NUR 2513 MATERNAL-CHILD NURSING PRACTICE
EXAMINATION 2026–2027 — STUDY GUIDE | LATEST
UPDATE 2026/2027 | PRACTICE QUESTIONS AND
ANSWERS | EXAM REVIEW | 100% CORRECT
ANSWERS | VERIFIED SOLUTIONS | ALREADY
GRADED A+
1. A client at 28 weeks' gestation is admitted with painless, bright red vaginal
bleeding. The uterus is soft and non-tender. Which condition does the nurse
suspect?
A) Abruptio placentae
B) Placenta previa
C) Uterine rupture
D) Preterm labor
Correct Answer: B
Painless, bright red bleeding in the third trimester with a soft, non-tender uterus is
classic for placenta previa. Abruptio placentae presents with painful, dark bleeding
and a rigid uterus. Uterine rupture causes severe pain and fetal distress. Preterm
labor involves contractions and cervical change.
2. A nurse is interpreting a reactive nonstress test. Which finding indicates a
reactive result for a term fetus?
A) One acceleration of 10 bpm lasting 10 seconds in 20 minutes
B) Two accelerations of 15 bpm above baseline lasting 15 seconds within 20
minutes
C) No accelerations but moderate variability
D) Fetal heart rate decelerations with contractions
Correct Answer: B
A reactive NST requires at least two accelerations of 15 bpm above baseline
lasting 15 seconds within a 20-minute period. One 10-second acceleration is
,insufficient. No accelerations indicates nonreactive. Decelerations with
contractions are evaluated with a contraction stress test.
3. A nurse is caring for a client receiving magnesium sulfate for severe
preeclampsia. Which assessment finding indicates magnesium toxicity?
A) Respiratory rate 16 breaths/min
B) Deep tendon reflexes 2+
C) Respiratory rate 10 breaths/min and absent patellar reflexes
D) Urine output 35 mL/hr
Correct Answer: C
Magnesium toxicity causes respiratory depression (<12 breaths/min) and loss of
deep tendon reflexes. The antidote is calcium gluconate. Reflexes 2+ and urine
output 35 mL/hr are acceptable. Respiratory rate 16 is normal.
4. A nurse is teaching a postpartum client about lochia. Which client
statement indicates a need for further teaching?
A) “Lochia rubra is red and lasts 1–3 days.”
B) “Lochia serosa is pinkish-brown and lasts from day 4 to day 10.”
C) “Lochia alba is white and can last up to 6 weeks.”
D) “Lochia alba indicates an infection and should be reported.”
Correct Answer: D
Lochia rubra, serosa, and alba are normal progression. Lochia alba is not an
infection; it is a normal finding. The other statements are correct.
5. A nurse is performing a newborn assessment. Which finding requires
immediate intervention?
A) Anterior fontanel flat and soft
B) Central cyanosis
C) Milia on the nose
D) Molding of the head
Correct Answer: B
Central cyanosis indicates inadequate oxygenation and requires immediate
intervention. Flat fontanel, milia, and molding are normal newborn findings.
, 6. A client at 39 weeks' gestation is in active labor. The nurse notes recurrent
late decelerations. The client is in left lateral position, IV fluids are infusing,
and oxygen is at 10 L/min via nonrebreather mask. What is the next action?
A) Prepare for immediate cesarean delivery
B) Notify the provider and continue intrauterine resuscitation
C) Increase oxytocin infusion
D) Administer terbutaline
Correct Answer: B
After initiating intrauterine resuscitation, the provider must be notified. Increasing
oxytocin would worsen fetal distress. Terbutaline is for tachysystole. Immediate
cesarean may be needed if decelerations persist.
7. A nurse is preparing to administer betamethasone to a client at 30 weeks'
gestation in preterm labor. What is the purpose?
