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NUR 242 | Maternal & Women’s Health Nursing | Exam 2 | 100+ Q&A | Labor, Newborn Care, Postpartum, Pain Management | 2025 |

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This detailed exam preparation guide includes over 100 exam-based questions and answers from Exam 2 of the NUR 242 – Maternal and Women’s Health Nursing course for the 2025 academic year at the University of Nursing Sciences. It is designed to help students master clinical and theoretical content related to labor and delivery, newborn assessment, postpartum care, and pain control strategies in maternal nursing. Key topics include stages and signs of true labor, cervical changes, fetal heart monitoring, pain relief techniques (epidurals, pharmacological and non-pharmacological), postpartum assessments (fundus, lochia, vital signs), and routine newborn care including Apgar scoring, vitamin K administration, thermoregulation, and hypoglycemia prevention. It also covers maternal psychological changes, patient teaching, and priority nursing interventions during and after delivery. This resource presents each question with a clear, correct answer and clinical rationale, making it highly effective for both knowledge testing and practical application. Recommended for: Nursing students in BSN, ADN, or fast-track programs Maternal-child health or OB-GYN course participants NCLEX-RN and NCLEX-PN exam takers focused on maternity nursing Clinical placement prep for obstetrics and newborn units Perfect for building confidence in high-stakes testing and providing foundational readiness for clinical maternity care. Keywords: maternal nursing, NUR 242, labor stages, pain management, epidural, newborn care, postpartum assessment, Apgar score, lochia, fundal checks, hypoglycemia in newborns, fetal monitoring, NCLEX maternity, postpartum nursing, maternal psychology, newborn nursing care

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Institution
NUR 242
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NUR 242

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Uploaded on
November 28, 2025
Number of pages
45
Written in
2025/2026
Type
Exam (elaborations)
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NUR 242 Exam 2 2025/2026 Exam
Questions and Answers | A+ Score
Assured



Which action by the nurse is most important when preparing for

cardioversion of a client with atrial fibrillation? - 🧠 ANSWER ✔✔Set

synchronizer switch on defibrillator to the "on" position

Which assessment finding by the nurse caring for a client with new-onset

atrial fibrillation would be most important to communicate to the health care

provider? - 🧠 ANSWER ✔✔Sudden vision change


A client who has atrial fibrillation with rapid ventricular response is started

on a continuous heparin infusion. Which clinical finding enables the nurse

,to conclude that the heparin therapy is effective? - 🧠 ANSWER ✔✔An

activated partial thromboplastin time (aPTT) is twice the usual value.

When treating clients for osteoporosis, which medication has a side effect

of atrial fibrillation when infused too quickly? - 🧠 ANSWER ✔✔Zoledronic

acid

After the home health nurse obtains a radial pulse rate of 136 beats/minute

in a client with chronic atrial fibrillation, which action would the nurse take

next? - 🧠 ANSWER ✔✔Take the client's apical pulse for a full minut


Which finding for a client who has a diagnosis of paroxysmal atrial

fibrillation is most important to report quickly to the health care provider? - 🧠

ANSWER ✔✔Right arm weakness


When teaching a client with atrial fibrillation about a new prescription for

warfarin, the nurse will include information about which vitamin? - 🧠

ANSWER ✔✔Vitamin K


Which action is essential for the nurse to include in the plan of care for a

client with atrial fibrillation? - 🧠 ANSWER ✔✔Take pulse apically for a full

minute.

,Which action would the nurse include in the plan of care for a client who

had an ischemic stroke caused by atrial fibrillation and has been placed on

anticoagulation therapy to prevent further strokes from occurring? Select all

that apply. One, some, or all responses may be correct. - 🧠 ANSWER

✔✔Wearing a medical alert bracelet


Initiating bleeding precautions

Refraining from estrogen therapy

Obtaining routine prothrombin times

Notifying providers of anticoagulation

Which client response must the nurse monitor to determine the

effectiveness of amiodarone? - 🧠 ANSWER ✔✔Decrease in cardiac

dysrhythmias

The nurse provides discharge teaching to a client who has received

prescriptions for digoxin, furosemide, and a 2-g sodium diet. Which

statement from the client indicates that further teaching is needed? - 🧠

ANSWER ✔✔I can use a little table salt on my food as long as I do not use

it when cooking food.




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, A 2-month-old infant with the diagnosis of heart failure is discharged with a

prescription for oral digoxin 0.05 mg every 12 hours. The bottle of digoxin is

labeled "0.05 mg/mL." Which item would the nurse teach the mother to use

when administering the medication? - 🧠 ANSWER ✔✔Calibrated syringe


An infant with congenital heart disease is prescribed digoxin and

furosemide upon discharge. Which sign would the nurse instruct the

parents to be alert for? - 🧠 ANSWER ✔✔Difficulty feeding with vomiting


A client, who is currently taking digoxin 0.125 mg in the morning and

alprazolam 0.5 mg twice a day, is prescribed donepezil 5 mg daily for early

dementia of the Alzheimer type. Which instruction would the nurse include

when teaching the client's spouse about medication administration? - 🧠

ANSWER ✔✔Prefill a weekly medication box with the medications for the

client to self-administe

A client with congestive heart failure is receiving intravenous digoxin

(Cardoxin) therapy. The registered nurse identifies that which items on the

client's care plan are appropriate for a licensed practical nurse (LPN) to

perform? Select all that apply. One, some, or all responses may be correct.

- 🧠 ANSWER ✔✔Help the client ambulate when required.

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