INTRODUCTION TO MATERNITY AND PEDIATRIC
NURSING THE 8TH EDITION VERSION 2024/2025
Question 1:
A nurse is providing prenatal education to a woman who is at 24 weeks of
pregnancy. Which of the following instructions should the nurse include about
fetal movement?
A. "You should feel fetal movement several times a day starting at 28 weeks."
B. "Fetal movement should stop if you are carrying more than one baby."
C. "Fetal movement is a sign of fetal well-being, so it’s important to report
any decrease in movement."
D. "Fetal movement should be noticed only in the second trimester."
Answer: C. "Fetal movement is a sign of fetal well-being, so it’s important to
report any decrease in movement."
Rationale: Fetal movement is considered a sign of fetal well-being. A decrease in
fetal movement after the 28th week of pregnancy could indicate fetal distress and
should be reported to the healthcare provider. Women often begin to feel fetal
movements between 18 to 24 weeks, and movements typically increase as the
pregnancy progresses.
Question 2:
A nurse is assessing a 5-month-old infant. Which of the following findings
requires further investigation?
A. The infant is able to sit with minimal support.
B. The infant is able to roll from front to back.
C. The infant is not yet teething.
D. The infant’s birth weight has doubled.
Answer: C. The infant is not yet teething.
,Rationale: While teething usually begins around 6 months of age, some infants
may start earlier or later. However, if an infant has not started teething by 6
months, it could be a sign of a developmental delay, and further investigation may
be warranted. The other milestones (sitting with minimal support, rolling over, and
doubling birth weight) are generally achieved by 5 months.
Question 3:
A nurse is caring for a postpartum woman who had a vaginal delivery. Which
of the following interventions should the nurse prioritize to prevent
postpartum hemorrhage?
A. Administering oxytocin as prescribed.
B. Encouraging ambulation to prevent blood clots.
C. Encouraging the woman to eat iron-rich foods.
D. Monitoring the woman’s vital signs every 4 hours.
Answer: A. Administering oxytocin as prescribed.
Rationale: Administering oxytocin (a uterotonic agent) is a key intervention to
help the uterus contract and reduce the risk of postpartum hemorrhage, which can
occur due to uterine atony. While encouraging ambulation, eating iron-rich foods,
and monitoring vital signs are important, controlling uterine tone immediately after
delivery is the priority to prevent hemorrhage.
Question 4:
A nurse is teaching a mother about newborn care. Which of the following
instructions should the nurse include about cord care?
A. "Clean the cord stump with alcohol at each diaper change."
B. "Cover the cord stump with a bandage to keep it clean."
C. "Allow the cord stump to air dry and fall off naturally."
D. "Apply petroleum jelly to the cord stump to prevent infection."
Answer: C. "Allow the cord stump to air dry and fall off naturally."
,Rationale: The umbilical cord stump should be kept clean and dry. It should be
left uncovered, and parents should avoid applying alcohol or any other substances,
as this can delay the drying process. The stump naturally falls off within 1-2
weeks. Applying petroleum jelly or covering the stump with a bandage can
increase the risk of infection or hinder the drying process.
Question 5:
A nurse is teaching a parent about safe sleep practices for a newborn. Which
of the following statements by the parent indicates a need for further
education?
A. "I will place my baby on their back to sleep."
B. "I will keep the crib free of pillows, blankets, and stuffed animals."
C. "I will share a bed with my baby to promote bonding."
D. "I will place my baby to sleep in a bassinet next to my bed."
Answer: C. "I will share a bed with my baby to promote bonding."
Rationale: Bed-sharing with an infant is not recommended due to the increased
risk of suffocation, sudden infant death syndrome (SIDS), and other hazards. It is
safer for the baby to sleep in a separate crib or bassinet next to the parent’s bed.
The other statements align with safe sleep practices that reduce the risk of SIDS.
Question 6:
A nurse is caring for a child with asthma who is receiving a bronchodilator.
Which of the following is an expected outcome after administration of a
bronchodilator?
A. Decreased heart rate.
B. Increased respiratory rate.
C. Improved breath sounds.
D. Increased cough and mucus production.
Answer: C. Improved breath sounds.
, Rationale: Bronchodilators work by relaxing the smooth muscles around the
airways, leading to improved airflow and clearer breath sounds. A decrease in
respiratory distress and wheezing are expected after bronchodilator administration.
While an increase in respiratory rate may occur temporarily, improved breath
sounds and relief of symptoms are the key outcomes.
Question 7:
A nurse is assessing a newborn who was delivered at 39 weeks gestation.
Which of the following findings is most likely to indicate a potential problem?
A. The newborn is breathing rapidly and has a slightly elevated heart rate.
B. The newborn has a small amount of vaginal discharge.
C. The newborn has a yellowish tint to their skin.
D. The newborn is able to suck and swallow effectively during breastfeeding.
Answer: C. The newborn has a yellowish tint to their skin.
Rationale: Jaundice, indicated by a yellowish tint to the skin, can occur in
newborns due to elevated bilirubin levels. Although jaundice is common in the first
few days of life, it requires monitoring, and excessive jaundice may require
treatment such as phototherapy. Rapid breathing and a slightly elevated heart rate
can be normal immediately after birth, and a small amount of vaginal discharge is
common in female newborns due to maternal hormones.
Question 8:
A nurse is caring for a 2-month-old infant who is receiving the DTaP vaccine.
Which of the following actions is appropriate to take after administering the
vaccine?
A. Apply a cold compress to the injection site.
B. Monitor the infant for signs of allergic reaction.
C. Administer acetaminophen immediately after the injection.
D. Place the infant in a prone position to sleep.
Answer: B. Monitor the infant for signs of allergic reaction.
