MCN 538 Exam 2 Actual Exam Newest 2026/2027 Complete Questions And Correct Detailed Answers (Verified Answers)

During a prenatal visit, a client in the second trimester reports persistent headaches and blurred vision. Which complication should the nurse suspect and report immediately? A. Gestational diabetes B. Preeclampsia C. Placenta previa D. Hyperemesis gravidarum Answer: B. Preeclampsia A newborn delivered by cesarean section is noted to have nasal flaring, grunting, and intercostal retractions shortly after birth. What is the most likely diagnosis? A. Neonatal sepsis B. Transient tachypnea of the newborn (TTN) C. Meconium aspiration syndrome D. Congenital pneumonia Answer: B. Transient tachypnea of the newborn (TTN) 2 | P a g e The nurse is caring for a laboring client receiving magnesium sulfate for severe preeclampsia. Which assessment finding requires immediate intervention? A. Deep tendon reflexes +2 B. Urinary output 40 mL/hr C. Respiratory rate 10 breaths/min D. Blood pressure 150/96 mmHg Answer: C. Respiratory rate 10 breaths/min A postpartum client 2 days after delivery reports severe perineal pain, difficulty voiding, and a firm, tender swelling in the vulvar area. What complication should the nurse suspect? A. Endometritis B. Perineal hematoma C. Cystitis D. Uterine atony B. Feed the infant breast milk or formula C. Place the infant under a radiant warmer Answer: B. Perineal hematoma The priority nursing intervention for a newborn with hypoglycemia is to: A. Start IV antibiotics D. Monitor blood cultures Answer: B. Feed the infant breast milk or formula Which action is appropriate when performing Leopold’s maneuvers? A. Palpating with fingertips only B. Using firm pressure with the palms to determine fetal position 3 | P a g e C. Having the client in a side-lying position D. Applying a doppler probe simultaneously Answer: B. Using firm pressure with the palms to determine fetal position A client at 34 weeks gestation presents with painless vaginal bleeding. The nurse suspects: A. Placental abruption B. Placenta previa C. Preterm labor D. Ruptured uterus Answer: B. Placenta previa A newborn’s Apgar scores are 4 at 1 minute and 6 at 5 minutes. The nurse’s immediate priority is: A. Begin chest compressions B. Initiate positive pressure ventilation with a bag-mask device C. Administer IV fluids D. Continue routine newborn care Answer: B. Initiate positive pressure ventilation with a bag-mask device Which sign best indicates true labor rather than false labor? A. Contractions felt in the abdomen only B. Contractions decrease with rest C. Cervical dilation and effacement D. Pain relieved by walking Answer: C. Cervical dilation and effacement 4 | P a g e In preparing a teaching plan for a client with gestational diabetes, the nurse should emphasize the importance of: A. Low protein intake B. Frequent blood glucose monitoring C. Avoiding physical activity D. Daily use of diuretics Answer: B. Frequent blood glucose monitoring Which immunization is safe and recommended for administration during pregnancy? A. MMR vaccine B. Varicella vaccine C. Tdap vaccine D. Smallpox vaccine Answer: C. Tdap vaccine A client in active labor suddenly complains of chest pain, dyspnea, and tachycardia. The nurse suspects: A. Amniotic fluid embolism B. Placental abruption C. Eclampsia D. Pulmonary infection Answer: A. Amniotic fluid embolism Which assessment finding suggests effective breastfeeding in a newborn? A. Audible swallowing during feeding B. Minimal weight gain in first week 5 | P a g e C. Sucking with clicking sounds D. Feeding every 8–10 hours only Answer: A. Audible swallowing during feeding A client at 30 weeks reports contractions every 8 minutes. The nurse’s initial action should be to: A. Administer oxytocin B. Encourage oral hydration and bed rest C. Call for immediate cesarean section D. Apply fundal pressure Answer: B. Encourage oral hydration and bed rest What is the primary purpose of administering betamethasone to a pregnant woman at 28 weeks with preterm labor? A. Stimulate uterine contractions B. Enhance fetal lung maturity C. Reduce maternal hypertension D. Prevent gestational diabetes Answer: B. Enhance fetal lung maturity Which newborn assessment finding requires immediate intervention? A. Acrocyanosis of hands and feet B. Respiratory rate of 72 with grunting C. Irregular heart rate of 120 D. Startle reflex present Answer: B. Respiratory rate of 72 with grunting