NUR 2513 MATERNAL
CHILD NURSING EXAM 2
QUESTIONS AND
ANSWERS 2024 STUDY
GUIDE -
Question 1:
A nurse is assessing a newborn 1 hour after birth. Which finding should the nurse report to the
healthcare provider? A. Heart rate of 140 beats per minute
B. Respiratory rate of 60 breaths per minute
C. Axillary temperature of 36.2°C (97.2°F)
D. Bluish discoloration of the hands and feet
Answer: C. Axillary temperature of 36.2°C (97.2°F)
Rationale: A newborn’s normal temperature range is between 36.5°C and 37.5°C (97.7°F and
99.5°F). A temperature of 36.2°C (97.2°F) is low and could indicate hypothermia, which requires
intervention. The other findings are within the normal range for a newborn.
Question 2:
During a prenatal visit, a pregnant client reports frequent heartburn. Which of the following
interventions should the nurse suggest to help alleviate this discomfort? A. Eat large meals to
avoid frequent hunger
B. Drink water with meals to promote digestion
C. Elevate the head of the bed when sleeping
D. Take antacids that contain sodium bicarbonate
Answer: C. Elevate the head of the bed when sleeping
Rationale: Heartburn during pregnancy is often caused by gastroesophageal reflux. Elevating
the head of the bed helps prevent acid reflux. Eating small, frequent meals and avoiding water
, with meals (which may distend the stomach) are also helpful. Sodium bicarbonate-based
antacids are not recommended in pregnancy.
Question 3:
Which statement by a breastfeeding mother indicates a need for further teaching? A. "I will feed
my baby whenever she shows signs of hunger."
B. "I will make sure my baby latches on properly."
C. "I will use formula if I don’t produce enough milk."
D. "I will alternate breasts during each feeding session."
Answer: C. "I will use formula if I don’t produce enough milk."
Rationale: The mother should be encouraged to breastfeed exclusively if possible. If there are
concerns about milk production, the nurse should provide support on techniques to improve milk
supply rather than suggesting the use of formula. The other responses reflect appropriate
breastfeeding practices.
Question 4:
A pregnant woman is at 28 weeks gestation and is diagnosed with gestational diabetes. Which
of the following is the priority for the nurse to assess in the client’s newborn after birth? A.
Respiratory distress
B. Hypoglycemia
C. Hyperbilirubinemia
D. Hyperthermia
Answer: B. Hypoglycemia
Rationale: Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to
increased insulin production in response to maternal hyperglycemia. Respiratory distress and
hyperbilirubinemia may also occur but are not the immediate priority.
Question 5:
A woman in active labor reports the urge to push, but the nurse notices that she is only 7 cm
dilated. What is the most appropriate nursing action? A. Encourage her to push with each
contraction
B. Prepare for imminent delivery
C. Instruct her to take short, panting breaths
D. Administer pain medication to relax the cervix
Answer: C. Instruct her to take short, panting breaths
Rationale: The woman is not fully dilated, so pushing is premature and could lead to cervical
injury or exhaustion. Panting breaths help resist the urge to push until full dilation is achieved.
CHILD NURSING EXAM 2
QUESTIONS AND
ANSWERS 2024 STUDY
GUIDE -
Question 1:
A nurse is assessing a newborn 1 hour after birth. Which finding should the nurse report to the
healthcare provider? A. Heart rate of 140 beats per minute
B. Respiratory rate of 60 breaths per minute
C. Axillary temperature of 36.2°C (97.2°F)
D. Bluish discoloration of the hands and feet
Answer: C. Axillary temperature of 36.2°C (97.2°F)
Rationale: A newborn’s normal temperature range is between 36.5°C and 37.5°C (97.7°F and
99.5°F). A temperature of 36.2°C (97.2°F) is low and could indicate hypothermia, which requires
intervention. The other findings are within the normal range for a newborn.
Question 2:
During a prenatal visit, a pregnant client reports frequent heartburn. Which of the following
interventions should the nurse suggest to help alleviate this discomfort? A. Eat large meals to
avoid frequent hunger
B. Drink water with meals to promote digestion
C. Elevate the head of the bed when sleeping
D. Take antacids that contain sodium bicarbonate
Answer: C. Elevate the head of the bed when sleeping
Rationale: Heartburn during pregnancy is often caused by gastroesophageal reflux. Elevating
the head of the bed helps prevent acid reflux. Eating small, frequent meals and avoiding water
, with meals (which may distend the stomach) are also helpful. Sodium bicarbonate-based
antacids are not recommended in pregnancy.
Question 3:
Which statement by a breastfeeding mother indicates a need for further teaching? A. "I will feed
my baby whenever she shows signs of hunger."
B. "I will make sure my baby latches on properly."
C. "I will use formula if I don’t produce enough milk."
D. "I will alternate breasts during each feeding session."
Answer: C. "I will use formula if I don’t produce enough milk."
Rationale: The mother should be encouraged to breastfeed exclusively if possible. If there are
concerns about milk production, the nurse should provide support on techniques to improve milk
supply rather than suggesting the use of formula. The other responses reflect appropriate
breastfeeding practices.
Question 4:
A pregnant woman is at 28 weeks gestation and is diagnosed with gestational diabetes. Which
of the following is the priority for the nurse to assess in the client’s newborn after birth? A.
Respiratory distress
B. Hypoglycemia
C. Hyperbilirubinemia
D. Hyperthermia
Answer: B. Hypoglycemia
Rationale: Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to
increased insulin production in response to maternal hyperglycemia. Respiratory distress and
hyperbilirubinemia may also occur but are not the immediate priority.
Question 5:
A woman in active labor reports the urge to push, but the nurse notices that she is only 7 cm
dilated. What is the most appropriate nursing action? A. Encourage her to push with each
contraction
B. Prepare for imminent delivery
C. Instruct her to take short, panting breaths
D. Administer pain medication to relax the cervix
Answer: C. Instruct her to take short, panting breaths
Rationale: The woman is not fully dilated, so pushing is premature and could lead to cervical
injury or exhaustion. Panting breaths help resist the urge to push until full dilation is achieved.
