Final Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 2026/2027 | Page 1 | Passing Score: 80%
RASMUSSEN COLLEGE
Final Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child
Nursing Exam |
Questions and Verified Answers| Graded A - Rasmussen 2026/2027
MATERNAL-CHILD NURSING · Official Exam 2026/2027
100 80% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Antepartum Nursing Care Q1-Q20
Section 2 Intrapartum Nursing Care Q21-Q40
Section 3 Postpartum Nursing Care Q41-Q60
Section 4 Newborn Nursing Care Q61-Q80
Section 5 Pediatric Nursing Care Q81-Q100
Instructions: Select the single best answer for each question. This exam is designed for NUR2513 Maternal-Child Nursing final exam
preparation. Passing score: 80% (80 questions correct).
al Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 - 2026/2027 | Passing Score: 80% | Page 1 o
,artum Nursing Care | Q1-Q20 | Final Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen
Q1 Question 1 of 100
A 28-year-old pregnant client at 12 weeks gestation presents to the prenatal clinic with complaints of
severe nausea and vomiting occurring daily. She has lost 3 pounds since her last visit and reports
difficulty keeping any food or fluids down. The nurse recognizes these findings are most consistent with
which condition?
A. Hyperemesis gravidarum
B. Morning sickness
C. Gestational diabetes
D. Preeclampsia
Correct Answer: A
Rationale:
Hyperemesis gravidarum is characterized by persistent, severe nausea and vomiting leading to weight loss and
dehydration, distinguishing it from typical morning sickness. Preeclampsia typically presents after 20 weeks with
hypertension and proteinuria, not nausea and vomiting.
Q2 Question 2 of 100
A pregnant client at 16 weeks gestation undergoes a maternal serum alpha-fetoprotein (MSAFP) test.
The results show an elevated MSAFP level. The nurse understands that an elevated MSAFP is most
associated with which fetal condition?
A. Neural tube defects
B. Down syndrome
C. Cystic fibrosis
D. Turner syndrome
Correct Answer: A
Rationale:
Elevated MSAFP is most associated with open neural tube defects such as spina bifida and anencephaly. Down
syndrome is typically associated with decreased MSAFP levels, not elevated ones.
al Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 - 2026/2027 | Passing Score: 80% | Page 2 o
, Q3 Question 3 of 100
A 32-year-old client at 20 weeks gestation is diagnosed with gestational hypertension after two
consecutive blood pressure readings of 142/92 mmHg. The nurse identifies that gestational hypertension
is characterized by which key feature?
A. Hypertension without proteinuria
B. Proteinuria after 20 weeks
C. Seizure activity
D. Hyperreflexia
Correct Answer: A
Rationale:
Gestational hypertension is defined as elevated blood pressure after 20 weeks gestation without proteinuria. When
proteinuria develops, the diagnosis changes to preeclampsia. Seizure activity indicates eclampsia.
Q4 Question 4 of 100
A client at 8 weeks gestation asks the nurse about the purpose of the first-trimester screening panel. The
nurse explains that this panel is primarily used to assess the risk of which condition?
A. Chromosomal abnormalities such as trisomy 21
B. Gestational diabetes mellitus
C. Placenta previa
D. Preterm labor
Correct Answer: A
Rationale:
First-trimester screening combines nuchal translucency ultrasound with maternal serum markers (beta-hCG and
PAPP-A) to assess risk for chromosomal abnormalities including trisomy 21. Gestational diabetes screening occurs
later, typically at 24-28 weeks.
Q5 Question 5 of 100
A pregnant client at 24 weeks gestation reports burning on urination and frequent trips to the bathroom. A
urine culture confirms a urinary tract infection. The nurse understands that untreated UTIs in pregnancy
most significantly increase the risk of which complication?
A. Preterm labor and pyelonephritis
B. Gestational diabetes
C. Placental abruption
D. Cholestasis of pregnancy
Correct Answer: A
Rationale:
Untreated UTIs in pregnancy can ascend to the kidneys causing pyelonephritis and are strongly associated with
preterm labor. Gestational diabetes is related to glucose metabolism, not urinary infections.
al Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 - 2026/2027 | Passing Score: 80% | Page 3 o
, Q6 Question 6 of 100
A client at 10 weeks gestation has a hemoglobin level of 10.2 g/dL. The nurse recognizes this lab value
as indicative of physiologic anemia of pregnancy. The nurse understands that this occurs primarily
because of which physiological change?
