1|Page
Leifer’s Introduction to Maternity and Pediatric Nursing 2026-2027
BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS
EXAM QUESTIONS WILL COME FROM HERE (100%
CORRECT ANSWERS A+ GRADED
1. A nurse is teaching a group of adolescents about the menstrual cycle.
The nurse should explain that ovulation occurs as a direct result of a
surge in which hormone?
A) Follicle-stimulating hormone (FSH)
B) Estrogen
C) Progesterone
D) Luteinizing hormone (LH)
Answer: D) Luteinizing hormone (LH)
Explanation: The surge in luteinizing hormone (LH) that occurs around
day 14 of a typical 28-day cycle is the direct trigger for the release of a
mature ovum from the ovarian follicle. While FSH stimulates follicular
maturation and estrogen production, it is the LH surge that precipitates
ovulation.
2. A pregnant client asks the nurse when fetal movement is typically
first felt. Which fetal age should the nurse include in the response?
A) 8 weeks
,2|Page
B) 12 weeks
C) 16 to 20 weeks
D) 24 to 28 weeks
Answer: C) 16 to 20 weeks
Explanation: Quickening, or the first perception of fetal movement,
typically occurs between 16 and 20 weeks of gestation. Multiparous
women often recognize these flutter-like sensations earlier than
nulliparous women. This milestone is an important indicator of fetal
well-being.
3. The nurse is assessing a newborn 24 hours after birth. The nurse
observes a bluish-black pigmented area on the infant’s sacral region.
What is the appropriate nursing action?
A) Document the finding as a Mongolian spot
B) Notify the healthcare provider immediately
C) Apply warm compresses to the area
D) Assess for signs of physical abuse
Answer: A) Document the finding as a Mongolian spot
Explanation: A Mongolian spot is a benign, congenital dermal
melanocytosis commonly seen in newborns of African, Asian, or
Hispanic descent. It appears as a flat, bluish-gray to black patch, usually
on the lower back. No treatment is required, but accurate
documentation is essential to differentiate it from bruising.
,3|Page
4. A mother who is 4 days postpartum is experiencing feelings of
sadness, tearfulness, and anxiety. She is not sleeping well and states
she feels overwhelmed. These symptoms are most consistent with
which condition?
A) Postpartum psychosis
B) Postpartum depression
C) Postpartum blues
D) Major depressive disorder
Answer: C) Postpartum blues
Explanation: Postpartum blues, or "baby blues," typically peak around
days 3 to 5 after birth and are characterized by mood lability,
tearfulness, anxiety, and insomnia. These symptoms are self-limiting
and resolve within 2 weeks. The time frame and mild severity
distinguish this from postpartum depression, which is more prolonged
and severe.
5. The nurse is monitoring a child who sustained a head injury. Which
assessment finding would indicate increasing intracranial pressure?
A) Increased heart rate
B) Wide pulse pressure and bradycardia
C) Rapid, shallow respirations
D) Pupillary constriction
Answer: B) Wide pulse pressure and bradycardia
Explanation: Cushing's triad, consisting of increasing systolic blood
pressure with a widening pulse pressure, bradycardia, and irregular
, 4|Page
respirations, is a late and ominous sign of rising intracranial pressure.
This occurs as the brain stem attempts to maintain cerebral perfusion
against increasing pressure.
6. A child with a diagnosis of acute lymphoblastic leukemia (ALL) has a
platelet count of 20,000/mm³. Which is the priority nursing
intervention?
A) Encourage vigorous oral care with a soft toothbrush
B) Apply pressure for 5 minutes after venipuncture
C) Institute bleeding precautions
D) Administer ibuprofen for pain relief
Answer: C) Institute bleeding precautions
Explanation: A platelet count of 20,000/mm³ represents severe
thrombocytopenia, significantly increasing the risk for spontaneous
bleeding. Priority interventions include instituting bleeding precautions,
such as avoiding rectal temperatures, intramuscular injections, and
contact sports. Ibuprofen is contraindicated due to its antiplatelet
effects.
7. A nurse is providing discharge teaching to the parents of an infant
diagnosed with phenylketonuria (PKU). Which statement indicates a
need for further teaching?
A) "We will avoid giving our child meat and dairy products."
B) "Our child can have a regular diet as long as we monitor blood
levels."
