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Quizzes > Quizzes for Business > Healthcare

Take the Nursing Maternal Child Health Knowledge Test

Reinforce Your Maternal-Child Nursing Expertise Today

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art illustrating a quiz on Nursing Maternal Child Health Knowledge Test.

This engaging maternal-child nursing quiz challenges you with realistic scenarios and questions drawn from current perinatal care standards. Ideal for nursing students or educators, it hones skills in maternal and child health assessments and interventions. You can also explore our Maternal Health Knowledge Assessment for deeper insights or practice with a broader Nursing Knowledge Assessment Quiz. All questions are freely editable in our editor, so tailoring the test to your curriculum needs is effortless. Discover more quizzes to expand your learning library.

Which finding indicates effective uterine involution in the immediate postpartum period?
Fundus above the umbilicus
Boggy fundus midline
Fundus firm at the level of the umbilicus
Heavy lochia rubra
A firm fundus at the umbilicus level signifies proper contraction and involution of the uterus. A boggy or displaced fundus suggests uterine atony and increases the risk of postpartum hemorrhage.
Which component of the Apgar score evaluates neonatal heart rate?
Activity (muscle tone)
Pulse
Appearance
Grimace response
Pulse assesses heart rate, with over 100 beats per minute scoring a 2. Other components evaluate color, reflexes, muscle tone, and respiratory effort.
Which maternal characteristic is a recognized risk factor for developing gestational diabetes?
Maternal age older than 35 years
Pre-pregnancy underweight BMI
High fluid intake during pregnancy
Vegetarian diet
Advanced maternal age (over 35 years) is a known risk factor for gestational diabetes due to decreased insulin sensitivity. Underweight BMI and dietary preferences like vegetarianism are not primary risk factors for gestational diabetes.
What indicates a correct breastfeeding latch technique?
Baby's tongue remains behind the gum line
Baby makes a clicking noise when feeding
Baby's lips are flanged outward and cover a large portion of the areola
Baby's chin is lifted away from the breast
A proper latch is characterized by flanged lips and coverage of much of the areola, allowing effective milk transfer and preventing nipple trauma. Clicking noises or poor chin alignment suggest an improper latch.
To reduce the risk of sudden infant death syndrome (SIDS), the nurse should place the newborn in which position for sleep?
Side-lying position
Prone position
Trendelenburg position
Supine position
Placing the infant on the back (supine) for sleep is the safest position and is associated with the lowest risk of SIDS. Prone and side-lying positions increase the risk of airway obstruction and rebreathing of carbon dioxide.
At 12 days postpartum, a nurse notes that lochia continues to be lochia rubra. What is the most appropriate concern?
The mother is at low risk for infection
Retained placental fragments may be present
The mother is experiencing normal lochia progression
The lochia has transitioned appropriately
Lochia rubra is expected for the first 3 to 4 days postpartum. Persistence beyond 10 days may indicate retained placental tissue, which can lead to hemorrhage or infection if not addressed.
What is the initial nursing intervention for a postpartum client with heavy vaginal bleeding and a boggy uterus?
Apply ice packs to the perineum
Notify the obstetrician immediately
Check hemoglobin and hematocrit levels
Perform a fundal massage
Uterine fundal massage is the first-line intervention to promote uterine contraction and reduce bleeding. Other measures, lab tests, and provider notification follow if massage does not firm the uterus.
Which term newborn is at highest risk for hypoglycemia?
Infant of a diabetic mother
Infant with normal birth weight
Full-term infant of a non-diabetic mother
Infant exclusively breastfed within the first hour
Infants born to diabetic mothers often have increased insulin production that can lead to hypoglycemia after birth when maternal glucose supply is interrupted. Full-term infants with normal risk factors are less likely to experience early hypoglycemia.
A postpartum client with preeclampsia reports headache and blurry vision. What is the nurse's priority action?
Administer oral ibuprofen
Inspect the fundus for firmness
Check maternal deep tendon reflexes
Encourage frequent ambulation
Hyperreflexia is a sign of severe preeclampsia and risk for eclampsia. Assessing deep tendon reflexes helps determine neurological status and need for seizure precautions.