A) To stop uterine contractions
B) To accelerate fetal lung maturity
C) To treat infection
D) To lower maternal blood pressure
Correct Answer: B
Betamethasone is a corticosteroid given to accelerate fetal lung maturity and
reduce respiratory distress syndrome. It does not stop contractions, treat infection,
or lower blood pressure.
8. A newborn is 1 hour old and has a blood glucose of 35 mg/dL. Which sign
would the nurse expect?
A) Jitteriness and poor feeding
B) Hypertonia and fever
C) Projectile vomiting
D) Bulging fontanel
Correct Answer: A
Hypoglycemia in a newborn may present with jitteriness, poor feeding, lethargy,
, and temperature instability. Hypertonia, fever, vomiting, and bulging fontanel are
not typical signs of hypoglycemia.
9. A client at 20 weeks' gestation is assessed. Which finding is most
concerning?
A) Fundal height 20 cm
B) Report of occasional mild nausea
C) Blurred vision and severe headache
D) Fetal movement felt daily
Correct Answer: C
Blurred vision and severe headache may indicate preeclampsia or worsening
hypertension and require immediate evaluation. Fundal height of 20 cm at 20
weeks is normal. Mild nausea and fetal movement are expected.
10.A client at 36 weeks' gestation is diagnosed with group B Streptococcus
positive. What is the planned intrapartum management?
A) Administer intravenous ampicillin or penicillin at least 4 hours before
delivery
B) No treatment needed unless membranes rupture
C) Administer oral antibiotics at 38 weeks
D) Schedule cesarean delivery
Correct Answer: A
Maternal GBS colonization is treated with intrapartum IV antibiotics (penicillin or
ampicillin) at least 4 hours before delivery to prevent neonatal GBS sepsis. Oral
antibiotics before labor are ineffective. Cesarean is not indicated solely for GBS.
11.A nurse is caring for a client in the fourth stage of labor. The uterus is boggy
and displaced to the right. The client has heavy lochia rubra. What is the
priority action?
A) Administer methylergonovine
B) Massage the fundus after emptying the bladder
C) Place the client in Trendelenburg position
D) Apply an ice pack to the perineum
EXAMINATION 2026–2027 — STUDY GUIDE | LATEST
UPDATE 2026/2027 | PRACTICE QUESTIONS AND
ANSWERS | EXAM REVIEW | 100% CORRECT
ANSWERS | VERIFIED SOLUTIONS | ALREADY
GRADED A+
1. A client at 28 weeks' gestation is admitted with painless, bright red vaginal
bleeding. The uterus is soft and non-tender. Which condition does the nurse
suspect?
A) Abruptio placentae
B) Placenta previa
C) Uterine rupture
D) Preterm labor
Correct Answer: B
Painless, bright red bleeding in the third trimester with a soft, non-tender uterus is
classic for placenta previa. Abruptio placentae presents with painful, dark bleeding
and a rigid uterus. Uterine rupture causes severe pain and fetal distress. Preterm
labor involves contractions and cervical change.
2. A nurse is interpreting a reactive nonstress test. Which finding indicates a
reactive result for a term fetus?
A) One acceleration of 10 bpm lasting 10 seconds in 20 minutes
B) Two accelerations of 15 bpm above baseline lasting 15 seconds within 20
minutes
C) No accelerations but moderate variability
D) Fetal heart rate decelerations with contractions
Correct Answer: B
A reactive NST requires at least two accelerations of 15 bpm above baseline
lasting 15 seconds within a 20-minute period. One 10-second acceleration is
,insufficient. No accelerations indicates nonreactive. Decelerations with
contractions are evaluated with a contraction stress test.
3. A nurse is caring for a client receiving magnesium sulfate for severe
preeclampsia. Which assessment finding indicates magnesium toxicity?
A) Respiratory rate 16 breaths/min
B) Deep tendon reflexes 2+
C) Respiratory rate 10 breaths/min and absent patellar reflexes
D) Urine output 35 mL/hr
Correct Answer: C
Magnesium toxicity causes respiratory depression (<12 breaths/min) and loss of
deep tendon reflexes. The antidote is calcium gluconate. Reflexes 2+ and urine
output 35 mL/hr are acceptable. Respiratory rate 16 is normal.
