NUR2513 MATERNAL-CHILD NURSING
FINAL EXAM QUESTIONS AND
ANSWERS 100% VERIFIED BY
EXPERTS. 2026/2027
1. A nurse is performing a physical assessment on a client who is at 38 weeks of gestation.
Which of the following findings should the nurse report to the provider immediately?
A. Periodic numbness in the fingers
B. Dependent edema of the ankles
C. Increased vaginal discharge
D. Epigastric pain and headache
Answer: D
Conceptual Explanation: Epigastric pain and headache are warning signs of preeclampsia
or HELLP syndrome, indicating potential liver involvement or cerebral edema, and require
immediate medical intervention.
2. A nurse is caring for a client receiving magnesium sulfate IV for preeclampsia. Which of the
following findings is the priority to report?
A. Deep tendon reflexes of 2+
B. Urinary output of 40 mL/hr
,C. Feeling of generalized warmth
D. Respiratory rate of 10/min
Answer: D
Conceptual Explanation: A respiratory rate below 12/min is a sign of magnesium toxicity.
The nurse must stop the infusion and notify the provider.
3. A client at 32 weeks of gestation presents with painless, bright red vaginal bleeding. Which
of the following actions should the nurse avoid?
A. Applying an external fetal monitor
B. Obtaining a blood sample for H&H
C. Performing a sterile vaginal exam
D. Administering IV fluids
Answer: C
Conceptual Explanation: Painless bright red bleeding suggests placenta previa. Vaginal
exams are contraindicated as they can cause severe hemorrhage by perforating the
placenta.
4. A nurse is monitoring a fetal heart rate (FHR) tracing and notes late decelerations. Which of
the following is the priority nursing action?
A. Increase the IV oxytocin infusion rate
B. Apply oxygen at 10 L/min via nonrebreather mask
, C. Assist the client into a supine position
D. Encourage the client to push with the next contraction
Answer: B
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. Priority
actions include lateral positioning, oxygen administration, and discontinuing oxytocin.
5. A client is in the transition phase of the first stage of labor. Which of the following
behavioral changes should the nurse expect?
A. Increased sociability and talkativeness
B. Calmness and regular breathing patterns
C. Urge to push and irritability
D. Decreased sensitivity to touch
Answer: C
Conceptual Explanation: Transition (8-10 cm) is characterized by intense contractions,
irritability, nausea, and an early urge to push.
6. A nurse is caring for a postpartum client 2 hours after delivery. The fundus is boggy and
displaced to the right. Which action should the nurse take first?
A. Assist the client to the bathroom to void
B. Administer methylergonovine
C. Massage the fundus until firm
FINAL EXAM QUESTIONS AND
ANSWERS 100% VERIFIED BY
EXPERTS. 2026/2027
1. A nurse is performing a physical assessment on a client who is at 38 weeks of gestation.
Which of the following findings should the nurse report to the provider immediately?
A. Periodic numbness in the fingers
B. Dependent edema of the ankles
C. Increased vaginal discharge
D. Epigastric pain and headache
Answer: D
Conceptual Explanation: Epigastric pain and headache are warning signs of preeclampsia
or HELLP syndrome, indicating potential liver involvement or cerebral edema, and require
immediate medical intervention.
2. A nurse is caring for a client receiving magnesium sulfate IV for preeclampsia. Which of the
following findings is the priority to report?
A. Deep tendon reflexes of 2+
B. Urinary output of 40 mL/hr
,C. Feeling of generalized warmth
D. Respiratory rate of 10/min
Answer: D
Conceptual Explanation: A respiratory rate below 12/min is a sign of magnesium toxicity.
The nurse must stop the infusion and notify the provider.
3. A client at 32 weeks of gestation presents with painless, bright red vaginal bleeding. Which
of the following actions should the nurse avoid?
A. Applying an external fetal monitor
B. Obtaining a blood sample for H&H
C. Performing a sterile vaginal exam
D. Administering IV fluids
Answer: C
Conceptual Explanation: Painless bright red bleeding suggests placenta previa. Vaginal
exams are contraindicated as they can cause severe hemorrhage by perforating the
placenta.
4. A nurse is monitoring a fetal heart rate (FHR) tracing and notes late decelerations. Which of
the following is the priority nursing action?
A. Increase the IV oxytocin infusion rate
B. Apply oxygen at 10 L/min via nonrebreather mask
, C. Assist the client into a supine position
D. Encourage the client to push with the next contraction
Answer: B
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. Priority
actions include lateral positioning, oxygen administration, and discontinuing oxytocin.
5. A client is in the transition phase of the first stage of labor. Which of the following
behavioral changes should the nurse expect?
A. Increased sociability and talkativeness
B. Calmness and regular breathing patterns
C. Urge to push and irritability
D. Decreased sensitivity to touch
Answer: C
Conceptual Explanation: Transition (8-10 cm) is characterized by intense contractions,
irritability, nausea, and an early urge to push.
6. A nurse is caring for a postpartum client 2 hours after delivery. The fundus is boggy and
displaced to the right. Which action should the nurse take first?
A. Assist the client to the bathroom to void
B. Administer methylergonovine
C. Massage the fundus until firm
