[NUR 2513 MATERNAL CHILD EXAMS] COMPLETE EXAM
QUESTIONS AND VERIFIED ANSWERS | 2026–2027 LATEST
UPDATE | GUARANTEED PASS | DETAILED RATIONALES |
FULL STUDY GUIDE | EXAM PREP | PRACTICE TEST |
CERTIFICATION PREPARATION
1. A nurse is teaching a pregnant client about the importance of folic acid supplementation
during the first trimester. What is the primary reason for this recommendation?
A. Prevent gestational diabetes
B. Reduce maternal hypertension
C. Prevent neural tube defects
D. Improve fetal lung maturity
Correct Answer: C. Prevent neural tube defects
Rationale:
Folic acid is essential during early pregnancy because it significantly reduces the risk of neural tube
defects such as spina bifida. The other options are not the primary purpose of folic acid
supplementation.
2. A postpartum client reports saturating a perineal pad within 15 minutes. What should the
nurse do first?
A. Assess uterine tone
B. Notify the provider
C. Obtain vital signs
D. Document the finding
Correct Answer: A. Assess uterine tone
Rationale:
Excessive bleeding after delivery may indicate uterine atony. Assessing uterine tone is the priority
because it identifies the most common cause of postpartum hemorrhage and guides immediate
intervention.
3. Which finding is expected in a healthy newborn during the first 24 hours after birth?
A. Persistent cyanosis
B. Respiratory rate of 40 breaths/min
C. Absence of reflexes
D. Heart rate of 80 beats/min
Correct Answer: B. Respiratory rate of 40 breaths/min
Rationale:
A respiratory rate between 30 and 60 breaths/min is normal for newborns. Persistent cyanosis,
absent reflexes, and a heart rate of 80 beats/min are abnormal findings.
4. A pregnant client at 32 weeks' gestation reports regular contractions and lower back pain.
Which condition should the nurse suspect?
A. Hyperemesis gravidarum
, B. Placenta previa
C. Gestational hypertension
D. Preterm labor
Correct Answer: D. Preterm labor
Rationale:
Regular contractions before 37 weeks may indicate preterm labor. Early identification is important to
reduce neonatal complications.
5. A nurse is caring for a child diagnosed with acute otitis media. Which symptom is most
commonly associated with this condition?
A. Ear pain
B. Bradycardia
C. Jaundice
D. Hematuria
Correct Answer: A. Ear pain
Rationale:
Ear pain is a classic manifestation of acute otitis media. The other symptoms are unrelated to this
common childhood infection.
6. Which maternal assessment finding requires immediate follow-up during pregnancy?
A. Mild ankle edema at the end of the day
B. Blood pressure of 168/104 mm Hg
C. Weight gain of 1 pound per week
D. Increased urinary frequency
Correct Answer: B. Blood pressure of 168/104 mm Hg
Rationale:
Severe hypertension may indicate preeclampsia and places both mother and fetus at risk. The other
findings are common during pregnancy.
7. A nurse is teaching a client about signs of labor. Which finding indicates true labor?
A. Contractions relieved by walking
B. Irregular contractions
C. Progressive cervical dilation
D. Pain limited to the abdomen
Correct Answer: C. Progressive cervical dilation
Rationale:
True labor results in cervical change. False labor contractions typically decrease with activity and do
not cause cervical dilation.
8. A newborn exhibits rooting and sucking reflexes. What do these findings indicate?
A. Neurologic impairment
B. Normal neurologic function
C. Respiratory distress
D. Cardiac dysfunction
Correct Answer: B. Normal neurologic function
, Rationale:
Rooting and sucking are expected newborn reflexes and indicate normal neurologic adaptation.
9. A child with dehydration is admitted to the pediatric unit. Which assessment finding
suggests moderate dehydration?
A. Moist mucous membranes
B. Sunken eyes
C. Weight gain
D. Bounding pulses
Correct Answer: B. Sunken eyes
Rationale:
Sunken eyes are a common indicator of moderate dehydration. Moist mucous membranes and
weight gain would not support this diagnosis.
10. A laboring client suddenly reports severe abdominal pain and vaginal bleeding. Which
complication should the nurse suspect?
A. Placental abruption
B. Hyperemesis gravidarum
C. Gestational diabetes
D. Hydramnios
Correct Answer: A. Placental abruption
Rationale:
Placental abruption commonly presents with painful bleeding and requires immediate intervention to
protect maternal and fetal well-being.
11. Which vaccine is routinely administered shortly after birth?
A. Hepatitis B
B. MMR
C. Varicella
D. HPV
Correct Answer: A. Hepatitis B
Rationale:
The hepatitis B vaccine is routinely recommended during the newborn period. The other vaccines are
administered later in childhood.
12. A nurse is assessing a postpartum client. Which finding is expected on the first postpartum
day?
A. Fundus firm and midline
B. Fundus not palpable
C. Continuous heavy bleeding
D. Temperature of 103°F
Correct Answer: A. Fundus firm and midline
Rationale:
A firm, midline fundus indicates appropriate uterine involution. Heavy bleeding and high fever require
investigation.
