NUR2513 Maternal-Child Nursing
Final Exam | Rasmussen College |
Latest 2025/2026 | Grade A
Questions and Verified Answers |
100% Correct
Introduction
This document contains fully verified, 100% correct questions and answers from the
NUR2513 Maternal-Child Nursing Final Exam at Rasmussen College. Updated for the
2025/2026 academic year, this resource is designed to support nursing students in mas-
tering key topics including prenatal care, labor and delivery, postpartum care, newborn
assessment, and pediatric nursing essentials. All questions reflect the official exam format
and are graded A for clarity, reliability, and accuracy.
Exam Questions and Answers
1. A pregnant client at 32 weeks gestation reports decreased fetal movement. What
is the nurse’s priority action?
A. Perform a nonstress test
B. Administer oxygen
C. Encourage increased fluid intake
D. Schedule an ultrasound in one week
Rationale: Decreased fetal movement may indicate fetal distress; a nonstress test assesses
fetal well-being immediately.
2. Which finding during labor indicates the need for immediate intervention?
A. Fetal heart rate of 90 bpm
B. Contractions every 3 minutes
C. Maternal blood pressure of 120/80 mmHg
D. Clear amniotic fluid
Rationale: A fetal heart rate below 110 bpm suggests bradycardia, requiring urgent
intervention to address potential hypoxia.
3. A postpartum client reports heavy vaginal bleeding with clots. What is the nurse’s
first action?
A. Assess fundal height and firmness
B. Administer oxytocin
NUR2513 | Maternal-Child Nursing | Verified Final Exam Questions | Grade A | 100%
Correct | 2025/2026
, C. Encourage ambulation
D. Monitor vital signs
Rationale: Heavy bleeding may indicate uterine atony; assessing the fundus determines
if massage or further intervention is needed.
4. A newborn has an Apgar score of 4 at 1 minute. What is the nurse’s priority action?
A. Initiate positive pressure ventilation
B. Administer vitamin K
C. Place the newborn skin-to-skin
D. Obtain blood glucose level
Rationale: An Apgar score of 4 indicates poor respiratory effort or heart rate, requiring
immediate ventilatory support.
5. A 4-year-old with sickle cell anemia is admitted with a vaso-occlusive crisis. What
is the nurse’s priority intervention?
A. Administer IV fluids
B. Apply warm compresses
C. Encourage oral fluids
D. Administer oxygen
Rationale: IV fluids prevent dehydration and improve blood flow, reducing pain and
complications in vaso-occlusive crisis.
6. During the first prenatal visit, which screening is routinely performed to assess for
gestational diabetes?
A. 1-hour glucose challenge test
B. Hemoglobin A1c
C. Fasting blood glucose
D. Random blood sugar
Rationale: The 1-hour glucose challenge test is standard at 24–28 weeks to screen for
gestational diabetes.
7. A client in active labor has a cervical dilation of 6 cm. What stage of labor is she
in?
A. First stage, active phase
B. First stage, latent phase
C. Second stage
D. Third stage
Rationale: The active phase of the first stage of labor occurs from 4–7 cm dilation, with
stronger contractions.
NUR2513 | Maternal-Child Nursing | Verified Final Exam Questions | Grade A | 100%
Correct | 2025/2026
, 8. A newborn is diagnosed with hyperbilirubinemia. What is the nurse’s priority
intervention?
A. Initiate phototherapy
B. Administer IV immunoglobulin
C. Encourage formula feeding
D. Monitor temperature
Rationale: Phototherapy breaks down bilirubin in the skin, preventing complications
like kernicterus.
9. A 2-month-old infant presents with projectile vomiting. Which condition should
the nurse suspect?
A. Pyloric stenosis
B. Gastroesophageal reflux
C. Intussusception
D. Hirschsprung’s disease
Rationale: Projectile vomiting in infants is a classic sign of pyloric stenosis due to pyloric
muscle hypertrophy.
10. A client at 38 weeks gestation reports sudden gushing of fluid from the vagina.
What is the nurse’s first action?
A. Assess fetal heart rate
B. Perform a vaginal exam
C. Administer tocolytics
D. Encourage ambulation
Rationale: Rupture of membranes requires immediate fetal heart rate assessment to
detect cord compression or distress.
11. Which finding in a newborn indicates respiratory distress syndrome?
A. Nasal flaring and grunting
B. Heart rate of 120 bpm
C. Temperature of 37°C
D. Clear lung sounds
Rationale: Nasal flaring and grunting are signs of increased respiratory effort in respi-
ratory distress syndrome.
12. A postpartum client is diagnosed with endometritis. Which symptom is most likely
present?
