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Quizzes > Health & Medicine > Human Anatomy & Medicine

Master Your Maternal & Child Health Nursing NCLEX Quiz

Ready for a free NCLEX maternal nursing practice test? Think you can ace it?

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art scene with mother holding newborn and nursing symbols on coral background for NCLEX maternal child health quiz

Are you ready to assess your skills? Take our maternal child health nursing quiz crafted for aspiring nurses tackling the NCLEX. This maternal and child health quiz features NCLEX maternal nursing practice test questions on pregnancy, labor, postpartum and newborn care to help you identify strengths and gaps. With this free NCLEX quiz, you'll reinforce core concepts, sharpen clinical judgment and elevate your nursing exam prep. Curious to see how you score? Click into our maternal and child health nursing quiz or explore targeted maternity NCLEX questions now!

What is the recommended daily folic acid supplementation for women who are planning pregnancy?
200 mcg
400 mcg
800 mcg
1,000 mcg
Daily supplementation of 400 mcg of folic acid is recommended for women of childbearing age to prevent neural tube defects. Starting folic acid at least one month before conception and continuing through the first trimester reduces risk. Higher doses are reserved for women with prior neural tube defect pregnancies. CDC Guidelines
A neonate born at 28 weeks’ gestation is at greatest risk for which complication?
Meconium aspiration syndrome
Transient tachypnea of the newborn
Respiratory distress syndrome
Neonatal abstinence syndrome
Infants born before 34 weeks often have insufficient surfactant, leading to alveolar collapse and respiratory distress syndrome. Clinical signs include tachypnea, grunting, and chest retractions. Treatment centers on respiratory support and surfactant replacement. NIH on RDS
At 20 weeks’ gestation, the fundal height is most likely to be palpated at which anatomical landmark?
Xiphoid process
Umbilicus
Symphysis pubis
Costal margin
By 20 weeks, the uterine fundus typically reaches the level of the umbilicus, approximately 20 cm above the symphysis pubis. Measuring fundal height helps assess fetal growth and gestational age. Deviations may warrant further evaluation. ACOG Practice Bulletin
During the first period of reactivity, a newborn is most likely to exhibit which behavior?
Deep, prolonged sleep
Decreased heart rate
Alertness and spontaneous activity
Symmetrical tonic neck reflex
The first period of reactivity occurs in the first 30 minutes after birth when the newborn is alert, has elevated heart and respiratory rates, and shows spontaneous movement. This is the ideal time for parent-infant bonding and initial feeding. The period is followed by a sleep phase. AAP Neonatal Care
What is the primary nursing intervention to help prevent postpartum hemorrhage in the immediate postpartum period?
Administering IV antibiotics
Uterine fundal massage
Encouraging early ambulation
Providing a high-protein diet
Uterine fundal massage promotes contraction of the uterine muscle fibers, reducing bleeding by compressing the placental site. It is the first-line intervention to prevent or treat uterine atony. Consistent assessment of fundal tone and lochia follows. WHO Guidelines
A client with preeclampsia is on a magnesium sulfate infusion. Which assessment finding would indicate magnesium toxicity?
Deep tendon reflexes of +3
Urine output of 60 mL/hr
Respiratory rate of 10 breaths/min
Heart rate of 90 bpm
Magnesium sulfate toxicity depresses the central nervous system, evidenced by respiratory depression (rate <12/min), loss of deep tendon reflexes, and oliguria. Therapeutic reflexes are +2 to +3; decreased respirations below 12/min require stopping the infusion and administering calcium gluconate. ACOG Preeclampsia Guidelines
A newborn has choanal atresia. Which clinical sign is most characteristic of this anomaly?
Persistent stridor when crying
Cyanosis that improves with crying
Continuous inspiratory wheeze
Expiratory grunt at rest
Choanal atresia blocks nasal passages; newborns are obligate nose breathers so they become cyanotic at rest and pink when crying, as crying opens the oral airway. Prompt diagnosis via nasal catheter and imaging is essential for airway management. NIH on Choanal Atresia
On postpartum day 7, a mother presents with unilateral breast pain, redness, and fever. What is the most appropriate nursing instruction?
Discontinue breastfeeding until symptoms resolve
Apply cold packs and avoid nursing on the affected side
Continue breastfeeding frequently to empty the breast
Use tight-fitting bras to reduce milk production
Signs and timing suggest lactational mastitis. Continuing to breastfeed or pump from the affected breast promotes drainage, reduces stasis, and aids recovery. Warm compresses and analgesics complement therapy. Antibiotics are indicated if infection is suspected. WHO Breastfeeding Information
A nonstress test (NST) shows two accelerations of 16 bpm lasting 18 seconds within 20 minutes. How should the nurse interpret this result?
Nonreactive NST—further testing needed
Reactive NST—reassuring fetal status
Inconclusive—extend monitoring by 40 minutes
Indeterminate—initiate biophysical profile
A reactive NST has at least two accelerations of ?15 bpm above baseline lasting ?15 seconds in 20 minutes. This indicates adequate fetal oxygenation and neurologic function. No immediate additional testing is required. ACOG Fetal Monitoring
A 3-year-old child shows signs of moderate dehydration. Which finding correlates with moderate fluid loss?
Weight loss of 2–4%
Tachycardia with weak, rapid pulse
Sunken fontanel and minimal tears
Capillary refill of less than 2 seconds
Moderate dehydration in children (6–9% fluid loss) often presents with tachycardia, reduced urine output, and dry mucous membranes; cap refill may be delayed. Mild is 3–5% loss, severe is ?10%. Accurate assessment guides rehydration therapy. UMMS Pediatric Dehydration
A patient at 32 weeks with preterm premature rupture of membranes (PPROM) presents without labor or infection. What is the priority nursing intervention?
Administer corticosteroids and monitor for infection
Begin oxytocin infusion immediately
Encourage ambulation and observe
Perform an immediate amniotomy
In PPROM <34 weeks with no infection or labor, corticosteroids accelerate fetal lung maturity and antibiotics prolong latency. Monitoring for signs of chorioamnionitis is essential. Induction or amniotomy is avoided until fetal lungs mature or infection occurs. ACOG PPROM Management
A biophysical profile returns a score of 6 out of 10 at 38 weeks. What is the most appropriate next step?
Proceed with immediate induction of labor
Repeat the biophysical profile in 24 hours
Schedule an elective cesarean section
Obtain a nonstress test and amniotic fluid index
A BPP score of 6 is considered equivocal; repeating the assessment in 24 hours helps determine fetal well-being before intervening. Scores of 8–10 are reassuring; ?4 indicates need for immediate delivery. NIH on BPP
A newborn exhibits high-pitched crying, tremors, and feeding intolerance. The Finnegan score is 10. What should the nurse anticipate?
Monitor with supportive care only
Initiate pharmacologic therapy for withdrawal
Discharge home with outpatient follow-up
Administer vitamin K injection
A Finnegan score ?8 indicates significant neonatal abstinence syndrome requiring pharmacologic treatment (e.g., morphine) and supportive care in a controlled setting. Scores guide initiation and weaning of therapy. PubMed on NAS
A woman with phenylketonuria is pregnant. Which dietary instruction is most important?
Increase protein intake by 50%
Avoid high-phenylalanine foods throughout pregnancy
Begin a gluten-free diet at 20 weeks
Take a high-dose thiamine supplement
Maternal PKU requires strict low-phenylalanine diet before conception and throughout pregnancy to prevent fetal microcephaly and cardiac defects. Dietary control maintains phenylalanine levels within target range. Close metabolic specialist follow-up is necessary. ACOG Maternal PKU
At 16 weeks’ gestation, maternal serum alpha-fetoprotein (MSAFP) is elevated. What is the nurse’s priority next action?
Schedule an amniocentesis immediately
Arrange a targeted ultrasound for dating and anomalies
Advise the patient to increase folic acid intake
Prepare for in utero surgical correction
An elevated MSAFP requires ultrasound to confirm gestational age, assess for multiple gestation, and identify neural tube or abdominal wall defects before invasive testing. Amniocentesis is considered only if ultrasound findings persist. ACOG Screening Guidelines
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Study Outcomes