When is the optimal time to screen a mother for postpartum depression?
48 hours after delivery before discharge
Within 24 hours after delivery
At one year postpartum
At the first postpartum follow-up visit around 6 weeks
Screening for postpartum depression is most effective at the 6-week postpartum visit when mood disorders commonly emerge. Earlier screening may miss symptoms that develop after hospital discharge.
How is the rooting reflex correctly elicited in a neonate?
Tap the sole of the foot
Hold the neonate upright supporting the trunk
Shine a light into the neonate's eyes
Stroke the neonate's cheek near the mouth
Stroking the cheek near the mouth triggers the rooting reflex, causing the infant to turn toward the stimulus and attempt to suck. This reflex facilitates feeding behavior.
Which developmental milestone is typically achieved by a 6-month-old infant?
Sitting unsupported
Stacking two blocks
Walking independently
Using a pincer grasp
Most infants can sit without support by around 6 months of age. Walking generally occurs closer to 12 - 15 months, pincer grasp by 9 - 10 months, and block stacking by 15 months or later.
Which vaccine is recommended for administration at birth?
Hepatitis B
Hib (Haemophilus influenzae type b)
Varicella
DTaP
The first dose of hepatitis B vaccine is recommended within 24 hours of birth to prevent perinatal transmission. DTaP, varicella, and Hib vaccines are initiated later in infancy.
During a shoulder dystocia emergency, which maternal positioning technique can help facilitate fetal descent?
McRoberts maneuver (hyperflexion of the maternal hips)
Lithotomy with elevated foot pedals
Trendelenburg position
Prone position with slight pelvic tilt
The McRoberts maneuver involves hyperflexing the mother's hips toward her abdomen, which straightens the sacrum and increases pelvic diameter. Other positions are not effective for resolving shoulder dystocia.
A reactive nonstress test (NST) is characterized by which finding?
Fetal heart rate decelerations lasting more than 20 seconds
Absence of accelerations over a 40-minute period
Variability less than 5 bpm over 20 minutes
At least two fetal heart rate accelerations of 15 bpm lasting 15 seconds within 20 minutes
A reactive NST requires two or more accelerations of 15 beats per minute lasting 15 seconds within a 20-minute window, indicating fetal well-being. Decelerations, absent accelerations, or low variability suggest nonreactive status.
An umbilical cord blood gas reveals a pH of 7.15. How should the nurse interpret this result?
Normal neonatal acid-base status
Mild metabolic acidosis present
Alkalosis requiring immediate intervention
Severe respiratory alkalosis
A cord pH below 7.2 indicates mild acidosis likely due to transient hypoxia during delivery. It is not normal and requires follow-up, but it is not severe acidosis or alkalosis.
A postpartum client develops mastitis. Which nursing intervention is most appropriate?
Apply cold packs to the breast before feeding
Advise the mother to stop feeding from the affected breast
Encourage the mother to continue breastfeeding on the affected side
Limit feeding sessions to every 6 hours
Continuing to breastfeed helps drain the breast and prevents stagnation of milk, which can worsen mastitis. Cold packs before feeding may reduce discomfort, but continued feeding is the priority.
The Ballard scoring system primarily assesses which aspect of a newborn?
Neonatal pain response
Reflex integration only
Feeding effectiveness
Neuromuscular and physical maturity
The Ballard score evaluates both neuromuscular and physical maturity to estimate gestational age. It does not focus solely on reflexes, pain response, or feeding.
Which intervention is most critical for a neonate diagnosed with respiratory distress syndrome (RDS)?
Provide oxygen by face mask only
Increase oral feeds to promote lung expansion
Position the neonate prone to improve breathing
Administer exogenous surfactant via endotracheal tube
Exogenous surfactant replacement is a key therapy for neonates with RDS to reduce surface tension and improve lung compliance. Oxygen therapy and positioning are supportive but surfactant is essential.
In the Denver II developmental screening test, which domain assesses a child's ability to button a shirt?
Language skills
Gross motor skills
Personal-social interaction
Fine motor-adaptive skills
Buttoning a shirt requires coordination and dexterity of small muscles, which is assessed in the fine motor-adaptive domain. Gross motor relates to large muscle movements, while language and personal-social domains assess different skills.
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Learning Outcomes