4. A nurse is teaching a postpartum client about lochia. Which client
statement indicates a need for further teaching?
A) “Lochia rubra is red and lasts 1–3 days.”
B) “Lochia serosa is pinkish-brown and lasts from day 4 to day 10.”
C) “Lochia alba is white and can last up to 6 weeks.”
D) “Lochia alba indicates an infection and should be reported.”
Correct Answer: D
Lochia rubra, serosa, and alba are normal progression. Lochia alba is not an
infection; it is a normal finding. The other statements are correct.
5. A nurse is performing a newborn assessment. Which finding requires
immediate intervention?
A) Anterior fontanel flat and soft
B) Central cyanosis
C) Milia on the nose
D) Molding of the head
Correct Answer: B
Central cyanosis indicates inadequate oxygenation and requires immediate
intervention. Flat fontanel, milia, and molding are normal newborn findings.
, 6. A client at 39 weeks' gestation is in active labor. The nurse notes recurrent
late decelerations. The client is in left lateral position, IV fluids are infusing,
and oxygen is at 10 L/min via nonrebreather mask. What is the next action?
A) Prepare for immediate cesarean delivery
B) Notify the provider and continue intrauterine resuscitation
C) Increase oxytocin infusion
D) Administer terbutaline
Correct Answer: B
After initiating intrauterine resuscitation, the provider must be notified. Increasing
oxytocin would worsen fetal distress. Terbutaline is for tachysystole. Immediate
cesarean may be needed if decelerations persist.
7. A nurse is preparing to administer betamethasone to a client at 30 weeks'
gestation in preterm labor. What is the purpose?
A) To stop uterine contractions
B) To accelerate fetal lung maturity
C) To treat infection
D) To lower maternal blood pressure
Correct Answer: B
Betamethasone is a corticosteroid given to accelerate fetal lung maturity and
reduce respiratory distress syndrome. It does not stop contractions, treat infection,
or lower blood pressure.
8. A newborn is 1 hour old and has a blood glucose of 35 mg/dL. Which sign
would the nurse expect?
A) Jitteriness and poor feeding
B) Hypertonia and fever
C) Projectile vomiting
D) Bulging fontanel
Correct Answer: A
Hypoglycemia in a newborn may present with jitteriness, poor feeding, lethargy,
, and temperature instability. Hypertonia, fever, vomiting, and bulging fontanel are
not typical signs of hypoglycemia.
9. A client at 20 weeks' gestation is assessed. Which finding is most
concerning?
A) Fundal height 20 cm
B) Report of occasional mild nausea
C) Blurred vision and severe headache
D) Fetal movement felt daily
Correct Answer: C
Blurred vision and severe headache may indicate preeclampsia or worsening
hypertension and require immediate evaluation. Fundal height of 20 cm at 20
weeks is normal. Mild nausea and fetal movement are expected.
10.A client at 36 weeks' gestation is diagnosed with group B Streptococcus
positive. What is the planned intrapartum management?
A) Administer intravenous ampicillin or penicillin at least 4 hours before
delivery
B) No treatment needed unless membranes rupture
C) Administer oral antibiotics at 38 weeks
D) Schedule cesarean delivery
Correct Answer: A
Maternal GBS colonization is treated with intrapartum IV antibiotics (penicillin or
ampicillin) at least 4 hours before delivery to prevent neonatal GBS sepsis. Oral
antibiotics before labor are ineffective. Cesarean is not indicated solely for GBS.
11.A nurse is caring for a client in the fourth stage of labor. The uterus is boggy
and displaced to the right. The client has heavy lochia rubra. What is the
priority action?
A) Administer methylergonovine
B) Massage the fundus after emptying the bladder
C) Place the client in Trendelenburg position
D) Apply an ice pack to the perineum