  1. Understand Core Maternal and Child Health Nursing Concepts -

    By completing the maternal child health nursing quiz, readers will articulate foundational principles of prenatal, intrapartum, and postpartum care.

  2. Analyze Clinical Scenarios Using NCLEX Maternal Nursing Practice Test Strategies -

    Participants will apply critical thinking to identify appropriate interventions in maternal and child health quiz scenarios.

  3. Apply Evidence-Based Newborn Wellness Practices -

    Readers will select appropriate newborn assessment and care techniques grounded in current best practices.

  4. Evaluate Assessment Findings in Maternal-Child Cases -

    Users will differentiate normal and abnormal maternal and neonatal assessment data to prioritize nursing actions.

  5. Interpret Instant Feedback to Target Knowledge Gaps -

    The free NCLEX quiz format will help participants recognize weak areas and develop focused study plans.

  6. Reinforce Confidence for Nursing Exam Prep -

    Through practice questions and immediate results, learners will boost their readiness for exam day with lasting confidence.

Cheat Sheet

  1. Fundal Height & Trimester Milestones -

    When tackling a maternal child health nursing quiz or NCLEX maternal nursing practice test, remember that fundal height in centimeters approximates gestational age in weeks after 20 weeks. For example, at 28 weeks your fundal height should be about 28 cm at the level of the umbilicus (source: ACOG). Use the mnemonic "Feeling Upward When Expecting" to nail this concept on exam day.

  2. Stages of Labor -

    Memorize the four stages of labor - dilation, expulsion, placental delivery, and the immediate postpartum period - using the mnemonic "D-E-P-P" (Dilation, Expulsion, Placenta, Postpartum). In the active phase, cervical dilation accelerates past 6 cm, and contractions peak every 2 - 3 minutes (Richards & Worth, 2019). Knowing this sequence is key for success on your maternal and child health quiz.

  3. Fetal Heart Rate Patterns -

    Differentiate early, variable, and late decelerations per AWHONN guidelines: early decels mirror contractions, variable are abrupt dips from cord compression, and late start after the contraction peak (AWHONN, 2021). A quick trick is "Early = head, Late = placenta" to recall causes. Identify Category III patterns (absent variability plus late decels or bradycardia) as urgent interventions.

  4. Postpartum Assessment: Lochia & Uterine Involution -

    Track lochia progression with the RSA mnemonic: Rubra (days 1 - 3), Serosa (days 4 - 10), Alba (days 11 - 6 weeks) (NIH). Expect the fundus to descend one fingerbreadth per day; if it doesn't, suspect hemorrhage. Regular vital sign checks and pad counts help you ace nursing exam prep by spotting issues early.

  5. Newborn APGAR & Thermoregulation -

    Use the APGAR acronym - Appearance, Pulse, Grimace, Activity, Respiration - to score at 1 and 5 minutes (A=0 - 2 each; Scholastic). Remember "All People Get Along Rapidly" to recall the order quickly. Also maintain newborn temperature between 97.7°F and 99°F to prevent cold stress and hypoglycemia (WHO).

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