Nurse Quizzes
Complete Question Bank

Maternal and Newborn Nursing · Maternal and Child Health Nursing Quiz

Full Question & Rationale Repository

Showing all 15 practice questions with expert explanatory rationales.

Question 1 of 15

Case excerpt

A pregnant adolescent says she is afraid to tell her family about the pregnancy.

Which nursing approach best supports confidential, developmentally appropriate care?

A. Avoid discussing prenatal care
B. Explain confidentiality and its legal limits, then assess safety and support needs
C. Share the information with classmates
D. Promise absolute secrecy in every circumstance
E. Insist that a parent answer all questions

Expert Explanatory Rationale

Correct Answer: B. Explain confidentiality and its legal limits, then assess safety and support needs

Adolescent care should be respectful and private within applicable laws; explain confidentiality limits and assess safety and support.

Question 2 of 15

Case excerpt

A client who recently gave birth asks about contraception while breastfeeding.

Which counseling point is most appropriate?

A. State that pregnancy cannot occur while breastfeeding
B. Tell the client contraception is unnecessary until menses returns
C. Choose a method without shared decision-making
D. Discuss methods compatible with lactation and the client's preferences, timing, and medical history
E. Recommend estrogen-containing contraception immediately for everyone

Expert Explanatory Rationale

Correct Answer: D. Discuss methods compatible with lactation and the client's preferences, timing, and medical history

Postpartum contraceptive counseling should be individualized, considering lactation, timing, contraindications, and patient preference.

Question 3 of 15

Case excerpt

A parent brings a 2-week-old infant for a visit and reports fewer wet diapers and difficulty waking the infant to feed.

Which action should the nurse take?

A. Recommend water between feeds
B. Delay evaluation until the 2-month visit
C. Advise reducing feeding frequency
D. Reassure the parent that newborns normally stop waking to feed
E. Assess hydration, weight, feeding, and illness signs promptly

Expert Explanatory Rationale

Correct Answer: E. Assess hydration, weight, feeding, and illness signs promptly

Poor feeding, decreased urine output, and difficulty arousing a young infant require prompt assessment for dehydration or illness.

Question 4 of 15

Case excerpt

A family asks how to reduce the risk of lead exposure for a toddler living in an older home.

Which teaching is most useful?

A. Wet-clean peeling paint dust and seek local lead testing and remediation guidance
B. Let the child play in renovation debris
C. Dry-sand old painted surfaces indoors
D. Assume lead exposure is visible
E. Use imported pottery of unknown glaze for meals

Expert Explanatory Rationale

Correct Answer: A. Wet-clean peeling paint dust and seek local lead testing and remediation guidance

Older housing can contain lead-based paint. Wet cleaning, safe renovation practices, testing, and public health guidance reduce exposure.

Question 5 of 15

Case excerpt

A caregiver reports that a 9-month-old has not received any routine immunizations.

Which response is best in this scenario: A caregiver reports that a 9-month-old has not received any routine?

A. Review the child's record and arrange a catch-up schedule using current recommendations
B. Tell the caregiver vaccines cannot be given after infancy
C. Give all vaccines without checking history or contraindications
D. Wait until school entry
E. Restart every vaccine series from the beginning automatically

Expert Explanatory Rationale

Correct Answer: A. Review the child's record and arrange a catch-up schedule using current recommendations

Catch-up immunization schedules are based on age, documented doses, intervals, and current recommendations; most series do not need restarting.

Question 6 of 15

Case excerpt

A pregnant client asks whether she should avoid all fish.

Which nutrition advice is most accurate?

A. Take fish oil instead of all prenatal nutrition
B. Eat only high-mercury predatory fish
C. Choose a variety of lower-mercury fish and follow current pregnancy serving guidance
D. Eat raw fish to preserve nutrients
E. Avoid every type of seafood

Expert Explanatory Rationale

Correct Answer: C. Choose a variety of lower-mercury fish and follow current pregnancy serving guidance

Fish can provide beneficial nutrients; pregnancy guidance recommends lower-mercury choices and avoiding high-mercury species and raw or undercooked seafood.

Question 7 of 15

Case excerpt

A parent says a toddler drinks large amounts of cow's milk and eats very little solid food.

Which concern should the nurse assess?

A. Excessive vitamin K production
B. Risk of iron deficiency from excessive milk intake displacing iron-rich foods
C. Guaranteed lactose intolerance
D. Immediate kidney failure
E. Risk of vitamin C toxicity

Expert Explanatory Rationale

Correct Answer: B. Risk of iron deficiency from excessive milk intake displacing iron-rich foods

Excessive cow's milk can displace iron-rich foods and is associated with iron deficiency in young children.

Question 8 of 15

Case excerpt

A family with a newborn asks how to prevent pertussis transmission.

Which recommendation is appropriate?

A. Delay maternal vaccination until the infant is one year old
B. Use leftover antibiotics for prevention without advice
C. Ensure household contacts are up to date on recommended pertussis vaccination and avoid contact with ill people
D. Give honey to the newborn
E. Keep the newborn away from all routine health visits

Expert Explanatory Rationale

Correct Answer: C. Ensure household contacts are up to date on recommended pertussis vaccination and avoid contact with ill people

Maternal Tdap during each pregnancy and age-appropriate vaccination of close contacts help protect young infants; avoid exposure to respiratory illness.

