Maternal-Child Nursing (NUR 2513) MATERNAL
FINAL Exam 2026 Three Different Versions |
Actual Questions and 100% Correct Answers
Solved | Rasmussen University
QUESTION 1
A pregnant client asks the nurse about the function of amniotic fluid. Which
response by the nurse is most accurate?
A) "Amniotic fluid provides oxygen to the baby through the lungs."
B) "Amniotic fluid cushions the baby, regulates temperature, and allows
free movement."
C) "Amniotic fluid is the primary source of nutrition for the baby."
D) "Amniotic fluid helps with the baby's digestion."
ANSWER: B) "Amniotic fluid cushions the baby, regulates temperature,
and allows free movement."
RATIONALE: Amniotic fluid serves multiple important functions: it cushions
the fetus from minor trauma, helps regulate temperature, and permits free
movement for musculoskeletal development. Oxygen and nutrition are
provided via the placenta, not amniotic fluid.
QUESTION 2
A pregnant client is concerned her baby will drown in amniotic fluid. How
should the nurse respond?
A) "The baby breathes amniotic fluid to get oxygen, so it's important."
B) "Oxygen is provided to the baby through the placenta, not the
amniotic fluid."
C) "Amniotic fluid contains dissolved oxygen that the baby absorbs."
D) "The baby holds its breath while in the uterus."
,ANSWER: B) "Oxygen is provided to the baby through the placenta, not
the amniotic fluid."
RATIONALE: The placenta delivers oxygen to the fetus via the umbilical cord.
The fetus does not use amniotic fluid for respiration; the lungs are filled with
fluid but do not participate in gas exchange in utero.
QUESTION 3
What are the important functions of amniotic fluid for fetal wellbeing? (Select
all that apply)
A) Providing oxygen to the lungs
B) Cushioning the baby from minor trauma
C) Temperature control
D) Nutrition for the baby
E) Permits free movement of the baby
ANSWER: B) Cushioning the baby from minor trauma, C) Temperature
control, E) Permits free movement of the baby
RATIONALE: Amniotic fluid cushions the fetus, regulates temperature, and
allows free movement. Oxygen and nutrition are provided via the placenta,
not amniotic fluid.
QUESTION 4
Which maternal condition increases the risk of Down syndrome?
A) Maternal diabetes
B) Advanced maternal age
C) Maternal hypertension
D) Maternal obesity
,ANSWER: B) Advanced maternal age
RATIONALE: Advanced maternal age (greater than 35 years) significantly
increases the risk of chromosomal abnormalities such as Down syndrome
(trisomy 21). The risk increases with advancing maternal age due to age-
related meiotic nondisjunction.
QUESTION 5
What is a key risk factor for gestational diabetes mellitus (GDM)?
A) Underweight before pregnancy
B) Obesity
C) Age less than 20 years
D) History of preterm labor
ANSWER: B) Obesity
RATIONALE: Obesity increases insulin resistance, which is a major
physiological risk factor for the development of gestational diabetes mellitus
during pregnancy. Other risk factors include family history of diabetes,
previous GDM, and advanced maternal age.
QUESTION 6
Which assessment finding is classic for a diagnosis of preeclampsia?
A) Blood pressure 130/80 mmHg with edema
B) Blood pressure ≥ 140/90 mmHg with proteinuria
C) Blood pressure 150/95 mmHg without proteinuria
D) Blood pressure 120/80 mmHg with headache
ANSWER: B) Blood pressure ≥ 140/90 mmHg with proteinuria
RATIONALE: Preeclampsia is defined by the new onset of hypertension
(blood pressure ≥ 140/90 mmHg) and proteinuria (≥ 300 mg in 24-hour
, urine) or other end-organ dysfunction after 20 weeks of gestation in a
previously normotensive woman.
QUESTION 7
A priority nursing intervention for a patient experiencing preeclampsia with
severe features is:
A) Administer tocolytics as prescribed
B) Administer magnesium sulfate as prescribed
C) Encourage oral fluid intake
D) Ambulate the patient frequently
ANSWER: B) Administer magnesium sulfate as prescribed
RATIONALE: Magnesium sulfate is the medication of choice to prevent
seizures (eclampsia) in clients with severe preeclampsia. It acts as a central
nervous system depressant and reduces the risk of eclampsia.
QUESTION 8
Which condition is typically associated with painless vaginal bleeding in the
third trimester?
A) Placental abruption
B) Placenta previa
C) Preterm labor
D) Uterine rupture
ANSWER: B) Placenta previa
RATIONALE: Painless, bright red vaginal bleeding is the hallmark sign of
placenta previa, a condition where the placenta implants low in the uterus,
covering part or all of the cervical os. The bleeding is maternal in origin and
often occurs without pain.
