NUR2513 / NUR 2513 Maternal-Child
Nursing Final Exam Actual Exam
2026/2027 – Complete Exam-Style
Questions | 100% Verified – Pass
Guaranteed – A+ Graded
1. A nurse is implementing family-centered care. Which action best
demonstrates the principles of this approach?
A. Restricting visitation to immediate family only during visiting hours.
B. Providing care primarily based on the nurse's clinical judgment without family
input.
C. Collaborating with the patient and family to create a care plan that
respects their cultural beliefs and preferences.
D. Limiting information sharing to prevent overwhelming the family.
Rationale: Family-centered care is based on the principles of dignity, respect,
information sharing, and collaboration. The nurse's role is to partner with the
family, not to dictate care.
2. A nurse is evaluating a fetal heart rate (FHR) rhythm strip showing a heart
rate amplitude variation of 15 to 20 bpm. What does this indicate about
variability?
A. Minimal variability
,B. Absent variability
C. Moderate variability
D. Marked variability
Rationale: Moderate variability is defined as an amplitude range of 6 to 25 beats
per minute. This is a reassuring finding indicating a well-oxygenated fetus with an
intact central nervous system.
3. How does a clinical pathway improve the quality of care in maternal-child
nursing?
A. Lists diagnosis-specific implementations
B. Outlines expected progress with stated timelines
C. Prioritizes effective nursing diagnoses
D. Describes common complications
Rationale: Clinical pathways, or critical pathways, provide a standardized
framework that outlines expected patient progress with specific timelines. This
helps reduce variations in care, identify variances early, and improve overall
patient outcomes.
4. A patient at 28 weeks gestation reports feeling "dizzy and lightheaded"
when lying on her back. This is likely due to:
A. Hypoglycemia.
B. Anemia.
C. Supine hypotensive syndrome (aortocaval compression).
D. Preeclampsia.
,Rationale: In the supine position, the gravid uterus compresses the inferior vena
cava and aorta, reducing venous return and cardiac output, which can cause
hypotension, dizziness, and lightheadedness. This is known as supine hypotensive
syndrome.
5. The nurse is providing education to a patient with Gestational Diabetes
Mellitus (GDM). Which statement indicates the patient understands dietary
management?
A. "I should skip breakfast to keep my blood sugar low."
B. "I will eat three small meals and two to three snacks to distribute
carbohydrates evenly."
C. "I need to avoid all carbohydrates."
D. "I can drink fruit juice freely because it's natural sugar."
Rationale: The primary dietary management for GDM is to distribute
carbohydrate intake evenly across three small meals and two to three snacks. This
strategy helps prevent large fluctuations in blood glucose levels.
6. A pregnant patient with Rh-negative blood type is scheduled to receive
Rho(D) immune globulin (RhoGAM). At which gestational age is this typically
administered to prevent sensitization?
A. 16 weeks
B. 20 weeks
C. 28 weeks
D. 32 weeks
, Rationale: RhoGAM is routinely administered to unsensitized Rh-negative
mothers at approximately 28 weeks gestation to prevent the formation of
antibodies against Rh-positive fetal blood cells from small transplacental
hemorrhages.
7. A patient refuses a recommended induction of labor for medical reasons.
The nurse's first priority is to:
A. Document the refusal and discharge the patient immediately.
B. Call security to escort the patient out.
C. Assess the patient's understanding of the risks and benefits of both
induction and refusal.
D. Insist that the physician speak with the family against the patient's wishes.
Rationale: The nurse's role is to advocate for the patient and ensure she has
accurate information to make an informed decision. The first step is to assess the
patient's understanding of the situation.
8. A 16-year-old pregnant adolescent presents to the clinic without a parent.
According to ethical and legal standards regarding consent, what should the
nurse understand?
A. Treatment cannot be provided without parental consent.
B. The father of the baby must provide consent.
C. In most states, minors can consent to prenatal care and delivery-related
treatment.
