Rasmussen College | NUR 2513 Maternal-Child Nursing
NUR 2513 Maternal-Child Nursing Exam 1
Comprehensive Examination 2026/2027 |
Verified Questions
Rasmussen College | NUR 2513 Maternal-Child Nursing | University-Level Nursing Students
75 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Rasmussen College | NUR 2513 Maternal-Child Nursing
Examination 1 Actual Exam | Academic Year 2026/2027
NUR 2513 Maternal-Child Nursing Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains 75 verified questions designed to reinforce the official
Rasmussen College NUR 2513 Maternal-Child Nursing Examination 1 course objectives for actual exam
readiness and clinical proficiency, aligned to the 2026/2027 academic year. The questions are original
and address four core domains: Prenatal and Antepartum Care, Intrapartum and Labor Care, Postpartum
and Maternal Recovery, and Newborn Assessment and Care. Each item requires application of
foundational maternal-child nursing knowledge drawn from established curriculum materials and
evidence-based obstetric and neonatal standards. Successful completion of this examination supports
development of the clinical judgment required for safe maternal and newborn care.
ACTUAL QUESTIONS
Domain 1: Prenatal and Antepartum Care
Question 1. A nurse is assessing a client at 12 weeks gestation. Which finding is expected
and indicates normal physiologic adaptation to pregnancy?
A. Decreased blood volume of approximately 20%
B. Physiologic anemia due to increased plasma volume exceeding red cell mass increase
C. Decreased cardiac output throughout the first trimester
D. Increased systemic vascular resistance
Correct Answer: B
Rationale: During pregnancy, plasma volume expands more rapidly than red blood cell mass, resulting
in physiologic dilutional anemia. Blood volume increases by 40-50%, cardiac output rises, and systemic
vascular resistance decreases to accommodate the expanded volume and maintain perfusion.
Question 2. Which laboratory value should the nurse prioritize for follow-up in a client at
28 weeks gestation with a hemoglobin of 10.2 g/dL?
A. White blood cell count
B. Platelet count
C. Serum ferritin level
D. Blood urea nitrogen
Correct Answer: C
Rationale: A hemoglobin of 10.2 g/dL at 28 weeks suggests iron-deficiency anemia common in the
second and third trimesters. Serum ferritin is the most specific indicator of iron stores and guides the
need for iron supplementation according to maternal-child nursing standards.
Question 3. A client at 8 weeks gestation reports nausea and vomiting. Which
recommendation aligns with evidence-based antepartum care?
A. Eat small, frequent meals and avoid an empty stomach
B. Restrict all oral intake until nausea resolves
C. Consume large meals three times daily to maintain calories
D. Initiate antiemetic medication without provider consultation
Correct Answer: A
Rationale: Small, frequent meals help maintain stable blood glucose and reduce gastric distention,
which minimizes nausea. This approach is a foundational non-pharmacologic intervention taught in
maternal-child nursing for first-trimester discomforts.
Question 4. At a prenatal visit, a client at 24 weeks gestation has a blood pressure of 142/92
mm Hg and 1+ proteinuria. What is the priority nursing action?
A. Document the findings and schedule the next routine visit
NUR 2513 Maternal-Child Nursing Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
, B. Instruct the client to restrict sodium intake only
C. Advise bed rest at home without further evaluation
D. Notify the provider promptly for evaluation of possible preeclampsia
Correct Answer: D
Rationale: Blood pressure of 140/90 mm Hg or higher after 20 weeks with proteinuria meets diagnostic
criteria for preeclampsia. Immediate provider notification ensures timely assessment, laboratory
evaluation, and management to prevent progression to severe disease.
Question 5. Which statement by a client at 16 weeks gestation indicates correct
understanding of fetal development milestones?