  1. Analyse maternal and child health scenarios to determine best nursing interventions.
  2. Apply evidence-based practices in perinatal care and neonatal assessment.
  3. Identify common risk factors affecting maternal and newborn well-being.
  4. Demonstrate correct postpartum monitoring and breastfeeding support techniques.
  5. Evaluate growth and developmental milestones in pediatric patients.

Cheat Sheet

  1. VEAL CHOP mnemonic - Crack the code of fetal heart tracings like a detective! VEAL CHOP helps you remember Variable decelerations = Cord compression, Early decelerations = Head compression, Accelerations = Okay, and Late decelerations = Placental insufficiency. With this fun phrase in your toolkit, you'll breeze through interpretation and boost your confidence in clinical scenarios. Nurseslabs Mnemonics Tips
  2. BUBBLE-HE mnemonic - Turn postpartum assessment into a systematic adventure! BUBBLE-HE stands for Breasts, Uterus, Bowel, Bladder, Lochia, Episiotomy, Homan's sign, and Emotional status. This checklist ensures no detail is missed during your rounds, so mom and baby get top-notch care every time. Nurseslabs Mnemonics Tips
  3. Preeclampsia triad - Spot preeclampsia early with this classic trio: Proteinuria, Rising blood pressure, and Edema. Recognizing these three red flags can save lives by triggering timely intervention. Keep this triad in mind to ace your exams and safeguard mom-and-baby health. Nurseslabs Mnemonics Tips
  4. Nurse-Family Partnership program - Discover how professional nurses support first-time mothers from pregnancy through their child's second birthday via home visits. This evidence-based initiative promotes maternal health, child development, and family stability in real-world settings. It's a shining example of community care in action! Wikipedia
  5. REEDDA mnemonic - Evaluate episiotomy healing effortlessly with REEDDA: Redness, Edema, Ecchymosis, Discharge, Drainage, and Approximation. This simple checklist keeps wound assessment consistent and straightforward, ensuring any complications are caught early. Say goodbye to guesswork and hello to clarity in postpartum care! Nurseslabs Mnemonics Tips
  6. LARA CROFT mnemonic - Channel your inner explorer to identify pregnancy-related abdominal pain causes: Labor, Abruptio placentae, Rupture (ectopic/uterine), Abortion (spontaneous), Cholestasis, Rectus sheath hematoma, Ovarian cyst, Fibroids, Torsion. This adventurous mnemonic ensures you remember every possibility when assessing your patient. Gear up for accurate differentials! Nurseslabs Mnemonics Tips
  7. ABCDEF prenatal care - Keep prenatal worry at bay by monitoring Amniotic fluid leakage, Bleeding vaginally, Contractions, Dysuria, Edema, and Fetal movement. This ABCDEF guide lets you spot warning signs fast and streamline your prenatal assessments. Patients will appreciate your thoroughness and reassurance at every check-up. Nurseslabs Mnemonics Tips
  8. 9 & 16 mnemonic - Remember key prenatal testing windows: Chorionic villus sampling at 9 weeks and Alpha-fetoprotein screening at 16 weeks. Timing is everything for accurate results and proper counseling. This handy duo helps you plan labs like a pro and keep moms informed. Nurseslabs Mnemonics Tips
  9. Nurse-Family Partnership program (review) - Dive deeper into how home-visiting nurses foster healthy pregnancies and childhood development until age two. By delivering personalized support, this program reduces health disparities and empowers families. It's a cornerstone of public health nursing worth mastering! Wikipedia
  10. Four phases of maternal-child nursing - Navigate the continuum of care with these four phases: Health promotion, Health maintenance, Health restoration, and Health rehabilitation. Understanding each stage ensures you deliver the right interventions at the right time. Embrace this framework to elevate your holistic nursing practice! Nursing Hero Study Files
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