1|Page
NUR 2513 Maternal Child Nursing Exam 1
2026/2027 Actual Exam Verified Answers &
Detailed Rationales NGN Grade A Study Guide
1. A newborn is prescribed to receive vitamin K 0.5 mg intramuscularly. How should
the nurse administer this medication?
A. Provide medication immediately before breastfeeding
B. Administer medication into the vastus lateralis
C. Notify physician for swelling and irritation at the injection site
D. Administer the medication in the deltoid muscle
Correct Answer: Administer medication into the vastus lateralis
Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in
newborns due to its large muscle mass and lack of major nerves and blood vessels.
2. Which technique is used to palpate the fundal height on a postpartum client?
A. Placing one hand on the fundus, one on the perineum
B. Resting both hands on the fundus
,2|Page
C. Palpating the fundus with only fingertip pressure
D. Placing one hand at the base of the uterus, one on the fundus
Correct Answer: Placing one hand at the base of the uterus, one on the fundus
Rationale: The correct technique involves placing one hand at the base of the uterus to
stabilize it while the other hand palpates the fundus to assess firmness and position.
3. Providing care to a postpartum client, the nurse recognizes that women are
hypercoagulable during the third trimester of pregnancy. Assessment of this client
should include evaluation for the development of venous thromboembolism. Which of
the following should be included in this evaluation? (Select All That Apply)
A. Observe distal upper extremities for swelling/edema
B. Observe lower extremities for symmetry
C. Assess for uterine cramping
D. Observe respiratory rate and effort
E. Auscultate lung sounds
Correct Answer: Observe lower extremities for symmetry, Observe respiratory rate
and effort, Auscultate lung sounds
Rationale: Venous thromboembolism assessment includes observing lower extremities
for asymmetry (swelling, warmth, redness), monitoring respiratory rate and effort for
,3|Page
signs of pulmonary embolism, and auscultating lung sounds for crackles or diminished
breath sounds.
4. A nurse is caring for a 4-year-old female. Which of the following is expected of a
preschool-aged child?
A. Describing manifestations of illness
B. Understanding cause of illness
C. Relating fears to magical thinking
D. Awareness of body function
Correct Answer: Relating fears to magical thinking
Rationale: Preschool-aged children engage in magical thinking, believing their thoughts
or actions can cause events. They may associate illness with punishment or fear that
their actions caused harm.
5. A new mother asks the nurse how soon she can try to breastfeed after delivery.
Which of the following would be the nurse's best response?
A. Once the infant has his first feeding of formula
B. Immediately after birth
, 4|Page
C. In 24 hours after her infant is given water
D. After the infant is allowed to rest
Correct Answer: Immediately after birth
Rationale: Breastfeeding should be initiated immediately after birth or within the first
hour to promote bonding, stimulate milk production, and take advantage of the
newborn's natural alertness.
6. Which assessment finding indicates to the nurse that a newborn has hip
subluxation?
A. Crying on straightening of the right leg
B. Inward rotation of the right foot
C. Inability of the right hip to abduct
D. Drawing of the legs underneath while prone
Correct Answer: Inability of the right hip to abduct
Rationale: Limited hip abduction is a key finding in developmental dysplasia of the hip
(DDH). Other signs include asymmetric thigh folds, leg length discrepancy, and a positive
Ortolani or Barlow maneuver.
NUR 2513 Maternal Child Nursing Exam 1
2026/2027 Actual Exam Verified Answers &
Detailed Rationales NGN Grade A Study Guide
1. A newborn is prescribed to receive vitamin K 0.5 mg intramuscularly. How should
the nurse administer this medication?
A. Provide medication immediately before breastfeeding
B. Administer medication into the vastus lateralis
C. Notify physician for swelling and irritation at the injection site
D. Administer the medication in the deltoid muscle
Correct Answer: Administer medication into the vastus lateralis
Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in
newborns due to its large muscle mass and lack of major nerves and blood vessels.
2. Which technique is used to palpate the fundal height on a postpartum client?
A. Placing one hand on the fundus, one on the perineum
B. Resting both hands on the fundus
,2|Page
C. Palpating the fundus with only fingertip pressure
D. Placing one hand at the base of the uterus, one on the fundus
Correct Answer: Placing one hand at the base of the uterus, one on the fundus
Rationale: The correct technique involves placing one hand at the base of the uterus to
stabilize it while the other hand palpates the fundus to assess firmness and position.
3. Providing care to a postpartum client, the nurse recognizes that women are
hypercoagulable during the third trimester of pregnancy. Assessment of this client
should include evaluation for the development of venous thromboembolism. Which of
the following should be included in this evaluation? (Select All That Apply)
A. Observe distal upper extremities for swelling/edema
B. Observe lower extremities for symmetry
C. Assess for uterine cramping
D. Observe respiratory rate and effort
E. Auscultate lung sounds
Correct Answer: Observe lower extremities for symmetry, Observe respiratory rate
and effort, Auscultate lung sounds
Rationale: Venous thromboembolism assessment includes observing lower extremities
for asymmetry (swelling, warmth, redness), monitoring respiratory rate and effort for
,3|Page
signs of pulmonary embolism, and auscultating lung sounds for crackles or diminished
breath sounds.
4. A nurse is caring for a 4-year-old female. Which of the following is expected of a
preschool-aged child?
A. Describing manifestations of illness
B. Understanding cause of illness
C. Relating fears to magical thinking
D. Awareness of body function
Correct Answer: Relating fears to magical thinking
Rationale: Preschool-aged children engage in magical thinking, believing their thoughts
or actions can cause events. They may associate illness with punishment or fear that
their actions caused harm.
5. A new mother asks the nurse how soon she can try to breastfeed after delivery.
Which of the following would be the nurse's best response?
A. Once the infant has his first feeding of formula
B. Immediately after birth
, 4|Page
C. In 24 hours after her infant is given water
D. After the infant is allowed to rest
Correct Answer: Immediately after birth
Rationale: Breastfeeding should be initiated immediately after birth or within the first
hour to promote bonding, stimulate milk production, and take advantage of the
newborn's natural alertness.
6. Which assessment finding indicates to the nurse that a newborn has hip
subluxation?
A. Crying on straightening of the right leg
B. Inward rotation of the right foot
C. Inability of the right hip to abduct
D. Drawing of the legs underneath while prone
Correct Answer: Inability of the right hip to abduct
Rationale: Limited hip abduction is a key finding in developmental dysplasia of the hip
(DDH). Other signs include asymmetric thigh folds, leg length discrepancy, and a positive
Ortolani or Barlow maneuver.