A. Foul-smelling lochia
B. Clear vaginal discharge
NUR2513 | Maternal-Child Nursing | Verified Final Exam Questions | Grade A | 100%
Correct | 2025/2026
Final Exam | Rasmussen College |
Latest 2025/2026 | Grade A
Questions and Verified Answers |
100% Correct
Introduction
This document contains fully verified, 100% correct questions and answers from the
NUR2513 Maternal-Child Nursing Final Exam at Rasmussen College. Updated for the
2025/2026 academic year, this resource is designed to support nursing students in mas-
tering key topics including prenatal care, labor and delivery, postpartum care, newborn
assessment, and pediatric nursing essentials. All questions reflect the official exam format
and are graded A for clarity, reliability, and accuracy.
Exam Questions and Answers
1. A pregnant client at 32 weeks gestation reports decreased fetal movement. What
is the nurse’s priority action?
A. Perform a nonstress test
B. Administer oxygen
C. Encourage increased fluid intake
D. Schedule an ultrasound in one week
Rationale: Decreased fetal movement may indicate fetal distress; a nonstress test assesses
fetal well-being immediately.
2. Which finding during labor indicates the need for immediate intervention?
A. Fetal heart rate of 90 bpm
B. Contractions every 3 minutes
C. Maternal blood pressure of 120/80 mmHg
D. Clear amniotic fluid
Rationale: A fetal heart rate below 110 bpm suggests bradycardia, requiring urgent
intervention to address potential hypoxia.
3. A postpartum client reports heavy vaginal bleeding with clots. What is the nurse’s
first action?
A. Assess fundal height and firmness
B. Administer oxytocin
NUR2513 | Maternal-Child Nursing | Verified Final Exam Questions | Grade A | 100%
Correct | 2025/2026
, C. Encourage ambulation
D. Monitor vital signs
Rationale: Heavy bleeding may indicate uterine atony; assessing the fundus determines
if massage or further intervention is needed.
4. A newborn has an Apgar score of 4 at 1 minute. What is the nurse’s priority action?
A. Initiate positive pressure ventilation
B. Administer vitamin K
C. Place the newborn skin-to-skin
D. Obtain blood glucose level
Rationale: An Apgar score of 4 indicates poor respiratory effort or heart rate, requiring
immediate ventilatory support.
5. A 4-year-old with sickle cell anemia is admitted with a vaso-occlusive crisis. What
is the nurse’s priority intervention?
A. Administer IV fluids
B. Apply warm compresses
C. Encourage oral fluids
D. Administer oxygen
Rationale: IV fluids prevent dehydration and improve blood flow, reducing pain and
complications in vaso-occlusive crisis.
6. During the first prenatal visit, which screening is routinely performed to assess for
gestational diabetes?
A. 1-hour glucose challenge test
B. Hemoglobin A1c
C. Fasting blood glucose
D. Random blood sugar
Rationale: The 1-hour glucose challenge test is standard at 24–28 weeks to screen for
gestational diabetes.
7. A client in active labor has a cervical dilation of 6 cm. What stage of labor is she
in?
A. First stage, active phase
B. First stage, latent phase
C. Second stage
D. Third stage
Rationale: The active phase of the first stage of labor occurs from 4–7 cm dilation, with
stronger contractions.
NUR2513 | Maternal-Child Nursing | Verified Final Exam Questions | Grade A | 100%
Correct | 2025/2026
, 8. A newborn is diagnosed with hyperbilirubinemia. What is the nurse’s priority
intervention?
A. Initiate phototherapy
B. Administer IV immunoglobulin
C. Encourage formula feeding
D. Monitor temperature
Rationale: Phototherapy breaks down bilirubin in the skin, preventing complications
like kernicterus.
9. A 2-month-old infant presents with projectile vomiting. Which condition should
the nurse suspect?
A. Pyloric stenosis
B. Gastroesophageal reflux
C. Intussusception
D. Hirschsprung’s disease
Rationale: Projectile vomiting in infants is a classic sign of pyloric stenosis due to pyloric
muscle hypertrophy.
10. A client at 38 weeks gestation reports sudden gushing of fluid from the vagina.
What is the nurse’s first action?
A. Assess fetal heart rate
B. Perform a vaginal exam
C. Administer tocolytics
D. Encourage ambulation
Rationale: Rupture of membranes requires immediate fetal heart rate assessment to
detect cord compression or distress.
11. Which finding in a newborn indicates respiratory distress syndrome?
A. Nasal flaring and grunting
B. Heart rate of 120 bpm
C. Temperature of 37°C
D. Clear lung sounds
Rationale: Nasal flaring and grunting are signs of increased respiratory effort in respi-
ratory distress syndrome.
12. A postpartum client is diagnosed with endometritis. Which symptom is most likely
present?
A. Foul-smelling lochia
B. Clear vaginal discharge
NUR2513 | Maternal-Child Nursing | Verified Final Exam Questions | Grade A | 100%
Correct | 2025/2026
