==============================
NUR2513 Maternal-Child Nursing Final Exam
EXAM TITLE:
Questions | 100% Correct Answers with Detailed Rationales
(2026/2027 Edition)
==============================
SECTION 1: Antepartum Nursing Care
Question 1
A client at 28 weeks gestation reports persistent headaches, visual disturbances, and
sudden weight gain. Her blood pressure is 158/96 mmHg, and urine dipstick shows 2+
protein. Which action should the nurse prioritize?
A. Instruct the client to rest in the left lateral position and schedule a follow-up
appointment in one week.
B. Notify the healthcare provider immediately and prepare for possible magnesium
sulfate administration.
C. Reassure the client that these are normal third-trimester discomforts and
recommend increased fluid intake.
D. Administer a diuretic as ordered and teach the client about sodium restriction.
Correct Answer: B
Rationale: The client is exhibiting classic signs of preeclampsia (hypertension,
proteinuria, headache, visual disturbances, and rapid weight gain indicating edema).
This is a high-risk obstetric emergency requiring immediate provider notification.
Magnesium sulfate is the anticonvulsant of choice for seizure prophylaxis in severe
,preeclampsia. Option A delays necessary intervention. Option C minimizes serious
symptoms. Option D is inappropriate as diuretics are contraindicated in preeclampsia
due to further reduction of plasma volume.
Question 2
A nurse is counseling a client about foods high in folic acid during the preconception
period. Which food should the nurse recommend as the best source?
A. Whole milk and cheddar cheese
B. Fortified breakfast cereals and dark leafy greens
C. Lean beef and chicken breast
D. Bananas and orange juice
Correct Answer: B
Rationale: Folic acid is essential for neural tube development and prevention of neural
tube defects. The best dietary sources include fortified grains and cereals, dark leafy
greens (spinach, kale), legumes, and citrus fruits. While orange juice contains some
folate, fortified cereals and leafy greens provide the highest bioavailable concentrations.
Options A, C, and D are not optimal primary sources of folic acid.
Question 3
,A pregnant client at 18 weeks gestation asks the nurse why she feels lightheaded when
lying flat on her back. Which physiological explanation should the nurse provide?
A. The enlarged uterus compresses the inferior vena cava, reducing venous return and
cardiac output.
B. Increased progesterone causes vasodilation and pooling of blood in the lower
extremities.
C. The growing fetus diverts maternal blood flow away from the brain to the placenta.
D. Supine positioning triggers a sympathetic nervous system response that lowers
blood pressure.
Correct Answer: A
Rationale: Supine hypotensive syndrome occurs when the gravid uterus compresses the
inferior vena cava and aorta in the supine position, typically after 20 weeks gestation.
This compression reduces venous return, cardiac output, and subsequently blood
pressure, causing dizziness and pallor. The nurse should instruct the client to avoid
supine positions and lie on her left side to promote venous return. Option B describes a
different physiological change. Option C is inaccurate. Option D describes an incorrect
mechanism.
Question 4
During a prenatal visit, a client reports that her partner has been physically abusive
during this pregnancy. Which is the nurse's priority intervention?
A. Contact child protective services to report potential risk to the unborn child.
B. Assess the client's immediate safety and develop a discreet safety plan.
, C. Advise the client to leave the relationship immediately to protect herself and the
baby.
D. Document the findings and inform the healthcare provider at the next scheduled visit.
Correct Answer: B
Rationale: The priority nursing intervention when intimate partner violence (IPV) is
disclosed is to assess immediate safety and collaborate with the client to develop a
safety plan. Pregnancy is a high-risk period for IPV escalation. The nurse must provide
nonjudgmental support, validate the client's experience, and offer resources without
forcing action. Option A may be required later but is not the immediate priority. Option C
may place the client at greater risk if she is not ready. Option D delays critical
intervention.
Question 5
A nurse is reviewing the laboratory results of a pregnant client at 24 weeks gestation.
Which finding requires immediate follow-up?
