NUR 2513 MATERNAL-CHILD NURSING | RASMUSSEN
COLLEGE | EXAMINATION 2 LATEST UPDATED 2026-
2027 ACTUAL FINAL EXAM PREP WITH ALL
POSSIBLE TESTED QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS CERTIFIED ANSWER KEY RATED A+ GRADE
1. A nurse is assessing a client in the first trimester
of pregnancy. Which of the following findings
should the nurse report to the provider?
A. Leukorrheal
B. Breast tenderness
C. Dysuria
D. Nausea and vomiting
Correct Answer: C. Dysuria
Rationale: Dysuria is a sign of a urinary tract
infection, which can lead to complications like
pyelonephritis and preterm labor if untreated.
Leukorrhea, breast tenderness, and nausea are
expected findings in early pregnancy.
2. A client at 32 weeks’ gestation is scheduled for a
nonstress test. The nurse should explain that the
, purpose of this test is to:
A. Evaluate fetal lung maturity.
B. Assess for fetal anemia.
C. Observe fetal heart rate response to fetal
movement.
D. Determine the amount of amniotic fluid.
Correct Answer: C. Observe fetal heart rate
response to fetal movement.
Rationale: A nonstress test (NST) is a non-invasive
test performed to observe the fetal heart rate in
response to fetal movement. A reactive NST is a
reassuring sign of fetal well-being. Lung maturity
is assessed via amniocentesis, fetal anemia via
cordocentesis, and amniotic fluid volume via
ultrasound.
3. A nurse is caring for a client who is in the active
phase of the first stage of labor. Which of the
following assessment findings should the nurse
expect?
A. Contractions every 2 to 5 minutes.
B. Cervical dilation of 1 cm.
C. Client is talkative and excited.
D. Fetal station at -3.
,Correct Answer: A. Contractions every 2 to 5
minutes.
Rationale: The active phase of the first stage of
labor is characterized by more frequent and intense
contractions, typically every 2 to 5 minutes, lasting
45 to 60 seconds. Cervical dilation progresses from
4 to 7 cm. The latent phase involves a talkative,
excited client and dilation from 0 to 3 cm.
4. A client is receiving oxytocin for induction of
labor. The nurse notes the contractions are
lasting 90 seconds and occurring every 2
minutes. What is the priority nursing action?
A. Continue to monitor the client.
B. Increase the oxytocin infusion rate.
C. Discontinue the oxytocin infusion.
D. Administer a bolus of IV fluids.
Correct Answer: C. Discontinue the oxytocin
infusion.
Rationale: Contractions lasting longer than 90
seconds and occurring more frequently than every
2 minutes are considered tachysystole and can lead
to fetal distress. The priority action is to
, discontinue the oxytocin infusion to reduce uterine
activity and improve fetal oxygenation.
5. A nurse is assessing a newborn immediately
following birth. Which of the following findings
should the nurse report to the provider?
A. Heart rate of 120 beats per minute.
B. Acrocyanosis.
C. Grunting with respirations.
D. Respiratory rate of 50 breaths per minute.
Correct Answer: C. Grunting with respirations.
Rationale: Grunting is a sign of respiratory distress
in a newborn, indicating the need for immediate
evaluation and possible intervention. A heart rate
of 120, acrocyanosis, and a respiratory rate of 50
are normal findings in a newborn.
6. A postpartum client is experiencing a boggy
uterus. What is the initial nursing action?
A. Administer methylergonovine.
B. Perform fundal massage.
C. Notify the provider.
D. Insert a urinary catheter.
COLLEGE | EXAMINATION 2 LATEST UPDATED 2026-
2027 ACTUAL FINAL EXAM PREP WITH ALL
POSSIBLE TESTED QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS CERTIFIED ANSWER KEY RATED A+ GRADE
1. A nurse is assessing a client in the first trimester
of pregnancy. Which of the following findings
should the nurse report to the provider?
A. Leukorrheal
B. Breast tenderness
C. Dysuria
D. Nausea and vomiting
Correct Answer: C. Dysuria
Rationale: Dysuria is a sign of a urinary tract
infection, which can lead to complications like
pyelonephritis and preterm labor if untreated.
Leukorrhea, breast tenderness, and nausea are
expected findings in early pregnancy.
2. A client at 32 weeks’ gestation is scheduled for a
nonstress test. The nurse should explain that the
, purpose of this test is to:
A. Evaluate fetal lung maturity.
B. Assess for fetal anemia.
C. Observe fetal heart rate response to fetal
movement.
D. Determine the amount of amniotic fluid.
Correct Answer: C. Observe fetal heart rate
response to fetal movement.
Rationale: A nonstress test (NST) is a non-invasive
test performed to observe the fetal heart rate in
response to fetal movement. A reactive NST is a
reassuring sign of fetal well-being. Lung maturity
is assessed via amniocentesis, fetal anemia via
cordocentesis, and amniotic fluid volume via
ultrasound.
3. A nurse is caring for a client who is in the active
phase of the first stage of labor. Which of the
following assessment findings should the nurse
expect?
A. Contractions every 2 to 5 minutes.
B. Cervical dilation of 1 cm.
C. Client is talkative and excited.
D. Fetal station at -3.
,Correct Answer: A. Contractions every 2 to 5
minutes.
Rationale: The active phase of the first stage of
labor is characterized by more frequent and intense
contractions, typically every 2 to 5 minutes, lasting
45 to 60 seconds. Cervical dilation progresses from
4 to 7 cm. The latent phase involves a talkative,
excited client and dilation from 0 to 3 cm.
4. A client is receiving oxytocin for induction of
labor. The nurse notes the contractions are
lasting 90 seconds and occurring every 2
minutes. What is the priority nursing action?
A. Continue to monitor the client.
B. Increase the oxytocin infusion rate.
C. Discontinue the oxytocin infusion.
D. Administer a bolus of IV fluids.
Correct Answer: C. Discontinue the oxytocin
infusion.
Rationale: Contractions lasting longer than 90
seconds and occurring more frequently than every
2 minutes are considered tachysystole and can lead
to fetal distress. The priority action is to
, discontinue the oxytocin infusion to reduce uterine
activity and improve fetal oxygenation.
5. A nurse is assessing a newborn immediately
following birth. Which of the following findings
should the nurse report to the provider?
A. Heart rate of 120 beats per minute.
B. Acrocyanosis.
C. Grunting with respirations.
D. Respiratory rate of 50 breaths per minute.
Correct Answer: C. Grunting with respirations.
Rationale: Grunting is a sign of respiratory distress
in a newborn, indicating the need for immediate
evaluation and possible intervention. A heart rate
of 120, acrocyanosis, and a respiratory rate of 50
are normal findings in a newborn.
6. A postpartum client is experiencing a boggy
uterus. What is the initial nursing action?
A. Administer methylergonovine.
B. Perform fundal massage.
C. Notify the provider.
D. Insert a urinary catheter.
