NUR2513 Maternal-Child Nursing
Final Exam Complete Study Set |
Questions, Answers & Rationales |
100% Verified Pass Guide (Latest
2026/2027
This comprehensive study guide delivers high-yield,
exam-style questions completely mapped to the
Rasmussen NUR2513 Maternal-Child Nursing
curriculum. Meticulously formatted with direct
question blocks and bold italicized answers
alongside detailed clinical rationales, it ensures rapid
scannability and quick active recall. Covering
everything from prenatal screenings and labor
complications to postpartum care and newborn
assessments, this verified set guarantees a
seamless Stuvia upload and an A+ grade.
,1. Question:
A 28-year-old pregnant client at 12 weeks gestation presents to the prenatal clinic with
complaints of severe nausea and vomiting occurring daily. She has lost 3 pounds since
her last visit and reports difficulty keeping any food or fluids down. The nurse
recognizes these findings are most consistent with which condition?
A. Hyperemesis gravidarum
B. Morning sickness
C. Gestational diabetes
D. Preeclampsia
Answer: A
Rationale: Hyperemesis gravidarum is characterized by persistent, severe nausea
and vomiting leading to weight loss and dehydration, distinguishing it from
typical morning sickness. Preeclampsia typically presents after 20 weeks with
hypertension and proteinuria, not nausea and vomiting.
,2. Question:
A pregnant client at 16 weeks gestation undergoes a maternal serum alpha-fetoprotein
(MSAFP) test. The results show an elevated MSAFP level. The nurse understands that
an elevated MSAFP is most associated with which fetal condition?
A. Neural tube defects
B. Down syndrome
C. Cystic fibrosis
D. Turner syndrome
Answer: A
Rationale: Elevated MSAFP is most associated with open neural tube defects
such as spina bifida and anencephaly. Down syndrome is typically associated
with decreased MSAFP levels, not elevated ones.
3. Question:
A nurse is caring for a client who is at 36 weeks gestation and has a prescription for a
nonstress test (NST). Which of the following pieces of information should the nurse
include when explaining this procedure to the client?
A. "An acoustic stimulator will be used continuously to wake up the baby."
B. "The test evaluates the baby's heart rate in response to fetal movement."
C. "You will need to remain completely fasting for 6 hours prior to the test."
D. "A medication called oxytocin will be administered intravenously during the test."
Answer: B
Rationale: A nonstress test is a noninvasive tool used to assess fetal well-being
by monitoring the fetal heart rate (FHR) response to fetal movement. A reactive
(normal) NST is characterized by two or more FHR accelerations within a 20-
minute window. Fasting is not required, and oxytocin is used for a contraction
stress test (CST), not an NST.
4. Question:
A nurse is assessing a postpartum client 4 hours following a vaginal delivery. The nurse
notes that the uterine fundus is boggy, displaced upward, and to the right of the midline.
Which of the following actions should the nurse take first?
A. Administer a prescribed dose of oxytocin intramuscularly.
B. Massage the fundus firmly until it becomes firm.
, C. Assist the client to the bathroom to void.
D. Notify the provider of a potential postpartum hemorrhage.
Answer: C
Rationale: A fundus that is displaced upward and to the right of the midline is a
classic indicator of bladder distention. A distended bladder pushes the uterus out
of place and prevents it from contracting effectively, leading to uterine atony
(bogginess). Assisting the client to empty their bladder is the immediate priority
action to allow the uterus to return to the midline and contract naturally. Fundal
massage would follow if the uterus remains boggy after voiding.
5. Question:
A nurse is providing discharge teaching to a postpartum client who is bottle-feeding her
newborn. Which of the following instructions should the nurse include to help suppress
lactation and relieve breast engorgement?
A. Apply warm, moist compresses to the breasts four times daily.
B. Pump the breasts for 5 minutes every few hours to relieve pressure.
C. Wear a tight-fitting, supportive sports bra continuously for the first few days.
D. Gently massage the breasts under running warm water while showering.
Answer: C
Rationale: For a client who is not breastfeeding, lactation suppression is
achieved by avoiding any stimulation of the breasts. Wearing a tight, supportive
bra provides compression that discourages milk production. Warm water, moist
heat, massaging, and pumping all stimulate prolactin release and worsen breast
engorgement and milk production. Ice packs and cabbage leaves are preferred
non-pharmacological comfort measures.
6. Question:
A nurse in the labor and delivery unit is reviewing the electronic fetal monitor tracing of a
client in active labor. The nurse notes a visual deceleration of the fetal heart rate that
begins after the peak of the uterine contraction and returns to baseline long after the
contraction has ended. How should the nurse interpret this finding?