NURSING THE 8TH EDITION VERSION 2024/2025
Question 1:
A nurse is providing prenatal education to a woman who is at 24 weeks of
pregnancy. Which of the following instructions should the nurse include about
fetal movement?
A. "You should feel fetal movement several times a day starting at 28 weeks."
B. "Fetal movement should stop if you are carrying more than one baby."
C. "Fetal movement is a sign of fetal well-being, so it’s important to report
any decrease in movement."
D. "Fetal movement should be noticed only in the second trimester."
Answer: C. "Fetal movement is a sign of fetal well-being, so it’s important to
report any decrease in movement."
Rationale: Fetal movement is considered a sign of fetal well-being. A decrease in
fetal movement after the 28th week of pregnancy could indicate fetal distress and
should be reported to the healthcare provider. Women often begin to feel fetal
movements between 18 to 24 weeks, and movements typically increase as the
pregnancy progresses.
Question 2:
A nurse is assessing a 5-month-old infant. Which of the following findings
requires further investigation?
A. The infant is able to sit with minimal support.
B. The infant is able to roll from front to back.
C. The infant is not yet teething.
D. The infant’s birth weight has doubled.
Answer: C. The infant is not yet teething.
,Rationale: While teething usually begins around 6 months of age, some infants
may start earlier or later. However, if an infant has not started teething by 6
months, it could be a sign of a developmental delay, and further investigation may
be warranted. The other milestones (sitting with minimal support, rolling over, and
doubling birth weight) are generally achieved by 5 months.
Question 3:
A nurse is caring for a postpartum woman who had a vaginal delivery. Which
of the following interventions should the nurse prioritize to prevent
postpartum hemorrhage?
A. Administering oxytocin as prescribed.
B. Encouraging ambulation to prevent blood clots.
C. Encouraging the woman to eat iron-rich foods.
D. Monitoring the woman’s vital signs every 4 hours.
Answer: A. Administering oxytocin as prescribed.
Rationale: Administering oxytocin (a uterotonic agent) is a key intervention to
help the uterus contract and reduce the risk of postpartum hemorrhage, which can
occur due to uterine atony. While encouraging ambulation, eating iron-rich foods,
and monitoring vital signs are important, controlling uterine tone immediately after
delivery is the priority to prevent hemorrhage.
Question 4:
A nurse is teaching a mother about newborn care. Which of the following
instructions should the nurse include about cord care?
A. "Clean the cord stump with alcohol at each diaper change."
B. "Cover the cord stump with a bandage to keep it clean."
C. "Allow the cord stump to air dry and fall off naturally."
D. "Apply petroleum jelly to the cord stump to prevent infection."
Answer: C. "Allow the cord stump to air dry and fall off naturally."
,Rationale: The umbilical cord stump should be kept clean and dry. It should be
left uncovered, and parents should avoid applying alcohol or any other substances,
as this can delay the drying process. The stump naturally falls off within 1-2
weeks. Applying petroleum jelly or covering the stump with a bandage can
increase the risk of infection or hinder the drying process.
Question 5:
A nurse is teaching a parent about safe sleep practices for a newborn. Which
of the following statements by the parent indicates a need for further
education?
A. "I will place my baby on their back to sleep."
B. "I will keep the crib free of pillows, blankets, and stuffed animals."
C. "I will share a bed with my baby to promote bonding."
D. "I will place my baby to sleep in a bassinet next to my bed."
Answer: C. "I will share a bed with my baby to promote bonding."
Rationale: Bed-sharing with an infant is not recommended due to the increased
risk of suffocation, sudden infant death syndrome (SIDS), and other hazards. It is
safer for the baby to sleep in a separate crib or bassinet next to the parent’s bed.
The other statements align with safe sleep practices that reduce the risk of SIDS.
Question 6:
A nurse is caring for a child with asthma who is receiving a bronchodilator.
Which of the following is an expected outcome after administration of a
bronchodilator?
A. Decreased heart rate.
B. Increased respiratory rate.
C. Improved breath sounds.
D. Increased cough and mucus production.
Answer: C. Improved breath sounds.
, Rationale: Bronchodilators work by relaxing the smooth muscles around the
airways, leading to improved airflow and clearer breath sounds. A decrease in
respiratory distress and wheezing are expected after bronchodilator administration.
While an increase in respiratory rate may occur temporarily, improved breath
sounds and relief of symptoms are the key outcomes.
Question 7:
A nurse is assessing a newborn who was delivered at 39 weeks gestation.
Which of the following findings is most likely to indicate a potential problem?
A. The newborn is breathing rapidly and has a slightly elevated heart rate.
B. The newborn has a small amount of vaginal discharge.
C. The newborn has a yellowish tint to their skin.
D. The newborn is able to suck and swallow effectively during breastfeeding.
Answer: C. The newborn has a yellowish tint to their skin.
Rationale: Jaundice, indicated by a yellowish tint to the skin, can occur in
newborns due to elevated bilirubin levels. Although jaundice is common in the first
few days of life, it requires monitoring, and excessive jaundice may require
treatment such as phototherapy. Rapid breathing and a slightly elevated heart rate
can be normal immediately after birth, and a small amount of vaginal discharge is
common in female newborns due to maternal hormones.
Question 8:
A nurse is caring for a 2-month-old infant who is receiving the DTaP vaccine.
Which of the following actions is appropriate to take after administering the
vaccine?
A. Apply a cold compress to the injection site.
B. Monitor the infant for signs of allergic reaction.
C. Administer acetaminophen immediately after the injection.
D. Place the infant in a prone position to sleep.
Answer: B. Monitor the infant for signs of allergic reaction.
