NUR2513 MATERNAL-CHILD NURSING
EXAM 2 QUESTIONS AND ANSWERS
1. A client at 38 weeks gestation presents with sudden, painless vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Ectopic pregnancy
C. Uterine rupture
D. Placenta previa
Answer: D
Conceptual Explanation: Painless, bright red vaginal bleeding in the third trimester is a
classic sign of placenta previa. Abruptio placentae usually involves painful bleeding.
2. A nurse is monitoring a client in labor and notes late decelerations on the fetal heart rate
monitor. Which action is the priority?
A. Increase the rate of the oxytocin infusion
B. Assist the client into a supine position
C. Perform a vaginal exam to check for cord prolapse
,D. Administer oxygen via non-rebreather mask at 8-10 L/min
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency.
Immediate actions include stopping oxytocin, repositioning the client to the side, and
administering oxygen.
3. A client is receiving Magnesium Sulfate for preeclampsia. The nurse notes absent deep
tendon reflexes and a respiratory rate of 10/min. What is the priority action?
A. Administer Calcium Gluconate
B. Decrease the infusion rate
C. Continue to monitor every 15 minutes
D. Assess the client’s blood pressure
Answer: A
Conceptual Explanation: Absent reflexes and respiratory depression are signs of
magnesium toxicity. Calcium gluconate is the specific antagonist for magnesium sulfate.
4. A postpartum nurse is assessing a client 2 hours after delivery. The fundus is boggy and
displaced to the right. What is the most likely cause?
A. Retained placental fragments
B. Bladder distension
C. Uterine atony
, D. Cervical laceration
Answer: B
Conceptual Explanation: A distended bladder can push the uterus up and to the right,
preventing it from contracting effectively and leading to a boggy fundus.
5. An infant’s APGAR scores were 7 at 1 minute and 9 at 5 minutes. How should the nurse
interpret these scores?
A. The infant requires immediate resuscitation
B. The infant is experiencing severe distress
C. The infant is adjusting well to extrauterine life
D. The infant requires supplemental oxygen
Answer: C
Conceptual Explanation: APGAR scores of 7 to 10 are considered normal and indicate that
the newborn is in good condition.
6. Which medication is administered to a newborn within 1 hour of birth to prevent
ophthalmia neonatorum?
A. Vitamin K
B. Hepatitis B vaccine
C. Erythromycin ophthalmic ointment
D. Nystatin
EXAM 2 QUESTIONS AND ANSWERS
1. A client at 38 weeks gestation presents with sudden, painless vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Ectopic pregnancy
C. Uterine rupture
D. Placenta previa
Answer: D
Conceptual Explanation: Painless, bright red vaginal bleeding in the third trimester is a
classic sign of placenta previa. Abruptio placentae usually involves painful bleeding.
2. A nurse is monitoring a client in labor and notes late decelerations on the fetal heart rate
monitor. Which action is the priority?
A. Increase the rate of the oxytocin infusion
B. Assist the client into a supine position
C. Perform a vaginal exam to check for cord prolapse
,D. Administer oxygen via non-rebreather mask at 8-10 L/min
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency.
Immediate actions include stopping oxytocin, repositioning the client to the side, and
administering oxygen.
3. A client is receiving Magnesium Sulfate for preeclampsia. The nurse notes absent deep
tendon reflexes and a respiratory rate of 10/min. What is the priority action?
A. Administer Calcium Gluconate
B. Decrease the infusion rate
C. Continue to monitor every 15 minutes
D. Assess the client’s blood pressure
Answer: A
Conceptual Explanation: Absent reflexes and respiratory depression are signs of
magnesium toxicity. Calcium gluconate is the specific antagonist for magnesium sulfate.
4. A postpartum nurse is assessing a client 2 hours after delivery. The fundus is boggy and
displaced to the right. What is the most likely cause?
A. Retained placental fragments
B. Bladder distension
C. Uterine atony
, D. Cervical laceration
Answer: B
Conceptual Explanation: A distended bladder can push the uterus up and to the right,
preventing it from contracting effectively and leading to a boggy fundus.
5. An infant’s APGAR scores were 7 at 1 minute and 9 at 5 minutes. How should the nurse
interpret these scores?
A. The infant requires immediate resuscitation
B. The infant is experiencing severe distress
C. The infant is adjusting well to extrauterine life
D. The infant requires supplemental oxygen
Answer: C
Conceptual Explanation: APGAR scores of 7 to 10 are considered normal and indicate that
the newborn is in good condition.
6. Which medication is administered to a newborn within 1 hour of birth to prevent
ophthalmia neonatorum?
A. Vitamin K
B. Hepatitis B vaccine
C. Erythromycin ophthalmic ointment
D. Nystatin