A. Early deceleration; indicates fetal head compression.
B. Variable deceleration; indicates umbilical cord compression.
C. Late deceleration; indicates uteroplacental insufficiency.
D. Prolonged deceleration; indicates acute pelvic cord prolapse.
Answer: C
Final Exam Complete Study Set |
Questions, Answers & Rationales |
100% Verified Pass Guide (Latest
2026/2027
This comprehensive study guide delivers high-yield,
exam-style questions completely mapped to the
Rasmussen NUR2513 Maternal-Child Nursing
curriculum. Meticulously formatted with direct
question blocks and bold italicized answers
alongside detailed clinical rationales, it ensures rapid
scannability and quick active recall. Covering
everything from prenatal screenings and labor
complications to postpartum care and newborn
assessments, this verified set guarantees a
seamless Stuvia upload and an A+ grade.
,1. Question:
A 28-year-old pregnant client at 12 weeks gestation presents to the prenatal clinic with
complaints of severe nausea and vomiting occurring daily. She has lost 3 pounds since
her last visit and reports difficulty keeping any food or fluids down. The nurse
recognizes these findings are most consistent with which condition?
A. Hyperemesis gravidarum
B. Morning sickness
C. Gestational diabetes
D. Preeclampsia
Answer: A
Rationale: Hyperemesis gravidarum is characterized by persistent, severe nausea
and vomiting leading to weight loss and dehydration, distinguishing it from
typical morning sickness. Preeclampsia typically presents after 20 weeks with
hypertension and proteinuria, not nausea and vomiting.
,2. Question:
A pregnant client at 16 weeks gestation undergoes a maternal serum alpha-fetoprotein
(MSAFP) test. The results show an elevated MSAFP level. The nurse understands that
an elevated MSAFP is most associated with which fetal condition?
A. Neural tube defects
B. Down syndrome
C. Cystic fibrosis
D. Turner syndrome
Answer: A
Rationale: Elevated MSAFP is most associated with open neural tube defects
such as spina bifida and anencephaly. Down syndrome is typically associated
with decreased MSAFP levels, not elevated ones.
3. Question:
A nurse is caring for a client who is at 36 weeks gestation and has a prescription for a
nonstress test (NST). Which of the following pieces of information should the nurse
include when explaining this procedure to the client?
A. "An acoustic stimulator will be used continuously to wake up the baby."
B. "The test evaluates the baby's heart rate in response to fetal movement."
C. "You will need to remain completely fasting for 6 hours prior to the test."
D. "A medication called oxytocin will be administered intravenously during the test."
Answer: B
Rationale: A nonstress test is a noninvasive tool used to assess fetal well-being
by monitoring the fetal heart rate (FHR) response to fetal movement. A reactive
(normal) NST is characterized by two or more FHR accelerations within a 20-
minute window. Fasting is not required, and oxytocin is used for a contraction
stress test (CST), not an NST.
4. Question:
A nurse is assessing a postpartum client 4 hours following a vaginal delivery. The nurse
notes that the uterine fundus is boggy, displaced upward, and to the right of the midline.
Which of the following actions should the nurse take first?
A. Administer a prescribed dose of oxytocin intramuscularly.
B. Massage the fundus firmly until it becomes firm.
, C. Assist the client to the bathroom to void.
D. Notify the provider of a potential postpartum hemorrhage.
Answer: C
Rationale: A fundus that is displaced upward and to the right of the midline is a
classic indicator of bladder distention. A distended bladder pushes the uterus out
of place and prevents it from contracting effectively, leading to uterine atony
(bogginess). Assisting the client to empty their bladder is the immediate priority
action to allow the uterus to return to the midline and contract naturally. Fundal
massage would follow if the uterus remains boggy after voiding.
5. Question:
A nurse is providing discharge teaching to a postpartum client who is bottle-feeding her
newborn. Which of the following instructions should the nurse include to help suppress
lactation and relieve breast engorgement?
A. Apply warm, moist compresses to the breasts four times daily.
B. Pump the breasts for 5 minutes every few hours to relieve pressure.
C. Wear a tight-fitting, supportive sports bra continuously for the first few days.
D. Gently massage the breasts under running warm water while showering.
Answer: C
Rationale: For a client who is not breastfeeding, lactation suppression is
achieved by avoiding any stimulation of the breasts. Wearing a tight, supportive
bra provides compression that discourages milk production. Warm water, moist
heat, massaging, and pumping all stimulate prolactin release and worsen breast
engorgement and milk production. Ice packs and cabbage leaves are preferred
non-pharmacological comfort measures.
6. Question:
A nurse in the labor and delivery unit is reviewing the electronic fetal monitor tracing of a
client in active labor. The nurse notes a visual deceleration of the fetal heart rate that
begins after the peak of the uterine contraction and returns to baseline long after the
contraction has ended. How should the nurse interpret this finding?
A. Early deceleration; indicates fetal head compression.
B. Variable deceleration; indicates umbilical cord compression.
C. Late deceleration; indicates uteroplacental insufficiency.
D. Prolonged deceleration; indicates acute pelvic cord prolapse.
Answer: C