A. The fetus can now survive outside the uterus with intensive care
B. Quickening is typically felt between 16 and 20 weeks in multiparous clients
C. Lanugo and vernix begin to disappear at this gestational age
D. The lungs produce surfactant in measurable amounts starting now
Correct Answer: B
Rationale: Quickening (first fetal movements perceived by the mother) usually occurs between 16-20
weeks, earlier in multiparous clients. Viability is around 24 weeks, surfactant production increases later
in the third trimester, and lanugo/vernix persist into the third trimester.
Question 6. A nurse is teaching a client about the purpose of the mid-trimester ultrasound.
Which information is accurate?
A. It is primarily performed to determine exact fetal weight
B. It is used solely to confirm fetal sex for parental preference
C. It assesses fetal anatomy, placental location, and amniotic fluid volume
D. It replaces the need for any further prenatal laboratory screening
Correct Answer: C
Rationale: The mid-trimester anatomy scan systematically evaluates fetal structural development,
placental position, and amniotic fluid to identify anomalies and guide ongoing care. It is a core
component of antepartum surveillance.
Question 7. Which client is at highest risk for developing gestational diabetes mellitus?
A. A 24-year-old primigravida with a pre-pregnancy BMI of 22
B. A 35-year-old multipara with a previous infant weighing 4200 g
C. A 28-year-old with a family history of hypothyroidism
D. A 22-year-old with a history of mild seasonal allergies
Correct Answer: A
Rationale: Advanced maternal age, previous macrosomic infant, and obesity are established risk
factors for gestational diabetes. A prior birth weight greater than 4000 g strongly indicates the need for
early glucose screening.
Question 8. A client at 32 weeks gestation reports decreased fetal movement. What is the
nurse's first action?
A. Reassure the client that decreased movement is normal at this stage
B. Instruct the client to drink a large volume of fluid and reassess in 24 hours
C. Advise the client to wait until the next scheduled prenatal visit
D. Perform or arrange for nonstress testing and further fetal surveillance
Correct Answer: D
Rationale: Decreased fetal movement is a warning sign of potential fetal compromise. Immediate
evaluation with nonstress testing and possible biophysical profile is required to assess fetal well-being
according to antepartum monitoring standards.
NUR 2513 Maternal-Child Nursing Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
NUR 2513 Maternal-Child Nursing Exam 1
Comprehensive Examination 2026/2027 |
Verified Questions
Rasmussen College | NUR 2513 Maternal-Child Nursing | University-Level Nursing Students
75 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Rasmussen College | NUR 2513 Maternal-Child Nursing
Examination 1 Actual Exam | Academic Year 2026/2027
NUR 2513 Maternal-Child Nursing Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains 75 verified questions designed to reinforce the official
Rasmussen College NUR 2513 Maternal-Child Nursing Examination 1 course objectives for actual exam
readiness and clinical proficiency, aligned to the 2026/2027 academic year. The questions are original
and address four core domains: Prenatal and Antepartum Care, Intrapartum and Labor Care, Postpartum
and Maternal Recovery, and Newborn Assessment and Care. Each item requires application of
foundational maternal-child nursing knowledge drawn from established curriculum materials and
evidence-based obstetric and neonatal standards. Successful completion of this examination supports
development of the clinical judgment required for safe maternal and newborn care.
ACTUAL QUESTIONS
Domain 1: Prenatal and Antepartum Care
Question 1. A nurse is assessing a client at 12 weeks gestation. Which finding is expected
and indicates normal physiologic adaptation to pregnancy?
A. Decreased blood volume of approximately 20%
B. Physiologic anemia due to increased plasma volume exceeding red cell mass increase
C. Decreased cardiac output throughout the first trimester
D. Increased systemic vascular resistance
Correct Answer: B
Rationale: During pregnancy, plasma volume expands more rapidly than red blood cell mass, resulting
in physiologic dilutional anemia. Blood volume increases by 40-50%, cardiac output rises, and systemic
vascular resistance decreases to accommodate the expanded volume and maintain perfusion.
Question 2. Which laboratory value should the nurse prioritize for follow-up in a client at
28 weeks gestation with a hemoglobin of 10.2 g/dL?
