NUR2513 – Maternal-Child Nursing Final
Exam | Rasmussen College | 2025/2026 |
Verified Grade A Questions and Answers
NUR2513 – Maternal-Child Nursing Final Exam | Questions 1–200
1. A nurse is caring for a postpartum client who is 2 hours post-cesarean section. Which
assessment finding requires immediate intervention?
a) Fundus firm at the level of the umbilicus
b) Small amount of lochia rubra
c) Saturated peripad within 15 minutes
d) Mild incisional pain controlled by analgesics
Answer: c) Saturated peripad within 15 minutes
Rationale: Rapidly saturating a peripad indicates possible postpartum hemorrhage, which is an
emergency.
2. A pregnant client at 28 weeks gestation reports feeling sudden gushes of fluid from the
vagina. What is the priority nursing action?
a) Assess fetal heart rate
b) Perform a sterile speculum exam
c) Encourage the client to ambulate
d) Instruct the client to empty her bladder
Answer: a) Assess fetal heart rate
Rationale: Sudden fluid loss may indicate rupture of membranes. Assessing fetal well-being is
the priority before other interventions.
3. Which immunization is contraindicated during pregnancy?
a) Tdap
b) Influenza (inactivated)
c) MMR
d) Hepatitis B
,Answer: c) MMR
Rationale: MMR contains live attenuated viruses and is contraindicated during pregnancy due
to risk of fetal infection.
4. A newborn is assessed immediately after birth and has a heart rate of 90 bpm, weak
cry, and limp extremities. Using the APGAR scoring system, what is the total score?
a) 2
b) 4
c) 6
d) 8
Answer: b) 4
Rationale: Heart rate <100 = 1, respiratory effort weak = 1, muscle tone limp = 0, reflex
irritability = 1, color (assume pink body, blue extremities) = 1 → total = 4.
5. A nurse is teaching a pregnant client about iron supplementation. Which statement
indicates correct understanding?
a) “I will take iron with milk to reduce stomach upset.”
b) “I will take iron with water or orange juice.”
c) “I can take iron at bedtime with tea.”
d) “I only need iron if I feel tired.”
Answer: b) “I will take iron with water or orange juice.”
Rationale: Vitamin C (from orange juice) enhances iron absorption; calcium or tea decreases
absorption.
6. The nurse is caring for a client with preeclampsia. Which finding indicates worsening
condition?
a) Blood pressure 140/90 mmHg
b) Mild headache relieved by rest
c) Proteinuria 3+
d) Slight ankle edema
Answer: c) Proteinuria 3+
Rationale: Heavy proteinuria indicates progression of preeclampsia and increased risk for
complications.
, 7. Which statement about breastfeeding is accurate?
a) Breast milk provides fewer antibodies than formula
b) Feeding should be scheduled strictly every 4 hours
c) Colostrum is rich in protein and antibodies
d) Formula is preferred for the first week
Answer: c) Colostrum is rich in protein and antibodies
Rationale: Colostrum is the newborn’s first immune protection and is high in protein,
antibodies, and growth factors.
8. A nurse is assessing a neonate’s reflexes. The Moro reflex is tested by:
a) Stroking the sole of the foot
b) Gently lowering the head while supporting the body
c) Brushing the cheek near the mouth
d) Placing a finger in the palm
Answer: b) Gently lowering the head while supporting the body
Rationale: The Moro reflex (startle reflex) is elicited by sudden loss of support, resulting in arm
abduction and crying.
9. A client is at 36 weeks gestation and experiencing contractions every 3 minutes,
lasting 45 seconds. The cervix is 4 cm dilated. What is the appropriate nursing action?
a) Encourage ambulation
b) Prepare for imminent birth
c) Continue to monitor contractions at home
d) Administer tocolytics
Answer: b) Prepare for imminent birth
Rationale: Regular contractions with cervical dilation >3 cm indicate active labor, and delivery
may be imminent.