Question 9 of 15

Case excerpt

A school-age child with asthma has nighttime cough several times each week and frequently uses a rescue inhaler.

A caregiver is preparing solid foods for a 6-month-old infant. Which practices reduce choking risk? (Select all that apply)

A. Allow the infant to eat while crawling
B. Avoid whole grapes and nuts
C. Offer soft, age-appropriate textures
D. Supervise the infant throughout feeding
E. Seat the infant upright

Expert Explanatory Rationale

Correct Answer: B. Avoid whole grapes and nuts; C. Offer soft, age-appropriate textures; D. Supervise the infant throughout feeding; E. Seat the infant upright

Upright positioning, close supervision, appropriate textures, and avoiding high-risk foods reduce choking risk.

Question 10 of 15

Case excerpt

A parent asks when to introduce honey to an infant's diet.

A parent asks how to prevent medication poisoning in a toddler. Which instructions should the nurse include? (Select all that apply)

A. Store daily doses on a low counter
B. Keep medicines out of sight and reach
C. Lock medicines away from children
D. Keep medicines in their original containers
E. Use child-resistant packaging but do not rely on it alone

Expert Explanatory Rationale

Correct Answer: B. Keep medicines out of sight and reach; C. Lock medicines away from children; D. Keep medicines in their original containers; E. Use child-resistant packaging but do not rely on it alone

Locked storage, original containers, and keeping medicines out of sight and reach reduce accidental ingestion risk.

Question 11 of 15

Case excerpt

A community nurse visits a family whose infant sleeps on a couch with an adult.

A family lives in an older home and is concerned about lead exposure. Which steps are appropriate? (Select all that apply)

A. Use lead-safe professionals for renovation
B. Ask about local lead testing resources
C. Wet-clean dust from floors and windowsills
D. Dry-sand old paint indoors
E. Keep children away from renovation areas

Expert Explanatory Rationale

Correct Answer: A. Use lead-safe professionals for renovation; B. Ask about local lead testing resources; C. Wet-clean dust from floors and windowsills; E. Keep children away from renovation areas

Testing, wet cleaning, lead-safe renovation, and keeping children away from work areas reduce exposure.

Question 12 of 15

Case excerpt

A client planning pregnancy asks which supplement is recommended before conception to reduce neural tube defect risk.

A pregnant client asks about food safety. Which recommendations are appropriate? (Select all that apply)

A. Avoid unpasteurized milk and products made from it
B. Wash produce before eating
C. Eat high-mercury fish frequently for omega-3 intake
D. Choose lower-mercury fish
E. Avoid raw or undercooked seafood

Expert Explanatory Rationale

Correct Answer: A. Avoid unpasteurized milk and products made from it; B. Wash produce before eating; D. Choose lower-mercury fish; E. Avoid raw or undercooked seafood

Pregnancy food safety includes avoiding raw or undercooked seafood and unpasteurized products, washing produce, and choosing lower-mercury fish.

Question 13 of 15

Case excerpt

A parent of a 6-month-old asks how to reduce choking risk when starting solid foods.

A caregiver has missed several routine vaccines for an infant. Which nursing actions are appropriate? (Select all that apply)

A. Discuss questions and contraindications with the caregiver
B. Check minimum intervals and age requirements
C. Restart every vaccine series automatically
D. Review the documented immunization record
E. Use the current catch-up schedule

Expert Explanatory Rationale

Correct Answer: A. Discuss questions and contraindications with the caregiver; B. Check minimum intervals and age requirements; D. Review the documented immunization record; E. Use the current catch-up schedule

Catch-up vaccination is based on documented doses, age, intervals, and current recommendations; most series do not need restarting.

Question 14 of 15

Case excerpt

Medication or fluid administration calculation in a maternal, newborn, or child-health setting.

A child is prescribed 480 mL of oral rehydration solution over 4 hours. What is the average hourly amount in mL/hr? Enter the number only.

Expert Explanatory Rationale

Correct Answer: 120

480 mL ÷ 4 hours = 120 mL/hr.

Question 15 of 15

Case excerpt

The nurse is coordinating a time-sensitive maternal, newborn, or child-health response.

A toddler may have swallowed an unknown medication. Place the nursing actions in the safest order.

A. Assess responsiveness, breathing, and immediate danger
B. Call emergency services or poison control according to local protocol
C. Identify the substance, amount, and time if safely possible
D. Follow poison-control or emergency-team instructions; do not induce vomiting unless directed
E. Monitor the child and provide the product container or information to responders

Expert Explanatory Rationale

Correct Answer: A. Assess responsiveness, breathing, and immediate danger; B. Call emergency services or poison control according to local protocol; C. Identify the substance, amount, and time if safely possible; D. Follow poison-control or emergency-team instructions; do not induce vomiting unless directed; E. Monitor the child and provide the product container or information to responders

Stabilize immediate threats, obtain expert guidance, identify the exposure, follow instructions, and continue monitoring.

More Maternal and Newborn Nursing exams

Each exam keeps its full question bank on one page.

← Back to Maternal and Newborn Nursing