QUESTIONS AND VERIFIED ANSWERS | 2026–2027 LATEST
UPDATE | GUARANTEED PASS | DETAILED RATIONALES |
FULL STUDY GUIDE | EXAM PREP | PRACTICE TEST |
CERTIFICATION PREPARATION
1. A nurse is teaching a pregnant client about the importance of folic acid supplementation
during the first trimester. What is the primary reason for this recommendation?
A. Prevent gestational diabetes
B. Reduce maternal hypertension
C. Prevent neural tube defects
D. Improve fetal lung maturity
Correct Answer: C. Prevent neural tube defects
Rationale:
Folic acid is essential during early pregnancy because it significantly reduces the risk of neural tube
defects such as spina bifida. The other options are not the primary purpose of folic acid
supplementation.
2. A postpartum client reports saturating a perineal pad within 15 minutes. What should the
nurse do first?
A. Assess uterine tone
B. Notify the provider
C. Obtain vital signs
D. Document the finding
Correct Answer: A. Assess uterine tone
Rationale:
Excessive bleeding after delivery may indicate uterine atony. Assessing uterine tone is the priority
because it identifies the most common cause of postpartum hemorrhage and guides immediate
intervention.
3. Which finding is expected in a healthy newborn during the first 24 hours after birth?
A. Persistent cyanosis
B. Respiratory rate of 40 breaths/min
C. Absence of reflexes
D. Heart rate of 80 beats/min
Correct Answer: B. Respiratory rate of 40 breaths/min
Rationale:
A respiratory rate between 30 and 60 breaths/min is normal for newborns. Persistent cyanosis,
absent reflexes, and a heart rate of 80 beats/min are abnormal findings.
4. A pregnant client at 32 weeks' gestation reports regular contractions and lower back pain.
Which condition should the nurse suspect?
A. Hyperemesis gravidarum
, B. Placenta previa
C. Gestational hypertension
D. Preterm labor
Correct Answer: D. Preterm labor
Rationale:
Regular contractions before 37 weeks may indicate preterm labor. Early identification is important to
reduce neonatal complications.
5. A nurse is caring for a child diagnosed with acute otitis media. Which symptom is most
commonly associated with this condition?
A. Ear pain
B. Bradycardia
C. Jaundice
D. Hematuria
Correct Answer: A. Ear pain
Rationale:
Ear pain is a classic manifestation of acute otitis media. The other symptoms are unrelated to this
common childhood infection.
6. Which maternal assessment finding requires immediate follow-up during pregnancy?
A. Mild ankle edema at the end of the day
B. Blood pressure of 168/104 mm Hg
C. Weight gain of 1 pound per week
D. Increased urinary frequency
Correct Answer: B. Blood pressure of 168/104 mm Hg
Rationale:
Severe hypertension may indicate preeclampsia and places both mother and fetus at risk. The other
findings are common during pregnancy.
7. A nurse is teaching a client about signs of labor. Which finding indicates true labor?
A. Contractions relieved by walking
B. Irregular contractions
C. Progressive cervical dilation
D. Pain limited to the abdomen
Correct Answer: C. Progressive cervical dilation
Rationale:
True labor results in cervical change. False labor contractions typically decrease with activity and do
not cause cervical dilation.
8. A newborn exhibits rooting and sucking reflexes. What do these findings indicate?
A. Neurologic impairment
B. Normal neurologic function
C. Respiratory distress
D. Cardiac dysfunction
Correct Answer: B. Normal neurologic function
, Rationale:
Rooting and sucking are expected newborn reflexes and indicate normal neurologic adaptation.
9. A child with dehydration is admitted to the pediatric unit. Which assessment finding
suggests moderate dehydration?
A. Moist mucous membranes
B. Sunken eyes
C. Weight gain
D. Bounding pulses
Correct Answer: B. Sunken eyes
Rationale:
Sunken eyes are a common indicator of moderate dehydration. Moist mucous membranes and
weight gain would not support this diagnosis.
10. A laboring client suddenly reports severe abdominal pain and vaginal bleeding. Which
complication should the nurse suspect?
A. Placental abruption
B. Hyperemesis gravidarum
C. Gestational diabetes
D. Hydramnios
Correct Answer: A. Placental abruption
Rationale:
Placental abruption commonly presents with painful bleeding and requires immediate intervention to
protect maternal and fetal well-being.
11. Which vaccine is routinely administered shortly after birth?
A. Hepatitis B
B. MMR
C. Varicella
D. HPV
Correct Answer: A. Hepatitis B
Rationale:
The hepatitis B vaccine is routinely recommended during the newborn period. The other vaccines are
administered later in childhood.
12. A nurse is assessing a postpartum client. Which finding is expected on the first postpartum
day?
A. Fundus firm and midline
B. Fundus not palpable
C. Continuous heavy bleeding
D. Temperature of 103°F
Correct Answer: A. Fundus firm and midline
Rationale:
A firm, midline fundus indicates appropriate uterine involution. Heavy bleeding and high fever require
investigation.
