NUR 2513 Maternal-Child Nursing
Ultimate High-Yield Mastery Bank
(400-Question Comprehensive
Prep Pack)
This premier, programmatically aligned practice
question bank delivers 400 meticulously
crafted, board-style multiple-choice questions
designed to mirror the clinical depth and
evaluation benchmarks of core maternal-child
and pediatric nursing curricula. Covering the full
spectrum of essential foundational
competencies, this resource tracks critical
prenatal parameters, intrapartum fetal
monitoring strip configurations, and neonate
,physiological adaptations while incorporating
high-risk complications like preeclampsia
staging, hyperemesis gravidarum metabolic
indicators, and neonatal respiratory distress
syndrome protocols. Every item is fully
supported with structured options, a bold-
italicized correct answer, and an information-
dense conceptual rationale designed to
sharpen clinical judgment, eliminate test-day
anxiety, and ensure total readiness for
academic and exit licensure examinations.
,1. What is the most effective way for a nurse to assess a pregnant woman's usual
food intake during her pregnancy?
A) Ask the client to describe a healthy diet.
B) Ask the client to describe her total intake for a week.
C) Assess the client's skin for hydration and color.
D) Ask her to describe her intake for the last 24 hours.
Correct Answer: D) Ask her to describe her intake for the last 24 hours.
Rationale: A 24-hour dietary recall is the most effective and practical screening tool for
assessing an individual's actual nutritional intake. It provides immediate, objective data
about recent consumption patterns, whereas asking about a week is harder to recall
accurately, and asking to describe a healthy diet only assesses knowledge rather than
actual behavior.
2. A nurse is teaching a client on the use of a diaphragm for contraception. Which
of the following client statements indicates that the client needs further teaching?
A) "I need to use my finger to remove the diaphragm."
B) "I should remove the diaphragm 6 hours after intercourse."
C) "I should stop using a diaphragm if I get an infection of my cervix."
D) "I need to have the diaphragm checked if my weight changes by 30 lbs."
Correct Answer: D) "I need to have the diaphragm checked if my weight changes
by 30 lbs."
Rationale: This statement indicates a need for further teaching because a diaphragm
needs to be refitted after a weight change of 10 to 15 lbs (not 30 lbs), as well as after
child birth, pelvic surgery, or a miscarriage. The other options are correct safety and
usage rules for using a barrier diaphragm.
3. A nurse is caring for a client who is at 14 weeks of gestation and undergoing a
prenatal assessment. Which of the following findings should the nurse document
as a positive sign of pregnancy?
A) Positive serum pregnancy test
B) Auscultation of fetal heart tones via Doppler
C) Amenorrhea and morning sickness
D) Uterine enlargement and Hegar's sign
Correct Answer: B) Auscultation of fetal heart tones via Doppler
, Rationale: Positive signs of pregnancy are those that can be attributed only to the
presence of a fetus, such as hearing fetal heart tones, ultrasound visualization, or
palpable fetal movement by an experienced clinician. Pregnancy tests, amenorrhea,
and uterine changes are classified as presumptive or probable signs.
4. A nurse is teaching a client about performing home standard ovulation
monitoring to optimize conception. Which of the following physiological changes
should the nurse tell the client to look for during ovulation?
A) Thin, slippery, clear cervical mucus that stretches easily
B) A sudden, marked drop in basal body temperature that lasts for 4 days
C) Thick, white, opaque cervical mucus with a high viscosity
D) Sudden onset of heavy mid-cycle vaginal bleeding
Correct Answer: A) Thin, slippery, clear cervical mucus that stretches easily
Rationale: During ovulation, estrogen levels peak, causing cervical mucus to become
thin, clear, slippery, and stretchy (spinnbarkeit). This structural configuration facilitates
sperm transport. Thick, white mucus occurs during the progesterone-dominant luteal
phase and impedes sperm.
5. A nurse is reinforcing nutritional guidelines with a pregnant client who has a
normal pre-pregnancy body mass index (BMI). What is the recommended total
weight gain for this client across the entire pregnancy?
A) 11 to 20 lbs
B) 15 to 25 lbs
C) 25 to 35 lbs
D) 28 to 40 lbs
Correct Answer: C) 25 to 35 lbs
Rationale: For a woman with a normal pre-pregnancy BMI (18.5 to 24.9), the
recommended total weight gain during pregnancy is 25 to 35 lbs. Underweight clients
require more gain (28 to 40 lbs), while overweight or obese clients require less (11 to 25
lbs).
