Actual Exam | Comprehensive Maternal-Child Assessment | Nursing Education Standards
Overview
This 2025/2026 validated resource contains the complete NUR 2513 Maternal Child Nursing
Exam 2 with actual questions and verified answers, directly aligned with current nursing
curriculum standards. Essential for nursing students preparing for maternal-child health
assessment and demonstrating competency in obstetric and pediatric nursing care
principles.
Key Features
✓ 70-Question Comprehensive Exam matching nursing program format
✓ Obstetric Complications & Management with clinical applications
✓ Newborn Assessment & Care with developmental considerations
✓ Updated 2025/2026 maternal-child nursing standards
✓ Pharmacology Applications with medication safety protocols
Content Domains
• High-Risk Pregnancy Management (16 Questions)
• Labor & Delivery Complications (14 Questions)
• Newborn Adaptation & Disorders (13 Questions)
• Postpartum Complications (12 Questions)
• Pediatric Growth Assessment (9 Questions)
• Family-Centered Care (6 Questions)
Answer Format
Verified correct answers in bold green with:
• Clinical assessment rationales
• Intervention prioritization justifications
• Medication safety applications
• Developmental consideration evaluations
Critical Updates 2025/2026
NEW - Enhanced preterm labor protocols
UPDATED - Neonatal resuscitation guidelines
REVISED - Postpartum hemorrhage management
MODIFIED - Pediatric assessment tools
HIGH-RISK PREGNANCY MANAGEMENT (Questions 1–16)
1. The priority nursing intervention for a patient with preterm labor at 32 weeks
gestation is?
a) Immediate delivery
b) Administer betamethasone 12 mg IM × 2 doses 24h apart
c) Bed rest indefinitely
, d) Discharge home
Rationale: Antenatal corticosteroids reduce neonatal respiratory distress syndrome.
2. Which medication is contraindicated in pregnancy-induced hypertension?
a) Labetalol
b) ACE inhibitors
c) Methyldopa
d) Nifedipine
Rationale: ACE inhibitors cause fetal renal toxicity and oligohydramnios.
3. The most reliable indicator of gestational diabetes control during pregnancy is?
a) Fasting glucose <140 mg/dL
b) HbA1c <6.5%
c) 1-hour postprandial <180 mg/dL
d) Random glucose <200 mg/dL
Rationale: HbA1c reflects 3-month glycemic control.
4. A patient with placenta previa presents with painless vaginal bleeding at 28 weeks.
The nurse should?
a) Perform a vaginal exam
b) Maintain bed rest and monitor maternal-fetal status
c) Prepare for immediate vaginal delivery
d) Discharge with follow-up
Rationale: Vaginal exam contraindicated with placenta previa; bleeding managed
expectantly.
5. Which finding indicates severe preeclampsia?
a) BP 140/90 mmHg
b) Proteinuria >5g/24h
c) Mild headache
d) Trace protein
Rationale: >5g proteinuria defines severe preeclampsia.
6. The nurse should expect to administer which medication for magnesium sulfate
toxicity?
a) Naloxone
b) Calcium gluconate 1g IV
c) Flumazenil
d) Protamine
Rationale: Calcium reverses magnesium's neuromuscular blockade.
7. Which position is best for a patient with premature rupture of membranes (PROM) at
32 weeks?
a) Supine
b) Left lateral tilt
c) Trendelenburg
d) Prone
Rationale: Left tilt reduces vena cava compression and improves placental
perfusion.
8. The priority assessment for a patient with HELLP syndrome is?
a) Fetal heart rate
b) Maternal liver enzymes and platelet count
c) Urine output hourly