NUR2513 MATERNAL-CHILD NURSING
EXAM 2 COMPREHENSIVE STUDY
GUIDE QUESTIONS AND ANSWERS
100% VERIFIED BY EXPERTS. 2026/2027
1. A nurse is monitoring a client in labor and notices variable decelerations on the electronic
fetal monitor. What is the physiological cause of this pattern?
A. Head compression
B. Umbilical cord compression
C. Uteroplacental insufficiency
D. Fetal hypoxia
E. N/A
Answer: B
Conceptual Explanation: Variable decelerations are caused by umbilical cord
compression. The ‘V’ shape of the deceleration correlates with ‘C’ for Cord in the VEAL
CHOP mnemonic.
,2. Which medication is the antidote for magnesium sulfate toxicity in a client being treated
for preeclampsia?
A. Naloxone
B. Terbutaline
C. Calcium gluconate
D. Oxytocin
Answer: C
Conceptual Explanation: Calcium gluconate is the specific antagonist for magnesium
sulfate and should be kept at the bedside during magnesium administration.
3. A client at 34 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Ectopic pregnancy
C. Uterine rupture
D. Placenta previa
Answer: D
Conceptual Explanation: Placenta previa is characterized by painless, bright red vaginal
bleeding in the third trimester. Abruptio placentae typically involves painful, dark red
bleeding.
, 4. A nurse is assessing a newborn and notes a heart rate of 90 bpm, a weak cry, some flexion
of extremities, grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 4
B. 5
C. 6
D. 7
Answer: B
Conceptual Explanation: HR < 100 (1), Weak cry (1), Some flexion (1), Grimace (1),
Acrocyanosis (1). Total = 5.
5. Which assessment finding in a client receiving magnesium sulfate requires immediate
notification of the provider?
A. Blood pressure of 140/90 mmHg
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL/hr
D. Respiratory rate of 10 breaths/min
Answer: D
Conceptual Explanation: Magnesium sulfate is a CNS depressant. A respiratory rate below
12 breaths/min indicates toxicity and respiratory depression.
EXAM 2 COMPREHENSIVE STUDY
GUIDE QUESTIONS AND ANSWERS
100% VERIFIED BY EXPERTS. 2026/2027
1. A nurse is monitoring a client in labor and notices variable decelerations on the electronic
fetal monitor. What is the physiological cause of this pattern?
A. Head compression
B. Umbilical cord compression
C. Uteroplacental insufficiency
D. Fetal hypoxia
E. N/A
Answer: B
Conceptual Explanation: Variable decelerations are caused by umbilical cord
compression. The ‘V’ shape of the deceleration correlates with ‘C’ for Cord in the VEAL
CHOP mnemonic.
,2. Which medication is the antidote for magnesium sulfate toxicity in a client being treated
for preeclampsia?
A. Naloxone
B. Terbutaline
C. Calcium gluconate
D. Oxytocin
Answer: C
Conceptual Explanation: Calcium gluconate is the specific antagonist for magnesium
sulfate and should be kept at the bedside during magnesium administration.
3. A client at 34 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Ectopic pregnancy
C. Uterine rupture
D. Placenta previa
Answer: D
Conceptual Explanation: Placenta previa is characterized by painless, bright red vaginal
bleeding in the third trimester. Abruptio placentae typically involves painful, dark red
bleeding.
, 4. A nurse is assessing a newborn and notes a heart rate of 90 bpm, a weak cry, some flexion
of extremities, grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 4
B. 5
C. 6
D. 7
Answer: B
Conceptual Explanation: HR < 100 (1), Weak cry (1), Some flexion (1), Grimace (1),
Acrocyanosis (1). Total = 5.
5. Which assessment finding in a client receiving magnesium sulfate requires immediate
notification of the provider?
A. Blood pressure of 140/90 mmHg
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL/hr
D. Respiratory rate of 10 breaths/min
Answer: D
Conceptual Explanation: Magnesium sulfate is a CNS depressant. A respiratory rate below
12 breaths/min indicates toxicity and respiratory depression.