Leifer’s Introduction to Maternity and Pediatric Nursing 2026-2027
BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS
EXAM QUESTIONS WILL COME FROM HERE (100%
CORRECT ANSWERS A+ GRADED
1. A nurse is teaching a group of adolescents about the menstrual cycle.
The nurse should explain that ovulation occurs as a direct result of a
surge in which hormone?
A) Follicle-stimulating hormone (FSH)
B) Estrogen
C) Progesterone
D) Luteinizing hormone (LH)
Answer: D) Luteinizing hormone (LH)
Explanation: The surge in luteinizing hormone (LH) that occurs around
day 14 of a typical 28-day cycle is the direct trigger for the release of a
mature ovum from the ovarian follicle. While FSH stimulates follicular
maturation and estrogen production, it is the LH surge that precipitates
ovulation.
2. A pregnant client asks the nurse when fetal movement is typically
first felt. Which fetal age should the nurse include in the response?
A) 8 weeks
,2|Page
B) 12 weeks
C) 16 to 20 weeks
D) 24 to 28 weeks
Answer: C) 16 to 20 weeks
Explanation: Quickening, or the first perception of fetal movement,
typically occurs between 16 and 20 weeks of gestation. Multiparous
women often recognize these flutter-like sensations earlier than
nulliparous women. This milestone is an important indicator of fetal
well-being.
3. The nurse is assessing a newborn 24 hours after birth. The nurse
observes a bluish-black pigmented area on the infant’s sacral region.
What is the appropriate nursing action?
A) Document the finding as a Mongolian spot
B) Notify the healthcare provider immediately
C) Apply warm compresses to the area
D) Assess for signs of physical abuse
Answer: A) Document the finding as a Mongolian spot
Explanation: A Mongolian spot is a benign, congenital dermal
melanocytosis commonly seen in newborns of African, Asian, or
Hispanic descent. It appears as a flat, bluish-gray to black patch, usually
on the lower back. No treatment is required, but accurate
documentation is essential to differentiate it from bruising.
,3|Page
4. A mother who is 4 days postpartum is experiencing feelings of
sadness, tearfulness, and anxiety. She is not sleeping well and states
she feels overwhelmed. These symptoms are most consistent with
which condition?
A) Postpartum psychosis
B) Postpartum depression
C) Postpartum blues
D) Major depressive disorder
Answer: C) Postpartum blues
Explanation: Postpartum blues, or "baby blues," typically peak around
days 3 to 5 after birth and are characterized by mood lability,
tearfulness, anxiety, and insomnia. These symptoms are self-limiting
and resolve within 2 weeks. The time frame and mild severity
distinguish this from postpartum depression, which is more prolonged
and severe.
5. The nurse is monitoring a child who sustained a head injury. Which
assessment finding would indicate increasing intracranial pressure?
A) Increased heart rate
B) Wide pulse pressure and bradycardia
C) Rapid, shallow respirations
D) Pupillary constriction
Answer: B) Wide pulse pressure and bradycardia
Explanation: Cushing's triad, consisting of increasing systolic blood
pressure with a widening pulse pressure, bradycardia, and irregular
, 4|Page
respirations, is a late and ominous sign of rising intracranial pressure.
This occurs as the brain stem attempts to maintain cerebral perfusion
against increasing pressure.
6. A child with a diagnosis of acute lymphoblastic leukemia (ALL) has a
platelet count of 20,000/mm³. Which is the priority nursing
intervention?
A) Encourage vigorous oral care with a soft toothbrush
B) Apply pressure for 5 minutes after venipuncture
C) Institute bleeding precautions
D) Administer ibuprofen for pain relief
Answer: C) Institute bleeding precautions
Explanation: A platelet count of 20,000/mm³ represents severe
thrombocytopenia, significantly increasing the risk for spontaneous
bleeding. Priority interventions include instituting bleeding precautions,
such as avoiding rectal temperatures, intramuscular injections, and
contact sports. Ibuprofen is contraindicated due to its antiplatelet
effects.
7. A nurse is providing discharge teaching to the parents of an infant
diagnosed with phenylketonuria (PKU). Which statement indicates a
need for further teaching?
A) "We will avoid giving our child meat and dairy products."
B) "Our child can have a regular diet as long as we monitor blood
levels."