A. Hemoglobin 11.2 g/dL
B. White blood cell count 12,500/mm³
C. Blood glucose level 165 mg/dL one hour after a 50-g glucose load
D. Platelet count 180,000/mm³
Correct Answer: C
NUR2513 Maternal-Child Nursing Final Exam
EXAM TITLE:
Questions | 100% Correct Answers with Detailed Rationales
(2026/2027 Edition)
==============================
SECTION 1: Antepartum Nursing Care
Question 1
A client at 28 weeks gestation reports persistent headaches, visual disturbances, and
sudden weight gain. Her blood pressure is 158/96 mmHg, and urine dipstick shows 2+
protein. Which action should the nurse prioritize?
A. Instruct the client to rest in the left lateral position and schedule a follow-up
appointment in one week.
B. Notify the healthcare provider immediately and prepare for possible magnesium
sulfate administration.
C. Reassure the client that these are normal third-trimester discomforts and
recommend increased fluid intake.
D. Administer a diuretic as ordered and teach the client about sodium restriction.
Correct Answer: B
Rationale: The client is exhibiting classic signs of preeclampsia (hypertension,
proteinuria, headache, visual disturbances, and rapid weight gain indicating edema).
This is a high-risk obstetric emergency requiring immediate provider notification.
Magnesium sulfate is the anticonvulsant of choice for seizure prophylaxis in severe
,preeclampsia. Option A delays necessary intervention. Option C minimizes serious
symptoms. Option D is inappropriate as diuretics are contraindicated in preeclampsia
due to further reduction of plasma volume.
Question 2
A nurse is counseling a client about foods high in folic acid during the preconception
period. Which food should the nurse recommend as the best source?
A. Whole milk and cheddar cheese
B. Fortified breakfast cereals and dark leafy greens
C. Lean beef and chicken breast
D. Bananas and orange juice
Correct Answer: B
Rationale: Folic acid is essential for neural tube development and prevention of neural
tube defects. The best dietary sources include fortified grains and cereals, dark leafy
greens (spinach, kale), legumes, and citrus fruits. While orange juice contains some
folate, fortified cereals and leafy greens provide the highest bioavailable concentrations.
Options A, C, and D are not optimal primary sources of folic acid.
Question 3
,A pregnant client at 18 weeks gestation asks the nurse why she feels lightheaded when
lying flat on her back. Which physiological explanation should the nurse provide?
A. The enlarged uterus compresses the inferior vena cava, reducing venous return and
cardiac output.
B. Increased progesterone causes vasodilation and pooling of blood in the lower
extremities.
C. The growing fetus diverts maternal blood flow away from the brain to the placenta.
D. Supine positioning triggers a sympathetic nervous system response that lowers
blood pressure.
Correct Answer: A
Rationale: Supine hypotensive syndrome occurs when the gravid uterus compresses the
inferior vena cava and aorta in the supine position, typically after 20 weeks gestation.
This compression reduces venous return, cardiac output, and subsequently blood
pressure, causing dizziness and pallor. The nurse should instruct the client to avoid
supine positions and lie on her left side to promote venous return. Option B describes a
different physiological change. Option C is inaccurate. Option D describes an incorrect
mechanism.
Question 4
During a prenatal visit, a client reports that her partner has been physically abusive
during this pregnancy. Which is the nurse's priority intervention?
A. Contact child protective services to report potential risk to the unborn child.
B. Assess the client's immediate safety and develop a discreet safety plan.
, C. Advise the client to leave the relationship immediately to protect herself and the
baby.
D. Document the findings and inform the healthcare provider at the next scheduled visit.
Correct Answer: B
Rationale: The priority nursing intervention when intimate partner violence (IPV) is
disclosed is to assess immediate safety and collaborate with the client to develop a
safety plan. Pregnancy is a high-risk period for IPV escalation. The nurse must provide
nonjudgmental support, validate the client's experience, and offer resources without
forcing action. Option A may be required later but is not the immediate priority. Option C
may place the client at greater risk if she is not ready. Option D delays critical
intervention.
Question 5
A nurse is reviewing the laboratory results of a pregnant client at 24 weeks gestation.
Which finding requires immediate follow-up?
A. Hemoglobin 11.2 g/dL
B. White blood cell count 12,500/mm³
C. Blood glucose level 165 mg/dL one hour after a 50-g glucose load
D. Platelet count 180,000/mm³
Correct Answer: C
