RASMUSSEN UNIVERSITY
NUR 2513 / NUR2513: MATERNAL-CHILD NURSING
EXAM 1 (LATEST )
Comprehensive Examination | 120 Questions | Multiple Choice (A-D) | Single Best Answer
Cognitive Levels: 20% Recall | 50% Application | 30% Analysis
Aligned with the NUR 2513 Course Syllabus, NCLEX-RN Test Plan, QSEN Competencies, and Maternal-Child Nursing
Standards (2026/2027 Edition)
SECTION 1: FOUNDATIONS OF MATERNAL-CHILD NURSING Questions 1-15
Q1: Which nursing action best exemplifies the principles of family-centered care in the maternal-child setting?
A. Making all care decisions for the newborn to relieve parental stress
B. Restricting visiting hours to the biological parents only
C. Collaborating with the family when planning the newborn's discharge care [CORRECT]
D. Providing information only to the designated decision-maker of record
Correct Answer: C
Rationale: Family-centered care, a core NUR 2513 concept and an AWHONN standard, is built on collaboration, respect,
information sharing, and family participation in care decisions. Collaborative discharge planning empowers families and
improves safety after transfer home. Option A is paternalistic and removes parental control, option B unnecessarily excludes
supportive family members, and option D withholds information that should be shared openly with the family.
Q2: A nurse is preparing to obtain a health history from a client who speaks a language different from the nurse's.
Which action demonstrates culturally competent and legally appropriate communication?
A. Requesting a certified medical interpreter through the facility interpreter services [CORRECT]
B. Asking the client's bilingual teenage son to interpret the health history
C. Using a bilingual coworker passing by to ask a few key questions
D. Speaking slowly and loudly in English while pointing to written materials
Correct Answer: A
Rationale: Title VI of the Civil Rights Act and Joint Commission standards require the use of qualified medical
interpreters so that consent, teaching, and assessment are accurate. Family members, especially children, should never
interpret because of risks of omission, bias, and privacy violation, and an untrained coworker cannot provide reliable
interpretation. Speaking louder does not bridge a language barrier and may appear disrespectful.
NUR 2513 Exam 1 - Maternal-Child Nursing (2026/2027) 1
,NUR 2513 Maternal-Child Nursing Exam 1 Rasmussen University
Q3: Which statement accurately reflects current trends in maternal mortality that guide maternal-child nursing
practice?
A. Maternal deaths occur almost exclusively during the birth itself
B. Most maternal deaths are unpredictable and cannot be prevented
C. Hemorrhage is the leading cause of maternal death in the United States
D. A large proportion of maternal deaths occur after birth, and most are preventable [CORRECT]
Correct Answer: D
Rationale: CDC surveillance shows that a substantial share of pregnancy-related deaths occur postpartum, including up to
one year after birth, and that the majority are preventable. Cardiovascular conditions and mental health causes, not
hemorrhage, now lead maternal deaths in the United States. These data drive extended postpartum surveillance and the
ACOG recommendation to view postpartum care as an ongoing process.
Q4: A client is scheduled for an urgent cesarean birth. The surgeon explains the procedure and the client signs the
consent form. What is the nurse's primary role in the informed consent process?
A. Explaining the surgical technique and alternative approaches in detail
B. Verifying that the client understands the procedure and witnessing the signature [CORRECT]
C. Deciding whether the benefits of surgery outweigh the risks
D. Obtaining the signature after preoperative sedation has been given
Correct Answer: B
Rationale: The provider is responsible for explaining the procedure, risks, benefits, and alternatives; the nurse's role is to
verify the client's understanding in her own words, answer basic questions, and witness the signature. A consent signed after
sedation is invalid because decision-making capacity is compromised. Weighing risks against benefits is a medical decision,
not a nursing one.
Q5: A laboring client refuses continuous electronic fetal monitoring despite the provider's recommendation. Her
partner tells the nurse to 'just make her do it.' Which action by the nurse demonstrates appropriate ethical reasoning?
A. Explaining that the client has no legal right to refuse monitoring
B. Documenting the refusal and initiating monitoring anyway for fetal safety
C. Contacting the supervisor so the client's decision can be overridden
D. Supporting the client's autonomy while ensuring she understands the risks of refusal [CORRECT]
Correct Answer: D
Rationale: A competent adult client has the right to refuse treatment under the ethical principle of autonomy, even when
the fetus may be affected, and forcing care would constitute battery. The nurse supports informed decision making by
clarifying risks, documenting the informed refusal, and continuing supportive care. Overriding or coercing the client
violates her patient rights, a central NUR 2513 legal-ethical content area.
