NUR2513 MATERNAL CHILD EXAM newborn 2
NEWEST 2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
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Which fetal complications does the nurse need to be alert for while providing care to a
pregnant patient? Select all that apply.
a. Eclampsia
b. Amniotic fluid embolism
c. Prolapsed umbilical cord
d. Uterine hyperstimulation
e. Nonreassuring fetal heart rate - Answer ✓✓Answer: C, D, E
A prolapsed umbilical cord decreases the blood and oxygen supply to the fetus, warranting
prompt delivery. Uterine hyperstimulation may lead to nonreassuring fetal heart rate and
pattern. Nonreassuring fetal heart rate and pattern may warrant interventions such as
immediate delivery or intrauterine fetal resuscitation. Eclampsia and amniotic fluid embolism
are maternal complications.
Alternative and complementary therapies:
a. Replace conventional Western modalities of treatment.
b. Are used by only a small number of American adults.
c. Recognize the value of clients' input into their health care.
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d. Focus primarily on the disease an individual is experiencing. - Answer ✓✓c. Recognize the
value of clients' input into their health care.
Many popular alternative healing modalities offer human-centered care based on
philosophies that recognize the value of the patient's input and honor the individual's beliefs,
values, and desires. Alternative and complementary therapies are part of an integrative
approach to health care. An increasing number of American adults are seeking alternative and
complementary health care options. Alternative healing modalities offer an holistic approach
to health, focusing on the whole person, not just the disease.
An important development that affects maternity nursing is integrative health care, which:
a. Seeks to provide the same health care for all racial and ethnic groups.
b. Blends complementary and alternative therapies with conventional Western treatment.
c. Focuses on the disease or condition rather than the background of the client.
d. Has been mandated by Congress. - Answer ✓✓b. Blends complementary and alternative
therapies with conventional Western treatment.
Integrative health care tries to mix the old with the new at the discretion of the client and
health care providers. Integrative health care is a blending of new and traditional practices.
Integrative health care focuses on the whole person, not just the disease or condition. U.S.
law supports complementary and alternative therapies but does not mandate them
During a prenatal intake interview, the client informs the nurse that she would prefer a
midwife to provide her care during pregnancy and deliver her infant. What information would
be most appropriate for the nurse to share with this patient?
a. Midwifery care is available only to clients who are uninsured because their services are less
expensive than an obstetrician. Costs are often lower than an obstetric provider.
b. The client will receive fewer interventions during the birth process.
c. The client should be aware that midwives are not certified.
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d. Delivery can take place only at the client's home or in a birth center. - Answer ✓✓b. The
client will receive fewer interventions during the birth process.
This patient will be able to participate actively in all decisions related to the birth process and
is likely to receive fewer interventions during the birth process. Midwifery services are
available to all low-risk pregnant women, regardless of the type of insurance they have.
Midwifery care in all developed countries is strictly regulated by a governing body, which
ensures that core competencies are met. In the United States, this body is the American
College of Nurse-Midwives. Midwives can provide care and delivery at home, in freestanding
birth centers, and in community and teaching hospitals.
Which maternal complication is the nurse alert for in order to prevent a failure to rescue in a
perinatal setting?
a. Unstable fetal heart rate
b. Amniotic fluid embolism
c. Prolapsed umbilical cord
d. Uterine hyperstimulation - Answer ✓✓b. Amniotic fluid embolism
The nurse is alert for maternal complications such as amniotic fluid embolism, placental
abruption, hemorrhage after birth, uterine rupture, and eclampsia in order to prevent a
failure to rescue. In such cases the health care team needs to initiate appropriate
interventions quickly to prevent harm to the patient. An unstable fetal heart rate and pattern,
prolapsed umbilical cord, and uterine hyperstimulation are fetal complications in a perinatal
setting.
What does the comprehensive standardized language developed by the nurses from
University of Iowa describe?
a. Details of perinatal patients
b. Interventions by specialist nurses
c. Perinatal terms and complications
d. Beneficial and ineffective care practices - Answer ✓✓b. Interventions by specialist nurses
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The Nursing Interventions Classification includes a comprehensive standardized language that
describes interventions that are performed by generalist or specialist nurses. These
interventions are commonly used by maternal child nurses to support the family and provide
childbearing and after-birth care. The details of perinatal patients are documented in the
medical records. The nurse can use reference books and journals to understand perinatal
terms and complications. The Cochrane Pregnancy and Childbirth Database contains studies
that evaluate beneficial and ineffective care practices.
Which type of health care includes aromatherapy and massage in conjunction with a
pharmaceutical agent?
a. Holistic
b. Integrative
c. Alternative
d. Complementary - Answer ✓✓b. Integrative
Aromatherapy and massage therapies in conjunction with a pharmaceutical agent is an
example of integrative health care, which encompasses complimentary and alternative
therapies in combination with conventional Western modalities of treatment. Holistic care is
focused on treating the whole patient, not just the symptoms or disease. Alternative and
complementary therapies are components of integrative health care.
Which term defines a neonatal death caused by a birth weight greater than 2500 g?
a. Sentinel event
b. Ethical dilemma
c. Failure to rescue
d. Legal negligence - Answer ✓✓a. Sentinel event
A sentinel event is an unexpected occurrence involving death or serious injury. Events like
maternal death during delivery or perinatal death which is not related to any congenital
disease is a sentinel event. Such events need to be attended to promptly. Failure to rescue is
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