FINAL Exam 2026 Three Different Versions |
Actual Questions and 100% Correct Answers
Solved | Rasmussen University
QUESTION 1
A pregnant client asks the nurse about the function of amniotic fluid. Which
response by the nurse is most accurate?
A) "Amniotic fluid provides oxygen to the baby through the lungs."
B) "Amniotic fluid cushions the baby, regulates temperature, and allows
free movement."
C) "Amniotic fluid is the primary source of nutrition for the baby."
D) "Amniotic fluid helps with the baby's digestion."
ANSWER: B) "Amniotic fluid cushions the baby, regulates temperature,
and allows free movement."
RATIONALE: Amniotic fluid serves multiple important functions: it cushions
the fetus from minor trauma, helps regulate temperature, and permits free
movement for musculoskeletal development. Oxygen and nutrition are
provided via the placenta, not amniotic fluid.
QUESTION 2
A pregnant client is concerned her baby will drown in amniotic fluid. How
should the nurse respond?
A) "The baby breathes amniotic fluid to get oxygen, so it's important."
B) "Oxygen is provided to the baby through the placenta, not the
amniotic fluid."
C) "Amniotic fluid contains dissolved oxygen that the baby absorbs."
D) "The baby holds its breath while in the uterus."
,ANSWER: B) "Oxygen is provided to the baby through the placenta, not
the amniotic fluid."
RATIONALE: The placenta delivers oxygen to the fetus via the umbilical cord.
The fetus does not use amniotic fluid for respiration; the lungs are filled with
fluid but do not participate in gas exchange in utero.
QUESTION 3
What are the important functions of amniotic fluid for fetal wellbeing? (Select
all that apply)
A) Providing oxygen to the lungs
B) Cushioning the baby from minor trauma
C) Temperature control
D) Nutrition for the baby
E) Permits free movement of the baby
ANSWER: B) Cushioning the baby from minor trauma, C) Temperature
control, E) Permits free movement of the baby
RATIONALE: Amniotic fluid cushions the fetus, regulates temperature, and
allows free movement. Oxygen and nutrition are provided via the placenta,
not amniotic fluid.
QUESTION 4
Which maternal condition increases the risk of Down syndrome?
A) Maternal diabetes
B) Advanced maternal age
C) Maternal hypertension
D) Maternal obesity
,ANSWER: B) Advanced maternal age
RATIONALE: Advanced maternal age (greater than 35 years) significantly
increases the risk of chromosomal abnormalities such as Down syndrome
(trisomy 21). The risk increases with advancing maternal age due to age-
related meiotic nondisjunction.
QUESTION 5
What is a key risk factor for gestational diabetes mellitus (GDM)?
A) Underweight before pregnancy
B) Obesity
C) Age less than 20 years
D) History of preterm labor
ANSWER: B) Obesity
RATIONALE: Obesity increases insulin resistance, which is a major
physiological risk factor for the development of gestational diabetes mellitus
during pregnancy. Other risk factors include family history of diabetes,
previous GDM, and advanced maternal age.
QUESTION 6
Which assessment finding is classic for a diagnosis of preeclampsia?
A) Blood pressure 130/80 mmHg with edema
B) Blood pressure ≥ 140/90 mmHg with proteinuria
C) Blood pressure 150/95 mmHg without proteinuria
D) Blood pressure 120/80 mmHg with headache
ANSWER: B) Blood pressure ≥ 140/90 mmHg with proteinuria
RATIONALE: Preeclampsia is defined by the new onset of hypertension
(blood pressure ≥ 140/90 mmHg) and proteinuria (≥ 300 mg in 24-hour
, urine) or other end-organ dysfunction after 20 weeks of gestation in a
previously normotensive woman.
QUESTION 7
A priority nursing intervention for a patient experiencing preeclampsia with
severe features is:
A) Administer tocolytics as prescribed
B) Administer magnesium sulfate as prescribed
C) Encourage oral fluid intake
D) Ambulate the patient frequently
ANSWER: B) Administer magnesium sulfate as prescribed
RATIONALE: Magnesium sulfate is the medication of choice to prevent
seizures (eclampsia) in clients with severe preeclampsia. It acts as a central
nervous system depressant and reduces the risk of eclampsia.
QUESTION 8
Which condition is typically associated with painless vaginal bleeding in the
third trimester?
A) Placental abruption
B) Placenta previa
C) Preterm labor
D) Uterine rupture
ANSWER: B) Placenta previa
RATIONALE: Painless, bright red vaginal bleeding is the hallmark sign of
placenta previa, a condition where the placenta implants low in the uterus,
covering part or all of the cervical os. The bleeding is maternal in origin and
often occurs without pain.
