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MCN 538 Exam 2 Actual Exam Newest 2025/2026 Complete
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
During a prenatal visit, a client in the second trimester reports persistent headaches and blurred
vision. Which complication should the nurse suspect and report immediately?
A. Gestational diabetes
B. Preeclampsia
C. Placenta previa
D. Hyperemesis gravidarum
Answer: B. Preeclampsia
A newborn delivered by cesarean section is noted to have nasal flaring, grunting, and intercostal
retractions shortly after birth. What is the most likely diagnosis?
A. Neonatal sepsis
B. Transient tachypnea of the newborn (TTN)
C. Meconium aspiration syndrome
D. Congenital pneumonia
Answer: B. Transient tachypnea of the newborn (TTN)
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The nurse is caring for a laboring client receiving magnesium sulfate for severe preeclampsia.
Which assessment finding requires immediate intervention?
A. Deep tendon reflexes +2
B. Urinary output 40 mL/hr
C. Respiratory rate 10 breaths/min
D. Blood pressure 150/96 mmHg
Answer: C. Respiratory rate 10 breaths/min
A postpartum client 2 days after delivery reports severe perineal pain, difficulty voiding, and a
firm, tender swelling in the vulvar area. What complication should the nurse suspect?
A. Endometritis
B. Perineal hematoma
C. Cystitis
D. Uterine atony
Answer: B. Perineal hematoma
The priority nursing intervention for a newborn with hypoglycemia is to:
A. Start IV antibiotics
B. Feed the infant breast milk or formula
C. Place the infant under a radiant warmer
D. Monitor blood cultures
Answer: B. Feed the infant breast milk or formula
Which action is appropriate when performing Leopold’s maneuvers?
A. Palpating with fingertips only
B. Using firm pressure with the palms to determine fetal position
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C. Having the client in a side-lying position
D. Applying a doppler probe simultaneously
Answer: B. Using firm pressure with the palms to determine fetal position
A client at 34 weeks gestation presents with painless vaginal bleeding. The nurse suspects:
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Ruptured uterus
Answer: B. Placenta previa
A newborn’s Apgar scores are 4 at 1 minute and 6 at 5 minutes. The nurse’s immediate priority
is:
A. Begin chest compressions
B. Initiate positive pressure ventilation with a bag-mask device
C. Administer IV fluids
D. Continue routine newborn care
Answer: B. Initiate positive pressure ventilation with a bag-mask device
Which sign best indicates true labor rather than false labor?
A. Contractions felt in the abdomen only
B. Contractions decrease with rest
C. Cervical dilation and effacement
D. Pain relieved by walking
Answer: C. Cervical dilation and effacement
MCN 538 Exam 2 Actual Exam Newest 2025/2026 Complete
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
During a prenatal visit, a client in the second trimester reports persistent headaches and blurred
vision. Which complication should the nurse suspect and report immediately?
A. Gestational diabetes
B. Preeclampsia
C. Placenta previa
D. Hyperemesis gravidarum
Answer: B. Preeclampsia
A newborn delivered by cesarean section is noted to have nasal flaring, grunting, and intercostal
retractions shortly after birth. What is the most likely diagnosis?
A. Neonatal sepsis
B. Transient tachypnea of the newborn (TTN)
C. Meconium aspiration syndrome
D. Congenital pneumonia
Answer: B. Transient tachypnea of the newborn (TTN)
,2|Page
The nurse is caring for a laboring client receiving magnesium sulfate for severe preeclampsia.
Which assessment finding requires immediate intervention?
A. Deep tendon reflexes +2
B. Urinary output 40 mL/hr
C. Respiratory rate 10 breaths/min
D. Blood pressure 150/96 mmHg
Answer: C. Respiratory rate 10 breaths/min
A postpartum client 2 days after delivery reports severe perineal pain, difficulty voiding, and a
firm, tender swelling in the vulvar area. What complication should the nurse suspect?
A. Endometritis
B. Perineal hematoma
C. Cystitis
D. Uterine atony
Answer: B. Perineal hematoma
The priority nursing intervention for a newborn with hypoglycemia is to:
A. Start IV antibiotics
B. Feed the infant breast milk or formula
C. Place the infant under a radiant warmer
D. Monitor blood cultures
Answer: B. Feed the infant breast milk or formula
Which action is appropriate when performing Leopold’s maneuvers?
A. Palpating with fingertips only
B. Using firm pressure with the palms to determine fetal position
, 3|Page
C. Having the client in a side-lying position
D. Applying a doppler probe simultaneously
Answer: B. Using firm pressure with the palms to determine fetal position
A client at 34 weeks gestation presents with painless vaginal bleeding. The nurse suspects:
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Ruptured uterus
Answer: B. Placenta previa
A newborn’s Apgar scores are 4 at 1 minute and 6 at 5 minutes. The nurse’s immediate priority
is:
A. Begin chest compressions
B. Initiate positive pressure ventilation with a bag-mask device
C. Administer IV fluids
D. Continue routine newborn care
Answer: B. Initiate positive pressure ventilation with a bag-mask device
Which sign best indicates true labor rather than false labor?
A. Contractions felt in the abdomen only
B. Contractions decrease with rest
C. Cervical dilation and effacement
D. Pain relieved by walking
Answer: C. Cervical dilation and effacement
