RASMUSSEN COLLEGE
Bachelor of Science in Nursing (BSN)
NUR2513 Maternal-Child Nursing
Academic Year: 2026/2027 Exam 1 · Complete Question Bank
Question 1
The nurse is evaluating the FHR rhythm strip and determines the heart rate amplitude varies
with a rate 15 to 20 bpm. What does this assessment finding indicate to the nurse about
variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked
CORRECT ANSWER: C. Variability is moderate
RATIONALE:
Moderate variability is 6–25 bpm amplitude and is a reassuring sign of fetal well-being. Absent is 0,
minimal is ≤5, and marked is >25 bpm.
Question 2
What is the most effective way for a nurse to assess a woman's usual food intake during her
pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe her total intake for a week
C. Assess clients skin for hydration and color
D. Ask her to describe her intake for the last 24 hours
CORRECT ANSWER: D. Ask her to describe her intake for the last 24 hours
RATIONALE:
A 24-hour dietary recall is the most practical and effective way to assess usual food intake. Weekly recall
is less accurate, and healthy diet descriptions may not reflect actual intake.
, Question 3
The nurse is teaching a client on the use of a diaphragm for contraception. Which client
statement indicates the client needs further teaching?
A. "I need to use my finger to remove the diaphragm."
B. "I should remove the diaphragm 6 hours after intercourse."
C. "I should stop using a diaphragm if I get an infection of my cervix."
D. "I need to have the diaphragm checked if my weight changes by 30 lb."
CORRECT ANSWER: D. "I need to have the diaphragm checked if my weight changes by 30 lb."
RATIONALE:
A diaphragm should be refitted if weight changes by 10 lb or more, not 30 lb. The other statements are
correct.
Question 4
A nurse is caring for the following clients on the obstetrical unit. The nurse recognizes it is safe
to administer tocolytic therapy to which client?
A. Client experiencing fetal death at 34 weeks gestation
B. Client experiencing preterm labor at 29 weeks gestation
C. Client experiencing Braxton-Hicks contractions at 37 weeks
D. Client with post-term pregnancy at 41 weeks gestation
CORRECT ANSWER: B. Client who is experiencing preterm labor at 29 weeks gestation
RATIONALE:
Tocolytics are indicated for preterm labor before 37 weeks to delay delivery. They are contraindicated in
fetal death, post-term, or Braxton-Hicks.
, Question 5
A prenatal nurse is caring for a woman who desires an unmedicated birth. Which options for
non-pharmacologic methods of pain control in labor should the nurse include? (Select all that
apply)
A. Epidural
B. Hydrotherapy
C. Massage
D. Birth ball
E. Pudendal block
F. Breathing patterns
CORRECT ANSWER: B, C, D, F
RATIONALE:
Non-pharmacologic methods include hydrotherapy, massage, birth ball, and breathing. Epidural and
pudendal block are pharmacologic (regional anesthesia).
Question 6
The nurse is reviewing the results of an abnormal pap smear with a 27-year-old female. When
explaining the risk for and causes of cervical cancer, which statement should be included in her
teaching?
A. Approximately 70% of cervical cancers are caused by HPV.
B. Approximately 70% of cervical cancers result from HPV.
C. You have a bacterial infection that will require 14 days of antibiotics.
D. Cervical cancer is caused by HPV; we can treat the infection with antiviral medications.
CORRECT ANSWER: B. Approx. 70% of cervical cancers result from HPV
RATIONALE:
HPV is the primary cause of cervical cancer; about 70% of cases are linked to HPV. There is no cure for
HPV, but the infection often resolves on its own.
, Question 7
The nurse in labor and delivery is reviewing frequently used medications in the OB setting.
Which medication would be used for tocolysis?
A. Methylergometrine
B. Terbutaline
C. Betamethasone
D. Oxytocin
CORRECT ANSWER: B. Terbutaline
RATIONALE:
Terbutaline is a beta-agonist used as a tocolytic to suppress preterm labor. Methylergometrine is a
uterotonic, betamethasone promotes fetal lung maturity, and oxytocin stimulates labor.
Question 8
The nurse is reviewing the health record of a pregnant client. Her Hx includes deliveries of live
babies at 39, 40, and 35 weeks, and a spontaneous abortion at 17 weeks. According to GTPAL,
which describes the patient?
A. 4-2-1-1-3
B. 4-1-2-1-3
C. 5-2-1-1-3
D. 5-2-0-2-3
CORRECT ANSWER: A. 4-2-1-1-3
RATIONALE:
G=4 total pregnancies (3 term + 1 abortion). T=2 term births (39, 40 weeks). P=1 preterm (35 weeks).
A=1 abortion (17 weeks). L=3 living children.
