NUR2513 MATERNAL-CHILD NURSING
FINAL EXAM REVIEW QUESTIONS AND
ANSWERS
1. A nurse is calculating the estimated date of delivery (EDD) using Naegele’s rule for a client
whose last menstrual period began on October 10th. What is the EDD?
A. July 10th
B. January 17th
C. July 17th
D. January 10th
Answer: C
Conceptual Explanation: Naegele’s rule involves subtracting 3 months and adding 7 days
and 1 year to the first day of the last menstrual period (LMP). October 10 minus 3 months
is July 10, plus 7 days is July 17.
2. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
,B. Placenta previa
C. Preterm labor
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 usually presents with painful,
dark red bleeding and a rigid abdomen.
3. The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which
finding is the priority to report to the provider?
A. Feeling of warmth and flushing
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL/hr
D. Respiratory rate of 10 breaths/min
Answer: D
Conceptual Explanation: Magnesium sulfate is a CNS depressant. Signs of toxicity include
respiratory depression (less than 12), loss of deep tendon reflexes, and decreased urinary
output. A rate of 10 is critically low.
4. Which assessment finding is a classic sign of abruptio placentae?
A. Painless vaginal bleeding
, B. Soft, non-tender uterus
C. Increased fetal movement
D. Board-like, rigid abdomen
Answer: D
Conceptual Explanation: Abruptio placentae involves the premature separation of the
placenta from the uterine wall, leading to concealed or visible bleeding, severe pain, and a
rigid, board-like abdomen.
5. A nurse is caring for a client in labor and observes late decelerations on the fetal heart rate
monitor. What is the priority nursing action?
A. Perform a vaginal exam
B. Increase the oxytocin infusion rate
C. Reposition the client to the left side
D. Administer oxygen via nasal cannula at 2L/min
Answer: C
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority is to improve oxygenation by turning the client to the side, increasing IV fluids, and
administering oxygen (usually 8-10L via mask).
FINAL EXAM REVIEW QUESTIONS AND
ANSWERS
1. A nurse is calculating the estimated date of delivery (EDD) using Naegele’s rule for a client
whose last menstrual period began on October 10th. What is the EDD?
A. July 10th
B. January 17th
C. July 17th
D. January 10th
Answer: C
Conceptual Explanation: Naegele’s rule involves subtracting 3 months and adding 7 days
and 1 year to the first day of the last menstrual period (LMP). October 10 minus 3 months
is July 10, plus 7 days is July 17.
2. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
,B. Placenta previa
C. Preterm labor
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 usually presents with painful,
dark red bleeding and a rigid abdomen.
3. The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which
finding is the priority to report to the provider?
A. Feeling of warmth and flushing
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL/hr
D. Respiratory rate of 10 breaths/min
Answer: D
Conceptual Explanation: Magnesium sulfate is a CNS depressant. Signs of toxicity include
respiratory depression (less than 12), loss of deep tendon reflexes, and decreased urinary
output. A rate of 10 is critically low.
4. Which assessment finding is a classic sign of abruptio placentae?
A. Painless vaginal bleeding
, B. Soft, non-tender uterus
C. Increased fetal movement
D. Board-like, rigid abdomen
Answer: D
Conceptual Explanation: Abruptio placentae involves the premature separation of the
placenta from the uterine wall, leading to concealed or visible bleeding, severe pain, and a
rigid, board-like abdomen.
5. A nurse is caring for a client in labor and observes late decelerations on the fetal heart rate
monitor. What is the priority nursing action?
A. Perform a vaginal exam
B. Increase the oxytocin infusion rate
C. Reposition the client to the left side
D. Administer oxygen via nasal cannula at 2L/min
Answer: C
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority is to improve oxygenation by turning the client to the side, increasing IV fluids, and
administering oxygen (usually 8-10L via mask).