A. Disproportionate increase in plasma volume compared to red blood cell mass
B. Decreased iron absorption in the gastrointestinal tract
C. Increased destruction of red blood cells by the spleen
D. Reduced erythropoietin production during pregnancy
Correct Answer: A
Rationale:
Physiologic anemia of pregnancy occurs because plasma volume expands by approximately 50% while red blood
cell mass increases by only about 25%, creating a dilutional effect. Iron absorption actually increases during
pregnancy to support fetal needs.
Q7 Question 7 of 100
A pregnant client at 28 weeks gestation calls the clinic reporting decreased fetal movement for the past
24 hours. The nurse instructs the client to perform a kick count and explains that a reassuring result is at
least how many movements in a two-hour period?
A. 3 movements
B. 6 movements
C. 10 movements
D. 15 movements
Correct Answer: C
Rationale:
A reassuring kick count is at least 10 fetal movements within a two-hour period. Fewer than 10 movements in two
hours warrants further evaluation, as decreased fetal movement may indicate fetal compromise.
Q8 Question 8 of 100
A client at 35 weeks gestation presents with sudden onset of bright red, painless vaginal bleeding. The
nurse suspects placenta previa and understands that the priority nursing action is which of the following?
A. Perform a vaginal examination to assess cervical dilation
B. Prepare for immediate cesarean delivery
C. Assess fetal heart rate and maternal vital signs
D. Administer oxytocin to induce labor
Correct Answer: C
Rationale:
The priority is to assess fetal heart rate and maternal vital signs to evaluate the well-being of both the mother and
fetus. Vaginal examination is strictly contraindicated with suspected placenta previa, as it can precipitate catastrophic
hemorrhage.
al Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 - 2026/2027 | Passing Score: 80% | Page 4 o
RASMUSSEN COLLEGE
Final Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child
Nursing Exam |
Questions and Verified Answers| Graded A - Rasmussen 2026/2027
MATERNAL-CHILD NURSING · Official Exam 2026/2027
100 80% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Antepartum Nursing Care Q1-Q20
Section 2 Intrapartum Nursing Care Q21-Q40
Section 3 Postpartum Nursing Care Q41-Q60
Section 4 Newborn Nursing Care Q61-Q80
Section 5 Pediatric Nursing Care Q81-Q100
Instructions: Select the single best answer for each question. This exam is designed for NUR2513 Maternal-Child Nursing final exam
preparation. Passing score: 80% (80 questions correct).
al Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 - 2026/2027 | Passing Score: 80% | Page 1 o
,artum Nursing Care | Q1-Q20 | Final Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen
Q1 Question 1 of 100
A 28-year-old pregnant client at 12 weeks gestation presents to the prenatal clinic with complaints of
severe nausea and vomiting occurring daily. She has lost 3 pounds since her last visit and reports
difficulty keeping any food or fluids down. The nurse recognizes these findings are most consistent with
which condition?
A. Hyperemesis gravidarum
B. Morning sickness
C. Gestational diabetes
D. Preeclampsia
Correct Answer: A
Rationale:
Hyperemesis gravidarum is characterized by persistent, severe nausea and vomiting leading to weight loss and
dehydration, distinguishing it from typical morning sickness. Preeclampsia typically presents after 20 weeks with
hypertension and proteinuria, not nausea and vomiting.
Q2 Question 2 of 100
A pregnant client at 16 weeks gestation undergoes a maternal serum alpha-fetoprotein (MSAFP) test.
The results show an elevated MSAFP level. The nurse understands that an elevated MSAFP is most
associated with which fetal condition?
