NUR 2513 / NUR2513 Final Exam (Latest
): Maternal Child Nursing -
Rasmussen
Section 1: Antepartum Care (Questions 1–12)
1. A newly pregnant patient with irregular periods is unsure of her last menstrual
period. When is the best time to schedule an ultrasound to assess gestational age?
A. Immediately
B. In 2 weeks
C. In 4 weeks
D. In 6 weeks
Answer: Immediately
Rationale: An ultrasound performed immediately can assess gestational age using
crown-rump length (CRL) as early as 5–6 weeks, especially when the last menstrual
period is unknown.
2. What are important functions of amniotic fluid for fetal well-being? (Select all that
apply)
A. Providing oxygen to the lungs
B. Cushioning the baby from minor trauma
C. Temperature control
D. Nutrition for the baby
E. Permits free movement of the baby
Answer: Cushioning the baby from minor trauma, Temperature control, Permits
free movement of the baby
Rationale: Amniotic fluid cushions the fetus, regulates temperature, and allows
movement. Oxygen and nutrition are provided via the placenta, not amniotic fluid.
3. A pregnant client is concerned her baby will drown in amniotic fluid. How should
the nurse respond?
A. "Your baby receives oxygen from the amniotic fluid."
B. "The baby does not have breathing movements until delivery."
C. "The amniotic fluid does not enter the baby’s lungs."
D. "Oxygen is provided to the baby through the placenta."
Answer: Oxygen is provided to the baby through the placenta.
Rationale: The placenta delivers oxygen to the fetus via the umbilical cord; amniotic
fluid does not enter the lungs or provide oxygen.
, 4. What is the purpose of alpha-fetoprotein (AFP) screening at 16 weeks’ gestation?
A. Diagnose gestational diabetes
B. Screen for neural tube defects
C. Assess fetal heart rate
D. Measure maternal weight gain
Answer: Screen for neural tube defects
Rationale: AFP screening at 15–20 weeks assesses for neural tube defects and
chromosomal abnormalities like Down syndrome.
5. Which maternal condition increases the risk of Down syndrome?
A. Maternal obesity
B. Advanced maternal age
C. Gestational diabetes
D. Chronic hypertension
Answer: Advanced maternal age
Rationale: Advanced maternal age (>35 years) increases the risk of chromosomal
abnormalities like Down syndrome.
6. What is a key nursing intervention during the first prenatal visit?
A. Administer pain medication
B. Obtain a complete health history
C. Restrict fluid intake
D. Limit physical activity
Answer: Obtain a complete health history
Rationale: A complete health history identifies risk factors to guide individualized
prenatal care.
7. Which nutrient is critical for preventing neural tube defects?
A. Iron
B. Folic acid
C. Calcium
D. Vitamin D
Answer: Folic acid
Rationale: Folic acid supplementation reduces the risk of neural tube defects like spina
bifida.
8. A pregnant woman reports constipation. What is a recommended intervention?
A. Reduce fluid intake
B. Increase fiber intake
C. Limit physical activity
D. Avoid iron supplements
): Maternal Child Nursing -
Rasmussen
Section 1: Antepartum Care (Questions 1–12)
1. A newly pregnant patient with irregular periods is unsure of her last menstrual
period. When is the best time to schedule an ultrasound to assess gestational age?
A. Immediately
B. In 2 weeks
C. In 4 weeks
D. In 6 weeks
Answer: Immediately
Rationale: An ultrasound performed immediately can assess gestational age using
crown-rump length (CRL) as early as 5–6 weeks, especially when the last menstrual
period is unknown.
2. What are important functions of amniotic fluid for fetal well-being? (Select all that
apply)
A. Providing oxygen to the lungs
B. Cushioning the baby from minor trauma
C. Temperature control
D. Nutrition for the baby
E. Permits free movement of the baby
Answer: Cushioning the baby from minor trauma, Temperature control, Permits
free movement of the baby
Rationale: Amniotic fluid cushions the fetus, regulates temperature, and allows
movement. Oxygen and nutrition are provided via the placenta, not amniotic fluid.
3. A pregnant client is concerned her baby will drown in amniotic fluid. How should
the nurse respond?
A. "Your baby receives oxygen from the amniotic fluid."
B. "The baby does not have breathing movements until delivery."
C. "The amniotic fluid does not enter the baby’s lungs."
D. "Oxygen is provided to the baby through the placenta."
Answer: Oxygen is provided to the baby through the placenta.
Rationale: The placenta delivers oxygen to the fetus via the umbilical cord; amniotic
fluid does not enter the lungs or provide oxygen.
, 4. What is the purpose of alpha-fetoprotein (AFP) screening at 16 weeks’ gestation?
A. Diagnose gestational diabetes
B. Screen for neural tube defects
C. Assess fetal heart rate
D. Measure maternal weight gain
Answer: Screen for neural tube defects
Rationale: AFP screening at 15–20 weeks assesses for neural tube defects and
chromosomal abnormalities like Down syndrome.
5. Which maternal condition increases the risk of Down syndrome?
A. Maternal obesity
B. Advanced maternal age
C. Gestational diabetes
D. Chronic hypertension
Answer: Advanced maternal age
Rationale: Advanced maternal age (>35 years) increases the risk of chromosomal
abnormalities like Down syndrome.
6. What is a key nursing intervention during the first prenatal visit?
A. Administer pain medication
B. Obtain a complete health history
C. Restrict fluid intake
D. Limit physical activity
Answer: Obtain a complete health history
Rationale: A complete health history identifies risk factors to guide individualized
prenatal care.
7. Which nutrient is critical for preventing neural tube defects?
A. Iron
B. Folic acid
C. Calcium
D. Vitamin D
Answer: Folic acid
Rationale: Folic acid supplementation reduces the risk of neural tube defects like spina
bifida.
8. A pregnant woman reports constipation. What is a recommended intervention?
A. Reduce fluid intake
B. Increase fiber intake
C. Limit physical activity
D. Avoid iron supplements
