MATERNAL-CHILD NURSING (NUR2513)
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS
1. A nurse is assessing a pregnant client at 34 weeks gestation who presents with painless,
bright red vaginal bleeding. Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Cervical insufficiency
D. Preterm labor
Answer: A
Conceptual Explanation: Painless, bright red vaginal bleeding in the second or third
trimester is a hallmark sign of placenta previa. Abruptio placentae typically presents with
painful, dark red bleeding.
2. Which fetal heart rate pattern is associated with uteroplacental insufficiency and requires
immediate intervention?
A. Early decelerations
,B. Late decelerations
C. Accelerations
D. Variable decelerations
Answer: B
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency and
represent a non-reassuring sign that the fetus is not receiving adequate oxygen during
contractions.
3. A nurse is caring for a client receiving Magnesium Sulfate for preeclampsia. Which
assessment finding indicates magnesium toxicity?
A. Respiratory rate of 10 breaths per minute
B. Hyperactive deep tendon reflexes
C. Increased urine output
D. Blood pressure of 150/90 mmHg
Answer: A
Conceptual Explanation: Signs of magnesium toxicity include respiratory depression
(rate <12), loss of deep tendon reflexes, and decreased urine output. Calcium gluconate is
the antidote.
, 4. In the VEAL CHOP mnemonic for fetal heart rate monitoring, what does the ‘V’ stand for
and what is the corresponding ‘C’ cause?
A. Vagal response; Head compression
B. Variable decelerations; Cervical dilation
C. Vascular resistance; Cord compression
D. Variable decelerations; Cord compression
Answer: D
Conceptual Explanation: V stands for Variable decelerations, which are caused by Cord
compression (C).
5. A newborn has a heart rate of 110, a weak cry, some flexion of extremities, sneezes when
suctioned, and has a pink body with blue extremities. What is the Apgar score?
A. 5
B. 7
C. 8
D. 9
Answer: B
Conceptual Explanation: Heart rate (2), Respiration (1 for weak cry), Muscle tone (1 for
some flexion), Reflex (2 for sneeze), Color (1 for acrocyanosis). Total = 7.
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS
1. A nurse is assessing a pregnant client at 34 weeks gestation who presents with painless,
bright red vaginal bleeding. Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Cervical insufficiency
D. Preterm labor
Answer: A
Conceptual Explanation: Painless, bright red vaginal bleeding in the second or third
trimester is a hallmark sign of placenta previa. Abruptio placentae typically presents with
painful, dark red bleeding.
2. Which fetal heart rate pattern is associated with uteroplacental insufficiency and requires
immediate intervention?
A. Early decelerations
,B. Late decelerations
C. Accelerations
D. Variable decelerations
Answer: B
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency and
represent a non-reassuring sign that the fetus is not receiving adequate oxygen during
contractions.
3. A nurse is caring for a client receiving Magnesium Sulfate for preeclampsia. Which
assessment finding indicates magnesium toxicity?
A. Respiratory rate of 10 breaths per minute
B. Hyperactive deep tendon reflexes
C. Increased urine output
D. Blood pressure of 150/90 mmHg
Answer: A
Conceptual Explanation: Signs of magnesium toxicity include respiratory depression
(rate <12), loss of deep tendon reflexes, and decreased urine output. Calcium gluconate is
the antidote.
, 4. In the VEAL CHOP mnemonic for fetal heart rate monitoring, what does the ‘V’ stand for
and what is the corresponding ‘C’ cause?
A. Vagal response; Head compression
B. Variable decelerations; Cervical dilation
C. Vascular resistance; Cord compression
D. Variable decelerations; Cord compression
Answer: D
Conceptual Explanation: V stands for Variable decelerations, which are caused by Cord
compression (C).
5. A newborn has a heart rate of 110, a weak cry, some flexion of extremities, sneezes when
suctioned, and has a pink body with blue extremities. What is the Apgar score?
A. 5
B. 7
C. 8
D. 9
Answer: B
Conceptual Explanation: Heart rate (2), Respiration (1 for weak cry), Muscle tone (1 for
some flexion), Reflex (2 for sneeze), Color (1 for acrocyanosis). Total = 7.