Ultimate High-Yield Mastery Bank
(400-Question Comprehensive
Prep Pack)
This premier, programmatically aligned practice
question bank delivers 400 meticulously
crafted, board-style multiple-choice questions
designed to mirror the clinical depth and
evaluation benchmarks of core maternal-child
and pediatric nursing curricula. Covering the full
spectrum of essential foundational
competencies, this resource tracks critical
prenatal parameters, intrapartum fetal
monitoring strip configurations, and neonate
,physiological adaptations while incorporating
high-risk complications like preeclampsia
staging, hyperemesis gravidarum metabolic
indicators, and neonatal respiratory distress
syndrome protocols. Every item is fully
supported with structured options, a bold-
italicized correct answer, and an information-
dense conceptual rationale designed to
sharpen clinical judgment, eliminate test-day
anxiety, and ensure total readiness for
academic and exit licensure examinations.
,1. What is the most effective way for a nurse to assess a pregnant woman's usual
food intake during her pregnancy?
A) Ask the client to describe a healthy diet.
B) Ask the client to describe her total intake for a week.
C) Assess the client's skin for hydration and color.
D) Ask her to describe her intake for the last 24 hours.
Correct Answer: D) Ask her to describe her intake for the last 24 hours.
Rationale: A 24-hour dietary recall is the most effective and practical screening tool for
assessing an individual's actual nutritional intake. It provides immediate, objective data
about recent consumption patterns, whereas asking about a week is harder to recall
accurately, and asking to describe a healthy diet only assesses knowledge rather than
actual behavior.
2. A nurse is teaching a client on the use of a diaphragm for contraception. Which
of the following client statements indicates that the client needs further teaching?
A) "I need to use my finger to remove the diaphragm."
B) "I should remove the diaphragm 6 hours after intercourse."
C) "I should stop using a diaphragm if I get an infection of my cervix."
D) "I need to have the diaphragm checked if my weight changes by 30 lbs."
Correct Answer: D) "I need to have the diaphragm checked if my weight changes
by 30 lbs."
Rationale: This statement indicates a need for further teaching because a diaphragm
needs to be refitted after a weight change of 10 to 15 lbs (not 30 lbs), as well as after
child birth, pelvic surgery, or a miscarriage. The other options are correct safety and
usage rules for using a barrier diaphragm.
3. A nurse is caring for a client who is at 14 weeks of gestation and undergoing a
prenatal assessment. Which of the following findings should the nurse document
as a positive sign of pregnancy?
A) Positive serum pregnancy test
B) Auscultation of fetal heart tones via Doppler
C) Amenorrhea and morning sickness
D) Uterine enlargement and Hegar's sign
Correct Answer: B) Auscultation of fetal heart tones via Doppler
, Rationale: Positive signs of pregnancy are those that can be attributed only to the
presence of a fetus, such as hearing fetal heart tones, ultrasound visualization, or
palpable fetal movement by an experienced clinician. Pregnancy tests, amenorrhea,
and uterine changes are classified as presumptive or probable signs.
4. A nurse is teaching a client about performing home standard ovulation
monitoring to optimize conception. Which of the following physiological changes
should the nurse tell the client to look for during ovulation?
A) Thin, slippery, clear cervical mucus that stretches easily
B) A sudden, marked drop in basal body temperature that lasts for 4 days
C) Thick, white, opaque cervical mucus with a high viscosity
D) Sudden onset of heavy mid-cycle vaginal bleeding
Correct Answer: A) Thin, slippery, clear cervical mucus that stretches easily
Rationale: During ovulation, estrogen levels peak, causing cervical mucus to become
thin, clear, slippery, and stretchy (spinnbarkeit). This structural configuration facilitates
sperm transport. Thick, white mucus occurs during the progesterone-dominant luteal
phase and impedes sperm.
5. A nurse is reinforcing nutritional guidelines with a pregnant client who has a
normal pre-pregnancy body mass index (BMI). What is the recommended total
weight gain for this client across the entire pregnancy?
A) 11 to 20 lbs
B) 15 to 25 lbs
C) 25 to 35 lbs
D) 28 to 40 lbs
Correct Answer: C) 25 to 35 lbs
Rationale: For a woman with a normal pre-pregnancy BMI (18.5 to 24.9), the
recommended total weight gain during pregnancy is 25 to 35 lbs. Underweight clients
require more gain (28 to 40 lbs), while overweight or obese clients require less (11 to 25
lbs).
