RASMUSSEN UNIVERSITY — SCHOOL OF NURSING
Bachelor of Science in Nursing (BSN)
NUR 2513 — Maternal Child Nursing Final Exam Question Bank
Academic Year: 2026/2027 103 Questions
Comprehensive Review — Graded A+
Question 1
What is the single most important way to prevent disease?
A. Vaccination
B. Handwashing
C. Proper nutrition
D. Isolation of sick individuals
CORRECT ANSWER: B. Handwashing
RATIONALE:
Hand hygiene is the single most effective measure to prevent the spread of infections and is the
cornerstone of infection control in healthcare and community settings.
Question 2
What are the signs/symptoms of placental abruption?
A. Painless bright red bleeding, soft uterus
B. Sharp abdominal pain, frequent contractions, dark vaginal bleeding, hypotension
C. Gradual onset, mild cramping, no FHR changes
D. Back pain, urinary frequency, nausea
CORRECT ANSWER: B. Sharp abdominal pain, frequent contractions, dark vaginal bleeding,
hypotension
RATIONALE:
Placental abruption presents with sudden, sharp abdominal pain, a rigid or "board-like" uterus, dark
vaginal bleeding, and signs of hypovolemic shock. Fetal heart rate may decrease due to hypoxia.
, Question 3
What are the signs/symptoms of a fracture? What is the plan of care for patients with a
fractured bone?
A. Pain, impaired movement, swelling, bruising, crepitus; immobilize and perform neurovascular
checks
B. Only swelling; no immobilization
C. No pain, just deformity
D. Fever and chills; start antibiotics
CORRECT ANSWER: A. Pain, impaired movement, swelling, bruising, crepitus; immobilize and
perform neurovascular checks
RATIONALE:
Fracture signs include pain, swelling, deformity, and crepitus. Care includes immobilization and
frequent neurovascular assessments (distal pulses, sensation, movement) to detect compartment
syndrome.
Question 4
Know how to perform and document a non-stress test.
A. Record accelerations/decelerations/variability; ask patient to press button with fetal movement;
classify as reactive or nonreactive
B. Only monitor maternal vitals
C. No need to document movement
D. Only check FHR once
CORRECT ANSWER: A. Record accelerations/decelerations/variability; ask patient to press button
with fetal movement; classify as reactive or nonreactive
RATIONALE:
A non-stress test (NST) monitors fetal heart rate reactivity in response to movement. The mother marks
fetal movements. A reactive NST (2 or more accelerations in 20 min) indicates fetal well-being.
Nonreactive requires further testing.
, Question 5
Know how to administer insulin (pen, syringe, short acting, long acting, etc.)
A. Clear to cloudy (short-acting to long-acting) when mixing
B. Cloudy to clear when mixing
C. Always draw long-acting first
D. No specific order needed
CORRECT ANSWER: A. Clear to cloudy (short-acting to long-acting) when mixing
RATIONALE:
When mixing insulins, draw short-acting (clear) first, then long-acting (cloudy) to avoid contaminating
the clear vial. This maintains the rapid action of the short-acting insulin.
Question 6
Know the complications of strep pharyngitis:
A. Acute kidney injury
B. Rheumatic fever
C. Otitis media
D. Pneumonia
CORRECT ANSWER: B. Rheumatic fever
RATIONALE:
Untreated or inadequately treated group A streptococcal pharyngitis can lead to rheumatic fever, which
may cause carditis and joint involvement. Adequate antibiotic treatment is essential to prevent this
complication.
, Question 7
Treatment for Legg-Calve Perthes disease, what will we teach the parents?
A. Activity restrictions, non-weightbearing, NSAIDs, PT, surgery if needed
B. Only surgical correction
C. No restrictions, full activity
D. Only pain medication
CORRECT ANSWER: A. Activity restrictions, non-weightbearing, NSAIDs, PT, surgery if needed
RATIONALE:
Legg-Calve-Perthes disease (avascular necrosis of the femoral head) requires activity restrictions, non-
weightbearing on the affected leg, NSAIDs for pain, physical therapy, and possibly surgery to maintain
hip integrity.
Question 8
What are the signs/symptoms of varicella?
A. Fever, malaise, headache, weeping vesicular rash, avoid aspirin/Motrin
B. Maculopapular rash, cough, conjunctivitis
C. High fever, petechial rash, vomiting
D. Dry cough, erythematous rash
CORRECT ANSWER: A. Fever, malaise, headache, weeping vesicular rash, avoid aspirin/Motrin
RATIONALE:
Varicella (chickenpox) presents with fever, malaise, and a vesicular rash that progresses through stages.
Avoid aspirin (Reye's syndrome risk) and ibuprofen (may increase streptococcal infection risk); use
acetaminophen for fever.
