MATERNAL-CHILD NURSING FINAL
EXAM STUDY GUIDE (NUR 2513)
QUESTIONS AND ANSWERS
1. A nurse is caring for a client who is at 36 weeks gestation and has a prescription for a
magnesium sulfate IV infusion. Which of the following findings should the nurse identify as a
priority to report?
A. Absent deep tendon reflexes
B. Urinary output of 40 mL/hr
C. Generalized flushing
D. Respiratory rate of 10/min
Answer: D
Conceptual Explanation: While absent deep tendon reflexes are a sign of toxicity, a
respiratory rate below 12/min is a life-threatening sign of respiratory depression and is
the highest priority.
,2. A nurse is assessing a newborn who is 4 hours old. Which of the following findings should
the nurse report to the provider?
A. Acrocyanosis
B. Milia on the nose
C. Single palmar crease
D. Subconjunctival hemorrhage
Answer: C
Conceptual Explanation: A single palmar crease (Simian crease) is a clinical marker
associated with Trisomy 21 (Down syndrome) and requires further investigation.
3. A nurse is caring for a client experiencing a postpartum hemorrhage. Which of the
following medications should the nurse expect to administer?
A. Oxytocin
B. Magnesium sulfate
C. Terbutaline
D. Betamethasone
Answer: A
Conceptual Explanation: Oxytocin is a uterotonic medication used to stimulate uterine
contractions and minimize bleeding during postpartum hemorrhage.
, 4. Which of the following is the priority nursing intervention for a child experiencing a sickle
cell crisis?
A. Administering prophylactic antibiotics
B. Applying cold compresses to painful joints
C. Performing range of motion exercises
D. Initiating intravenous fluid replacement
Answer: D
Conceptual Explanation: Hydration is the priority to reduce blood viscosity and prevent
further sickling of red blood cells during a crisis.
5. A nurse is preparing to administer Rho(D) immune globulin. This medication is indicated for
which of the following clients?
A. An Rh-positive mother with an Rh-negative newborn
B. An Rh-negative mother with an Rh-negative newborn
C. An Rh-negative mother with an Rh-positive newborn
D. An Rh-positive mother with an Rh-positive newborn
Answer: C
Conceptual Explanation: Rho(D) immune globulin is administered to Rh-negative
mothers who give birth to Rh-positive infants to prevent sensitization.
EXAM STUDY GUIDE (NUR 2513)
QUESTIONS AND ANSWERS
1. A nurse is caring for a client who is at 36 weeks gestation and has a prescription for a
magnesium sulfate IV infusion. Which of the following findings should the nurse identify as a
priority to report?
A. Absent deep tendon reflexes
B. Urinary output of 40 mL/hr
C. Generalized flushing
D. Respiratory rate of 10/min
Answer: D
Conceptual Explanation: While absent deep tendon reflexes are a sign of toxicity, a
respiratory rate below 12/min is a life-threatening sign of respiratory depression and is
the highest priority.
,2. A nurse is assessing a newborn who is 4 hours old. Which of the following findings should
the nurse report to the provider?
A. Acrocyanosis
B. Milia on the nose
C. Single palmar crease
D. Subconjunctival hemorrhage
Answer: C
Conceptual Explanation: A single palmar crease (Simian crease) is a clinical marker
associated with Trisomy 21 (Down syndrome) and requires further investigation.
3. A nurse is caring for a client experiencing a postpartum hemorrhage. Which of the
following medications should the nurse expect to administer?
A. Oxytocin
B. Magnesium sulfate
C. Terbutaline
D. Betamethasone
Answer: A
Conceptual Explanation: Oxytocin is a uterotonic medication used to stimulate uterine
contractions and minimize bleeding during postpartum hemorrhage.
, 4. Which of the following is the priority nursing intervention for a child experiencing a sickle
cell crisis?
A. Administering prophylactic antibiotics
B. Applying cold compresses to painful joints
C. Performing range of motion exercises
D. Initiating intravenous fluid replacement
Answer: D
Conceptual Explanation: Hydration is the priority to reduce blood viscosity and prevent
further sickling of red blood cells during a crisis.
5. A nurse is preparing to administer Rho(D) immune globulin. This medication is indicated for
which of the following clients?
A. An Rh-positive mother with an Rh-negative newborn
B. An Rh-negative mother with an Rh-negative newborn
C. An Rh-negative mother with an Rh-positive newborn
D. An Rh-positive mother with an Rh-positive newborn
Answer: C
Conceptual Explanation: Rho(D) immune globulin is administered to Rh-negative
mothers who give birth to Rh-positive infants to prevent sensitization.
