NUR2513 MATERNAL-NEWBORN
NURSING EXAM 3 QUESTIONS AND
ANSWERS 100% VERIFIED BY
EXPERTS. 2026/2027
1. A patient at 32 weeks gestation is admitted with a diagnosis of severe pre-eclampsia.
Which clinical finding would necessitate immediate notification of the provider?
A. Urinary output of 20 mL/hr over the last 2 hours
B. Deep tendon reflexes (DTR) of 2+
C. Blood pressure of 152/96 mmHg
D. 1+ pitting edema in the lower extremities
Answer: A
Conceptual Explanation: In severe pre-eclampsia, urinary output less than 30 mL/hr
suggests decreasing renal perfusion and potential renal failure or worsening condition. A,
B, and D are expected or less critical findings in this context.
2. The nurse is monitoring a patient receiving an intravenous infusion of Magnesium Sulfate.
Which assessment finding indicates magnesium toxicity?
A. Respiratory rate of 10 breaths per minute
B. Hyperactive patellar reflexes
,C. Fetal heart rate of 140 bpm
D. Presence of Chvostek’s sign
Answer: A
Conceptual Explanation: Magnesium sulfate is a CNS depressant. Signs of toxicity include
respiratory depression (RR <12), loss of DTRs, and decreased consciousness. Chvostek’s
sign is associated with hypocalcemia.
3. A client in the second stage of labor is experiencing late decelerations on the fetal monitor.
What is the priority nursing action?
A. Position the client on her left side
B. Increase the rate of the oxytocin infusion
C. Perform a vaginal exam to check for cord prolapse
D. Prepare for immediate forceps delivery
Answer: A
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority is to maximize blood flow to the placenta by positioning the mother on her side,
followed by oxygen and IV fluids. Oxytocin should be stopped.
4. Which medication should the nurse anticipate administering to a postpartum client
experiencing uterine atony who has a history of asthma?
A. Oxytocin (Pitocin)
, B. Carboprost (Hemabate)
C. Methylergonovine (Methergine)
D. Misoprostol (Cytotec)
Answer: A
Conceptual Explanation: Oxytocin is the first-line treatment for uterine atony. Carboprost
is contraindicated in asthma due to bronchospasm risk, and Methergine is contraindicated
in hypertension. Misoprostol is also used but Oxytocin is priority.
5. A nurse is caring for a newborn with hyperbilirubinemia who is undergoing phototherapy.
Which intervention is most important?
A. Applying lotion to the skin to prevent drying
B. Checking the infant’s temperature every 8 hours
C. Limiting fluid intake to prevent diarrhea
D. Ensuring the infant wears a diaper and eye shields
Answer: D
Conceptual Explanation: Eye shields are critical to protect the retina from high-intensity
light. The infant should be unclothed (except a diaper) to maximize skin exposure.
Temperature should be monitored more frequently than 8 hours.
NURSING EXAM 3 QUESTIONS AND
ANSWERS 100% VERIFIED BY
EXPERTS. 2026/2027
1. A patient at 32 weeks gestation is admitted with a diagnosis of severe pre-eclampsia.
Which clinical finding would necessitate immediate notification of the provider?
A. Urinary output of 20 mL/hr over the last 2 hours
B. Deep tendon reflexes (DTR) of 2+
C. Blood pressure of 152/96 mmHg
D. 1+ pitting edema in the lower extremities
Answer: A
Conceptual Explanation: In severe pre-eclampsia, urinary output less than 30 mL/hr
suggests decreasing renal perfusion and potential renal failure or worsening condition. A,
B, and D are expected or less critical findings in this context.
2. The nurse is monitoring a patient receiving an intravenous infusion of Magnesium Sulfate.
Which assessment finding indicates magnesium toxicity?
A. Respiratory rate of 10 breaths per minute
B. Hyperactive patellar reflexes
,C. Fetal heart rate of 140 bpm
D. Presence of Chvostek’s sign
Answer: A
Conceptual Explanation: Magnesium sulfate is a CNS depressant. Signs of toxicity include
respiratory depression (RR <12), loss of DTRs, and decreased consciousness. Chvostek’s
sign is associated with hypocalcemia.
3. A client in the second stage of labor is experiencing late decelerations on the fetal monitor.
What is the priority nursing action?
A. Position the client on her left side
B. Increase the rate of the oxytocin infusion
C. Perform a vaginal exam to check for cord prolapse
D. Prepare for immediate forceps delivery
Answer: A
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority is to maximize blood flow to the placenta by positioning the mother on her side,
followed by oxygen and IV fluids. Oxytocin should be stopped.
4. Which medication should the nurse anticipate administering to a postpartum client
experiencing uterine atony who has a history of asthma?
A. Oxytocin (Pitocin)
, B. Carboprost (Hemabate)
C. Methylergonovine (Methergine)
D. Misoprostol (Cytotec)
Answer: A
Conceptual Explanation: Oxytocin is the first-line treatment for uterine atony. Carboprost
is contraindicated in asthma due to bronchospasm risk, and Methergine is contraindicated
in hypertension. Misoprostol is also used but Oxytocin is priority.
5. A nurse is caring for a newborn with hyperbilirubinemia who is undergoing phototherapy.
Which intervention is most important?
A. Applying lotion to the skin to prevent drying
B. Checking the infant’s temperature every 8 hours
C. Limiting fluid intake to prevent diarrhea
D. Ensuring the infant wears a diaper and eye shields
Answer: D
Conceptual Explanation: Eye shields are critical to protect the retina from high-intensity
light. The infant should be unclothed (except a diaper) to maximize skin exposure.
Temperature should be monitored more frequently than 8 hours.
