NUR2513 MATERNAL-CHILD NURSING
FINAL EXAM QUESTIONS AND
ANSWERS
1. A nurse is monitoring a client who is receiving magnesium sulfate for preeclampsia. Which
of the following findings should the nurse identify as an indication of magnesium toxicity?
A. Respiratory rate of 10/min
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL/hr
D. Fetal heart rate of 120/min
Answer: A
Conceptual Explanation: Signs of magnesium toxicity include a respiratory rate of less
than 12/min, absent deep tendon reflexes, and decreased urinary output.
2. A nurse is caring for a 4-year-old child who has croup and is experiencing stridor. Which of
the following medications should the nurse expect to administer?
A. Albuterol
B. Guaifenesin
,C. Racemic epinephrine
D. Montelukast
Answer: C
Conceptual Explanation: Racemic epinephrine is used to treat stridor in children with
croup by causing mucosal vasoconstriction, which reduces edema.
3. A nurse is assessing a newborn 1 hour after birth. Which of the following findings is a
priority to report to the provider?
A. Acrocyanosis
B. Overlapping cranial sutures
C. Subconjunctival hemorrhage
D. Generalized petechiae
Answer: D
Conceptual Explanation: Generalized petechiae can indicate a clotting factor deficiency or
infection and must be reported; others are common findings.
4. A nurse is teaching the parents of a toddler who has a new diagnosis of cystic fibrosis.
Which of the following dietary instructions should the nurse include?
A. Administer pancreatic enzymes with meals and snacks
B. Restrict sodium intake to 1 gram per day
C. Provide a low-protein diet
, D. Limit fat intake to 20 percent of total calories
Answer: A
Conceptual Explanation: Children with cystic fibrosis require pancreatic enzymes with all
meals and snacks to assist with the absorption of nutrients.
5. A nurse is caring for a client in the first stage of labor who is experiencing late
decelerations on the fetal heart rate monitor. Which of the following actions should the nurse
take first?
A. Administer oxygen at 10 L/min via nonrebreather mask
B. Increase the rate of the maintenance IV fluid
C. Perform a vaginal examination to check for cord prolapse
D. Reposition the client into a side-lying position
Answer: D
Conceptual Explanation: The first action for late decelerations is to reposition the client
to improve placental perfusion.
6. A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 15-
month-old toddler. Which of the following conditions is a contraindication for this vaccine?
A. Allergy to eggs
B. Recent course of antibiotics
C. Current immunosuppression
FINAL EXAM QUESTIONS AND
ANSWERS
1. A nurse is monitoring a client who is receiving magnesium sulfate for preeclampsia. Which
of the following findings should the nurse identify as an indication of magnesium toxicity?
A. Respiratory rate of 10/min
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL/hr
D. Fetal heart rate of 120/min
Answer: A
Conceptual Explanation: Signs of magnesium toxicity include a respiratory rate of less
than 12/min, absent deep tendon reflexes, and decreased urinary output.
2. A nurse is caring for a 4-year-old child who has croup and is experiencing stridor. Which of
the following medications should the nurse expect to administer?
A. Albuterol
B. Guaifenesin
,C. Racemic epinephrine
D. Montelukast
Answer: C
Conceptual Explanation: Racemic epinephrine is used to treat stridor in children with
croup by causing mucosal vasoconstriction, which reduces edema.
3. A nurse is assessing a newborn 1 hour after birth. Which of the following findings is a
priority to report to the provider?
A. Acrocyanosis
B. Overlapping cranial sutures
C. Subconjunctival hemorrhage
D. Generalized petechiae
Answer: D
Conceptual Explanation: Generalized petechiae can indicate a clotting factor deficiency or
infection and must be reported; others are common findings.
4. A nurse is teaching the parents of a toddler who has a new diagnosis of cystic fibrosis.
Which of the following dietary instructions should the nurse include?
A. Administer pancreatic enzymes with meals and snacks
B. Restrict sodium intake to 1 gram per day
C. Provide a low-protein diet
, D. Limit fat intake to 20 percent of total calories
Answer: A
Conceptual Explanation: Children with cystic fibrosis require pancreatic enzymes with all
meals and snacks to assist with the absorption of nutrients.
5. A nurse is caring for a client in the first stage of labor who is experiencing late
decelerations on the fetal heart rate monitor. Which of the following actions should the nurse
take first?
A. Administer oxygen at 10 L/min via nonrebreather mask
B. Increase the rate of the maintenance IV fluid
C. Perform a vaginal examination to check for cord prolapse
D. Reposition the client into a side-lying position
Answer: D
Conceptual Explanation: The first action for late decelerations is to reposition the client
to improve placental perfusion.
6. A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 15-
month-old toddler. Which of the following conditions is a contraindication for this vaccine?
A. Allergy to eggs
B. Recent course of antibiotics
C. Current immunosuppression