NUR 2513 Exam 1 - Maternal-Child Nursing (2026/2027) 2
,NUR 2513 Maternal-Child Nursing Exam 1 Rasmussen University
Q6: A community health nurse is planning interventions to reduce maternal-child health disparities. Which factor
contributes most significantly to disparities in maternal outcomes in the United States?
A. Maternal age older than 30 years at first birth
B. Residence in suburban communities
C. Limited access to quality prenatal and perinatal care [CORRECT]
D. Attendance at childbirth education classes
Correct Answer: C
Rationale: Limited access to timely, quality prenatal and perinatal care, driven by insurance gaps, geography,
socioeconomic status, and structural racism, is a major driver of disparities in maternal and infant outcomes. Advanced
maternal age is an individual clinical risk factor rather than a population-level disparity driver, and suburban residence and
childbirth education are neutral or protective.
Q7: The nurse administers oxytocin to a postpartum client with uterine atony and then rechecks the firmness of the
fundus 15 minutes later. Which QSEN competency is the nurse primarily demonstrating?
A. Patient-centered care
B. Safety [CORRECT]
C. Teamwork and collaboration
D. Health informatics
Correct Answer: B
Rationale: Safe medication administration combined with evaluation of drug effect, in this case reassessing uterine tone to
prevent postpartum hemorrhage, exemplifies the QSEN safety competency of minimizing risk of harm. Patient-centered
care relates to respecting client preferences, teamwork relates to interprofessional practice, and informatics relates to using
technology to manage knowledge.
Q8: A nurse manager asks the unit staff to update the policy on immediate newborn skin-to-skin contact based on the
current research literature. This directive best reflects which concept?
A. Evidence-based practice [CORRECT]
B. Quality by design
C. Performance appraisal
D. The evaluation phase of the nursing process
Correct Answer: A
Rationale: Evidence-based practice integrates the best available research evidence with clinical expertise and patient values
to guide practice decisions, including policy revision. Translating current research on neonatal thermoregulation, bonding,
and breastfeeding into a skin-to-skin policy is a classic EBP activity. It is not a personnel evaluation or a single client-care
step.
NUR 2513 Exam 1 - Maternal-Child Nursing (2026/2027) 3
, NUR 2513 Maternal-Child Nursing Exam 1 Rasmussen University
Q9: Using the nursing process, which action should the nurse complete first when a postpartum client reports feeling
overwhelmed and unable to care for her newborn?
A. Developing a comprehensive plan for parenting support
B. Assessing the client's mood, support system, and bonding behaviors [CORRECT]
C. Referring the family to social services for follow-up
D. Setting measurable goals for improved coping
Correct Answer: B
Rationale: The nursing process proceeds in order: assessment must precede diagnosis, planning, implementation, and
evaluation. Because overwhelming fatigue and inability to cope may signal postpartum depression, the nurse must first
gather data about mood, support, and attachment behaviors before designing interventions. Premature planning or referral
without assessment risks missing a treatable mood disorder.
Q10: Which factor is most strongly associated with the infant mortality rate in the United States?
A. Delayed umbilical cord clamping practices
B. Increased rates of breastfeeding initiation
C. Universal newborn hearing screening
D. Low birth weight and preterm birth [CORRECT]
Correct Answer: D
Rationale: Low birth weight and preterm birth are the factors most strongly linked to infant mortality and explain much of
the gap between the United States and other developed nations. Breastfeeding, hearing screening, and delayed cord
clamping are protective practices associated with improved, not worsened, neonatal outcomes.
Q11: A postpartum client experiencing a serious hemorrhage refuses blood transfusion on religious grounds but
agrees to all other interventions. Which nursing action is most appropriate?
A. Supporting her decision and implementing the agreed alternative therapies [CORRECT]
B. Telling her that refusal will void her right to medical care
C. Petitioning the court for a forced transfusion to save her life
D. Asking her husband to authorize the transfusion on her behalf
Correct Answer: A
Rationale: A competent adult retains the right to refuse treatment, even when the refusal may be life-threatening, and this
right is protected legally and ethically. The nurse honors the refusal, ensures she is fully informed, and maximizes
alternative measures such as uterotonic medications and fluid resuscitation. A spouse cannot override a competent adult's
decision, and coercion violates patient rights.