D. The clinic must obtain a court order before treatment.
Nursing Final Exam Actual Exam
2026/2027 – Complete Exam-Style
Questions | 100% Verified – Pass
Guaranteed – A+ Graded
1. A nurse is implementing family-centered care. Which action best
demonstrates the principles of this approach?
A. Restricting visitation to immediate family only during visiting hours.
B. Providing care primarily based on the nurse's clinical judgment without family
input.
C. Collaborating with the patient and family to create a care plan that
respects their cultural beliefs and preferences.
D. Limiting information sharing to prevent overwhelming the family.
Rationale: Family-centered care is based on the principles of dignity, respect,
information sharing, and collaboration. The nurse's role is to partner with the
family, not to dictate care.
2. A nurse is evaluating a fetal heart rate (FHR) rhythm strip showing a heart
rate amplitude variation of 15 to 20 bpm. What does this indicate about
variability?
A. Minimal variability
,B. Absent variability
C. Moderate variability
D. Marked variability
Rationale: Moderate variability is defined as an amplitude range of 6 to 25 beats
per minute. This is a reassuring finding indicating a well-oxygenated fetus with an
intact central nervous system.
3. How does a clinical pathway improve the quality of care in maternal-child
nursing?
A. Lists diagnosis-specific implementations
B. Outlines expected progress with stated timelines
C. Prioritizes effective nursing diagnoses
D. Describes common complications
Rationale: Clinical pathways, or critical pathways, provide a standardized
framework that outlines expected patient progress with specific timelines. This
helps reduce variations in care, identify variances early, and improve overall
patient outcomes.
4. A patient at 28 weeks gestation reports feeling "dizzy and lightheaded"
when lying on her back. This is likely due to:
A. Hypoglycemia.
B. Anemia.
C. Supine hypotensive syndrome (aortocaval compression).
D. Preeclampsia.
,Rationale: In the supine position, the gravid uterus compresses the inferior vena
cava and aorta, reducing venous return and cardiac output, which can cause
hypotension, dizziness, and lightheadedness. This is known as supine hypotensive
syndrome.
5. The nurse is providing education to a patient with Gestational Diabetes
Mellitus (GDM). Which statement indicates the patient understands dietary
management?
A. "I should skip breakfast to keep my blood sugar low."
B. "I will eat three small meals and two to three snacks to distribute
carbohydrates evenly."
C. "I need to avoid all carbohydrates."
D. "I can drink fruit juice freely because it's natural sugar."
Rationale: The primary dietary management for GDM is to distribute
carbohydrate intake evenly across three small meals and two to three snacks. This
strategy helps prevent large fluctuations in blood glucose levels.
6. A pregnant patient with Rh-negative blood type is scheduled to receive
Rho(D) immune globulin (RhoGAM). At which gestational age is this typically
administered to prevent sensitization?
A. 16 weeks
B. 20 weeks
C. 28 weeks
D. 32 weeks
, Rationale: RhoGAM is routinely administered to unsensitized Rh-negative
mothers at approximately 28 weeks gestation to prevent the formation of
antibodies against Rh-positive fetal blood cells from small transplacental
hemorrhages.
7. A patient refuses a recommended induction of labor for medical reasons.
The nurse's first priority is to:
A. Document the refusal and discharge the patient immediately.
B. Call security to escort the patient out.
C. Assess the patient's understanding of the risks and benefits of both
induction and refusal.
D. Insist that the physician speak with the family against the patient's wishes.
Rationale: The nurse's role is to advocate for the patient and ensure she has
accurate information to make an informed decision. The first step is to assess the
patient's understanding of the situation.
8. A 16-year-old pregnant adolescent presents to the clinic without a parent.
According to ethical and legal standards regarding consent, what should the
nurse understand?
A. Treatment cannot be provided without parental consent.
B. The father of the baby must provide consent.
C. In most states, minors can consent to prenatal care and delivery-related
treatment.
D. The clinic must obtain a court order before treatment.
