NUR 2513 / NUR2513 Maternal-Child Nursing Final
Exam Practice Test Actual 2025/2026 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: ANTEPARTUM CARE & ASSESSMENT (Questions 1–15)
Q1: A nurse is reviewing the medical record of a client at 12 weeks gestation. Which
finding would require immediate follow-up?
A. Fundal height of 12 cm
B. Fetal heart rate of 160 bpm
C. Blood pressure of 148/92 mmHg on two occasions [CORRECT]
D. Weight gain of 3 pounds since last visit
Correct Answer: C
Rationale: Blood pressure ≥140/90 mmHg on two occasions indicates hypertension
requiring immediate evaluation for preeclampsia risk.
Q2: During the initial prenatal visit, a client asks when she should expect to feel fetal
movement. The nurse correctly responds:
A. "You should feel movement by the end of the first trimester."
B. "Most first-time mothers feel movement between 18 and 20 weeks." [CORRECT]
C. "Fetal movement is typically felt around 24 weeks gestation."
D. "You will feel kicks as early as 12 weeks."
Correct Answer: B
Rationale: Nulliparous women typically perceive quickening between 18-20 weeks
gestation, while multiparous women may feel it earlier at 16-18 weeks.
Q3: A client at 28 weeks gestation has a hemoglobin of 10.2 g/dL. Which nursing
intervention is most appropriate?
,A. Recommend increasing dairy products
B. Administer iron supplementation and dietary counseling [CORRECT]
C. Schedule immediate blood transfusion
D. Document as normal for pregnancy
Correct Answer: B
Rationale: Hemoglobin <11 g/dL in the second trimester indicates anemia; iron
supplementation with dietary teaching is the appropriate intervention.
Q4: Which client statement indicates understanding of foods to avoid during
pregnancy?
A. "I will eat deli meats daily for protein."
B. "I can have sushi made with raw fish if it's fresh."
C. "I will avoid unpasteurized cheeses to reduce listeria risk." [CORRECT]
D. "Caffeine is completely safe in unlimited amounts."
Correct Answer: C
Rationale: Unpasteurized dairy products carry listeria risk; pregnant women should
avoid them while limiting caffeine to <200 mg daily.
Q5: A pregnant client at 16 weeks gestation reports dark patches on her face. The
nurse recognizes this as:
A. A sign of liver dysfunction requiring immediate testing
B. Chloasma (melasma), a normal pigment change of pregnancy [CORRECT]
C. An allergic reaction to prenatal vitamins
D. A sign of gestational diabetes
Correct Answer: B
Rationale: Chloasma is a benign hyperpigmentation caused by elevated estrogen
and progesterone levels during pregnancy.
Q6: The nurse is teaching a client about the signs of preterm labor. Which symptom
should the client report immediately?
A. Occasional Braxton Hicks contractions
B. Regular uterine contractions every 10 minutes [CORRECT]
C. Mild round ligament pain
D. Increased vaginal discharge without odor
, Correct Answer: B
Rationale: Regular contractions occurring every 10 minutes or less may indicate
preterm labor and require immediate medical evaluation.
Q7: During a prenatal visit at 24 weeks, the nurse measures the fundal height. Where
should the fundus be palpated?
A. At the level of the umbilicus [CORRECT]
B. At the xiphoid process
C. At the symphysis pubis
D. Midway between umbilicus and xiphoid
Correct Answer: A
Rationale: Fundal height in centimeters approximates gestational age in weeks
between 20-32 weeks; at 24 weeks, the fundus is at the umbilicus.
Q8: A client with blood type O negative is at 28 weeks gestation. Which intervention
is indicated?
A. Administer Rho(D) immune globulin immediately
B. Administer Rho(D) immune globulin at 28 weeks and postpartum [CORRECT]
C. No intervention is needed for Rh-negative mothers
D. Schedule amniocentesis to check fetal blood type
Correct Answer: B
Rationale: Rho(D) immune globulin is administered at 28 weeks and within 72 hours
postpartum to prevent Rh sensitization in unsensitized Rh-negative women.
Q9: A pregnant client asks about the purpose of the glucose challenge test. The
nurse correctly explains:
A. "It screens for gestational diabetes by measuring glucose metabolism."
[CORRECT]
B. "It checks for anemia in the third trimester."
C. "It evaluates fetal lung maturity."
D. "It detects chromosomal abnormalities."
Correct Answer: A
Rationale: The 1-hour glucose challenge test screens for gestational diabetes by
assessing how the body processes glucose.
