NUR 2513
1
Nur 2513 Maternal-Child Nursing | Rasmussen College |
Academic Year 2026/2027 | Examination 2 Comprehensive
Examination | 75 Verified Questions and Correct Answer
Rationales | Study Guide | Latest Update 2026/2027 | Practice
Questions and Answers | Exam Review
Table of Contents
1. Antepartum Nursing Care and Fetal Assessment
2. Intrapartum Nursing Care and Fetal Monitoring
3. Postpartum Nursing Care and Complications
4. Newborn Assessment and Neonatal Care
5. High-Risk Pregnancy and Maternal Complications
6. Pediatric Growth, Development, and Health Promotion
7. Pediatric Respiratory, Cardiac, and Gastrointestinal Disorders
8. Pediatric Medication Administration and Calculations
9. Family-Centered Care, Ethics, and Safety
10. Emergency, Infectious, and Chronic Pediatric Conditions
, NUR 2513
2
Question 1: A pregnant woman is currently 36 weeks gestation. She has a history of one term
birth, one preterm birth at 34 weeks, one miscarriage at 10 weeks, and one elective abortion
at 8 weeks. Using GTPAL, how should the nurse document her obstetric history?
A) G4 T1 P1 A2 L2
B) G5 T1 P1 A2 L2
C) G5 T2 P0 A2 L2
D) G4 T1 P2 A1 L2
Correct Answer: B) G5 T1 P1 A2 L2
Gravida includes all pregnancies, including the current one, so the total is 5. Term births are
1, preterm births are 1, abortions include both miscarriage and elective abortion for a total
of 2, and living children are 2.
Question 2: A patient reports that the first day of her last menstrual period was April 10,
2026. Using Naegele's rule, what is the estimated date of delivery?
A) January 10, 2027
B) January 17, 2027
C) January 24, 2027
D) February 17, 2027
Correct Answer: B) January 17, 2027
Naegele's rule adds 7 days to the first day of the last menstrual period, subtracts 3 months,
and adds 1 year. April 10 plus 7 days is April 17; subtracting 3 months gives January 17,
2027.
Question 3: An Rh-negative unsensitized pregnant patient at 28 weeks gestation has a
negative indirect Coombs test. Which intervention should the nurse anticipate?
A) Administer RhoGAM at 28 weeks
B) Administer RhoGAM only after delivery
C) Administer rubella vaccine
D) Administer magnesium sulfate
Correct Answer: A) Administer RhoGAM at 28 weeks
, NUR 2513
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RhoGAM is given at 28 weeks to prevent Rh sensitization in unsensitized Rh-negative
patients. A negative indirect Coombs test confirms the patient is not already sensitized.
Question 4: A patient at 26 weeks gestation is scheduled for a glucose challenge test. Which
instruction should the nurse provide?
A) "Fast for 12 hours before the test."
B) "Eat a high-carbohydrate meal before the test."
C) "You will drink a glucose solution and have blood drawn 1 hour later."
D) "You will receive IV glucose over 3 hours."
Correct Answer: C) "You will drink a glucose solution and have blood drawn 1 hour
later."
Gestational diabetes screening typically involves a 1-hour glucose challenge test between 24
and 28 weeks. Fasting is not required for the initial screening test.
Question 5: A patient with severe preeclampsia is receiving magnesium sulfate. Which
assessment finding requires immediate intervention?
A) Respiratory rate of 16 breaths per minute
B) Deep tendon reflexes 2+
C) Urine output of 20 mL/hr
D) Blood pressure of 150/90 mm Hg
Correct Answer: C) Urine output of 20 mL/hr
Urine output below 30 mL/hr may indicate magnesium toxicity because magnesium is
excreted renally. The nurse should hold the infusion and notify the provider.
Question 6: A patient receiving magnesium sulfate develops loss of deep tendon reflexes and
respiratory depression. Which medication should the nurse prepare to administer?