NUR 2513 Exam 1 - Maternal-Child Nursing (2026/2027) 4
NUR 2513 / NUR2513: MATERNAL-CHILD NURSING
EXAM 1 (LATEST )
Comprehensive Examination | 120 Questions | Multiple Choice (A-D) | Single Best Answer
Cognitive Levels: 20% Recall | 50% Application | 30% Analysis
Aligned with the NUR 2513 Course Syllabus, NCLEX-RN Test Plan, QSEN Competencies, and Maternal-Child Nursing
Standards (2026/2027 Edition)
SECTION 1: FOUNDATIONS OF MATERNAL-CHILD NURSING Questions 1-15
Q1: Which nursing action best exemplifies the principles of family-centered care in the maternal-child setting?
A. Making all care decisions for the newborn to relieve parental stress
B. Restricting visiting hours to the biological parents only
C. Collaborating with the family when planning the newborn's discharge care [CORRECT]
D. Providing information only to the designated decision-maker of record
Correct Answer: C
Rationale: Family-centered care, a core NUR 2513 concept and an AWHONN standard, is built on collaboration, respect,
information sharing, and family participation in care decisions. Collaborative discharge planning empowers families and
improves safety after transfer home. Option A is paternalistic and removes parental control, option B unnecessarily excludes
supportive family members, and option D withholds information that should be shared openly with the family.
Q2: A nurse is preparing to obtain a health history from a client who speaks a language different from the nurse's.
Which action demonstrates culturally competent and legally appropriate communication?
A. Requesting a certified medical interpreter through the facility interpreter services [CORRECT]
B. Asking the client's bilingual teenage son to interpret the health history
C. Using a bilingual coworker passing by to ask a few key questions
D. Speaking slowly and loudly in English while pointing to written materials
Correct Answer: A
Rationale: Title VI of the Civil Rights Act and Joint Commission standards require the use of qualified medical
interpreters so that consent, teaching, and assessment are accurate. Family members, especially children, should never
interpret because of risks of omission, bias, and privacy violation, and an untrained coworker cannot provide reliable
interpretation. Speaking louder does not bridge a language barrier and may appear disrespectful.
NUR 2513 Exam 1 - Maternal-Child Nursing (2026/2027) 1
,NUR 2513 Maternal-Child Nursing Exam 1 Rasmussen University
Q3: Which statement accurately reflects current trends in maternal mortality that guide maternal-child nursing
practice?
A. Maternal deaths occur almost exclusively during the birth itself
B. Most maternal deaths are unpredictable and cannot be prevented
C. Hemorrhage is the leading cause of maternal death in the United States
D. A large proportion of maternal deaths occur after birth, and most are preventable [CORRECT]
Correct Answer: D
Rationale: CDC surveillance shows that a substantial share of pregnancy-related deaths occur postpartum, including up to
one year after birth, and that the majority are preventable. Cardiovascular conditions and mental health causes, not
hemorrhage, now lead maternal deaths in the United States. These data drive extended postpartum surveillance and the
ACOG recommendation to view postpartum care as an ongoing process.
Q4: A client is scheduled for an urgent cesarean birth. The surgeon explains the procedure and the client signs the
consent form. What is the nurse's primary role in the informed consent process?
A. Explaining the surgical technique and alternative approaches in detail
B. Verifying that the client understands the procedure and witnessing the signature [CORRECT]
C. Deciding whether the benefits of surgery outweigh the risks
D. Obtaining the signature after preoperative sedation has been given
Correct Answer: B
Rationale: The provider is responsible for explaining the procedure, risks, benefits, and alternatives; the nurse's role is to
verify the client's understanding in her own words, answer basic questions, and witness the signature. A consent signed after
sedation is invalid because decision-making capacity is compromised. Weighing risks against benefits is a medical decision,
not a nursing one.
Q5: A laboring client refuses continuous electronic fetal monitoring despite the provider's recommendation. Her
partner tells the nurse to 'just make her do it.' Which action by the nurse demonstrates appropriate ethical reasoning?
A. Explaining that the client has no legal right to refuse monitoring
B. Documenting the refusal and initiating monitoring anyway for fetal safety
C. Contacting the supervisor so the client's decision can be overridden
D. Supporting the client's autonomy while ensuring she understands the risks of refusal [CORRECT]
Correct Answer: D
Rationale: A competent adult client has the right to refuse treatment under the ethical principle of autonomy, even when
the fetus may be affected, and forcing care would constitute battery. The nurse supports informed decision making by
clarifying risks, documenting the informed refusal, and continuing supportive care. Overriding or coercing the client
violates her patient rights, a central NUR 2513 legal-ethical content area.
