NUR2513 MATERNAL-CHILD NURSING
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS
1. A nurse is caring for a client at 34 weeks gestation who presents with sudden, painless
vaginal bleeding. Which of the following conditions should the nurse suspect first?
A. Placental Abruption
B. Placenta Previa
C. Uterine Rupture
D. Ectopic Pregnancy
Answer: B
Conceptual Explanation: Placenta previa is characterized by painless, bright red vaginal
bleeding in the second or third trimester. Placental abruption typically involves painful
bleeding and abdominal rigidity.
2. A patient in active labor receives an epidural block. Which of the following is the priority
nursing assessment immediately following the procedure?
A. Evaluate the progress of cervical dilation
,B. Assess fetal heart rate variability
C. Check maternal temperature
D. Monitor maternal blood pressure
Answer: D
Conceptual Explanation: Maternal hypotension is a common side effect of epidural
anesthesia due to vasodilation. Monitoring blood pressure is the priority to ensure
adequate placental perfusion.
3. A nurse is reviewing a fetal heart rate (FHR) tracing and notes late decelerations. Which of
the following is the primary cause of this finding?
A. Head compression
B. Umbilical cord compression
C. Uteroplacental insufficiency
D. Maternal fever
Answer: C
Conceptual Explanation: Late decelerations are caused by uteroplacental insufficiency
and require immediate intervention to improve oxygenation to the fetus.
4. A nurse is preparing to administer Magnesium Sulfate to a client with preeclampsia. Which
of the following findings would indicate Magnesium toxicity?
A. Hyperreflexia
, B. Tachycardia
C. Increased urinary output
D. Respiratory rate of 10/min
Answer: D
Conceptual Explanation: Signs of magnesium toxicity include respiratory depression (less
than 12/min), loss of deep tendon reflexes, and decreased urinary output.
5. Using Naegele’s Rule, calculate the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on March 15th.
A. December 22nd
B. December 15th
C. January 22nd
D. December 8th
Answer: A
Conceptual Explanation: Naegele’s Rule: Subtract 3 months from the LMP and add 7 days
and 1 year. March 15 - 3 months = December 15; + 7 days = December 22nd.
6. A client is currently pregnant, has a 2-year-old at home (born at 39 weeks), and had a
miscarriage at 10 weeks last year. What is her GTPAL?
A. G3, T2, P0, A1, L1
B. G2, T1, P0, A1, L1
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS
1. A nurse is caring for a client at 34 weeks gestation who presents with sudden, painless
vaginal bleeding. Which of the following conditions should the nurse suspect first?
A. Placental Abruption
B. Placenta Previa
C. Uterine Rupture
D. Ectopic Pregnancy
Answer: B
Conceptual Explanation: Placenta previa is characterized by painless, bright red vaginal
bleeding in the second or third trimester. Placental abruption typically involves painful
bleeding and abdominal rigidity.
2. A patient in active labor receives an epidural block. Which of the following is the priority
nursing assessment immediately following the procedure?
A. Evaluate the progress of cervical dilation
,B. Assess fetal heart rate variability
C. Check maternal temperature
D. Monitor maternal blood pressure
Answer: D
Conceptual Explanation: Maternal hypotension is a common side effect of epidural
anesthesia due to vasodilation. Monitoring blood pressure is the priority to ensure
adequate placental perfusion.
3. A nurse is reviewing a fetal heart rate (FHR) tracing and notes late decelerations. Which of
the following is the primary cause of this finding?
A. Head compression
B. Umbilical cord compression
C. Uteroplacental insufficiency
D. Maternal fever
Answer: C
Conceptual Explanation: Late decelerations are caused by uteroplacental insufficiency
and require immediate intervention to improve oxygenation to the fetus.
4. A nurse is preparing to administer Magnesium Sulfate to a client with preeclampsia. Which
of the following findings would indicate Magnesium toxicity?
A. Hyperreflexia
, B. Tachycardia
C. Increased urinary output
D. Respiratory rate of 10/min
Answer: D
Conceptual Explanation: Signs of magnesium toxicity include respiratory depression (less
than 12/min), loss of deep tendon reflexes, and decreased urinary output.
5. Using Naegele’s Rule, calculate the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on March 15th.
A. December 22nd
B. December 15th
C. January 22nd
D. December 8th
Answer: A
Conceptual Explanation: Naegele’s Rule: Subtract 3 months from the LMP and add 7 days
and 1 year. March 15 - 3 months = December 15; + 7 days = December 22nd.
6. A client is currently pregnant, has a 2-year-old at home (born at 39 weeks), and had a
miscarriage at 10 weeks last year. What is her GTPAL?
A. G3, T2, P0, A1, L1
B. G2, T1, P0, A1, L1
