NUR 2513 / NUR2513 Maternal-Child Nursing Exam
Practice Test Actual 2025/2026 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: REPRODUCTIVE ANATOMY & PHYSIOLOGY (8
Questions)
Q1: A patient in active labor has a fetal heart rate baseline of 150 bpm with moderate
variability. Which action is most appropriate?
● A. Notify the provider immediately
● B. Continue monitoring
● C. Administer oxygen
● D. Prepare for emergency cesarean
● Correct Answer: B
● Rationale: Correct because a baseline of 150 bpm with moderate variability is
a reassuring finding.
Q2: A patient at 38 weeks gestation presents with painless vaginal bleeding. Which
condition is most likely?
● A. Placental abruption
● B. Placenta previa
● C. Preterm labor
● D. Uterine rupture
● Correct Answer: B
● Rationale: Correct because painless vaginal bleeding in the third trimester is
characteristic of placenta previa.
Q3: A postpartum patient with a history of hypertension develops a severe headache
and blurred vision. Which complication is most likely?
, ● A. Postpartum hemorrhage
● B. Preeclampsia
● C. Endometritis
● D. Pulmonary embolism
● Correct Answer: B
● Rationale: Correct because headache and visual changes are signs of
preeclampsia or eclampsia.
Q4: A newborn has an APGAR score of 7 at 1 minute and 9 at 5 minutes. This
indicates:
● A. A concerning transition
● B. A normal transition
● C. A need for resuscitation
● D. A poor prognosis
● Correct Answer: B
● Rationale: Correct because an APGAR ≥7 at 5 minutes indicates a normal
transition.
Q5: A patient in labor is receiving oxytocin. The fetal heart rate tracing shows late
decelerations. What is the priority action?
● A. Increase oxytocin rate
● B. Discontinue oxytocin and reposition patient
● C. Continue monitoring
● D. Administer tocolytics
● Correct Answer: B
● Rationale: Correct because late decelerations indicate uteroplacental
insufficiency and require stopping oxytocin and repositioning.
Q6: A 2-year-old child is in the pediatric clinic for a well-child visit. Which
developmental milestone is expected?
● A. Speaking in complete sentences
● B. Running and climbing stairs
● C. Writing their name
● D. Riding a tricycle
● Correct Answer: B
● Rationale: Correct because running and climbing stairs are expected
milestones at 2 years.
, Q7: A patient with preeclampsia has a blood pressure of 160/100 mmHg and a
headache. Which medication is most appropriate?
● A. Magnesium sulfate
● B. Nifedipine
● C. Labetalol
● D. Hydralazine
● Correct Answer: A
● Rationale: Correct because magnesium sulfate is the medication of choice for
eclampsia prevention.
Q8: A patient's newborn has a bilirubin level of 14 mg/dL at 48 hours of life. What is
the appropriate action?
● A. Continue monitoring
● B. Initiate phototherapy
● C. Prepare for exchange transfusion
● D. Increase breastfeeding frequency
● Correct Answer: A
● Rationale: Correct because a bilirubin of 14 mg/dL at 48 hours is not yet at
phototherapy threshold for most term infants.
SECTION 2: PRENATAL CARE & FETAL DEVELOPMENT (12
Questions)
Q9: A patient is admitted in active labor. Cervical exam reveals 5 cm dilation, 90%
effacement, and station -1. What stage of labor is this?
● A. Stage 1, latent phase
● B. Stage 1, active phase
● C. Stage 2
● D. Stage 3
● Correct Answer: B
● Rationale: Correct because 4-7 cm dilation with 80-100% effacement is the
active phase of labor.
Practice Test Actual 2025/2026 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: REPRODUCTIVE ANATOMY & PHYSIOLOGY (8
Questions)
Q1: A patient in active labor has a fetal heart rate baseline of 150 bpm with moderate
variability. Which action is most appropriate?
● A. Notify the provider immediately
● B. Continue monitoring
● C. Administer oxygen
● D. Prepare for emergency cesarean
● Correct Answer: B
● Rationale: Correct because a baseline of 150 bpm with moderate variability is
a reassuring finding.
Q2: A patient at 38 weeks gestation presents with painless vaginal bleeding. Which
condition is most likely?
● A. Placental abruption
● B. Placenta previa
● C. Preterm labor
● D. Uterine rupture
● Correct Answer: B
● Rationale: Correct because painless vaginal bleeding in the third trimester is
characteristic of placenta previa.
Q3: A postpartum patient with a history of hypertension develops a severe headache
and blurred vision. Which complication is most likely?
, ● A. Postpartum hemorrhage
● B. Preeclampsia
● C. Endometritis
● D. Pulmonary embolism
● Correct Answer: B
● Rationale: Correct because headache and visual changes are signs of
preeclampsia or eclampsia.
Q4: A newborn has an APGAR score of 7 at 1 minute and 9 at 5 minutes. This
indicates:
● A. A concerning transition
● B. A normal transition
● C. A need for resuscitation
● D. A poor prognosis
● Correct Answer: B
● Rationale: Correct because an APGAR ≥7 at 5 minutes indicates a normal
transition.
Q5: A patient in labor is receiving oxytocin. The fetal heart rate tracing shows late
decelerations. What is the priority action?
● A. Increase oxytocin rate
● B. Discontinue oxytocin and reposition patient
● C. Continue monitoring
● D. Administer tocolytics
● Correct Answer: B
● Rationale: Correct because late decelerations indicate uteroplacental
insufficiency and require stopping oxytocin and repositioning.
Q6: A 2-year-old child is in the pediatric clinic for a well-child visit. Which
developmental milestone is expected?
● A. Speaking in complete sentences
● B. Running and climbing stairs
● C. Writing their name
● D. Riding a tricycle
● Correct Answer: B
● Rationale: Correct because running and climbing stairs are expected
milestones at 2 years.
, Q7: A patient with preeclampsia has a blood pressure of 160/100 mmHg and a
headache. Which medication is most appropriate?
● A. Magnesium sulfate
● B. Nifedipine
● C. Labetalol
● D. Hydralazine
● Correct Answer: A
● Rationale: Correct because magnesium sulfate is the medication of choice for
eclampsia prevention.
Q8: A patient's newborn has a bilirubin level of 14 mg/dL at 48 hours of life. What is
the appropriate action?
● A. Continue monitoring
● B. Initiate phototherapy
● C. Prepare for exchange transfusion
● D. Increase breastfeeding frequency
● Correct Answer: A
● Rationale: Correct because a bilirubin of 14 mg/dL at 48 hours is not yet at
phototherapy threshold for most term infants.
SECTION 2: PRENATAL CARE & FETAL DEVELOPMENT (12
Questions)
Q9: A patient is admitted in active labor. Cervical exam reveals 5 cm dilation, 90%
effacement, and station -1. What stage of labor is this?
● A. Stage 1, latent phase
● B. Stage 1, active phase
● C. Stage 2
● D. Stage 3
● Correct Answer: B
● Rationale: Correct because 4-7 cm dilation with 80-100% effacement is the
active phase of labor.
