NUR2513 MATERNAL-CHILD NURSING
FINAL EXAM PREPARATION
1. A nurse is assessing a client at 34 weeks gestation who presents with painless, bright red
vaginal bleeding. Which condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Ectopic pregnancy
Answer: B
Conceptual Explanation: Placenta previa is characterized by painless, bright red vaginal
bleeding in the second or third trimester. Abruptio placentae involves painful, dark red
bleeding.
2. A client in labor is receiving a magnesium sulfate infusion for preeclampsia. Which finding
should the nurse report to the provider immediately?
A. Blood pressure of 150/95 mmHg
B. 1+ deep tendon reflexes
,C. Urinary output of 40 mL/hr
D. Respiratory rate of 10/min
Answer: D
Conceptual Explanation: A respiratory rate below 12/min is a sign of magnesium toxicity.
Other signs include loss of deep tendon reflexes and decreased urinary output.
3. The nurse observes late decelerations on the fetal heart rate monitor. Which is the priority
nursing intervention?
A. Assist the client into a knee-chest position
B. Perform a vaginal exam to check for cord prolapse
C. Increase the rate of the maintenance IV fluids
D. Administer oxygen via non-rebreather mask at 8-10 L/min
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. Priority
interventions include turning the client to their side, increasing IV fluids, and administering
oxygen.
4. A nurse is caring for a postpartum client who is experiencing uterine atony. Which
medication should the nurse expect to administer first?
A. Terbutaline
B. Oxytocin
, C. Magnesium sulfate
D. Nifedipine
Answer: B
Conceptual Explanation: Oxytocin is the first-line medication used to stimulate uterine
contractions and treat uterine atony to prevent postpartum hemorrhage.
5. An infant is born with an APGAR score of 3 at one minute. What is the immediate priority
for the nurse?
A. Begin neonatal resuscitation
B. Assign the five-minute APGAR score
C. Place the infant skin-to-skin with the mother
D. Dry the infant and provide a warm blanket
Answer: A
Conceptual Explanation: An APGAR score of 0-3 indicates severe distress and requires
immediate resuscitation interventions.
6. Which assessment finding in a newborn should be reported to the provider as a potential
sign of hypoglycemia?
A. Acrocyanosis
B. Jitteriness
C. Milia
FINAL EXAM PREPARATION
1. A nurse is assessing a client at 34 weeks gestation who presents with painless, bright red
vaginal bleeding. Which condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Ectopic pregnancy
Answer: B
Conceptual Explanation: Placenta previa is characterized by painless, bright red vaginal
bleeding in the second or third trimester. Abruptio placentae involves painful, dark red
bleeding.
2. A client in labor is receiving a magnesium sulfate infusion for preeclampsia. Which finding
should the nurse report to the provider immediately?
A. Blood pressure of 150/95 mmHg
B. 1+ deep tendon reflexes
,C. Urinary output of 40 mL/hr
D. Respiratory rate of 10/min
Answer: D
Conceptual Explanation: A respiratory rate below 12/min is a sign of magnesium toxicity.
Other signs include loss of deep tendon reflexes and decreased urinary output.
3. The nurse observes late decelerations on the fetal heart rate monitor. Which is the priority
nursing intervention?
A. Assist the client into a knee-chest position
B. Perform a vaginal exam to check for cord prolapse
C. Increase the rate of the maintenance IV fluids
D. Administer oxygen via non-rebreather mask at 8-10 L/min
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. Priority
interventions include turning the client to their side, increasing IV fluids, and administering
oxygen.
4. A nurse is caring for a postpartum client who is experiencing uterine atony. Which
medication should the nurse expect to administer first?
A. Terbutaline
B. Oxytocin
, C. Magnesium sulfate
D. Nifedipine
Answer: B
Conceptual Explanation: Oxytocin is the first-line medication used to stimulate uterine
contractions and treat uterine atony to prevent postpartum hemorrhage.
5. An infant is born with an APGAR score of 3 at one minute. What is the immediate priority
for the nurse?
A. Begin neonatal resuscitation
B. Assign the five-minute APGAR score
C. Place the infant skin-to-skin with the mother
D. Dry the infant and provide a warm blanket
Answer: A
Conceptual Explanation: An APGAR score of 0-3 indicates severe distress and requires
immediate resuscitation interventions.
6. Which assessment finding in a newborn should be reported to the provider as a potential
sign of hypoglycemia?
A. Acrocyanosis
B. Jitteriness
C. Milia