Exam Practice Test Actual 2025/2026 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: ANTEPARTUM CARE & ASSESSMENT (Questions 1–15)
Q1: A nurse is reviewing the medical record of a client at 12 weeks gestation. Which
finding would require immediate follow-up?
A. Fundal height of 12 cm
B. Fetal heart rate of 160 bpm
C. Blood pressure of 148/92 mmHg on two occasions [CORRECT]
D. Weight gain of 3 pounds since last visit
Correct Answer: C
Rationale: Blood pressure ≥140/90 mmHg on two occasions indicates hypertension
requiring immediate evaluation for preeclampsia risk.
Q2: During the initial prenatal visit, a client asks when she should expect to feel fetal
movement. The nurse correctly responds:
A. "You should feel movement by the end of the first trimester."
B. "Most first-time mothers feel movement between 18 and 20 weeks." [CORRECT]
C. "Fetal movement is typically felt around 24 weeks gestation."
D. "You will feel kicks as early as 12 weeks."
Correct Answer: B
Rationale: Nulliparous women typically perceive quickening between 18-20 weeks
gestation, while multiparous women may feel it earlier at 16-18 weeks.
Q3: A client at 28 weeks gestation has a hemoglobin of 10.2 g/dL. Which nursing
intervention is most appropriate?
,A. Recommend increasing dairy products
B. Administer iron supplementation and dietary counseling [CORRECT]
C. Schedule immediate blood transfusion
D. Document as normal for pregnancy
Correct Answer: B
Rationale: Hemoglobin <11 g/dL in the second trimester indicates anemia; iron
supplementation with dietary teaching is the appropriate intervention.
Q4: Which client statement indicates understanding of foods to avoid during
pregnancy?
A. "I will eat deli meats daily for protein."
B. "I can have sushi made with raw fish if it's fresh."
C. "I will avoid unpasteurized cheeses to reduce listeria risk." [CORRECT]
D. "Caffeine is completely safe in unlimited amounts."
Correct Answer: C
Rationale: Unpasteurized dairy products carry listeria risk; pregnant women should
avoid them while limiting caffeine to <200 mg daily.
Q5: A pregnant client at 16 weeks gestation reports dark patches on her face. The
nurse recognizes this as:
A. A sign of liver dysfunction requiring immediate testing
B. Chloasma (melasma), a normal pigment change of pregnancy [CORRECT]
C. An allergic reaction to prenatal vitamins
D. A sign of gestational diabetes
Correct Answer: B
Rationale: Chloasma is a benign hyperpigmentation caused by elevated estrogen
and progesterone levels during pregnancy.
Q6: The nurse is teaching a client about the signs of preterm labor. Which symptom
should the client report immediately?
A. Occasional Braxton Hicks contractions
B. Regular uterine contractions every 10 minutes [CORRECT]
C. Mild round ligament pain
D. Increased vaginal discharge without odor
, Correct Answer: B
Rationale: Regular contractions occurring every 10 minutes or less may indicate
preterm labor and require immediate medical evaluation.
Q7: During a prenatal visit at 24 weeks, the nurse measures the fundal height. Where
should the fundus be palpated?
A. At the level of the umbilicus [CORRECT]
B. At the xiphoid process
C. At the symphysis pubis
D. Midway between umbilicus and xiphoid
Correct Answer: A
Rationale: Fundal height in centimeters approximates gestational age in weeks
between 20-32 weeks; at 24 weeks, the fundus is at the umbilicus.
Q8: A client with blood type O negative is at 28 weeks gestation. Which intervention
is indicated?
A. Administer Rho(D) immune globulin immediately
B. Administer Rho(D) immune globulin at 28 weeks and postpartum [CORRECT]
C. No intervention is needed for Rh-negative mothers
D. Schedule amniocentesis to check fetal blood type
Correct Answer: B
Rationale: Rho(D) immune globulin is administered at 28 weeks and within 72 hours
postpartum to prevent Rh sensitization in unsensitized Rh-negative women.
Q9: A pregnant client asks about the purpose of the glucose challenge test. The
nurse correctly explains:
A. "It screens for gestational diabetes by measuring glucose metabolism."
[CORRECT]
B. "It checks for anemia in the third trimester."
C. "It evaluates fetal lung maturity."
D. "It detects chromosomal abnormalities."
Correct Answer: A
Rationale: The 1-hour glucose challenge test screens for gestational diabetes by
assessing how the body processes glucose.
