NRSG 112 Final Exam V2 | NRSG 112
Maternal-Child Nursing | Actual Q&A with
Rationale (NRSG112 Final Exam) | Ivy
Tech
1. A nurse is caring for a client who is receiving magnesium sulfate IV for preeclampsia. Which
of the following findings should the nurse identify as a priority to report to the provider?
A. Urinary output of 40 mL/hr
B. Blood pressure of 150/95 mmHg
C. Deep tendon reflexes of 2+
D. Respiratory rate of 10 breaths per minute
Correct Answer: D
A respiratory rate of less than 12 breaths per minute is a classic sign of magnesium sulfate
toxicity. The nurse must immediately stop the infusion and prepare to administer the
antidote. Continued monitoring for absent deep tendon reflexes and decreased urine
output is also essential in these patients.
,2. A nurse is assessing a newborn 1 minute after birth. The newborn has a heart rate of
110/min, a slow/irregular respiratory effort, some flexion of extremities, a grimace in
response to a catheter in the nostril, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 4
C. 7
D. 8
E. 6
Correct Answer: E
The newborn receives 2 points for heart rate over 100, 1 point for slow/irregular
respirations, 1 point for some flexion, 1 point for grimace, and 1 point for acrocyanosis.
This results in a total APGAR score of 6. Scores between 4 and 6 indicate that the newborn
is having some difficulty adjusting to extrauterine life and requires close observation.
3. A nurse is teaching a parent of a toddler about age-appropriate activities. Which of the
following activities should the nurse recommend?
A. Playing with plastic building blocks
B. Looking at a picture book with others
C. Working on a 50-piece puzzle
,D. Playing a simple board game
Correct Answer: A
Toddlers are in the stage of autonomy vs. shame and doubt and enjoy activities that
develop fine motor skills, such as stacking blocks. They typically engage in parallel play
rather than cooperative play found in older children. These activities help satisfy their need
for independence and mastery over their environment.
4. A nurse is assessing a child who has epiglottitis. Which of the following findings should the
nurse expect?
A. Barking cough
B. Drooling and agitation
C. Low-grade fever
D. Clear breath sounds
E. Spasmodic croup symptoms
Correct Answer: B
Epiglottitis is a medical emergency characterized by the ‘four Ds’: drooling, dysphagia,
dysphonia, and distressed inspiratory efforts. The child is often in a tripod position and
appears very anxious or agitated. Examination of the throat should be avoided unless
emergency airway equipment is ready to prevent total airway obstruction.
, 5. A nurse is caring for a client who is at 34 weeks of gestation and has a prescription for
terbutaline. Which of the following findings is an adverse effect of this medication?
A. Constipation
B. Hypoglycemia
C. Maternal bradycardia
D. Maternal tachycardia
Correct Answer: D
Terbutaline is a beta-adrenergic agonist used to delay preterm labor by relaxing uterine
smooth muscle. A common side effect is maternal tachycardia and palpitations due to the
stimulation of beta-1 receptors. The nurse must monitor the pulse rate and hold the
medication if the maternal heart rate exceeds 120 beats per minute.
6. A nurse is reviewing the medical record of a client who is at 32 weeks of gestation and has
placenta previa. Which of the following findings should the nurse expect?
A. Board-like abdomen
B. Painless, bright red vaginal bleeding
C. Intermittent contractions
D. Severe abdominal pain
Correct Answer: B
Maternal-Child Nursing | Actual Q&A with
Rationale (NRSG112 Final Exam) | Ivy
Tech
1. A nurse is caring for a client who is receiving magnesium sulfate IV for preeclampsia. Which
of the following findings should the nurse identify as a priority to report to the provider?
A. Urinary output of 40 mL/hr
B. Blood pressure of 150/95 mmHg
C. Deep tendon reflexes of 2+
D. Respiratory rate of 10 breaths per minute
Correct Answer: D
A respiratory rate of less than 12 breaths per minute is a classic sign of magnesium sulfate
toxicity. The nurse must immediately stop the infusion and prepare to administer the
antidote. Continued monitoring for absent deep tendon reflexes and decreased urine
output is also essential in these patients.
,2. A nurse is assessing a newborn 1 minute after birth. The newborn has a heart rate of
110/min, a slow/irregular respiratory effort, some flexion of extremities, a grimace in
response to a catheter in the nostril, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 4
C. 7
D. 8
E. 6
Correct Answer: E
The newborn receives 2 points for heart rate over 100, 1 point for slow/irregular
respirations, 1 point for some flexion, 1 point for grimace, and 1 point for acrocyanosis.
This results in a total APGAR score of 6. Scores between 4 and 6 indicate that the newborn
is having some difficulty adjusting to extrauterine life and requires close observation.
3. A nurse is teaching a parent of a toddler about age-appropriate activities. Which of the
following activities should the nurse recommend?
A. Playing with plastic building blocks
B. Looking at a picture book with others
C. Working on a 50-piece puzzle
,D. Playing a simple board game
Correct Answer: A
Toddlers are in the stage of autonomy vs. shame and doubt and enjoy activities that
develop fine motor skills, such as stacking blocks. They typically engage in parallel play
rather than cooperative play found in older children. These activities help satisfy their need
for independence and mastery over their environment.
4. A nurse is assessing a child who has epiglottitis. Which of the following findings should the
nurse expect?
A. Barking cough
B. Drooling and agitation
C. Low-grade fever
D. Clear breath sounds
E. Spasmodic croup symptoms
Correct Answer: B
Epiglottitis is a medical emergency characterized by the ‘four Ds’: drooling, dysphagia,
dysphonia, and distressed inspiratory efforts. The child is often in a tripod position and
appears very anxious or agitated. Examination of the throat should be avoided unless
emergency airway equipment is ready to prevent total airway obstruction.
, 5. A nurse is caring for a client who is at 34 weeks of gestation and has a prescription for
terbutaline. Which of the following findings is an adverse effect of this medication?
A. Constipation
B. Hypoglycemia
C. Maternal bradycardia
D. Maternal tachycardia
Correct Answer: D
Terbutaline is a beta-adrenergic agonist used to delay preterm labor by relaxing uterine
smooth muscle. A common side effect is maternal tachycardia and palpitations due to the
stimulation of beta-1 receptors. The nurse must monitor the pulse rate and hold the
medication if the maternal heart rate exceeds 120 beats per minute.
6. A nurse is reviewing the medical record of a client who is at 32 weeks of gestation and has
placenta previa. Which of the following findings should the nurse expect?
A. Board-like abdomen
B. Painless, bright red vaginal bleeding
C. Intermittent contractions
D. Severe abdominal pain
Correct Answer: B
