NUR2513 MATERNAL-CHILD NURSING
COMPREHENSIVE EXAM STUDY GUIDE
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A nurse is caring for a client who is in the first stage of labor and has an internal fetal
monitor. The monitor shows late decelerations. Which of the following actions should the
nurse take first?
A. Administer oxygen at 2 L/min via nasal cannula.
B. Perform a vaginal examination to check for cord prolapse.
C. Increase the rate of the maintenance IV fluid.
D. Place the client in a lateral position.
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
first action is to improve placental perfusion by turning the client to a lateral position.
Other actions like oxygen (via mask at 8-10L) and IV fluids follow, but positioning is the
immediate priority.
2. A client at 34 weeks gestation is receiving magnesium sulfate for preeclampsia. Which of
the following findings should the nurse report to the provider as a sign of toxicity?
A. Respiratory rate of 10 breaths per minute.
,B. Urinary output of 40 mL/hr.
C. Deep tendon reflexes of 2+.
D. Blood pressure of 150/95 mmHg.
Answer: A
Conceptual Explanation: Magnesium sulfate is a CNS depressant. Toxicity is indicated by a
respiratory rate below 12/min, loss of deep tendon reflexes, and decreased urinary output
(less than 30 mL/hr).
3. A nurse is assessing a newborn 1 minute after birth. The heart rate is 110/min, the cry is
weak, there is some flexion of the extremities, the newborn grimaces when the soles of the
feet are flicked, and the body is pink with blue extremities. What is the Apgar score?
A. 5
B. 6
C. 7
D. 8
Answer: B
Conceptual Explanation: HR > 100 (2), weak cry (1), some flexion (1), grimace (1),
acrocyanosis (1). Total = 6.
, 4. A nurse is providing discharge teaching to the parents of a child with cystic fibrosis. Which
of the following instructions should the nurse include regarding pancreatic enzymes?
A. Administer the enzymes only with the morning and evening meals.
B. Enzymes should be administered with all meals and snacks.
C. Give the enzymes 2 hours after the child eats.
D. Crush the enzyme tablets if the child has trouble swallowing.
Answer: B
Conceptual Explanation: Children with cystic fibrosis require pancreatic enzymes with
every meal and snack to facilitate the absorption of fats, proteins, and carbohydrates due to
pancreatic insufficiency.
5. A 2-year-old child is admitted with suspected epiglottitis. Which of the following nursing
actions is contraindicated?
A. Obtaining a throat culture with a sterile swab.
B. Setting up emergency intubation equipment at the bedside.
C. Placing the child in an upright sitting position.
D. Monitoring oxygen saturation via pulse oximetry.
Answer: A
COMPREHENSIVE EXAM STUDY GUIDE
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A nurse is caring for a client who is in the first stage of labor and has an internal fetal
monitor. The monitor shows late decelerations. Which of the following actions should the
nurse take first?
A. Administer oxygen at 2 L/min via nasal cannula.
B. Perform a vaginal examination to check for cord prolapse.
C. Increase the rate of the maintenance IV fluid.
D. Place the client in a lateral position.
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
first action is to improve placental perfusion by turning the client to a lateral position.
Other actions like oxygen (via mask at 8-10L) and IV fluids follow, but positioning is the
immediate priority.
2. A client at 34 weeks gestation is receiving magnesium sulfate for preeclampsia. Which of
the following findings should the nurse report to the provider as a sign of toxicity?
A. Respiratory rate of 10 breaths per minute.
,B. Urinary output of 40 mL/hr.
C. Deep tendon reflexes of 2+.
D. Blood pressure of 150/95 mmHg.
Answer: A
Conceptual Explanation: Magnesium sulfate is a CNS depressant. Toxicity is indicated by a
respiratory rate below 12/min, loss of deep tendon reflexes, and decreased urinary output
(less than 30 mL/hr).
3. A nurse is assessing a newborn 1 minute after birth. The heart rate is 110/min, the cry is
weak, there is some flexion of the extremities, the newborn grimaces when the soles of the
feet are flicked, and the body is pink with blue extremities. What is the Apgar score?
A. 5
B. 6
C. 7
D. 8
Answer: B
Conceptual Explanation: HR > 100 (2), weak cry (1), some flexion (1), grimace (1),
acrocyanosis (1). Total = 6.
, 4. A nurse is providing discharge teaching to the parents of a child with cystic fibrosis. Which
of the following instructions should the nurse include regarding pancreatic enzymes?
A. Administer the enzymes only with the morning and evening meals.
B. Enzymes should be administered with all meals and snacks.
C. Give the enzymes 2 hours after the child eats.
D. Crush the enzyme tablets if the child has trouble swallowing.
Answer: B
Conceptual Explanation: Children with cystic fibrosis require pancreatic enzymes with
every meal and snack to facilitate the absorption of fats, proteins, and carbohydrates due to
pancreatic insufficiency.
5. A 2-year-old child is admitted with suspected epiglottitis. Which of the following nursing
actions is contraindicated?
A. Obtaining a throat culture with a sterile swab.
B. Setting up emergency intubation equipment at the bedside.
C. Placing the child in an upright sitting position.
D. Monitoring oxygen saturation via pulse oximetry.
Answer: A
