NUR2513 MATERNAL-CHILD NURSING
MIDTERM EXAM STUDY GUIDE
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A nurse is reviewing the record of a client who is pregnant and has a history of one birth at
39 weeks, one birth at 34 weeks, and one miscarriage at 12 weeks. How should the nurse
document the GTPAL?
A. G4 T2 P1 A0 L3
B. G3 T2 P0 A1 L2
C. G4 T1 P1 A1 L2
D. G3 T1 P1 A1 L2
Answer: C
Conceptual Explanation: Gravida (G) is 4 (current pregnancy, one term, one preterm, one
miscarriage). Term (T) is 1 (39 weeks). Preterm (P) is 1 (34 weeks). Abortion (A) is 1
(miscarriage at 12 weeks). Living (L) is 2.
2. A client in active labor has a fetal heart rate (FHR) monitor showing late decelerations.
Which action should the nurse take first?
A. Place the client in a lateral position.
,B. Increase the rate of the oxytocin infusion.
C. Administer oxygen via nasal cannula at 2L/min.
D. Perform a vaginal exam to check for cord prolapse.
Answer: A
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority is to improve oxygenation by turning the mother to her side, stopping oxytocin,
and increasing IV fluids.
3. A nurse is caring for a client with preeclampsia who is receiving magnesium sulfate. Which
finding should the nurse report to the provider immediately?
A. Presence of 2+ deep tendon reflexes.
B. Respiratory rate of 14 breaths/min.
C. Urine output of 20 mL/hr.
D. Client reports feeling warm and flushed.
Answer: C
Conceptual Explanation: Magnesium is excreted by the kidneys. Urine output less than 30
mL/hr can lead to magnesium toxicity. Flushed feelings and 2+ reflexes are normal or
expected side effects.
, 4. What is the primary purpose of administering Betamethasone to a client in preterm labor
at 30 weeks gestation?
A. To stop uterine contractions.
B. To prevent maternal infection.
C. To promote fetal lung maturity.
D. To increase fetal heart rate variability.
Answer: C
Conceptual Explanation: Betamethasone is a corticosteroid used to stimulate surfactant
production in preterm fetuses to reduce the risk of respiratory distress syndrome.
5. A nurse is assessing a newborn 1 hour after birth. Which finding requires immediate
intervention?
A. Acrocyanosis of the hands and feet.
B. Heart rate of 140 beats/min while sleeping.
C. Nasal flaring and chest retractions.
D. Overlapping cranial sutures.
Answer: C
Conceptual Explanation: Nasal flaring and chest retractions are signs of respiratory
distress in a newborn and require immediate assessment and intervention.
MIDTERM EXAM STUDY GUIDE
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A nurse is reviewing the record of a client who is pregnant and has a history of one birth at
39 weeks, one birth at 34 weeks, and one miscarriage at 12 weeks. How should the nurse
document the GTPAL?
A. G4 T2 P1 A0 L3
B. G3 T2 P0 A1 L2
C. G4 T1 P1 A1 L2
D. G3 T1 P1 A1 L2
Answer: C
Conceptual Explanation: Gravida (G) is 4 (current pregnancy, one term, one preterm, one
miscarriage). Term (T) is 1 (39 weeks). Preterm (P) is 1 (34 weeks). Abortion (A) is 1
(miscarriage at 12 weeks). Living (L) is 2.
2. A client in active labor has a fetal heart rate (FHR) monitor showing late decelerations.
Which action should the nurse take first?
A. Place the client in a lateral position.
,B. Increase the rate of the oxytocin infusion.
C. Administer oxygen via nasal cannula at 2L/min.
D. Perform a vaginal exam to check for cord prolapse.
Answer: A
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority is to improve oxygenation by turning the mother to her side, stopping oxytocin,
and increasing IV fluids.
3. A nurse is caring for a client with preeclampsia who is receiving magnesium sulfate. Which
finding should the nurse report to the provider immediately?
A. Presence of 2+ deep tendon reflexes.
B. Respiratory rate of 14 breaths/min.
C. Urine output of 20 mL/hr.
D. Client reports feeling warm and flushed.
Answer: C
Conceptual Explanation: Magnesium is excreted by the kidneys. Urine output less than 30
mL/hr can lead to magnesium toxicity. Flushed feelings and 2+ reflexes are normal or
expected side effects.
, 4. What is the primary purpose of administering Betamethasone to a client in preterm labor
at 30 weeks gestation?
A. To stop uterine contractions.
B. To prevent maternal infection.
C. To promote fetal lung maturity.
D. To increase fetal heart rate variability.
Answer: C
Conceptual Explanation: Betamethasone is a corticosteroid used to stimulate surfactant
production in preterm fetuses to reduce the risk of respiratory distress syndrome.
5. A nurse is assessing a newborn 1 hour after birth. Which finding requires immediate
intervention?
A. Acrocyanosis of the hands and feet.
B. Heart rate of 140 beats/min while sleeping.
C. Nasal flaring and chest retractions.
D. Overlapping cranial sutures.
Answer: C
Conceptual Explanation: Nasal flaring and chest retractions are signs of respiratory
distress in a newborn and require immediate assessment and intervention.