A. Neural tube defects
B. Down syndrome
C. Cystic fibrosis
D. Turner syndrome
Correct Answer: A
Rationale:
Elevated MSAFP is most associated with open neural tube defects such as spina bifida and anencephaly. Down
syndrome is typically associated with decreased MSAFP levels, not elevated ones.
al Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 - 2026/2027 | Passing Score: 80% | Page 2 o
, Q3 Question 3 of 100
A 32-year-old client at 20 weeks gestation is diagnosed with gestational hypertension after two
consecutive blood pressure readings of 142/92 mmHg. The nurse identifies that gestational hypertension
is characterized by which key feature?
A. Hypertension without proteinuria
B. Proteinuria after 20 weeks
C. Seizure activity
D. Hyperreflexia
Correct Answer: A
Rationale:
Gestational hypertension is defined as elevated blood pressure after 20 weeks gestation without proteinuria. When
proteinuria develops, the diagnosis changes to preeclampsia. Seizure activity indicates eclampsia.
Q4 Question 4 of 100
A client at 8 weeks gestation asks the nurse about the purpose of the first-trimester screening panel. The
nurse explains that this panel is primarily used to assess the risk of which condition?
A. Chromosomal abnormalities such as trisomy 21
B. Gestational diabetes mellitus
C. Placenta previa
D. Preterm labor
Correct Answer: A
Rationale:
First-trimester screening combines nuchal translucency ultrasound with maternal serum markers (beta-hCG and
PAPP-A) to assess risk for chromosomal abnormalities including trisomy 21. Gestational diabetes screening occurs
later, typically at 24-28 weeks.
Q5 Question 5 of 100
A pregnant client at 24 weeks gestation reports burning on urination and frequent trips to the bathroom. A
urine culture confirms a urinary tract infection. The nurse understands that untreated UTIs in pregnancy
most significantly increase the risk of which complication?
A. Preterm labor and pyelonephritis
B. Gestational diabetes
C. Placental abruption
D. Cholestasis of pregnancy
Correct Answer: A
Rationale:
Untreated UTIs in pregnancy can ascend to the kidneys causing pyelonephritis and are strongly associated with
preterm labor. Gestational diabetes is related to glucose metabolism, not urinary infections.
al Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 - 2026/2027 | Passing Score: 80% | Page 3 o
, Q6 Question 6 of 100
A client at 10 weeks gestation has a hemoglobin level of 10.2 g/dL. The nurse recognizes this lab value
as indicative of physiologic anemia of pregnancy. The nurse understands that this occurs primarily
because of which physiological change?
A. Disproportionate increase in plasma volume compared to red blood cell mass
B. Decreased iron absorption in the gastrointestinal tract
C. Increased destruction of red blood cells by the spleen
D. Reduced erythropoietin production during pregnancy
Correct Answer: A
Rationale:
Physiologic anemia of pregnancy occurs because plasma volume expands by approximately 50% while red blood
cell mass increases by only about 25%, creating a dilutional effect. Iron absorption actually increases during
pregnancy to support fetal needs.
Q7 Question 7 of 100
A pregnant client at 28 weeks gestation calls the clinic reporting decreased fetal movement for the past
24 hours. The nurse instructs the client to perform a kick count and explains that a reassuring result is at
least how many movements in a two-hour period?
A. 3 movements
B. 6 movements
C. 10 movements
D. 15 movements
Correct Answer: C
Rationale:
A reassuring kick count is at least 10 fetal movements within a two-hour period. Fewer than 10 movements in two
hours warrants further evaluation, as decreased fetal movement may indicate fetal compromise.
Q8 Question 8 of 100
A client at 35 weeks gestation presents with sudden onset of bright red, painless vaginal bleeding. The
nurse suspects placenta previa and understands that the priority nursing action is which of the following?
A. Perform a vaginal examination to assess cervical dilation
B. Prepare for immediate cesarean delivery
C. Assess fetal heart rate and maternal vital signs
D. Administer oxytocin to induce labor
Correct Answer: C
Rationale:
The priority is to assess fetal heart rate and maternal vital signs to evaluate the well-being of both the mother and
fetus. Vaginal examination is strictly contraindicated with suspected placenta previa, as it can precipitate catastrophic
hemorrhage.
al Exam: NUR2513/ NUR 2513 (Latest 2026/2027) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen 2026/2027 - 2026/2027 | Passing Score: 80% | Page 4 o
