1
NUR 2513 / NUR2513
Maternal-Child Nursing
Exam 1 (Latest
2025/2026) Rasmussen
Advanced Comprehensive
Examination – 150 Multiple-
Choice Questions with Detailed
Answers and Rationales
SECTION 1: TRENDS, HEALTHCARE DELIVERY, AND
LEGAL/ETHICAL ISSUES IN MATERNAL-CHILD NURSING
Question 1
A nurse manager is evaluating the effectiveness of a community-based maternal-child
health program. Which outcome indicator best demonstrates that the program is
achieving its Healthy People 2030 objectives?
• A) Increased number of prenatal visits attended by clients with private insurance
,2
• B) Decreased maternal mortality rates among minority populations in the service
area
• C) Increased percentage of clients who receive postpartum care within 6 weeks
• D) Decreased number of elective inductions before 39 weeks gestation
- detailed 100% correctanswer :- B) Decreased maternal mortality rates
among minority populations in the service area
Rationale: Healthy People 2030 emphasizes reducing maternal mortality and disparities
among racial and ethnic minority groups. While all options represent positive outcomes,
decreasing maternal mortality among minority populations directly addresses both the
overarching goal of improving maternal health and the specific focus on eliminating
health disparities. This is a core population-level indicator that reflects meaningful
impact on the most severe maternal health outcome.
Question 2
A nurse is caring for a family whose cultural beliefs include the practice of "cupping"
during the postpartum period to restore balance. The healthcare provider has ordered a
medication that may interact with this practice. What is the nurse's most appropriate
action?
• A) Inform the family that cupping is not permitted in the hospital setting
• B) Explore the family's beliefs and collaborate with the healthcare provider to
modify the treatment plan
• C) Administer the medication without discussing the cultural practice
• D) Report the family to social services for cultural practices that may be harmful
- detailed 100% correctanswer :- B) Explore the family's beliefs and
collaborate with the healthcare provider to modify the treatment plan
,3
Rationale: Cultural competence requires nurses to respect and incorporate cultural
beliefs into care planning when safe and feasible. Cupping may have potential
interactions with anticoagulants or other medications. The nurse should explore the
practice with the family, understand its purpose and timing, and collaborate with the
healthcare provider to either adjust the medication timing, consider alternative
therapies, or develop a plan that respects the cultural practice while ensuring patient
safety. This approach demonstrates cultural humility and patient-centered care.
Question 3
A nurse is providing care to a pregnant adolescent who discloses that her partner is
physically abusive. The client states, "I don't want to leave him because he says he'll
change and he needs me." What is the nurse's priority intervention?
• A) Contact child protective services immediately
• B) Provide information about community resources for domestic violence
• C) Encourage the client to leave the relationship immediately
• D) Document the disclosure in the chart and notify security
- detailed 100% correctanswer :- B) Provide information about community
resources for domestic violence
Rationale: When a client discloses intimate partner violence (IPV), the nurse's priority is
to provide a nonjudgmental response, validate the client's feelings, and offer
information about available resources, including shelters, legal advocacy, and counseling
services. The nurse should NOT pressure the client to leave, as this can increase danger
and reduce trust. Mandatory reporting to child protective services may be required if
children are involved, but the immediate priority is supporting the client's autonomy
while ensuring safety planning. The nurse should also assess for immediate safety
concerns.
, 4
Question 4
A nursing student is studying the role of the nurse in the prevention of maternal
mortality. Which intervention has the strongest evidence base for reducing maternal
deaths in the United States?
• A) Increasing the number of home births attended by certified nurse-midwives
• B) Implementing standardized protocols for management of obstetric
hemorrhage
• C) Reducing the use of epidural anesthesia during labor
• D) Providing postpartum care only to high-risk clients
- detailed 100% correctanswer :- B) Implementing standardized protocols for
management of obstetric hemorrhage
Rationale: Obstetric hemorrhage is a leading cause of maternal mortality in the United
States, and many deaths are preventable with timely recognition and standardized
response protocols. Implementation of evidence-based hemorrhage protocols, including
regular drills, massive transfusion protocols, and use of hemorrhage carts, has been
shown to reduce maternal mortality. Standardized protocols ensure consistent, rapid
response across all healthcare settings.
Question 5
The nurse is providing education to a group of healthcare providers about implicit bias
in maternal-child health. Which statement by a participant indicates a correct
understanding of this concept?
• A) "Implicit bias only affects providers who are consciously prejudiced against
certain groups."
