NUR2513 MATERNAL CHILD EXAM newborn 2
NEWEST 2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
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The following data have been recorded on the client's chart: 5/80/+1. How does the nurse
interpret this data?
A. The cervix is 5 cm dilated, 80% effaced, and the presenting part is 5 cm above the ischial
spine.
B. The cervix is 5 cm dilated, 80% effaced, and the presenting part is 1 cm below the ischial
spine.
C. The cervix is 5 cm dilated, 80% effaced, and the presenting part is 1 cm above the ischial
spine.
D. The cervix is 5% effaced, 80 cm dilated, and the presenting part is 1 cm above the ischial
spine. - Answer ✓✓C. The cervix is 5 cm dilated, 80% effaced, and the presenting part is 1 cm
above the ischial spine.
The nurse is checking the client's chart and notes the abbreviation ROA. The nurse knows this
means that the presenting part is:
A. Occiput. The fetal position is at the left side of the maternal pelvis, occiput directed toward
anterior (front) of passage.
B. Occiput. The fetal position is at the right side of the maternal pelvis, occiput directed
toward anterior (front) of passage.
C. Occiput. The fetal position is at the left side of the maternal pelvis, occiput directed toward
anterior (front) of passage.
A+ 1
, NUR2513 MATERNAL CHILD EXAM 2
D. Occiput. The fetal position is at the right side of the maternal pelvis, occiput transverse. -
Answer ✓✓B. Occiput. The fetal position is at the right side of the maternal pelvis, occiput
directed toward anterior (front) of passage.
The nurse is caring for a Mexican client during labor. Which of the following interventions
should the nurse be prepared to perform?
A. Ask the father to leave when client is ready to push.
B. Ask the client if she needs pain medication while she is in the 1st stage of labor.
C. Ask the client if she needs pain medication when she reaches the 2nd stage of labor.
D. Ask the client if she needs pain medication when she has reached 10 cm. - Answer ✓✓C.
Ask the client if she needs pain medication when she reaches the 2nd stage of labor.
You are caring for a client who delivered her baby by cesarean section 15 minutes ago and is
in the recovery room. Her vital signs are stable but she is not yet awake. What is the nursing
priority for this client?
A. Deep breathing exercises
B. Pain control
C. Applying the sequential compression device
D. Maintaining a patent airway - Answer ✓✓D. Maintaining a patent airway
Precipitous labor can be defined as labor that lasts:
A. More than 30 hours.
B. Less than 10 hours.
C. Less than 3 hours.
D. Less than 5 hours. - Answer ✓✓C. Less than 3 hours.
A+ 2
, NUR2513 MATERNAL CHILD EXAM 2
Your client has been in labor for 2 hours and suddenly states, "The baby is coming." What
should be your first action?
A. Give the client a dose of Demerol as ordered.
B. Have the client use slow-paced breathing.
C. Tell the client to calm down. She is not in labor.
D. Check to see if the fetus is crowning. - Answer ✓✓D. Check to see if the fetus is crowning.
Which of the following side effects can occur following the insertion of an epidural catheter?
A. Tachycardia
B. Hypertension
C. Hypotension
D. Drowsiness - Answer ✓✓C. Hypotension
The nurse is caring for a client who is 4 days postpartum. The client states that her discharge
has returned to a bright red color. What is the nurse's first action?
A. Take the client's temperature.
B. Notify the RN, obstetrician, or midwife.
C. Do nothing; this is a normal finding.
D. Prepare the sitz bath. - Answer ✓✓B. Notify the RN, obstetrician, or midwife.
Which of the following lab values, if obtained 2 days postpartum, would require the nurse to
call the obstetrician or midwife?
A. White blood cell (WBC) of 18,000/mm3
B. Hemoglobin (Hgb) 13
C. White blood cell (WBC) of 8,000/mm3
D. Hematocrit (Hct) 9.0% - Answer ✓✓D. Hematocrit (Hct) 9.0%
A+ 3
, NUR2513 MATERNAL CHILD EXAM 2
The nurse is providing discharge instructions to a client who had a normal vaginal delivery 48
hours ago. Which statement, if made by the client, would require a need for further
instruction?
A. "If my axillary temperature reaches 100.4°F (38°C), I will take Tylenol and lie down for a
while."
B. "If I notice my breasts become reddened, I will call my obstetrician or midwife."
C. "My lochia will change to serosa in approximately 4 to 6 days."
D. "If I have foul-smelling lochia, I will call my obstetrician or midwife immediately." - Answer
✓✓A. "If my axillary temperature reaches 100.4°F (38°C), I will take Tylenol and lie down for a
while."
Which of the following would be a priority nursing diagnosis for the client who is experiencing
tachycardia with decreased blood pressure?
A. Risk for falls
B. Pain
C. Hemorrhage
D. Sleep pattern disturbance - Answer ✓✓C. Hemorrhage
The nurse suspects the client is experiencing postpartum depression when she makes which
of the following statements?
A. "I have found myself becoming teary-eyed at times."
B. "I have been getting a headache every once in a while, but it subsides when I take Tylenol."
C. "I feel like I am crying for no apparent reason, and I feel sad every day."
D. "I am feeling restless a lot lately." - Answer ✓✓C. "I feel like I am crying for no apparent
reason, and I feel sad every day."
A+ 4