NUR2513/ NUR 2513 (Latest 2026/ 2027) Maternal-Child
Nursing Exam Actual Exam 2026/2027 – Complete Exam-
Style Questions with Detailed Rationales | 100% Verified –
Pass Guaranteed – A+ Graded
RASMUSSEN UNIVERSITY
Subject: Maternal-Child Nursing (NUR2513)
Duration: 120 Minutes
Total Marks: 100
Total Number of Questions: 20
Instructions:
1. Read all questions carefully before answering.
2. Section A consists of Multiple Choice Questions. Select the single best answer.
3. Section B consists of Short Answer and Scenario Questions. Provide concise, clinically
accurate responses.
4. Section C consists of Case Study and Critical Thinking Questions. Address all parts of the
prompt.
5. Ensure your answers are clearly written and professionally formatted.
---
SECTION A: MULTIPLE CHOICE QUESTIONS (20 Marks)
(Each question is worth 2 marks. Select the single best answer.)
Question 1:
A pregnant client at 28 weeks gestation is being assessed. Which of the following
cardiovascular changes is considered a normal physiological adaptation to pregnancy?
A) Decreased heart rate by 10-15 bpm
B) Increased blood volume by 30-50%
C) Increased systemic vascular resistance
D) Decreased cardiac output in the second trimester
Correct Answer: B
Marks: 2
Rationale: Blood volume increases by 30-50% during pregnancy to meet the metabolic
demands of the fetus and protect against blood loss during delivery. Heart rate and cardiac
output typically increase, while systemic vascular resistance decreases.
, Question 2:
A newborn is assessed at 1 minute after birth. The infant has a heart rate of 90 bpm, slow
and irregular respirations, some flexion of extremities, a grimace in response to suctioning,
and a pink body with blue extremities. What is the APGAR score?
A) 4
B) 5
C) 6
D) 7
Correct Answer: C
Marks: 2
Rationale: The APGAR score is calculated as: Heart rate <100 (1), slow/irregular respirations
(1), some flexion (1), grimace (1), and acrocyanosis (1), totaling 5. Wait, pink body with blue
extremities is 1 for color. Let's re-evaluate: HR 90 (1), Resp slow/irregular (1), Tone some
flexion (1), Reflex grimace (1), Color acrocyanosis (1). Total is 5. Let me adjust the scenario
to make it 6: HR 110 (2), slow irregular resp (1), some flexion (1), grimace (1), acrocyanosis
(1) = 6.
Corrected Scenario: Heart rate of 110 bpm, slow and irregular respirations, some flexion of
extremities, grimace in response to suctioning, and pink body with blue extremities.
Correct Answer: C
Marks: 2
Rationale: The APGAR score is: Heart rate >100 (2), slow/irregular respirations (1), some
flexion (1), grimace (1), and acrocyanosis (1), which totals 6. This score indicates the infant
requires some resuscitative assistance, such as stimulation and oxygen.
Question 3:
Which of the following findings is a hallmark sign of severe preeclampsia that requires
immediate notification of the healthcare provider?
A) Blood pressure of 138/88 mm Hg
B) Deep tendon reflexes of 2+
C) Visual disturbances such as scotomata
D) Mild dependent edema
Correct Answer: C
Marks: 2
Rationale: Visual disturbances like scotomata (blind spots) indicate central nervous system
irritability and impending eclampsia. This is a critical finding in severe preeclampsia
requiring immediate intervention, unlike mild edema or normal reflexes.
Question 4:
A postpartum client is at increased risk for hemorrhage. Which of the following assessment
findings indicates early postpartum hemorrhage?
A) Fundus firm and at the umbilicus
B) Saturating a perineal pad in 15 minutes
C) Blood pressure of 130/80 mm Hg
D) Heart rate of 72 bpm
Nursing Exam Actual Exam 2026/2027 – Complete Exam-
Style Questions with Detailed Rationales | 100% Verified –
Pass Guaranteed – A+ Graded
RASMUSSEN UNIVERSITY
Subject: Maternal-Child Nursing (NUR2513)
Duration: 120 Minutes
Total Marks: 100
Total Number of Questions: 20
Instructions:
1. Read all questions carefully before answering.
2. Section A consists of Multiple Choice Questions. Select the single best answer.
3. Section B consists of Short Answer and Scenario Questions. Provide concise, clinically
accurate responses.
4. Section C consists of Case Study and Critical Thinking Questions. Address all parts of the
prompt.
5. Ensure your answers are clearly written and professionally formatted.
---
SECTION A: MULTIPLE CHOICE QUESTIONS (20 Marks)
(Each question is worth 2 marks. Select the single best answer.)
Question 1:
A pregnant client at 28 weeks gestation is being assessed. Which of the following
cardiovascular changes is considered a normal physiological adaptation to pregnancy?
A) Decreased heart rate by 10-15 bpm
B) Increased blood volume by 30-50%
C) Increased systemic vascular resistance
D) Decreased cardiac output in the second trimester
Correct Answer: B
Marks: 2
Rationale: Blood volume increases by 30-50% during pregnancy to meet the metabolic
demands of the fetus and protect against blood loss during delivery. Heart rate and cardiac
output typically increase, while systemic vascular resistance decreases.
, Question 2:
A newborn is assessed at 1 minute after birth. The infant has a heart rate of 90 bpm, slow
and irregular respirations, some flexion of extremities, a grimace in response to suctioning,
and a pink body with blue extremities. What is the APGAR score?
A) 4
B) 5
C) 6
D) 7
Correct Answer: C
Marks: 2
Rationale: The APGAR score is calculated as: Heart rate <100 (1), slow/irregular respirations
(1), some flexion (1), grimace (1), and acrocyanosis (1), totaling 5. Wait, pink body with blue
extremities is 1 for color. Let's re-evaluate: HR 90 (1), Resp slow/irregular (1), Tone some
flexion (1), Reflex grimace (1), Color acrocyanosis (1). Total is 5. Let me adjust the scenario
to make it 6: HR 110 (2), slow irregular resp (1), some flexion (1), grimace (1), acrocyanosis
(1) = 6.
Corrected Scenario: Heart rate of 110 bpm, slow and irregular respirations, some flexion of
extremities, grimace in response to suctioning, and pink body with blue extremities.
Correct Answer: C
Marks: 2
Rationale: The APGAR score is: Heart rate >100 (2), slow/irregular respirations (1), some
flexion (1), grimace (1), and acrocyanosis (1), which totals 6. This score indicates the infant
requires some resuscitative assistance, such as stimulation and oxygen.
Question 3:
Which of the following findings is a hallmark sign of severe preeclampsia that requires
immediate notification of the healthcare provider?
A) Blood pressure of 138/88 mm Hg
B) Deep tendon reflexes of 2+
C) Visual disturbances such as scotomata
D) Mild dependent edema
Correct Answer: C
Marks: 2
Rationale: Visual disturbances like scotomata (blind spots) indicate central nervous system
irritability and impending eclampsia. This is a critical finding in severe preeclampsia
requiring immediate intervention, unlike mild edema or normal reflexes.
Question 4:
A postpartum client is at increased risk for hemorrhage. Which of the following assessment
findings indicates early postpartum hemorrhage?
A) Fundus firm and at the umbilicus
B) Saturating a perineal pad in 15 minutes
C) Blood pressure of 130/80 mm Hg
D) Heart rate of 72 bpm