Bachelor of Science in Nursing (BSN)
NUR 2513 — Maternal Child Nursing Final Exam Question Bank
Academic Year: 2026/2027 103 Questions
Comprehensive Review — Graded A+
Question 1
What is the single most important way to prevent disease?
A. Vaccination
B. Handwashing
C. Proper nutrition
D. Isolation of sick individuals
CORRECT ANSWER: B. Handwashing
RATIONALE:
Hand hygiene is the single most effective measure to prevent the spread of infections and is the
cornerstone of infection control in healthcare and community settings.
Question 2
What are the signs/symptoms of placental abruption?
A. Painless bright red bleeding, soft uterus
B. Sharp abdominal pain, frequent contractions, dark vaginal bleeding, hypotension
C. Gradual onset, mild cramping, no FHR changes
D. Back pain, urinary frequency, nausea
CORRECT ANSWER: B. Sharp abdominal pain, frequent contractions, dark vaginal bleeding,
hypotension
RATIONALE:
Placental abruption presents with sudden, sharp abdominal pain, a rigid or "board-like" uterus, dark
vaginal bleeding, and signs of hypovolemic shock. Fetal heart rate may decrease due to hypoxia.
, Question 3
What are the signs/symptoms of a fracture? What is the plan of care for patients with a
fractured bone?
A. Pain, impaired movement, swelling, bruising, crepitus; immobilize and perform neurovascular
checks
B. Only swelling; no immobilization
C. No pain, just deformity
D. Fever and chills; start antibiotics
CORRECT ANSWER: A. Pain, impaired movement, swelling, bruising, crepitus; immobilize and
perform neurovascular checks
RATIONALE:
Fracture signs include pain, swelling, deformity, and crepitus. Care includes immobilization and
frequent neurovascular assessments (distal pulses, sensation, movement) to detect compartment
syndrome.
Question 4
Know how to perform and document a non-stress test.
A. Record accelerations/decelerations/variability; ask patient to press button with fetal movement;
classify as reactive or nonreactive
B. Only monitor maternal vitals
C. No need to document movement
D. Only check FHR once
CORRECT ANSWER: A. Record accelerations/decelerations/variability; ask patient to press button
with fetal movement; classify as reactive or nonreactive
RATIONALE:
A non-stress test (NST) monitors fetal heart rate reactivity in response to movement. The mother marks
fetal movements. A reactive NST (2 or more accelerations in 20 min) indicates fetal well-being.
Nonreactive requires further testing.
, Question 5
Know how to administer insulin (pen, syringe, short acting, long acting, etc.)
A. Clear to cloudy (short-acting to long-acting) when mixing
B. Cloudy to clear when mixing
C. Always draw long-acting first
D. No specific order needed
CORRECT ANSWER: A. Clear to cloudy (short-acting to long-acting) when mixing
RATIONALE:
When mixing insulins, draw short-acting (clear) first, then long-acting (cloudy) to avoid contaminating
the clear vial. This maintains the rapid action of the short-acting insulin.
Question 6
Know the complications of strep pharyngitis:
A. Acute kidney injury
B. Rheumatic fever
C. Otitis media
D. Pneumonia
CORRECT ANSWER: B. Rheumatic fever
RATIONALE:
Untreated or inadequately treated group A streptococcal pharyngitis can lead to rheumatic fever, which
may cause carditis and joint involvement. Adequate antibiotic treatment is essential to prevent this
complication.
, Question 7
Treatment for Legg-Calve Perthes disease, what will we teach the parents?
A. Activity restrictions, non-weightbearing, NSAIDs, PT, surgery if needed
B. Only surgical correction
C. No restrictions, full activity
D. Only pain medication
CORRECT ANSWER: A. Activity restrictions, non-weightbearing, NSAIDs, PT, surgery if needed
RATIONALE:
Legg-Calve-Perthes disease (avascular necrosis of the femoral head) requires activity restrictions, non-
weightbearing on the affected leg, NSAIDs for pain, physical therapy, and possibly surgery to maintain
hip integrity.
Question 8
What are the signs/symptoms of varicella?
A. Fever, malaise, headache, weeping vesicular rash, avoid aspirin/Motrin
B. Maculopapular rash, cough, conjunctivitis
C. High fever, petechial rash, vomiting
D. Dry cough, erythematous rash
CORRECT ANSWER: A. Fever, malaise, headache, weeping vesicular rash, avoid aspirin/Motrin
RATIONALE:
Varicella (chickenpox) presents with fever, malaise, and a vesicular rash that progresses through stages.
Avoid aspirin (Reye's syndrome risk) and ibuprofen (may increase streptococcal infection risk); use
acetaminophen for fever.
