NUR2513 MATERNAL-CHILD NURSING
COMPREHENSIVE EXAM 2 QUESTIONS
AND ANSWERS 100% VERIFIED BY
EXPERTS. 2026/2027
1. A nurse is caring for a client at 34 weeks gestation who is receiving magnesium sulfate for
preeclampsia. Which finding should the nurse report to the provider immediately?
A. Respiratory rate of 10 breaths per minute
B. Deep tendon reflexes of 2+
C. Urine output of 40 mL per hour
D. Serum magnesium level of 6 mg/dL
Answer: A
Conceptual Explanation: A respiratory rate below 12/min is a sign of magnesium toxicity.
Normal therapeutic levels are 4-7 mg/dL, DTR 2+ is normal, and urine output should be at
least 30 mL/hr.
2. A patient at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
diagnostic procedure should the nurse anticipate?
A. Digital vaginal examination
B. Transabdominal ultrasound
,C. Contraction stress test
D. Internal fetal monitoring
Answer: B
Conceptual Explanation: Painless bright red bleeding suggests placenta previa. A digital
exam is contraindicated until ultrasound confirms placental location to avoid causing
severe hemorrhage.
3. The nurse notes late decelerations on the fetal heart rate monitor. Which action is the
priority?
A. Administer oxygen at 8-10 L/min via non-rebreather mask
B. Assist the patient into a supine position
C. Increase the IV oxytocin rate
D. Perform a scalp pH test
Answer: A
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. Priority
actions include repositioning to side-lying, stopping oxytocin, and administering oxygen.
4. At 1 minute after birth, a newborn has a heart rate of 110 bpm, a weak cry, some flexion of
extremities, grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 6
, B. 5
C. 7
D. 8
Answer: A
Conceptual Explanation: HR (2), Cry/Effort (1), Muscle Tone (1), Reflex Irritability (1),
Color (1) = 6.
5. A postpartum nurse is assessing a client 2 hours after delivery. The fundus is boggy and
displaced to the right. Which action should the nurse take first?
A. Massage the fundus until firm
B. Administer methylergonovine
C. Notify the provider of potential hemorrhage
D. Assist the client to the bathroom to void
Answer: D
Conceptual Explanation: A displaced fundus to the right usually indicates a full bladder,
which prevents the uterus from contracting. Emptying the bladder is the first step.
6. A nurse is teaching a parent of a child with Tetralogy of Fallot. Which position should the
nurse instruct the parent to use during a hypercyanotic (‘Tet’) spell?
A. Trendelenburg
B. Prone
COMPREHENSIVE EXAM 2 QUESTIONS
AND ANSWERS 100% VERIFIED BY
EXPERTS. 2026/2027
1. A nurse is caring for a client at 34 weeks gestation who is receiving magnesium sulfate for
preeclampsia. Which finding should the nurse report to the provider immediately?
A. Respiratory rate of 10 breaths per minute
B. Deep tendon reflexes of 2+
C. Urine output of 40 mL per hour
D. Serum magnesium level of 6 mg/dL
Answer: A
Conceptual Explanation: A respiratory rate below 12/min is a sign of magnesium toxicity.
Normal therapeutic levels are 4-7 mg/dL, DTR 2+ is normal, and urine output should be at
least 30 mL/hr.
2. A patient at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
diagnostic procedure should the nurse anticipate?
A. Digital vaginal examination
B. Transabdominal ultrasound
,C. Contraction stress test
D. Internal fetal monitoring
Answer: B
Conceptual Explanation: Painless bright red bleeding suggests placenta previa. A digital
exam is contraindicated until ultrasound confirms placental location to avoid causing
severe hemorrhage.
3. The nurse notes late decelerations on the fetal heart rate monitor. Which action is the
priority?
A. Administer oxygen at 8-10 L/min via non-rebreather mask
B. Assist the patient into a supine position
C. Increase the IV oxytocin rate
D. Perform a scalp pH test
Answer: A
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. Priority
actions include repositioning to side-lying, stopping oxytocin, and administering oxygen.
4. At 1 minute after birth, a newborn has a heart rate of 110 bpm, a weak cry, some flexion of
extremities, grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 6
, B. 5
C. 7
D. 8
Answer: A
Conceptual Explanation: HR (2), Cry/Effort (1), Muscle Tone (1), Reflex Irritability (1),
Color (1) = 6.
5. A postpartum nurse is assessing a client 2 hours after delivery. The fundus is boggy and
displaced to the right. Which action should the nurse take first?
A. Massage the fundus until firm
B. Administer methylergonovine
C. Notify the provider of potential hemorrhage
D. Assist the client to the bathroom to void
Answer: D
Conceptual Explanation: A displaced fundus to the right usually indicates a full bladder,
which prevents the uterus from contracting. Emptying the bladder is the first step.
6. A nurse is teaching a parent of a child with Tetralogy of Fallot. Which position should the
nurse instruct the parent to use during a hypercyanotic (‘Tet’) spell?
A. Trendelenburg
B. Prone
