoma?
A. Edema that crosses the suture lines
B. Localized softening of the cranial bones
C. Bulging fontanels and high-pitched cry
D. A swelling that does not cross the suture line
Answer: D
Rationale: Cephalohematoma is a collection of blood between the periosteum and the skull
bone, so it does not cross suture lines.
8. A nurse is teaching a mother about the Moro reflex. Which action triggers this
reflex?
A. Turning the infant’s head to one side
B. Stroking the sole of the foot
C. Touching the cheek of the infant
D. A sudden loud noise or a sense of falling
Answer: D
Rationale: The Moro reflex is a startle response occurring with a sudden change in
position or loud noise.