NUR 2513 Exam 1 - Maternal-Child Nursing (2026/2027) 2
,NUR 2513 Maternal-Child Nursing Exam 1 Rasmussen University
Q6: A community health nurse is planning interventions to reduce maternal-child health disparities. Which factor
contributes most significantly to disparities in maternal outcomes in the United States?
A. Maternal age older than 30 years at first birth
B. Residence in suburban communities
C. Limited access to quality prenatal and perinatal care [CORRECT]
D. Attendance at childbirth education classes
Correct Answer: C
Rationale: Limited access to timely, quality prenatal and perinatal care, driven by insurance gaps, geography,
socioeconomic status, and structural racism, is a major driver of disparities in maternal and infant outcomes. Advanced
maternal age is an individual clinical risk factor rather than a population-level disparity driver, and suburban residence and
childbirth education are neutral or protective.
Q7: The nurse administers oxytocin to a postpartum client with uterine atony and then rechecks the firmness of the
fundus 15 minutes later. Which QSEN competency is the nurse primarily demonstrating?
A. Patient-centered care
B. Safety [CORRECT]
C. Teamwork and collaboration
D. Health informatics
Correct Answer: B
Rationale: Safe medication administration combined with evaluation of drug effect, in this case reassessing uterine tone to
prevent postpartum hemorrhage, exemplifies the QSEN safety competency of minimizing risk of harm. Patient-centered
care relates to respecting client preferences, teamwork relates to interprofessional practice, and informatics relates to using
technology to manage knowledge.
Q8: A nurse manager asks the unit staff to update the policy on immediate newborn skin-to-skin contact based on the
current research literature. This directive best reflects which concept?
A. Evidence-based practice [CORRECT]
B. Quality by design
C. Performance appraisal
D. The evaluation phase of the nursing process
Correct Answer: A
Rationale: Evidence-based practice integrates the best available research evidence with clinical expertise and patient values
to guide practice decisions, including policy revision. Translating current research on neonatal thermoregulation, bonding,
and breastfeeding into a skin-to-skin policy is a classic EBP activity. It is not a personnel evaluation or a single client-care
step.
NUR 2513 Exam 1 - Maternal-Child Nursing (2026/2027) 3
, NUR 2513 Maternal-Child Nursing Exam 1 Rasmussen University
Q9: Using the nursing process, which action should the nurse complete first when a postpartum client reports feeling
overwhelmed and unable to care for her newborn?
A. Developing a comprehensive plan for parenting support
B. Assessing the client's mood, support system, and bonding behaviors [CORRECT]
C. Referring the family to social services for follow-up
D. Setting measurable goals for improved coping
Correct Answer: B
Rationale: The nursing process proceeds in order: assessment must precede diagnosis, planning, implementation, and
evaluation. Because overwhelming fatigue and inability to cope may signal postpartum depression, the nurse must first
gather data about mood, support, and attachment behaviors before designing interventions. Premature planning or referral
without assessment risks missing a treatable mood disorder.
Q10: Which factor is most strongly associated with the infant mortality rate in the United States?
A. Delayed umbilical cord clamping practices
B. Increased rates of breastfeeding initiation
C. Universal newborn hearing screening
D. Low birth weight and preterm birth [CORRECT]
Correct Answer: D
Rationale: Low birth weight and preterm birth are the factors most strongly linked to infant mortality and explain much of
the gap between the United States and other developed nations. Breastfeeding, hearing screening, and delayed cord
clamping are protective practices associated with improved, not worsened, neonatal outcomes.
Q11: A postpartum client experiencing a serious hemorrhage refuses blood transfusion on religious grounds but
agrees to all other interventions. Which nursing action is most appropriate?
A. Supporting her decision and implementing the agreed alternative therapies [CORRECT]
B. Telling her that refusal will void her right to medical care
C. Petitioning the court for a forced transfusion to save her life
D. Asking her husband to authorize the transfusion on her behalf
Correct Answer: A
Rationale: A competent adult retains the right to refuse treatment, even when the refusal may be life-threatening, and this
right is protected legally and ethically. The nurse honors the refusal, ensures she is fully informed, and maximizes
alternative measures such as uterotonic medications and fluid resuscitation. A spouse cannot override a competent adult's
decision, and coercion violates patient rights.
NUR 2513 Exam 1 - Maternal-Child Nursing (2026/2027) 4
