NUR2513 MATERNAL-CHILD NURSING
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS
1. A pregnant client at 32 weeks gestation is diagnosed with severe preeclampsia. The nurse
is monitoring the client’s magnesium sulfate infusion. Which assessment finding should the
nurse prioritize as a sign of magnesium toxicity?
A. Hyperreflexia and brisk deep tendon reflexes
B. Respiratory rate of 10 breaths per minute
C. Urinary output of 40 mL per hour
D. Blood pressure of 150/95 mmHg
Answer: B
Conceptual Explanation: Magnesium sulfate is a CNS depressant. Toxicity is characterized
by a decrease in respiratory rate (<12/min), loss of deep tendon reflexes, and decreased
urinary output. A respiratory rate of 10 is critically low and indicates toxicity.
,2. A nurse is caring for a client in the second stage of labor. The fetal heart rate monitor
shows late decelerations. What is the priority nursing action?
A. Administer oxygen at 2 L/min via nasal cannula
B. Increase the rate of the oxytocin infusion
C. Perform a sterile vaginal exam to check for cord prolapse
D. Turn the client to the left side-lying position
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority action is to improve placental perfusion by repositioning the client (usually left
side), stopping oxytocin, and increasing IV fluids.
3. A 2-month-old infant is admitted with suspected Pyloric Stenosis. Which clinical
manifestation is most characteristic of this condition?
A. Currant jelly-like stools
B. Projectile vomiting after feeding
C. Ribbon-like stools
D. Bile-stained vomitus
Answer: B
, Conceptual Explanation: Hypertrophic pyloric stenosis involves the thickening of the
pyloric sphincter, leading to obstruction. Projectile, non-bilious vomiting after feedings is
the hallmark sign.
4. Which of the following laboratory results should the nurse expect in a child diagnosed with
Nephrotic Syndrome?
A. Gross hematuria and hypertension
B. Elevated serum antistreptolysin O (ASO) titer
C. Massive proteinuria and hypoalbuminemia
D. Low serum cholesterol levels
Answer: C
Conceptual Explanation: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and edema due to increased glomerular permeability.
5. A nurse is teaching a parent of a child with Cystic Fibrosis about the administration of
pancreatic enzymes. Which instruction is correct?
A. Administer the enzymes twice a day, regardless of meals
B. Mix the enzymes into hot chocolate or warm milk
C. Give the enzymes with every meal and snack
D. Avoid giving enzymes if the child has a fatty stool
Answer: C
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS
1. A pregnant client at 32 weeks gestation is diagnosed with severe preeclampsia. The nurse
is monitoring the client’s magnesium sulfate infusion. Which assessment finding should the
nurse prioritize as a sign of magnesium toxicity?
A. Hyperreflexia and brisk deep tendon reflexes
B. Respiratory rate of 10 breaths per minute
C. Urinary output of 40 mL per hour
D. Blood pressure of 150/95 mmHg
Answer: B
Conceptual Explanation: Magnesium sulfate is a CNS depressant. Toxicity is characterized
by a decrease in respiratory rate (<12/min), loss of deep tendon reflexes, and decreased
urinary output. A respiratory rate of 10 is critically low and indicates toxicity.
,2. A nurse is caring for a client in the second stage of labor. The fetal heart rate monitor
shows late decelerations. What is the priority nursing action?
A. Administer oxygen at 2 L/min via nasal cannula
B. Increase the rate of the oxytocin infusion
C. Perform a sterile vaginal exam to check for cord prolapse
D. Turn the client to the left side-lying position
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority action is to improve placental perfusion by repositioning the client (usually left
side), stopping oxytocin, and increasing IV fluids.
3. A 2-month-old infant is admitted with suspected Pyloric Stenosis. Which clinical
manifestation is most characteristic of this condition?
A. Currant jelly-like stools
B. Projectile vomiting after feeding
C. Ribbon-like stools
D. Bile-stained vomitus
Answer: B
, Conceptual Explanation: Hypertrophic pyloric stenosis involves the thickening of the
pyloric sphincter, leading to obstruction. Projectile, non-bilious vomiting after feedings is
the hallmark sign.
4. Which of the following laboratory results should the nurse expect in a child diagnosed with
Nephrotic Syndrome?
A. Gross hematuria and hypertension
B. Elevated serum antistreptolysin O (ASO) titer
C. Massive proteinuria and hypoalbuminemia
D. Low serum cholesterol levels
Answer: C
Conceptual Explanation: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and edema due to increased glomerular permeability.
5. A nurse is teaching a parent of a child with Cystic Fibrosis about the administration of
pancreatic enzymes. Which instruction is correct?
A. Administer the enzymes twice a day, regardless of meals
B. Mix the enzymes into hot chocolate or warm milk
C. Give the enzymes with every meal and snack
D. Avoid giving enzymes if the child has a fatty stool
Answer: C
