NUR2513 MIDTERM EXAM:
MATERNAL-CHILD NURSING
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A nurse is assessing a client who is at 34 weeks of gestation and reports a sudden gush of
vaginal fluid. Which of the following tests should the nurse perform to confirm the rupture of
membranes?
A. Urine dipstick for protein
B. Cervical cultures for GBS
C. Leopold maneuvers
D. Nitrazine paper test
Answer: D
Conceptual Explanation: Nitrazine paper is used to detect the presence of amniotic fluid,
which is alkaline (pH 7.0-7.5), causing the paper to turn blue. Urine is typically acidic.
2. A nurse is caring for a client who is in the first stage of labor and observes late
decelerations on the fetal monitor. Which of the following actions should the nurse take
first?
A. Increase the rate of the oxytocin infusion
,B. Assist the client into a lateral position
C. Prepare for an immediate forceps delivery
D. Perform a vaginal exam to check for cord prolapse
Answer: B
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority is to improve oxygenation to the fetus by repositioning the mother to a side-lying
position.
3. A client is 6 hours postpartum following a vaginal delivery. The nurse notes that the fundus
is firm, two fingerbreadths above the umbilicus, and deviated to the right. What is the most
likely cause?
A. Bladder distention
B. Retained placental fragments
C. Uterine atony
D. Normal physiological transition
Answer: A
Conceptual Explanation: A distended bladder can push the uterus up and to the side
(usually the right), which interferes with uterine contraction and increases the risk of
hemorrhage.
, 4. A nurse is providing discharge teaching to the parents of a newborn. Which of the
following instructions should the nurse include regarding SIDS prevention?
A. Place the infant in a prone position for sleep
B. Use a soft mattress with several blankets
C. Place the infant on a firm sleep surface in a supine position
D. Keep the infant’s room temperature very warm
Answer: C
Conceptual Explanation: To prevent Sudden Infant Death Syndrome (SIDS), infants
should always be placed on their backs (supine) on a firm surface free of loose bedding or
toys.
5. A nurse is assessing a child with suspected epiglottitis. Which of the following clinical
findings is a hallmark sign of this condition?
A. Barking, brassy cough
B. Drooling and difficulty swallowing
C. Low-grade fever and runny nose
D. Hyperresonance on percussion
Answer: B
Conceptual Explanation: Epiglottitis is a medical emergency characterized by the ‘four
Ds’: Drooling, Dysphagia, Dysphonia, and Distressed inspiratory efforts.
MATERNAL-CHILD NURSING
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A nurse is assessing a client who is at 34 weeks of gestation and reports a sudden gush of
vaginal fluid. Which of the following tests should the nurse perform to confirm the rupture of
membranes?
A. Urine dipstick for protein
B. Cervical cultures for GBS
C. Leopold maneuvers
D. Nitrazine paper test
Answer: D
Conceptual Explanation: Nitrazine paper is used to detect the presence of amniotic fluid,
which is alkaline (pH 7.0-7.5), causing the paper to turn blue. Urine is typically acidic.
2. A nurse is caring for a client who is in the first stage of labor and observes late
decelerations on the fetal monitor. Which of the following actions should the nurse take
first?
A. Increase the rate of the oxytocin infusion
,B. Assist the client into a lateral position
C. Prepare for an immediate forceps delivery
D. Perform a vaginal exam to check for cord prolapse
Answer: B
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority is to improve oxygenation to the fetus by repositioning the mother to a side-lying
position.
3. A client is 6 hours postpartum following a vaginal delivery. The nurse notes that the fundus
is firm, two fingerbreadths above the umbilicus, and deviated to the right. What is the most
likely cause?
A. Bladder distention
B. Retained placental fragments
C. Uterine atony
D. Normal physiological transition
Answer: A
Conceptual Explanation: A distended bladder can push the uterus up and to the side
(usually the right), which interferes with uterine contraction and increases the risk of
hemorrhage.
, 4. A nurse is providing discharge teaching to the parents of a newborn. Which of the
following instructions should the nurse include regarding SIDS prevention?
A. Place the infant in a prone position for sleep
B. Use a soft mattress with several blankets
C. Place the infant on a firm sleep surface in a supine position
D. Keep the infant’s room temperature very warm
Answer: C
Conceptual Explanation: To prevent Sudden Infant Death Syndrome (SIDS), infants
should always be placed on their backs (supine) on a firm surface free of loose bedding or
toys.
5. A nurse is assessing a child with suspected epiglottitis. Which of the following clinical
findings is a hallmark sign of this condition?
A. Barking, brassy cough
B. Drooling and difficulty swallowing
C. Low-grade fever and runny nose
D. Hyperresonance on percussion
Answer: B
Conceptual Explanation: Epiglottitis is a medical emergency characterized by the ‘four
Ds’: Drooling, Dysphagia, Dysphonia, and Distressed inspiratory efforts.