Bachelor of Science in Nursing (BSN)
NUR2513 Maternal-Child Nursing
Academic Year: 2026/2027 Exam 1 · Complete Question Bank
Question 1
The nurse is evaluating the FHR rhythm strip and determines the heart rate amplitude varies
with a rate 15 to 20 bpm. What does this assessment finding indicate to the nurse about
variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked
CORRECT ANSWER: C. Variability is moderate
RATIONALE:
Moderate variability is 6–25 bpm amplitude and is a reassuring sign of fetal well-being. Absent is 0,
minimal is ≤5, and marked is >25 bpm.
Question 2
What is the most effective way for a nurse to assess a woman's usual food intake during her
pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe her total intake for a week
C. Assess clients skin for hydration and color
D. Ask her to describe her intake for the last 24 hours
CORRECT ANSWER: D. Ask her to describe her intake for the last 24 hours
RATIONALE:
A 24-hour dietary recall is the most practical and effective way to assess usual food intake. Weekly recall
is less accurate, and healthy diet descriptions may not reflect actual intake.
, Question 3
The nurse is teaching a client on the use of a diaphragm for contraception. Which client
statement indicates the client needs further teaching?
A. "I need to use my finger to remove the diaphragm."
B. "I should remove the diaphragm 6 hours after intercourse."
C. "I should stop using a diaphragm if I get an infection of my cervix."
D. "I need to have the diaphragm checked if my weight changes by 30 lb."
CORRECT ANSWER: D. "I need to have the diaphragm checked if my weight changes by 30 lb."
RATIONALE:
A diaphragm should be refitted if weight changes by 10 lb or more, not 30 lb. The other statements are
correct.
Question 4
A nurse is caring for the following clients on the obstetrical unit. The nurse recognizes it is safe
to administer tocolytic therapy to which client?
A. Client experiencing fetal death at 34 weeks gestation
B. Client experiencing preterm labor at 29 weeks gestation
C. Client experiencing Braxton-Hicks contractions at 37 weeks
D. Client with post-term pregnancy at 41 weeks gestation
CORRECT ANSWER: B. Client who is experiencing preterm labor at 29 weeks gestation
RATIONALE:
Tocolytics are indicated for preterm labor before 37 weeks to delay delivery. They are contraindicated in
fetal death, post-term, or Braxton-Hicks.
, Question 5
A prenatal nurse is caring for a woman who desires an unmedicated birth. Which options for
non-pharmacologic methods of pain control in labor should the nurse include? (Select all that
apply)
A. Epidural
B. Hydrotherapy
C. Massage
D. Birth ball
E. Pudendal block
F. Breathing patterns
CORRECT ANSWER: B, C, D, F
RATIONALE:
Non-pharmacologic methods include hydrotherapy, massage, birth ball, and breathing. Epidural and
pudendal block are pharmacologic (regional anesthesia).
Question 6
The nurse is reviewing the results of an abnormal pap smear with a 27-year-old female. When
explaining the risk for and causes of cervical cancer, which statement should be included in her
teaching?
A. Approximately 70% of cervical cancers are caused by HPV.
B. Approximately 70% of cervical cancers result from HPV.
C. You have a bacterial infection that will require 14 days of antibiotics.
D. Cervical cancer is caused by HPV; we can treat the infection with antiviral medications.
CORRECT ANSWER: B. Approx. 70% of cervical cancers result from HPV
RATIONALE:
HPV is the primary cause of cervical cancer; about 70% of cases are linked to HPV. There is no cure for
HPV, but the infection often resolves on its own.
, Question 7
The nurse in labor and delivery is reviewing frequently used medications in the OB setting.
Which medication would be used for tocolysis?
A. Methylergometrine
B. Terbutaline
C. Betamethasone
D. Oxytocin
CORRECT ANSWER: B. Terbutaline
RATIONALE:
Terbutaline is a beta-agonist used as a tocolytic to suppress preterm labor. Methylergometrine is a
uterotonic, betamethasone promotes fetal lung maturity, and oxytocin stimulates labor.
Question 8
The nurse is reviewing the health record of a pregnant client. Her Hx includes deliveries of live
babies at 39, 40, and 35 weeks, and a spontaneous abortion at 17 weeks. According to GTPAL,
which describes the patient?
A. 4-2-1-1-3
B. 4-1-2-1-3
C. 5-2-1-1-3
D. 5-2-0-2-3
CORRECT ANSWER: A. 4-2-1-1-3
RATIONALE:
G=4 total pregnancies (3 term + 1 abortion). T=2 term births (39, 40 weeks). P=1 preterm (35 weeks).
A=1 abortion (17 weeks). L=3 living children.
