Calling all caregivers! Ready to sharpen your clinical skills and master the essentials of postpartum care, prenatal interventions, and neonatal nursing? Jump into our maternal and child health nursing quiz to test your expertise with NCLEX maternal health practice questions and Neonatal nursing practice questions. You'll also navigate a Child health nursing quiz segment and tackle a Postpartum care NCLEX test challenge to pinpoint strengths and uncover improvement areas. Each question mirrors real-world scenarios to build practical confidence. Perfect for NCLEX review or professional growth, this free Maternal & Child Health Nursing Quiz is your springboard to confidence. Take the quiz now and ace those maternity NCLEX questions !
What is lochia rubra in the postpartum period?
Yellowish-white discharge lasting 10 to 14 days
Bright red vaginal discharge lasting up to 3 days
Foul-smelling discharge within the first 24 hours
Pinkish-brown discharge from days 4 to 10
Lochia rubra is the initial vaginal discharge after delivery, characterized by its bright red color and containing mostly blood and decidual tissue. It typically lasts up to 3 days postpartum before transitioning to lochia serosa. A foul odor would be abnormal and may indicate infection. For more details, see March of Dimes.
Which assessment is NOT part of the APGAR score at 1 minute after birth?
Blood pressure
Respiration
Activity (muscle tone)
Pulse
The APGAR score assesses Appearance, Pulse, Grimace, Activity, and Respiration at 1 and 5 minutes after birth. Blood pressure is not included in the APGAR criteria. This quick evaluation helps determine the newborn's need for immediate intervention. For more information, refer to NIH.
What is the recommended total weight gain for a pregnant woman with a normal pre-pregnancy BMI?
28 to 40 pounds
5 to 11 pounds
15 to 25 pounds
25 to 35 pounds
For women with a normal pre-pregnancy BMI (18.5 - 24.9), the Institute of Medicine recommends a total weight gain of 25 to 35 pounds. Gaining within this range supports fetal growth and reduces maternal complications. Deviations can lead to issues such as low birth weight or macrosomia. See guidelines at NIH.
A postpartum patient's uterus is boggy and above the umbilicus. What is the nurse's first action?
Perform a fundal massage
Check the patient's vital signs
Encourage the patient to void
Administer IV oxytocin
A boggy uterus indicates uterine atony, which increases hemorrhage risk. Gentle fundal massage stimulates uterine contractions to reduce bleeding. After massage, the nurse should reassess and then consider pharmacologic interventions if needed. More details at ACOG.
When should Rho(D) immune globulin be administered to an Rh-negative mother to prevent alloimmunization?
At 20 weeks gestation and at delivery
Only at the first prenatal visit
At 28 weeks gestation and within 72 hours after birth
Within one week postpartum regardless of fetal blood type
Rho(D) immune globulin is given at 28 weeks of gestation and within 72 hours postpartum if the newborn is Rh-positive. This prevents maternal sensitization to Rh-positive fetal cells and hemolytic disease in subsequent pregnancies. Administering outside these windows is less effective. See ACOG.
Which clinical sign in a newborn of a diabetic mother most likely indicates hypoglycemia?
Bradycardia
Jitteriness
Hyperthermia
Hypertension
Newborns of diabetic mothers often produce excess insulin, leading to postnatal hypoglycemia. Jitteriness is an early sign of low blood glucose. Other signs include lethargy and poor feeding. For neonatal hypoglycemia protocols, visit NIH.
Which newborn reflex is elicited by stroking the cheek and causes the baby to turn toward the stimulus and open the mouth?
Stepping reflex
Moro reflex
Palmar grasp reflex
Rooting reflex
The rooting reflex is elicited by stroking the infant's cheek, prompting head turning and mouth opening toward the stimulus. It aids in finding the nipple for feeding. This reflex usually disappears by 4 months of age. More at American Academy of Pediatrics.
A woman presents with painless bright red vaginal bleeding in the third trimester. Which condition is most likely?
Uterine rupture
Placenta previa
Abruptio placentae
Vasa previa
Painless bright red bleeding in the third trimester is characteristic of placenta previa, where the placenta covers the cervical os. Abruptio placentae usually involves painful dark bleeding. Early recognition with ultrasound is essential. See guidelines at ACOG.
Late decelerations on a fetal heart monitor are most indicative of which condition?
Fetal head compression
Maternal fever
Umbilical cord compression
Uteroplacental insufficiency
Late decelerations are gradual decreases in fetal heart rate that begin after a contraction starts and return to baseline after it ends. They indicate uteroplacental insufficiency and fetal hypoxia. Immediate evaluation and intervention are required to prevent compromise. More details at ACOG.
Which of the following is an early sign of magnesium sulfate toxicity in a patient receiving therapy for preeclampsia?