A. White blood cell count
B. Platelet count
C. Serum ferritin level
D. Blood urea nitrogen
Correct Answer: C
Rationale: A hemoglobin of 10.2 g/dL at 28 weeks suggests iron-deficiency anemia common in the
second and third trimesters. Serum ferritin is the most specific indicator of iron stores and guides the
need for iron supplementation according to maternal-child nursing standards.
Question 3. A client at 8 weeks gestation reports nausea and vomiting. Which
recommendation aligns with evidence-based antepartum care?
A. Eat small, frequent meals and avoid an empty stomach
B. Restrict all oral intake until nausea resolves
C. Consume large meals three times daily to maintain calories
D. Initiate antiemetic medication without provider consultation
Correct Answer: A
Rationale: Small, frequent meals help maintain stable blood glucose and reduce gastric distention,
which minimizes nausea. This approach is a foundational non-pharmacologic intervention taught in
maternal-child nursing for first-trimester discomforts.
Question 4. At a prenatal visit, a client at 24 weeks gestation has a blood pressure of 142/92
mm Hg and 1+ proteinuria. What is the priority nursing action?
A. Document the findings and schedule the next routine visit
NUR 2513 Maternal-Child Nursing Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
, B. Instruct the client to restrict sodium intake only
C. Advise bed rest at home without further evaluation
D. Notify the provider promptly for evaluation of possible preeclampsia
Correct Answer: D
Rationale: Blood pressure of 140/90 mm Hg or higher after 20 weeks with proteinuria meets diagnostic
criteria for preeclampsia. Immediate provider notification ensures timely assessment, laboratory
evaluation, and management to prevent progression to severe disease.
Question 5. Which statement by a client at 16 weeks gestation indicates correct
understanding of fetal development milestones?
A. The fetus can now survive outside the uterus with intensive care
B. Quickening is typically felt between 16 and 20 weeks in multiparous clients
C. Lanugo and vernix begin to disappear at this gestational age
D. The lungs produce surfactant in measurable amounts starting now
Correct Answer: B
Rationale: Quickening (first fetal movements perceived by the mother) usually occurs between 16-20
weeks, earlier in multiparous clients. Viability is around 24 weeks, surfactant production increases later
in the third trimester, and lanugo/vernix persist into the third trimester.
Question 6. A nurse is teaching a client about the purpose of the mid-trimester ultrasound.
Which information is accurate?
A. It is primarily performed to determine exact fetal weight
B. It is used solely to confirm fetal sex for parental preference
C. It assesses fetal anatomy, placental location, and amniotic fluid volume
D. It replaces the need for any further prenatal laboratory screening
Correct Answer: C
Rationale: The mid-trimester anatomy scan systematically evaluates fetal structural development,
placental position, and amniotic fluid to identify anomalies and guide ongoing care. It is a core
component of antepartum surveillance.
Question 7. Which client is at highest risk for developing gestational diabetes mellitus?
A. A 24-year-old primigravida with a pre-pregnancy BMI of 22
B. A 35-year-old multipara with a previous infant weighing 4200 g
C. A 28-year-old with a family history of hypothyroidism
D. A 22-year-old with a history of mild seasonal allergies
Correct Answer: A
Rationale: Advanced maternal age, previous macrosomic infant, and obesity are established risk
factors for gestational diabetes. A prior birth weight greater than 4000 g strongly indicates the need for
early glucose screening.
Question 8. A client at 32 weeks gestation reports decreased fetal movement. What is the
nurse's first action?
A. Reassure the client that decreased movement is normal at this stage
B. Instruct the client to drink a large volume of fluid and reassess in 24 hours
C. Advise the client to wait until the next scheduled prenatal visit
D. Perform or arrange for nonstress testing and further fetal surveillance
Correct Answer: D
Rationale: Decreased fetal movement is a warning sign of potential fetal compromise. Immediate
evaluation with nonstress testing and possible biophysical profile is required to assess fetal well-being
according to antepartum monitoring standards.
NUR 2513 Maternal-Child Nursing Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
