RASMUSSEN UNIVERSITY
Bachelor of Science in Nursing (BSN)
NUR 2513 - Maternal-Child Nursing
Academic Year: 2026/2027
Exam 1 Comprehensive Question Bank
Question 1
A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should the
nurse administer the medication to the newborn?
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 B. Administer medication into the vastus lateralis
RATIONALE
The vastus lateralis is the preferred IM injection site for newborns because it is a large muscle
mass with no major nerves or blood vessels. Vitamin K is administered to prevent hemorrhagic
disease of the newborn.
,Question 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
C. Palpating the fundus with only fingertip pressure
D. Placing one hand at the base of the uterus, one on the fundus
CORRECT ANSWER D. Placing one hand at the base of the uterus, one on the fundus
RATIONALE
Proper fundal palpation technique involves placing one hand at the base of the uterus to support
it while the other hand palpates the fundus. This allows assessment of uterine tone and position
without causing trauma or excessive discomfort.
, Question 3
Providing care to the 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
B, D, E. Observe lower extremities for symmetry, observe respiratory rate and
effort, auscultate lung sounds
RATIONALE
Venous thromboembolism (VTE) risk assessment includes observing lower extremities for
asymmetry (DVT), and monitoring for signs of pulmonary embolism including tachypnea,
dyspnea, and abnormal lung sounds. Upper extremity swelling is less common; uterine cramping
is not related to VTE.
Bachelor of Science in Nursing (BSN)
NUR 2513 - Maternal-Child Nursing
Academic Year: 2026/2027
Exam 1 Comprehensive Question Bank
Question 1
A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should the
nurse administer the medication to the newborn?
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 B. Administer medication into the vastus lateralis
RATIONALE
The vastus lateralis is the preferred IM injection site for newborns because it is a large muscle
mass with no major nerves or blood vessels. Vitamin K is administered to prevent hemorrhagic
disease of the newborn.
,Question 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
C. Palpating the fundus with only fingertip pressure
D. Placing one hand at the base of the uterus, one on the fundus
CORRECT ANSWER D. Placing one hand at the base of the uterus, one on the fundus
RATIONALE
Proper fundal palpation technique involves placing one hand at the base of the uterus to support
it while the other hand palpates the fundus. This allows assessment of uterine tone and position
without causing trauma or excessive discomfort.
, Question 3
Providing care to the 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
B, D, E. Observe lower extremities for symmetry, observe respiratory rate and
effort, auscultate lung sounds
RATIONALE
Venous thromboembolism (VTE) risk assessment includes observing lower extremities for
asymmetry (DVT), and monitoring for signs of pulmonary embolism including tachypnea,
dyspnea, and abnormal lung sounds. Upper extremity swelling is less common; uterine cramping
is not related to VTE.
