NUR 2513 NUR2513 MATERNAL
CHILD NURSING EXAM 2 2026 TEST
PAPER QUESTIONS ANSWERS
GRADED A+
◉ What is the purpose of the administration of vitamin K
(AquaMephyton) to a newborn?
a. cord healing
b. blood clotting
c. respiratory status
d. infection prevention.
Answer: b. blood clotting
Vitamin K (AquaMephyton) is required by the newborn to assist in
blood clotting. A newborn lacks vitamin K at birth because of a sterile
gastrointestinal tract. Newborns receive a single dose of vitamin K into
the vastus lateralis muscle before leaving the delivery room, usually at
age 1 hour.
◉ The physician performs a nitrazine paper test and the nurse observes
the strip paper to be deep blue in color. What is the significance of this
assessment?
a. the woman is at risk for placenta previa
b. the woman is in the active phase of labor
,c. the fluid is acidic and is most likely urine
d. the fluid is alkaline and most likely amniotic fluid.
Answer: d. the fluid is alkaline and most likely amniotic fluid
A blue-green or deep blue color of the nitrazine paper indicates the fluid
is alkaline and most likely amniotic fluid. A yellow to yellow-green
color of the strip paper indicates the fluid is acidic and is most likely
urine. The nitrazine paper test does not indicate stage of labor nor can it
identify placenta previa.
◉ At what point during the labor process does the health care provider
know that the second stage of labor has begun?
a. the fetus is at +1 station
b. the placenta is delivered
c. the woman feels the urge to push
d. the cervix is fully dilated at 10 cm.
Answer: d. the cervix is fully dilated at 10 cm
Stage 2 is from full dilation of the cervix until birth of the fetus. Pushing
before full dilation can be dangerous to the fetus and exhausting to the
mother. The +1 station is too high. Delivery of the placenta is stage 3
◉ Which nursing action has the highest priority for a patient in the
second stage of labor?
,a. check the fetal position
b. administer pain medication
c. help the mother push effectively
d. prepare the mother to breastfeed on the delivery table.
Answer: c. help the mother push effectively
The second stage of labor is the pushing stage. The nurse should help the
mother push effectively. The mother cannot breastfeed in the second
stage of labor. Checking fetal position is not the highest priority during
the second stage of labor. Pain medication should not be administered in
the second stage because it will cause a lethargic neonate and possibly
depress the newborn's respirations.
◉ Which is a sign of imminent birth?
a. increased vaginal discharge
b. baby dropping
c. grunting sounds
d. diarrhea.
Answer: c. grunting sounds
Sitting on one buttock, making grunting sounds, bearing down with
contractions, stating "the baby is coming", and bulging of the perineum
are all signs of imminent birth and the nurse should not leave the patient.
, ◉ Which statement made by an expectant mother demonstrates
understanding of the significant risks of home delivery?
a. "I know I will have access to the technology that monitors my well-
being."
b. "I know that there will be a delay in emergency care if there is a
complication."
c. "The physician will only come to my home if I have a complication."
d. "The midwife can perform most emergency procedures at home.".
Answer: b. "I know that there will be a delay in emergency care if there
is a complication."
Mothers will not have access to technology at home. Most physicians
will not come to the home for medical care. Most emergency procedures
can only be performed in the hospital per standard of care. It is
important that this mother understands that there will be a delay,
creating significant risk, if there is a complication.
◉ If the sacrum of the fetus in a breech presentation is in the mother's
right posterior pelvis, it is described as
a. right sacrum posterior.
b. left mentum anterior.
c. transverse.
d. left occiput posterior..
CHILD NURSING EXAM 2 2026 TEST
PAPER QUESTIONS ANSWERS
GRADED A+
◉ What is the purpose of the administration of vitamin K
(AquaMephyton) to a newborn?
a. cord healing
b. blood clotting
c. respiratory status
d. infection prevention.
Answer: b. blood clotting
Vitamin K (AquaMephyton) is required by the newborn to assist in
blood clotting. A newborn lacks vitamin K at birth because of a sterile
gastrointestinal tract. Newborns receive a single dose of vitamin K into
the vastus lateralis muscle before leaving the delivery room, usually at
age 1 hour.
◉ The physician performs a nitrazine paper test and the nurse observes
the strip paper to be deep blue in color. What is the significance of this
assessment?
a. the woman is at risk for placenta previa
b. the woman is in the active phase of labor
,c. the fluid is acidic and is most likely urine
d. the fluid is alkaline and most likely amniotic fluid.
Answer: d. the fluid is alkaline and most likely amniotic fluid
A blue-green or deep blue color of the nitrazine paper indicates the fluid
is alkaline and most likely amniotic fluid. A yellow to yellow-green
color of the strip paper indicates the fluid is acidic and is most likely
urine. The nitrazine paper test does not indicate stage of labor nor can it
identify placenta previa.
◉ At what point during the labor process does the health care provider
know that the second stage of labor has begun?
a. the fetus is at +1 station
b. the placenta is delivered
c. the woman feels the urge to push
d. the cervix is fully dilated at 10 cm.
Answer: d. the cervix is fully dilated at 10 cm
Stage 2 is from full dilation of the cervix until birth of the fetus. Pushing
before full dilation can be dangerous to the fetus and exhausting to the
mother. The +1 station is too high. Delivery of the placenta is stage 3
◉ Which nursing action has the highest priority for a patient in the
second stage of labor?
,a. check the fetal position
b. administer pain medication
c. help the mother push effectively
d. prepare the mother to breastfeed on the delivery table.
Answer: c. help the mother push effectively
The second stage of labor is the pushing stage. The nurse should help the
mother push effectively. The mother cannot breastfeed in the second
stage of labor. Checking fetal position is not the highest priority during
the second stage of labor. Pain medication should not be administered in
the second stage because it will cause a lethargic neonate and possibly
depress the newborn's respirations.
◉ Which is a sign of imminent birth?
a. increased vaginal discharge
b. baby dropping
c. grunting sounds
d. diarrhea.
Answer: c. grunting sounds
Sitting on one buttock, making grunting sounds, bearing down with
contractions, stating "the baby is coming", and bulging of the perineum
are all signs of imminent birth and the nurse should not leave the patient.
, ◉ Which statement made by an expectant mother demonstrates
understanding of the significant risks of home delivery?
a. "I know I will have access to the technology that monitors my well-
being."
b. "I know that there will be a delay in emergency care if there is a
complication."
c. "The physician will only come to my home if I have a complication."
d. "The midwife can perform most emergency procedures at home.".
Answer: b. "I know that there will be a delay in emergency care if there
is a complication."
Mothers will not have access to technology at home. Most physicians
will not come to the home for medical care. Most emergency procedures
can only be performed in the hospital per standard of care. It is
important that this mother understands that there will be a delay,
creating significant risk, if there is a complication.
◉ If the sacrum of the fetus in a breech presentation is in the mother's
right posterior pelvis, it is described as
a. right sacrum posterior.
b. left mentum anterior.
c. transverse.
d. left occiput posterior..