NUR 2513 / NUR2513
Maternal-Child Nursing
Exam 1 (Latest
2025/2026) Rasmussen
Advanced Comprehensive
Examination – 150 Multiple-
Choice Questions with Detailed
Answers and Rationales
SECTION 1: TRENDS, HEALTHCARE DELIVERY, AND
LEGAL/ETHICAL ISSUES IN MATERNAL-CHILD NURSING
Question 1
A nurse manager is evaluating the effectiveness of a community-based maternal-child
health program. Which outcome indicator best demonstrates that the program is
achieving its Healthy People 2030 objectives?
• A) Increased number of prenatal visits attended by clients with private insurance
,2
• B) Decreased maternal mortality rates among minority populations in the service
area
• C) Increased percentage of clients who receive postpartum care within 6 weeks
• D) Decreased number of elective inductions before 39 weeks gestation
- detailed 100% correctanswer :- B) Decreased maternal mortality rates
among minority populations in the service area
Rationale: Healthy People 2030 emphasizes reducing maternal mortality and disparities
among racial and ethnic minority groups. While all options represent positive outcomes,
decreasing maternal mortality among minority populations directly addresses both the
overarching goal of improving maternal health and the specific focus on eliminating
health disparities. This is a core population-level indicator that reflects meaningful
impact on the most severe maternal health outcome.
Question 2
A nurse is caring for a family whose cultural beliefs include the practice of "cupping"
during the postpartum period to restore balance. The healthcare provider has ordered a
medication that may interact with this practice. What is the nurse's most appropriate
action?
• A) Inform the family that cupping is not permitted in the hospital setting
• B) Explore the family's beliefs and collaborate with the healthcare provider to
modify the treatment plan
• C) Administer the medication without discussing the cultural practice
• D) Report the family to social services for cultural practices that may be harmful
- detailed 100% correctanswer :- B) Explore the family's beliefs and
collaborate with the healthcare provider to modify the treatment plan
,3
Rationale: Cultural competence requires nurses to respect and incorporate cultural
beliefs into care planning when safe and feasible. Cupping may have potential
interactions with anticoagulants or other medications. The nurse should explore the
practice with the family, understand its purpose and timing, and collaborate with the
healthcare provider to either adjust the medication timing, consider alternative
therapies, or develop a plan that respects the cultural practice while ensuring patient
safety. This approach demonstrates cultural humility and patient-centered care.
Question 3
A nurse is providing care to a pregnant adolescent who discloses that her partner is
physically abusive. The client states, "I don't want to leave him because he says he'll
change and he needs me." What is the nurse's priority intervention?
• A) Contact child protective services immediately
• B) Provide information about community resources for domestic violence
• C) Encourage the client to leave the relationship immediately
• D) Document the disclosure in the chart and notify security
- detailed 100% correctanswer :- B) Provide information about community
resources for domestic violence
Rationale: When a client discloses intimate partner violence (IPV), the nurse's priority is
to provide a nonjudgmental response, validate the client's feelings, and offer
information about available resources, including shelters, legal advocacy, and counseling
services. The nurse should NOT pressure the client to leave, as this can increase danger
and reduce trust. Mandatory reporting to child protective services may be required if
children are involved, but the immediate priority is supporting the client's autonomy
while ensuring safety planning. The nurse should also assess for immediate safety
concerns.
, 4
Question 4
A nursing student is studying the role of the nurse in the prevention of maternal
mortality. Which intervention has the strongest evidence base for reducing maternal
deaths in the United States?
• A) Increasing the number of home births attended by certified nurse-midwives
• B) Implementing standardized protocols for management of obstetric
hemorrhage
• C) Reducing the use of epidural anesthesia during labor
• D) Providing postpartum care only to high-risk clients
- detailed 100% correctanswer :- B) Implementing standardized protocols for
management of obstetric hemorrhage
Rationale: Obstetric hemorrhage is a leading cause of maternal mortality in the United
States, and many deaths are preventable with timely recognition and standardized
response protocols. Implementation of evidence-based hemorrhage protocols, including
regular drills, massive transfusion protocols, and use of hemorrhage carts, has been
shown to reduce maternal mortality. Standardized protocols ensure consistent, rapid
response across all healthcare settings.
Question 5
The nurse is providing education to a group of healthcare providers about implicit bias
in maternal-child health. Which statement by a participant indicates a correct
understanding of this concept?
• A) "Implicit bias only affects providers who are consciously prejudiced against
certain groups."
