Rasmussen University NUR 2513 Exam 1 (pdf) | 2026/2027 |
Maternal-Child Q&A | Nursing
1. A nurse is assessing a client's understanding of the menstrual cycle. The
nurse correctly identifies that ovulation typically occurs on which day of a 28-
day cycle?
A) Day 1
B) Day 14
C) Day 21
D) Day 28
Correct Answer: Day 14
Rationale: In a typical 28-day menstrual cycle, ovulation occurs around day
14. This is triggered by the luteinizing hormone (LH) surge, which precedes
ovulation by about 24-36 hours. Days 1-5 are menses, and days 21-28 are
the luteal phase.
2. A nurse is teaching a class on preconception health. Which
recommendation should the nurse include as a 2020 National Health Goal for
pregnancy?
A) Increase caffeine intake
B) Achieve optimal nutrition status prior to conception
C) Avoid all physical activity
D) Delay prenatal care until the second trimester
Correct Answer: Achieve optimal nutrition status prior to conception
Rationale: 2020 National Health Goals for pregnancy include achieving
optimal nutrition status prior to conception, stopping smoking/alcohol use,
,taking prenatal vitamins (PNV), and taking folic acid. These goals aim to
improve maternal and fetal outcomes.
3. A nurse is providing education about the phases of the menstrual cycle.
During which phase does the endometrium proliferate and thicken under the
influence of estrogen?
A) Menses phase
B) Proliferative phase
C) Secretory/luteal phase
D) Ischemic phase
Correct Answer: Proliferative phase
Rationale: The proliferative phase is the first half of the menstrual cycle
(days 5-14) when the ovary begins to produce estrogen, causing the
endometrium to proliferate and thicken by up to eightfold. The secretory
phase follows ovulation, and the ischemic phase involves degeneration of the
endometrium.
4. A nurse is assessing a client's risk for gaps in maternal-child healthcare.
Which factor is a known risk factor for gaps in care?
A) Strong family support
B) High health literacy
C) Language barriers
D) Access to community resources
Correct Answer: Language barriers
,Rationale: Language barriers, low health literacy, implicit bias, and limited
support are all risk factors for gaps in maternal-child healthcare. These
factors can hinder effective communication and access to care.
5. A nurse is caring for a pregnant client from a different cultural background.
Which action demonstrates family-centered, culturally responsive care?
A) Implementing a standardized care plan for all clients
B) Using a trained medical interpreter when needed
C) Asking a family member to translate medical information
D) Assuming the client's health beliefs are the same as the nurse's
Correct Answer: Using a trained medical interpreter when needed
Rationale: Family-centered, culturally responsive care involves using a
trained interpreter (not a family member) when needed to ensure accurate
communication. The nurse should also assess family structure, health beliefs,
and use shared decision-making.
6. A nurse is reviewing the ethical principles that guide maternity care.
Which principle involves doing good for the client?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: Beneficence
Rationale: Beneficence is the ethical principle of doing good and promoting
the well-being of the client. Autonomy respects the client's right to make
, decisions, nonmaleficence involves avoiding harm, and justice ensures
fairness.
7. A nurse is caring for a pregnant minor. Which statement about consent is
accurate?
A) Pregnant minors cannot legally consent to any treatment
B) Pregnant minors can consent to pregnancy-related care in many states
C) The minor's parents must always provide consent
D) The healthcare provider can override the minor's decision without consent
Correct Answer: Pregnant minors can consent to pregnancy-related care in
many states
Rationale: Pregnant minors may consent to pregnancy-related care in many
states. The nurse should know the state's specific laws regarding consent for
minors. In emergencies, implied consent may apply.
8. A nurse is providing education about contraceptive options. Which
statement by the client indicates understanding of the mechanism of action
of oral contraceptives?
A) "They prevent the release of the egg from the ovary."
B) "They thicken the cervical mucus to block sperm."
C) "They thin the endometrial lining."
D) "They work by a combination of inhibiting ovulation, thickening cervical
mucus, and altering the endometrium."
Correct Answer: "They work by a combination of inhibiting ovulation,
thickening cervical mucus, and altering the endometrium."
