,NUR 2513 Final Exam | Maternal-Child Nursing (2026) Actual Q&A
PDF | Rasmussen College
1. A nurse is implementing family-centered care for a pediatric client. Which action best
demonstrates the principles of this approach?
A) Restricting visitation to immediate family only during designated hours
B) Providing care based primarily on the nurse's clinical judgment without family input
C) Collaborating with the patient and family to create a care plan that respects their
cultural beliefs
D) Limiting information sharing to prevent overwhelming the family
Correct Answer: Collaborating with the patient and family to create a care plan that
respects their cultural beliefs
Rationale: Family-centered care is based on dignity, respect, information sharing, and
collaboration. The nurse must partner with the family, not dictate care. Restricting
visitation, limiting information, and ignoring family input contradict this philosophy and
can damage the therapeutic relationship.
2. A 16-year-old pregnant adolescent presents to the clinic without a parent. According to
ethical and legal standards, what should the nurse understand about consent?
A) Treatment cannot be provided without parental consent
B) The father of the baby must provide consent
C) In most states, minors can consent to prenatal care and delivery-related treatment
D) The clinic must obtain a court order before treatment
Correct Answer: In most states, minors can consent to prenatal care and delivery-related
treatment
,Rationale: Many jurisdictions allow minors to consent to pregnancy-related care based on
the concept of the "mature minor" and to ensure the health of the mother and fetus. This
protects access to essential prenatal services. Parental consent is not universally required
for this specific type of care.
3. The nurse is teaching a couple about conception. The nurse explains that fertilization
typically occurs in which structure?
A) The fundus of the uterus
B) The vagina
C) The outer third of the fallopian tube (ampulla)
D) The ovary
Correct Answer: The outer third of the fallopian tube (ampulla)
Rationale: While the egg is released from the ovary, fertilization by the sperm usually
takes place in the ampullar portion of the fallopian tube. The fertilized ovum then travels
to the uterus for implantation. The fundus is where implantation occurs, not fertilization.
4. A client asks the nurse how to best track ovulation to achieve pregnancy. Which
response by the nurse is most accurate?
A) "Ovulation always occurs exactly on day 14 of your cycle."
B) "Basal body temperature typically rises after ovulation and remains elevated."
C) "Urine ovulation predictor kits detect a surge in progesterone."
D) "Cervical mucus becomes thick and scant around the time of ovulation."
Correct Answer: "Basal body temperature typically rises after ovulation and remains
elevated."
, Rationale: Basal body temperature (BBT) rises approximately 0.5-1.0°F after ovulation due
to increased progesterone and remains elevated until the next menses. Ovulation does
not always occur on day 14; it varies. Ovulation predictor kits detect LH, not progesterone.
Cervical mucus becomes clear and stretchy (spinnbarkeit) near ovulation.
5. A client at 8 weeks gestation tells the nurse, "I'm not sure I want to continue with this
pregnancy." What is the nurse's best response?
A) "You need to make a decision quickly for the health of the baby."
B) "Tell me more about how you are feeling."
C) "Have you discussed this with the father?"
D) "Most women feel this way at some point; it will pass."
Correct Answer: "Tell me more about how you are feeling."
Rationale: This open-ended statement allows the client to express her feelings without
judgment and demonstrates therapeutic communication. It encourages exploration of her
concerns. The other responses are dismissive, judgmental, or provide false reassurance.
6. A nurse is measuring the fundal height of a client who is 21 weeks gestation. At which
location should the fundus be palpable?
A) At the level of the umbilicus
B) Approximately 1 cm below the umbilicus
C) Approximately 1 cm above the umbilicus
D) At the level of the symphysis pubis
Correct Answer: Approximately 1 cm above the umbilicus
PDF | Rasmussen College
1. A nurse is implementing family-centered care for a pediatric client. Which action best
demonstrates the principles of this approach?
A) Restricting visitation to immediate family only during designated hours
B) Providing care based primarily on the nurse's clinical judgment without family input
C) Collaborating with the patient and family to create a care plan that respects their
cultural beliefs
D) Limiting information sharing to prevent overwhelming the family
Correct Answer: Collaborating with the patient and family to create a care plan that
respects their cultural beliefs
Rationale: Family-centered care is based on dignity, respect, information sharing, and
collaboration. The nurse must partner with the family, not dictate care. Restricting
visitation, limiting information, and ignoring family input contradict this philosophy and
can damage the therapeutic relationship.
2. A 16-year-old pregnant adolescent presents to the clinic without a parent. According to
ethical and legal standards, what should the nurse understand about consent?
A) Treatment cannot be provided without parental consent
B) The father of the baby must provide consent
C) In most states, minors can consent to prenatal care and delivery-related treatment
D) The clinic must obtain a court order before treatment
Correct Answer: In most states, minors can consent to prenatal care and delivery-related
treatment
,Rationale: Many jurisdictions allow minors to consent to pregnancy-related care based on
the concept of the "mature minor" and to ensure the health of the mother and fetus. This
protects access to essential prenatal services. Parental consent is not universally required
for this specific type of care.
3. The nurse is teaching a couple about conception. The nurse explains that fertilization
typically occurs in which structure?
A) The fundus of the uterus
B) The vagina
C) The outer third of the fallopian tube (ampulla)
D) The ovary
Correct Answer: The outer third of the fallopian tube (ampulla)
Rationale: While the egg is released from the ovary, fertilization by the sperm usually
takes place in the ampullar portion of the fallopian tube. The fertilized ovum then travels
to the uterus for implantation. The fundus is where implantation occurs, not fertilization.
4. A client asks the nurse how to best track ovulation to achieve pregnancy. Which
response by the nurse is most accurate?
A) "Ovulation always occurs exactly on day 14 of your cycle."
B) "Basal body temperature typically rises after ovulation and remains elevated."
C) "Urine ovulation predictor kits detect a surge in progesterone."
D) "Cervical mucus becomes thick and scant around the time of ovulation."
Correct Answer: "Basal body temperature typically rises after ovulation and remains
elevated."
, Rationale: Basal body temperature (BBT) rises approximately 0.5-1.0°F after ovulation due
to increased progesterone and remains elevated until the next menses. Ovulation does
not always occur on day 14; it varies. Ovulation predictor kits detect LH, not progesterone.
Cervical mucus becomes clear and stretchy (spinnbarkeit) near ovulation.
5. A client at 8 weeks gestation tells the nurse, "I'm not sure I want to continue with this
pregnancy." What is the nurse's best response?
A) "You need to make a decision quickly for the health of the baby."
B) "Tell me more about how you are feeling."
C) "Have you discussed this with the father?"
D) "Most women feel this way at some point; it will pass."
Correct Answer: "Tell me more about how you are feeling."
Rationale: This open-ended statement allows the client to express her feelings without
judgment and demonstrates therapeutic communication. It encourages exploration of her
concerns. The other responses are dismissive, judgmental, or provide false reassurance.
6. A nurse is measuring the fundal height of a client who is 21 weeks gestation. At which
location should the fundus be palpable?
A) At the level of the umbilicus
B) Approximately 1 cm below the umbilicus
C) Approximately 1 cm above the umbilicus
D) At the level of the symphysis pubis
Correct Answer: Approximately 1 cm above the umbilicus
