NUR2513 MATERNAL CHILD EXAM newborn 2
NEWEST 2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
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A nurse is admitting a client to the labor and delivery unit when the client states, "My water
just broke." Which of the following interventions is the nurse's priority?
A. Perform Nitrazine testing
B. Assess the fluid
C. Check cervical dilation
D. Begin FHR monitoring - Answer ✓✓D. Begin FHR monitoring
The greatest risk to the client and her fetus following a rupture of membranes is umbilical
cord prolapse. The nurse should monitor the fetus closely to ensure well-being.
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
A. Administer antiviral medication
B. Schedule an ultrasound examination
C. Administer Haemophilus influenzae type b vaccine
D. Schedule an indirect Coombs' test - Answer ✓✓B. Schedule an ultrasound examination
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To monitor the fetus during the pregnancy to detect the possible development of fetal
hydrops
The nurse is planning to contact the provider regarding the newborn's status. Which of the
following prescriptions regarding the newborn should the nurse anticipate? SATA
A. Instruct the mother to discontinue breastfeeding
B. Administer scheduled dose of oral morphine
C. Give a one-time dose of naloxone IM
D. Maintain low-stimulus environment
E. Initiate NAS scoring - Answer ✓✓B. Administer scheduled dose of oral morphine
D. Maintain low-stimulus environment
E. Initiate NAS scoring
A nurse is caring for a client who is receiving oxytocin to augment her labor. Which of the
following findings CI the initiation of the oxytocin infusion and should be reported to the
provider?
A. Late decelerations
B. Moderate variability of the FHR
C. Cessation of uterine dilation
D. Prolonged active phase of labor - Answer ✓✓A. Late decelerations
They are indicative of uteroplacental insufficiency
A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of
the following findings is an adverse effect of this medication?
A. Hypertension
B. Hypothermia
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C. Constipation
D. Muscle weakness - Answer ✓✓A. Hypertension
The nurse recognize that carboprost is a vasoconstrictor that can cause hypertension
A nurse is transporting a newborn back to the parent's room following a procedure. Which of
the following actions should the nurse take?
A. Verify that the parent's identification band matches the newborn's
B. Scan the newborn's ID band to verify identity
C. Check the newborn's security tag number to ensure it matches med-record
D. Match the newborn's date/time of birth with info in parent's med-record - Answer ✓✓A.
Verify that the parent's identification band matched the newborn's
A nurse is assessing four newborns. Which of the following findings should the nurse report to
the provider?
A. A newborn who is 26 hrs old and has erythema toxicum on his face
B. A newborn who is 32 hr old and has not passed a meconium stool
C. A newborn who is 12 hr old and has pink-tinged urine
D. A newborn who is 18 hr old and has an axillary temp of 37.7 C (99.9F) - Answer ✓✓D. A
newborn who is 18 hr old and has an axillary temperature of 37.7 C (99.9 F)
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?
A. Reports increased urinary output
B. Diaphoresis
C. Reports blurred vision
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D. Shallow respirations - Answer ✓✓A. Reports increased urinary output
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in
the teaching?
A. "I can administer oxytocin 4 hrs after the insertion of the med"
B. "You will need a full bladder prior to the insertion of the med"
C. "Remain in a side-lying position for 15 mins after the med is inserted"
D. An antacid will be given 20 mins prior to the insertion of the med" - Answer ✓✓A. "I can
administer oxytocin 4 hours after the insertion of the medication"
A nurse is performing a physical assessment of a newborn upon admission to the nursery.
Which of the following manifestations should the nurse expect? SATA
A. Yellow sclera
B. Acrocyanosis
C. Posterior fontanel larger than the anterior fontanel
D. Positive Babinski reflex
E. Two umbilical arteries visible - Answer ✓✓B. Acrocyanosis
D. Positive Babinski reflex
E. Two umbilical arteries visible
A nurse in a clinic is caring for a 16 yo adolescent. Which of the following findings should the
nurse report to the provider? SATA
A. Abdominal assessment
B. Vaginal discharge
C. Heart rate
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