Maternal-Child Q&A | Nursing
1. A nurse is assessing a client's understanding of the menstrual cycle. The
nurse correctly identifies that ovulation typically occurs on which day of a 28-
day cycle?
A) Day 1
B) Day 14
C) Day 21
D) Day 28
Correct Answer: Day 14
Rationale: In a typical 28-day menstrual cycle, ovulation occurs around day
14. This is triggered by the luteinizing hormone (LH) surge, which precedes
ovulation by about 24-36 hours. Days 1-5 are menses, and days 21-28 are
the luteal phase.
2. A nurse is teaching a class on preconception health. Which
recommendation should the nurse include as a 2020 National Health Goal for
pregnancy?
A) Increase caffeine intake
B) Achieve optimal nutrition status prior to conception
C) Avoid all physical activity
D) Delay prenatal care until the second trimester
Correct Answer: Achieve optimal nutrition status prior to conception
Rationale: 2020 National Health Goals for pregnancy include achieving
optimal nutrition status prior to conception, stopping smoking/alcohol use,
,taking prenatal vitamins (PNV), and taking folic acid. These goals aim to
improve maternal and fetal outcomes.
3. A nurse is providing education about the phases of the menstrual cycle.
During which phase does the endometrium proliferate and thicken under the
influence of estrogen?
A) Menses phase
B) Proliferative phase
C) Secretory/luteal phase
D) Ischemic phase
Correct Answer: Proliferative phase
Rationale: The proliferative phase is the first half of the menstrual cycle
(days 5-14) when the ovary begins to produce estrogen, causing the
endometrium to proliferate and thicken by up to eightfold. The secretory
phase follows ovulation, and the ischemic phase involves degeneration of the
endometrium.
4. A nurse is assessing a client's risk for gaps in maternal-child healthcare.
Which factor is a known risk factor for gaps in care?
A) Strong family support
B) High health literacy
C) Language barriers
D) Access to community resources
Correct Answer: Language barriers
,Rationale: Language barriers, low health literacy, implicit bias, and limited
support are all risk factors for gaps in maternal-child healthcare. These
factors can hinder effective communication and access to care.
5. A nurse is caring for a pregnant client from a different cultural background.
Which action demonstrates family-centered, culturally responsive care?
A) Implementing a standardized care plan for all clients
B) Using a trained medical interpreter when needed
C) Asking a family member to translate medical information
D) Assuming the client's health beliefs are the same as the nurse's
Correct Answer: Using a trained medical interpreter when needed
Rationale: Family-centered, culturally responsive care involves using a
trained interpreter (not a family member) when needed to ensure accurate
communication. The nurse should also assess family structure, health beliefs,
and use shared decision-making.
6. A nurse is reviewing the ethical principles that guide maternity care.
Which principle involves doing good for the client?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: Beneficence
Rationale: Beneficence is the ethical principle of doing good and promoting
the well-being of the client. Autonomy respects the client's right to make
, decisions, nonmaleficence involves avoiding harm, and justice ensures
fairness.
7. A nurse is caring for a pregnant minor. Which statement about consent is
accurate?
A) Pregnant minors cannot legally consent to any treatment
B) Pregnant minors can consent to pregnancy-related care in many states
C) The minor's parents must always provide consent
D) The healthcare provider can override the minor's decision without consent
Correct Answer: Pregnant minors can consent to pregnancy-related care in
many states
Rationale: Pregnant minors may consent to pregnancy-related care in many
states. The nurse should know the state's specific laws regarding consent for
minors. In emergencies, implied consent may apply.
8. A nurse is providing education about contraceptive options. Which
statement by the client indicates understanding of the mechanism of action
of oral contraceptives?
A) "They prevent the release of the egg from the ovary."
B) "They thicken the cervical mucus to block sperm."
C) "They thin the endometrial lining."
D) "They work by a combination of inhibiting ovulation, thickening cervical
mucus, and altering the endometrium."
Correct Answer: "They work by a combination of inhibiting ovulation,
thickening cervical mucus, and altering the endometrium."
