NUR2513 MATERNAL-CHILD NURSING
ADVANCED PRACTICE EXAM
QUESTIONS AND ANSWERS
1. A nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which
assessment finding should the nurse report immediately as a sign of toxicity?
A. Respiratory rate of 16 breaths per minute
B. Blood pressure of 150/90 mmHg
C. Urinary output of 40 mL per hour
D. Absence of deep tendon reflexes
Answer: D
Conceptual Explanation: Absence of deep tendon reflexes (DTRs) is a primary sign of
magnesium sulfate toxicity. Other signs include respiratory depression (less than 12/min)
and decreased urinary output (less than 30 mL/hr).
2. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
procedure is strictly contraindicated?
A. External fetal monitoring
,B. Transabdominal ultrasound
C. Vaginal examination
D. Intravenous access establishment
Answer: C
Conceptual Explanation: Painless bright red bleeding is indicative of placenta previa.
Digital vaginal exams are contraindicated because they can cause immediate massive
hemorrhage by penetrating the placenta.
3. Which fetal heart rate pattern would the nurse identify as being caused by umbilical cord
compression?
A. Early decelerations
B. Variable decelerations
C. Late decelerations
D. Accelerations
Answer: B
Conceptual Explanation: Variable decelerations are associated with umbilical cord
compression. Early decelerations relate to head compression, and late decelerations
indicate uteroplacental insufficiency.
, 4. A 2-year-old child is admitted with suspected epiglottitis. Which nursing action is the
priority?
A. Obtain a throat culture
B. Place the child in a supine position
C. Prepare for immediate endotracheal intubation
D. Encourage the child to drink cold fluids
Answer: C
Conceptual Explanation: Epiglottitis is a medical emergency due to the risk of total
airway obstruction. The nurse should avoid invasive throat procedures and prepare for
emergency airway management.
5. A nurse is assessing a newborn 12 hours after birth. Which finding requires immediate
intervention?
A. Jaundice of the face and sclera
B. Acrocyanosis of the hands and feet
C. Erythema toxicum on the trunk
D. Molding of the cranial bones
Answer: A
ADVANCED PRACTICE EXAM
QUESTIONS AND ANSWERS
1. A nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which
assessment finding should the nurse report immediately as a sign of toxicity?
A. Respiratory rate of 16 breaths per minute
B. Blood pressure of 150/90 mmHg
C. Urinary output of 40 mL per hour
D. Absence of deep tendon reflexes
Answer: D
Conceptual Explanation: Absence of deep tendon reflexes (DTRs) is a primary sign of
magnesium sulfate toxicity. Other signs include respiratory depression (less than 12/min)
and decreased urinary output (less than 30 mL/hr).
2. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
procedure is strictly contraindicated?
A. External fetal monitoring
,B. Transabdominal ultrasound
C. Vaginal examination
D. Intravenous access establishment
Answer: C
Conceptual Explanation: Painless bright red bleeding is indicative of placenta previa.
Digital vaginal exams are contraindicated because they can cause immediate massive
hemorrhage by penetrating the placenta.
3. Which fetal heart rate pattern would the nurse identify as being caused by umbilical cord
compression?
A. Early decelerations
B. Variable decelerations
C. Late decelerations
D. Accelerations
Answer: B
Conceptual Explanation: Variable decelerations are associated with umbilical cord
compression. Early decelerations relate to head compression, and late decelerations
indicate uteroplacental insufficiency.
, 4. A 2-year-old child is admitted with suspected epiglottitis. Which nursing action is the
priority?
A. Obtain a throat culture
B. Place the child in a supine position
C. Prepare for immediate endotracheal intubation
D. Encourage the child to drink cold fluids
Answer: C
Conceptual Explanation: Epiglottitis is a medical emergency due to the risk of total
airway obstruction. The nurse should avoid invasive throat procedures and prepare for
emergency airway management.
5. A nurse is assessing a newborn 12 hours after birth. Which finding requires immediate
intervention?
A. Jaundice of the face and sclera
B. Acrocyanosis of the hands and feet
C. Erythema toxicum on the trunk
D. Molding of the cranial bones
Answer: A
