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NUR 2513 Maternal-Child Nursing Exam 2 Rasmussen
2026/2027 Actual Exam Verified Answers & Detailed
Rationales NGN Grade A Study Guide
1. Which technique is used to palpate the fundal height on a postpartum client?
A. Place one hand on the fundus and one hand on the perineum
B. Rest both hands on the fundus
C. Palpate the fundus with only fingertip pressure
D. Place one hand at the base of the uterus and one hand on the fundus
Correct Answer: Place one hand at the base of the uterus and one hand 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.
2. Which assessment finding indicates to the nurse that a newborn has hip
subluxation?
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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.
3. The nurse is providing discharge teaching to a postpartum client regarding mood
changes to report. In differentiating between postpartum depression and baby blues,
what should be included in the instructions?
A. Postpartum depression may occur on the 5th day but will resolve spontaneously by
the end of the 6th week
B. Baby blues are the result of hormonal shifts and should resolve by the end of the 6th
postpartum week
C. Baby blues may present in the first few days after birth and resolve prior to the
second postpartum week
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D. Postpartum depression is the result of hormonal changes related to the end of
pregnancy and will not require intervention
Correct Answer: Baby blues may present in the first few days after birth and
resolve prior to the second postpartum week
Rationale: Baby blues occur in the first few days postpartum and resolve within two
weeks. Postpartum depression persists beyond two weeks and requires treatment.
4. Hypoglycemia in a mature infant is defined as a blood glucose level below which
amount?
A. 100 mg/100 mL whole blood
B. 80 mg/100 mL whole blood
C. 30 mg/100 mL whole blood
D. 40 mg/100 mL whole blood
Correct Answer: 40 mg/100 mL whole blood
Rationale: In a term newborn, hypoglycemia is defined as a blood glucose level below
40 mg/dL (40 mg/100 mL). Preterm or low birth weight infants may have lower
thresholds requiring intervention.
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5. The nurse assesses a postpartum client's discharge as being moderate in amount
and red in color. How should the nurse document the appearance?
A. Lochia rubra
B. Lochia normalia
C. Lochia serosa
D. Lochia alba
Correct Answer: Lochia rubra
Rationale: Lochia rubra is red in color and occurs during the first 1-3 days postpartum.
Lochia serosa is pinkish-brown (days 4-10), and lochia alba is white or yellow-white
(days 11-14).
6. By the time children reach their tenth birthday, they should have learned to trust
others and should have developed a sense of what?
A. Intimacy
B. Industry
C. Integrity
D. Identity
Correct Answer: Industry
Rationale: According to Erikson, school-aged children (6-12 years) are in the Industry vs.
NUR 2513 Maternal-Child Nursing Exam 2 Rasmussen
2026/2027 Actual Exam Verified Answers & Detailed
Rationales NGN Grade A Study Guide
1. Which technique is used to palpate the fundal height on a postpartum client?
A. Place one hand on the fundus and one hand on the perineum
B. Rest both hands on the fundus
C. Palpate the fundus with only fingertip pressure
D. Place one hand at the base of the uterus and one hand on the fundus
Correct Answer: Place one hand at the base of the uterus and one hand 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.
2. Which assessment finding indicates to the nurse that a newborn has hip
subluxation?
,2|Page
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.
3. The nurse is providing discharge teaching to a postpartum client regarding mood
changes to report. In differentiating between postpartum depression and baby blues,
what should be included in the instructions?
A. Postpartum depression may occur on the 5th day but will resolve spontaneously by
the end of the 6th week
B. Baby blues are the result of hormonal shifts and should resolve by the end of the 6th
postpartum week
C. Baby blues may present in the first few days after birth and resolve prior to the
second postpartum week
,3|Page
D. Postpartum depression is the result of hormonal changes related to the end of
pregnancy and will not require intervention
Correct Answer: Baby blues may present in the first few days after birth and
resolve prior to the second postpartum week
Rationale: Baby blues occur in the first few days postpartum and resolve within two
weeks. Postpartum depression persists beyond two weeks and requires treatment.
4. Hypoglycemia in a mature infant is defined as a blood glucose level below which
amount?
A. 100 mg/100 mL whole blood
B. 80 mg/100 mL whole blood
C. 30 mg/100 mL whole blood
D. 40 mg/100 mL whole blood
Correct Answer: 40 mg/100 mL whole blood
Rationale: In a term newborn, hypoglycemia is defined as a blood glucose level below
40 mg/dL (40 mg/100 mL). Preterm or low birth weight infants may have lower
thresholds requiring intervention.
, 4|Page
5. The nurse assesses a postpartum client's discharge as being moderate in amount
and red in color. How should the nurse document the appearance?
A. Lochia rubra
B. Lochia normalia
C. Lochia serosa
D. Lochia alba
Correct Answer: Lochia rubra
Rationale: Lochia rubra is red in color and occurs during the first 1-3 days postpartum.
Lochia serosa is pinkish-brown (days 4-10), and lochia alba is white or yellow-white
(days 11-14).
6. By the time children reach their tenth birthday, they should have learned to trust
others and should have developed a sense of what?
A. Intimacy
B. Industry
C. Integrity
D. Identity
Correct Answer: Industry
Rationale: According to Erikson, school-aged children (6-12 years) are in the Industry vs.
