NR 327 Maternal-Child Nursing Week 8 Comprehensive Quiz 2026
|Chamberlain College
1. A nurse is assessing a newborn at 1 minute after birth and finds: heart rate
110, slow/irregular respiratory effort, some flexion of extremities, grimace
when suctioned, and a pink body with blue extremities. What is the APGAR
score?
A. 6
B. 5
C. 7
D. 8
Answer: A
Rationale: HR=2, Resp=1, Muscle=1, Reflex=1, Color=1. Total = 6.
2. Which method of heat loss is occurring when a nurse places a newborn on a
cold scale?
A. Convection
B. Conduction
C. Evaporation
D. Radiation
Answer: B
Rationale: Conduction is the loss of heat through direct contact with a cooler surface.
,3. Why is Vitamin K (Phytonadione) administered to a newborn shortly after
birth?
A. To stimulate the production of red blood cells
B. To provide clotting factors until the infant’s gut flora develops
C. To prevent ophthalmia neonatorum
D. To enhance the immune system’s response to infection
Answer: B
Rationale: Newborns have a sterile gut and lack the bacteria needed to synthesize Vitamin
K, essential for clotting.
4. Which finding in a newborn assessment requires immediate intervention?
A. Heart rate of 140 bpm
B. Acrocyanosis
C. Milia on the nose
D. Nasal flaring and grunting
Answer: D
Rationale: Nasal flaring and grunting are signs of respiratory distress.
5. A postpartum patient presents with a firm fundus but is experiencing a steady
trickle of bright red blood. What is the likely cause?
A. Laceration of the birth canal
B. Uterine atony
C. Retained placental fragments
D. Disseminated intravascular coagulation
Answer: A
Rationale: A firm fundus with continuous bleeding often indicates a vaginal or cervical
laceration.
, 6. Which medication is contraindicated for a patient experiencing postpartum
hemorrhage who has a history of asthma?
A. Oxytocin
B. Carboprost Tromethamine
C. Methylergonovine
D. Misoprostol
Answer: B
Rationale: Carboprost (Hemabate) causes bronchoconstriction and is contraindicated in
patients with asthma.
7. A nurse assesses a newborn’s head and finds a soft area of edema that
crosses the suture lines. What is this called?
A. Cephalohematoma
B. Caput succedaneum
C. Subgaleal hemorrhage
D. Hydrocephalus
Answer: B
Rationale: Caput succedaneum is generalized edema that crosses suture lines, unlike
cephalohematoma.
8. What is the normal range for a newborn’s respiratory rate?
A. 30-60 breaths per minute
B. 20-40 breaths per minute
C. 40-80 breaths per minute
D. 15-30 breaths per minute
Answer: A
Rationale: The standard normal range for a resting newborn is 30 to 60 breaths per
minute.
|Chamberlain College
1. A nurse is assessing a newborn at 1 minute after birth and finds: heart rate
110, slow/irregular respiratory effort, some flexion of extremities, grimace
when suctioned, and a pink body with blue extremities. What is the APGAR
score?
A. 6
B. 5
C. 7
D. 8
Answer: A
Rationale: HR=2, Resp=1, Muscle=1, Reflex=1, Color=1. Total = 6.
2. Which method of heat loss is occurring when a nurse places a newborn on a
cold scale?
A. Convection
B. Conduction
C. Evaporation
D. Radiation
Answer: B
Rationale: Conduction is the loss of heat through direct contact with a cooler surface.
,3. Why is Vitamin K (Phytonadione) administered to a newborn shortly after
birth?
A. To stimulate the production of red blood cells
B. To provide clotting factors until the infant’s gut flora develops
C. To prevent ophthalmia neonatorum
D. To enhance the immune system’s response to infection
Answer: B
Rationale: Newborns have a sterile gut and lack the bacteria needed to synthesize Vitamin
K, essential for clotting.
4. Which finding in a newborn assessment requires immediate intervention?
A. Heart rate of 140 bpm
B. Acrocyanosis
C. Milia on the nose
D. Nasal flaring and grunting
Answer: D
Rationale: Nasal flaring and grunting are signs of respiratory distress.
5. A postpartum patient presents with a firm fundus but is experiencing a steady
trickle of bright red blood. What is the likely cause?
A. Laceration of the birth canal
B. Uterine atony
C. Retained placental fragments
D. Disseminated intravascular coagulation
Answer: A
Rationale: A firm fundus with continuous bleeding often indicates a vaginal or cervical
laceration.
, 6. Which medication is contraindicated for a patient experiencing postpartum
hemorrhage who has a history of asthma?
A. Oxytocin
B. Carboprost Tromethamine
C. Methylergonovine
D. Misoprostol
Answer: B
Rationale: Carboprost (Hemabate) causes bronchoconstriction and is contraindicated in
patients with asthma.
7. A nurse assesses a newborn’s head and finds a soft area of edema that
crosses the suture lines. What is this called?
A. Cephalohematoma
B. Caput succedaneum
C. Subgaleal hemorrhage
D. Hydrocephalus
Answer: B
Rationale: Caput succedaneum is generalized edema that crosses suture lines, unlike
cephalohematoma.
8. What is the normal range for a newborn’s respiratory rate?
A. 30-60 breaths per minute
B. 20-40 breaths per minute
C. 40-80 breaths per minute
D. 15-30 breaths per minute
Answer: A
Rationale: The standard normal range for a resting newborn is 30 to 60 breaths per
minute.