10. A 2-week-old infant presents with jaundice. The nurse knows that physiologic
jaundice:
a) Appears within the first 24 hours
b) Peaks at 3–5 days of life
c) Requires immediate phototherapy in all cases
d) Is always pathological
Exam | Rasmussen College | 2025/2026 |
Verified Grade A Questions and Answers
NUR2513 – Maternal-Child Nursing Final Exam | Questions 1–200
1. A nurse is caring for a postpartum client who is 2 hours post-cesarean section. Which
assessment finding requires immediate intervention?
a) Fundus firm at the level of the umbilicus
b) Small amount of lochia rubra
c) Saturated peripad within 15 minutes
d) Mild incisional pain controlled by analgesics
Answer: c) Saturated peripad within 15 minutes
Rationale: Rapidly saturating a peripad indicates possible postpartum hemorrhage, which is an
emergency.
2. A pregnant client at 28 weeks gestation reports feeling sudden gushes of fluid from the
vagina. What is the priority nursing action?
a) Assess fetal heart rate
b) Perform a sterile speculum exam
c) Encourage the client to ambulate
d) Instruct the client to empty her bladder
Answer: a) Assess fetal heart rate
Rationale: Sudden fluid loss may indicate rupture of membranes. Assessing fetal well-being is
the priority before other interventions.
3. Which immunization is contraindicated during pregnancy?
a) Tdap
b) Influenza (inactivated)
c) MMR
d) Hepatitis B
,Answer: c) MMR
Rationale: MMR contains live attenuated viruses and is contraindicated during pregnancy due
to risk of fetal infection.
4. A newborn is assessed immediately after birth and has a heart rate of 90 bpm, weak
cry, and limp extremities. Using the APGAR scoring system, what is the total score?
a) 2
b) 4
c) 6
d) 8
Answer: b) 4
Rationale: Heart rate <100 = 1, respiratory effort weak = 1, muscle tone limp = 0, reflex
irritability = 1, color (assume pink body, blue extremities) = 1 → total = 4.
5. A nurse is teaching a pregnant client about iron supplementation. Which statement
indicates correct understanding?
a) “I will take iron with milk to reduce stomach upset.”
b) “I will take iron with water or orange juice.”
c) “I can take iron at bedtime with tea.”
d) “I only need iron if I feel tired.”
Answer: b) “I will take iron with water or orange juice.”
Rationale: Vitamin C (from orange juice) enhances iron absorption; calcium or tea decreases
absorption.
6. The nurse is caring for a client with preeclampsia. Which finding indicates worsening
condition?
a) Blood pressure 140/90 mmHg
b) Mild headache relieved by rest
c) Proteinuria 3+
d) Slight ankle edema
Answer: c) Proteinuria 3+
Rationale: Heavy proteinuria indicates progression of preeclampsia and increased risk for
complications.
, 7. Which statement about breastfeeding is accurate?
a) Breast milk provides fewer antibodies than formula
b) Feeding should be scheduled strictly every 4 hours
c) Colostrum is rich in protein and antibodies
d) Formula is preferred for the first week
Answer: c) Colostrum is rich in protein and antibodies
Rationale: Colostrum is the newborn’s first immune protection and is high in protein,
antibodies, and growth factors.
8. A nurse is assessing a neonate’s reflexes. The Moro reflex is tested by:
a) Stroking the sole of the foot
b) Gently lowering the head while supporting the body
c) Brushing the cheek near the mouth
d) Placing a finger in the palm
Answer: b) Gently lowering the head while supporting the body
Rationale: The Moro reflex (startle reflex) is elicited by sudden loss of support, resulting in arm
abduction and crying.
9. A client is at 36 weeks gestation and experiencing contractions every 3 minutes,
lasting 45 seconds. The cervix is 4 cm dilated. What is the appropriate nursing action?
a) Encourage ambulation
b) Prepare for imminent birth
c) Continue to monitor contractions at home
d) Administer tocolytics
Answer: b) Prepare for imminent birth
Rationale: Regular contractions with cervical dilation >3 cm indicate active labor, and delivery
may be imminent.
10. A 2-week-old infant presents with jaundice. The nurse knows that physiologic
jaundice:
a) Appears within the first 24 hours
b) Peaks at 3–5 days of life
c) Requires immediate phototherapy in all cases
d) Is always pathological