A) Calcium gluconate
B) Naloxone
C) Protamine sulfate
D) Vitamin K
Correct Answer: A) Calcium gluconate
1
Nur 2513 Maternal-Child Nursing | Rasmussen College |
Academic Year 2026/2027 | Examination 2 Comprehensive
Examination | 75 Verified Questions and Correct Answer
Rationales | Study Guide | Latest Update 2026/2027 | Practice
Questions and Answers | Exam Review
Table of Contents
1. Antepartum Nursing Care and Fetal Assessment
2. Intrapartum Nursing Care and Fetal Monitoring
3. Postpartum Nursing Care and Complications
4. Newborn Assessment and Neonatal Care
5. High-Risk Pregnancy and Maternal Complications
6. Pediatric Growth, Development, and Health Promotion
7. Pediatric Respiratory, Cardiac, and Gastrointestinal Disorders
8. Pediatric Medication Administration and Calculations
9. Family-Centered Care, Ethics, and Safety
10. Emergency, Infectious, and Chronic Pediatric Conditions
, NUR 2513
2
Question 1: A pregnant woman is currently 36 weeks gestation. She has a history of one term
birth, one preterm birth at 34 weeks, one miscarriage at 10 weeks, and one elective abortion
at 8 weeks. Using GTPAL, how should the nurse document her obstetric history?
A) G4 T1 P1 A2 L2
B) G5 T1 P1 A2 L2
C) G5 T2 P0 A2 L2
D) G4 T1 P2 A1 L2
Correct Answer: B) G5 T1 P1 A2 L2
Gravida includes all pregnancies, including the current one, so the total is 5. Term births are
1, preterm births are 1, abortions include both miscarriage and elective abortion for a total
of 2, and living children are 2.
Question 2: A patient reports that the first day of her last menstrual period was April 10,
2026. Using Naegele's rule, what is the estimated date of delivery?
A) January 10, 2027
B) January 17, 2027
C) January 24, 2027
D) February 17, 2027
Correct Answer: B) January 17, 2027
Naegele's rule adds 7 days to the first day of the last menstrual period, subtracts 3 months,
and adds 1 year. April 10 plus 7 days is April 17; subtracting 3 months gives January 17,
2027.
Question 3: An Rh-negative unsensitized pregnant patient at 28 weeks gestation has a
negative indirect Coombs test. Which intervention should the nurse anticipate?
A) Administer RhoGAM at 28 weeks
B) Administer RhoGAM only after delivery
C) Administer rubella vaccine
D) Administer magnesium sulfate
Correct Answer: A) Administer RhoGAM at 28 weeks
, NUR 2513
3
RhoGAM is given at 28 weeks to prevent Rh sensitization in unsensitized Rh-negative
patients. A negative indirect Coombs test confirms the patient is not already sensitized.
Question 4: A patient at 26 weeks gestation is scheduled for a glucose challenge test. Which
instruction should the nurse provide?
A) "Fast for 12 hours before the test."
B) "Eat a high-carbohydrate meal before the test."
C) "You will drink a glucose solution and have blood drawn 1 hour later."
D) "You will receive IV glucose over 3 hours."
Correct Answer: C) "You will drink a glucose solution and have blood drawn 1 hour
later."
Gestational diabetes screening typically involves a 1-hour glucose challenge test between 24
and 28 weeks. Fasting is not required for the initial screening test.
Question 5: A patient with severe preeclampsia is receiving magnesium sulfate. Which
assessment finding requires immediate intervention?
A) Respiratory rate of 16 breaths per minute
B) Deep tendon reflexes 2+
C) Urine output of 20 mL/hr
D) Blood pressure of 150/90 mm Hg
Correct Answer: C) Urine output of 20 mL/hr
Urine output below 30 mL/hr may indicate magnesium toxicity because magnesium is
excreted renally. The nurse should hold the infusion and notify the provider.
Question 6: A patient receiving magnesium sulfate develops loss of deep tendon reflexes and
respiratory depression. Which medication should the nurse prepare to administer?
A) Calcium gluconate
B) Naloxone
C) Protamine sulfate
D) Vitamin K
Correct Answer: A) Calcium gluconate
