NUR 2513 MATERNAL CHILD NURSING EXAM 2 | 120 QUESTIONS & ANSWERS
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Question 1
A nurse is caring for a postpartum client with heavy vaginal bleeding. What is the
priority intervention?
A. Administer oxygen at 2 L/min
B. Massage the uterine fundus
C. Insert a Foley catheter
D. Encourage ambulation
Rationale: Uterine massage stimulates contraction, reducing postpartum
hemorrhage.
Question 2
Which finding in a newborn requires immediate intervention?
A. Acrocyanosis
B. Respiratory rate of 80/min
C. Moro reflex present
D. Overlapping sutures
Rationale: A respiratory rate of 80/min indicates distress; normal is 30–60/min.
Question 3
A nurse provides discharge teaching to a mother with mastitis. Which statement
indicates correct understanding?
A. “I will stop breastfeeding until it heals.”
B. “I should use tight bras to reduce milk flow.”
C. “I will continue breastfeeding and take antibiotics.”
D. “I should apply cold compresses only.”
Rationale: Continuing breastfeeding with antibiotics helps resolve mastitis.
Question 4
Which assessment is most important for a client with preeclampsia?
A. Blood glucose
B. Blood pressure
C. Weight history
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D. Fundal height
Rationale: Hypertension is the hallmark of preeclampsia.
Question 5
Which newborn finding is abnormal?
A. Positive Babinski reflex
B. Lanugo on shoulders
C. Absent rooting reflex
D. Overlapping cranial sutures
Rationale: The rooting reflex should be present in newborns; absence indicates
neurologic concern.
Question 6
Which teaching is essential for a client prescribed magnesium sulfate for
preeclampsia?
A. Expect constipation
B. Report difficulty breathing immediately
C. Take with meals
D. Increase activity
Rationale: Respiratory depression is a serious adverse effect of magnesium
sulfate.
Question 7
Which finding is expected in a healthy newborn?
A. Irregular respirations
B. Cyanosis of lips
C. Grunting with retractions
D. Lethargy with poor cry
Rationale: Irregular respirations are normal in newborns.
Question 8
Which food is contraindicated for a 7-month-old infant?
A. Applesauce
B. Mashed carrots
C. Honey
D. Rice cereal
Rationale: Honey may cause infant botulism and should be avoided before age 1.
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Question 9
Which position is best for a laboring client with umbilical cord prolapse?
A. Supine with legs straight
B. Knee-chest or Trendelenburg
C. Lithotomy
D. High Fowler’s
Rationale: Knee-chest or Trendelenburg relieves pressure on the cord.
Question 10
Which intervention prevents cold stress in a newborn?
A. Place in crib immediately
B. Dry and cover with warm blankets
C. Delay skin-to-skin contact
D. Place under radiant warmer unclothed
Rationale: Drying and covering reduces heat loss and cold stress.
Question 11
Which newborn finding requires immediate reporting?
A. Overlapping cranial bones
B. Caput succedaneum
C. Central cyanosis
D. Irregular heart rate
Rationale: Central cyanosis indicates inadequate oxygenation.
Question 12
A client at 34 weeks gestation reports painless vaginal bleeding. Which condition
is suspected?
A. Abruptio placentae
B. Placenta previa
C. Ectopic pregnancy
D. Preterm labor
Rationale: Placenta previa typically presents with painless bright-red bleeding.
Question 13
Which vaccine is safe for a breastfeeding mother?
A. Varicella