NUR2513 MATERNAL-CHILD NURSING
FINAL EXAM COMPREHENSIVE PREP
QUESTIONS AND ANSWERS
1. A nurse is assessing a client at 34 weeks gestation who presents with sudden, dark red
vaginal bleeding and a board-like, tender abdomen. Which complication is most likely?
A. Abruptio placentae
B. Placenta previa
C. Cervical insufficiency
D. Preterm labor
Answer: A
Conceptual Explanation: Abruptio placentae is characterized by painful, dark red
bleeding and abdominal rigidity. Placenta previa is typically painless with bright red
bleeding.
2. Which of the following lab findings is characteristic of HELLP syndrome in a preeclamptic
client?
A. Elevated hemoglobin and hematocrit
,B. Elevated liver enzymes and low platelets
C. Increased platelet count
D. Decreased creatinine levels
Answer: B
Conceptual Explanation: HELLP stands for Hemolysis, Elevated Liver enzymes, and Low
Platelets. It is a severe complication of pregnancy-induced hypertension.
3. A client is receiving Magnesium Sulfate for preeclampsia. The nurse notes a respiratory
rate of 10/min and absent deep tendon reflexes. What is the priority action?
A. Increase the IV fluid rate
B. Stop the infusion and prepare Calcium Gluconate
C. Continue monitoring the patient
D. Place the patient in Trendelenburg position
Answer: B
Conceptual Explanation: Respiratory depression and loss of DTRs are signs of magnesium
toxicity. The infusion must be stopped immediately and the antidote, calcium gluconate,
administered.
4. A newborn has an APGAR score of 3 at one minute. What is the immediate priority for the
nurse?
A. Begin neonatal resuscitation
, B. Administer Vitamin K intramuscularly
C. Dry the infant and continue observation
D. Check the mother’s blood type
Answer: A
Conceptual Explanation: An APGAR score of 0-3 indicates severe distress and requires
immediate resuscitation, including airway management and oxygen.
5. During the active phase of the first stage of labor, a client’s cervix is dilated to 6 cm. What
is the expected frequency of contractions?
A. Every 10-15 minutes
B. Every 1-2 minutes
C. Every 3-5 minutes
D. Every 5-10 minutes
Answer: C
Conceptual Explanation: In the active phase of labor, contractions typically occur every 3
to 5 minutes and last 40 to 70 seconds.
6. Which assessment finding in a 2-hour-old newborn should the nurse report to the provider
immediately?
A. Acrocyanosis
B. Generalized petechiae
FINAL EXAM COMPREHENSIVE PREP
QUESTIONS AND ANSWERS
1. A nurse is assessing a client at 34 weeks gestation who presents with sudden, dark red
vaginal bleeding and a board-like, tender abdomen. Which complication is most likely?
A. Abruptio placentae
B. Placenta previa
C. Cervical insufficiency
D. Preterm labor
Answer: A
Conceptual Explanation: Abruptio placentae is characterized by painful, dark red
bleeding and abdominal rigidity. Placenta previa is typically painless with bright red
bleeding.
2. Which of the following lab findings is characteristic of HELLP syndrome in a preeclamptic
client?
A. Elevated hemoglobin and hematocrit
,B. Elevated liver enzymes and low platelets
C. Increased platelet count
D. Decreased creatinine levels
Answer: B
Conceptual Explanation: HELLP stands for Hemolysis, Elevated Liver enzymes, and Low
Platelets. It is a severe complication of pregnancy-induced hypertension.
3. A client is receiving Magnesium Sulfate for preeclampsia. The nurse notes a respiratory
rate of 10/min and absent deep tendon reflexes. What is the priority action?
A. Increase the IV fluid rate
B. Stop the infusion and prepare Calcium Gluconate
C. Continue monitoring the patient
D. Place the patient in Trendelenburg position
Answer: B
Conceptual Explanation: Respiratory depression and loss of DTRs are signs of magnesium
toxicity. The infusion must be stopped immediately and the antidote, calcium gluconate,
administered.
4. A newborn has an APGAR score of 3 at one minute. What is the immediate priority for the
nurse?
A. Begin neonatal resuscitation
, B. Administer Vitamin K intramuscularly
C. Dry the infant and continue observation
D. Check the mother’s blood type
Answer: A
Conceptual Explanation: An APGAR score of 0-3 indicates severe distress and requires
immediate resuscitation, including airway management and oxygen.
5. During the active phase of the first stage of labor, a client’s cervix is dilated to 6 cm. What
is the expected frequency of contractions?
A. Every 10-15 minutes
B. Every 1-2 minutes
C. Every 3-5 minutes
D. Every 5-10 minutes
Answer: C
Conceptual Explanation: In the active phase of labor, contractions typically occur every 3
to 5 minutes and last 40 to 70 seconds.
6. Which assessment finding in a 2-hour-old newborn should the nurse report to the provider
immediately?
A. Acrocyanosis
B. Generalized petechiae