Elevated blood pressure
Increased urinary output
Brisk pupillary response
Loss of deep tendon reflexes
Magnesium sulfate depresses the central nervous system, and loss of deep tendon reflexes is an early sign of toxicity. Other signs include respiratory depression and eventual cardiac arrest. Monitoring reflexes and respiratory rate is crucial during infusion. For monitoring guidelines, see NIH.
For a newborn suspected of developmental dysplasia of the hip, which assessment technique should the nurse perform first?
Apply a Pavlik harness
Order an ultrasound immediately
Ortolani maneuver
Barlow maneuver
The Ortolani maneuver is used to detect a dislocated hip by gently abducting the hips and applying anterior pressure to the femur. A positive sign is a palpable 'clunk' as the femoral head relocates. The Barlow test is done second. Early detection prevents long-term complications. More at AAP.
What is the recommended corticosteroid dosing schedule to accelerate fetal lung maturity in a woman at risk for preterm delivery?
24 mg betamethasone IM as a single dose
12 mg betamethasone IM every 12 hours for two doses
6 mg dexamethasone IM every 12 hours for three doses
12 mg betamethasone IM every 24 hours for two doses
The standard regimen to enhance fetal lung maturity is 12 mg of betamethasone IM every 24 hours for two doses. This dosing has been shown to reduce neonatal respiratory distress syndrome and intraventricular hemorrhage. Other regimens (e.g., four doses of dexamethasone) are alternatives but less commonly used. See ACOG.
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AI Study Notes
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Study Outcomes
Understand Postpartum Care Protocols -
Review key steps in the postpartum care NCLEX test, including assessment, complication management, and patient education to support maternal recovery.
Analyze Prenatal Intervention Strategies -
Examine evidence-based prenatal interventions through targeted NCLEX maternal health practice questions to strengthen decision-making skills.
Interpret Neonatal Nursing Scenarios -
Apply critical thinking to neonatal nursing practice questions by assessing newborn status, identifying abnormalities, and planning appropriate care.
Apply Maternal & Child Health Nursing Principles -
Integrate core concepts from the maternal and child health nursing quiz to deliver comprehensive, patient-centered care throughout pregnancy and postpartum.
Evaluate Child Health Nursing Assessments -
Use child health nursing quiz scenarios to detect pediatric growth, development issues, and health deviations for timely intervention.
Enhance NCLEX Test-Taking Strategies -
Develop efficient approaches to tackle NCLEX maternal health practice questions, improve time management, and interpret question stems accurately.
Cheat Sheet
Uterine Involution and Lochia Assessment -
After delivery, assess uterine involution by palpating fundal height daily; it should descend about 1 fingerbreadth per day and remain firm and midline (ACOG guidelines). Observe lochia color, amount, and odor transitioning from rubra to serosa to alba as indicators of normal healing. Mastering this concept is key for postpartum care NCLEX test questions and postpartum bleeding recognition in your Maternal and Child Health Nursing Quiz prep.
APGAR Scoring and Initial Neonatal Assessment -
Use the APGAR score at 1 and 5 minutes to evaluate newborn adaptation, scoring each category from 0 - 2 (Activity, Pulse, Grimace, Appearance, Respiration). A combined score of 7 - 10 indicates stable transition; lower scores may trigger neonatal nursing practice questions around resuscitation actions. Remember the mnemonic "A Perfect Good APGAR" to quickly recall criteria during your Maternal and Child Health Nursing Quiz and neonatal nursing practice questions.
Nonstress Test and Biophysical Profile -
For antepartum fetal surveillance, start with a nonstress test (NST) that monitors two or more accelerations in 20 minutes; reactive results are reassuring (ACOG). If NST is non-reactive, proceed to a biophysical profile (BPP) scoring fetal breathing, movement, tone, amniotic fluid, and NST for a total of 10 points. These protocols are commonly tested in NCLEX maternal health practice questions and child health nursing quiz modules.
Gestational Diabetes Screening and Management -
Perform the 1-hour 50g glucose challenge test at 24 - 28 weeks; levels ≥130 - 140 mg/dL require a follow-up 3-hour glucose tolerance test per ADA guidelines. Implement dietary modifications, exercise, and insulin therapy to maintain fasting glucose <95 mg/dL and protect fetal growth. Knowing these cutoffs and interventions is crucial for postpartum care NCLEX test and maternal health practice questions.
Rh Incompatibility and Rho(D) Immune Globulin -
Screen all pregnant mothers for Rh factor and indirect Coombs titers early in pregnancy and again at 28 weeks to identify incompatibility risks (CDC recommendations). Administer Rho(D) immune globulin at 28 weeks and within 72 hours postpartum to Rh-negative mothers with Rh-positive infants. This prevention strategy is a common topic in maternal and child health nursing quiz and NCLEX maternal health practice questions.
