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MCN 538 Exam 2 Actual Exam Newest 2026/2027 Complete
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
Which immunization is safe and recommended for administration during pregnancy?
A. MMR vaccine
B. Varicella vaccine
C. Tdap vaccine
D. Smallpox vaccine
ANSWER: C. Tdap vaccine
A client in active labor suddenly complains of chest pain, dyspnea, and tachycardia. The nurse
suspects:
A. Amniotic fluid embolism
B. Placental abruption
C. Eclampsia
D. Pulmonary infection
ANSWER: A. Amniotic fluid embolism
Which assessment finding suggests effective breastfeeding in a newborn?
A. Audible swallowing during feeding
B. Minimal weight gain in first week
C. Sucking with clicking sounds
D. Feeding every 8–10 hours only
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ANSWER: A. Audible swallowing during feeding
A client at 30 weeks reports contractions every 8 minutes. The nurse’s initial action should be to:
A. Administer oxytocin
B. Encourage oral hydration and bed rest
C. Call for immediate cesarean section
D. Apply fundal pressure
ANSWER: B. Encourage oral hydration and bed rest
What is the primary purpose of administering betamethasone to a pregnant woman at 28 weeks
with preterm labor?
A. Stimulate uterine contractions
B. Enhance fetal lung maturity
C. Reduce maternal hypertension
D. Prevent gestational diabetes
ANSWER: B. Enhance fetal lung maturity
Which newborn assessment finding requires immediate intervention?
A. Acrocyanosis of hands and feet
B. Respiratory rate of 72 with grunting
C. Irregular heart rate of 120
D. Startle reflex present
ANSWER: B. Respiratory rate of 72 with grunting
A postpartum woman reports heavy bleeding and passing large clots. Her fundus is boggy
despite massage. What is the priority intervention?
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A. Start IV antibiotics
B. Continue vigorous fundal massage and administer oxytocin
C. Reassure the client
D. Apply an abdominal binder
ANSWER: B. Continue vigorous fundal massage and administer oxytocin
The most reliable indicator of adequate uteroplacental perfusion during labor is:
A. Maternal heart rate
B. Fetal heart rate pattern
C. Maternal blood pressure
D. Uterine contraction strength
ANSWER: B. Fetal heart rate pattern
A client with HIV is in labor. Which nursing intervention reduces the risk of neonatal
transmission?
A. Use fetal scalp electrodes
B. Recommend breastfeeding
C. Administer IV zidovudine (AZT)
D. Perform frequent vaginal exams
ANSWER: C. Administer IV zidovudine (AZT)
A postpartum client complains of breast engorgement but is not breastfeeding. The nurse should
instruct her to:
A. Pump milk regularly
B. Apply warm compresses
MCN 538 Exam 2 Actual Exam Newest 2026/2027 Complete
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
Which immunization is safe and recommended for administration during pregnancy?
A. MMR vaccine
B. Varicella vaccine
C. Tdap vaccine
D. Smallpox vaccine
ANSWER: C. Tdap vaccine
A client in active labor suddenly complains of chest pain, dyspnea, and tachycardia. The nurse
suspects:
A. Amniotic fluid embolism
B. Placental abruption
C. Eclampsia
D. Pulmonary infection
ANSWER: A. Amniotic fluid embolism
Which assessment finding suggests effective breastfeeding in a newborn?
A. Audible swallowing during feeding
B. Minimal weight gain in first week
C. Sucking with clicking sounds
D. Feeding every 8–10 hours only
,2 | Page
ANSWER: A. Audible swallowing during feeding
A client at 30 weeks reports contractions every 8 minutes. The nurse’s initial action should be to:
A. Administer oxytocin
B. Encourage oral hydration and bed rest
C. Call for immediate cesarean section
D. Apply fundal pressure
ANSWER: B. Encourage oral hydration and bed rest
What is the primary purpose of administering betamethasone to a pregnant woman at 28 weeks
with preterm labor?
A. Stimulate uterine contractions
B. Enhance fetal lung maturity
C. Reduce maternal hypertension
D. Prevent gestational diabetes
ANSWER: B. Enhance fetal lung maturity
Which newborn assessment finding requires immediate intervention?
A. Acrocyanosis of hands and feet
B. Respiratory rate of 72 with grunting
C. Irregular heart rate of 120
D. Startle reflex present
ANSWER: B. Respiratory rate of 72 with grunting
A postpartum woman reports heavy bleeding and passing large clots. Her fundus is boggy
despite massage. What is the priority intervention?
, 3 | Page
A. Start IV antibiotics
B. Continue vigorous fundal massage and administer oxytocin
C. Reassure the client
D. Apply an abdominal binder
ANSWER: B. Continue vigorous fundal massage and administer oxytocin
The most reliable indicator of adequate uteroplacental perfusion during labor is:
A. Maternal heart rate
B. Fetal heart rate pattern
C. Maternal blood pressure
D. Uterine contraction strength
ANSWER: B. Fetal heart rate pattern
A client with HIV is in labor. Which nursing intervention reduces the risk of neonatal
transmission?
A. Use fetal scalp electrodes
B. Recommend breastfeeding
C. Administer IV zidovudine (AZT)
D. Perform frequent vaginal exams
ANSWER: C. Administer IV zidovudine (AZT)
A postpartum client complains of breast engorgement but is not breastfeeding. The nurse should
instruct her to:
A. Pump milk regularly
B. Apply warm compresses
