RASMUSSEN - MCN - EXAM 2 – PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
• Antepartum Care and Complications
• Intrapartum Nursing Management
• Postpartum Physiological Adaptation
• Newborn Assessment and Intervention
• Pediatric Growth and Development
• Pharmacological Interventions in Maternal-Child Health
• Legal and Ethical Considerations in Pediatrics
INTRODUCTION
The purpose of this comprehensive assessment is to evaluate the student’s proficiency in Maternal-Child Nursing
concepts, specifically focusing on the critical period from gestation through early childhood. This exam
assesses
essential clinical skills, pharmacological safety, and the ability to identify high-risk complications in both
mother and neonate. Utilizing a multiple-choice and scenario-based structure, the exam mirrors
professional
licensure standards. Emphasis is placed on real-world application, critical thinking, and ethical decision-
making
to ensure safe patient outcomes. Students must demonstrate a deep understanding of physiological
changes,
developmental milestones, and family-centered care models essential for contemporary nursing
practice.
,SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a biophysical profile
(BPP). The nurse should inform the client that this test assesses which of the following variables?
A. Fetal lung maturity
B. Amniotic fluid index
C. Fetal fibronectin levels
D. Maternal serum alpha-fetoprotein
🟢 Correct answer B
🔴 RATIONALE: A biophysical profile (BPP) uses ultrasound to visualize five variables: fetal breathing
movements, fetal movements, fetal tone, amniotic fluid volume (index), and reactive FHR. Fetal lung maturity is
assessed via amniocentesis.
2. A nurse is assessing a client in the first stage of labor. The nurse notes the presence of early decelerations
on the fetal monitor tracing. Which of the following actions should the nurse take?
A. Administer oxygen via nonrebreather mask.
B. Increase the rate of the IV fluid bolus.
C. Continue to monitor the fetal heart rate.
D. Prepare the client for an immediate cesarean birth.
🟢 Correct answer C
🔴 RATIONALE: Early decelerations are caused by fetal head compression during contractions and are
considered a reassuring sign. No clinical intervention is required other than continued monitoring.
3. A nurse is teaching a new mother about breastfeeding. Which of the following statements by the client
indicates an understanding of the teaching?
,A. "I should feed my baby on a strict schedule every 4 hours."
B. "I will wake my baby up to feed if it has been more than 3 hours since the last feeding."
C. "I should offer my baby water between feedings if it is hot outside."
D. "I will supplement with formula for the first two days until my milk comes in."
🟢 Correct answer B
🔴 RATIONALE: Newborns should be fed on demand, but during the first few weeks, they should not go longer
than 3 hours without a feeding to ensure adequate weight gain and milk supply. Water and formula supplements
are not recommended for exclusive breastfeeding.
4. A nurse is assessing a 4-year-old child during a well-child visit. Which of the following developmental
milestones should the nurse expect the child to have achieved?
A. Tying shoelaces independently
B. Using a pair of scissors to cut out a shape
C. Brushing teeth without any supervision
D. Identifying left and right sides of the body
🟢 Correct answer B
🔴 RATIONALE: A 4-year-old typically has the fine motor skills to use scissors to cut out a shape. Tying
shoelaces and identifying left/right are usually 5-year-old milestones. Brush teeth without supervision is generally
achieved later in school-age years.
5. A nurse is preparing to administer magnesium sulfate IV to a client who has severe preeclampsia. Which of
the following findings is a priority for the nurse to report to the provider?
A. Blood pressure 150/98 mmHg
B. Respiratory rate 10/min
, C. Deep tendon reflexes 2+
D. Urinary output 40 mL/hr
🟢 Correct answer B
🔴 RATIONALE: A respiratory rate less than 12/min is a sign of magnesium sulfate toxicity and must be reported
immediately. The therapeutic goal of magnesium is to prevent seizures, but it can cause respiratory depression.
6. A nurse is caring for a client who is postpartum and has a boggy uterus that is displaced to the right of the
midline. Which of the following actions should the nurse take first?
A. Administer oxytocin IM.
B. Massage the fundus until firm.
C. Assist the client to the bathroom to void.
D. Notify the provider of the findings.
🟢 Correct answer C
🔴 RATIONALE: A fundus displaced to the right usually indicates a distended bladder. Emptying the bladder
allows the uterus to contract effectively. While massage is important for a boggy uterus, addressing the cause (the
full bladder) is the priority in this specific scenario.
7. A nurse is caring for a newborn immediately following birth. Which of the following is the priority nursing
intervention?
A. Administering Vitamin K.
B. Placing an identification band on the newborn.
C. Drying the newborn and maintaining a warm environment.
D. Performing the initial Apgar score.
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
• Antepartum Care and Complications
• Intrapartum Nursing Management
• Postpartum Physiological Adaptation
• Newborn Assessment and Intervention
• Pediatric Growth and Development
• Pharmacological Interventions in Maternal-Child Health
• Legal and Ethical Considerations in Pediatrics
INTRODUCTION
The purpose of this comprehensive assessment is to evaluate the student’s proficiency in Maternal-Child Nursing
concepts, specifically focusing on the critical period from gestation through early childhood. This exam
assesses
essential clinical skills, pharmacological safety, and the ability to identify high-risk complications in both
mother and neonate. Utilizing a multiple-choice and scenario-based structure, the exam mirrors
professional
licensure standards. Emphasis is placed on real-world application, critical thinking, and ethical decision-
making
to ensure safe patient outcomes. Students must demonstrate a deep understanding of physiological
changes,
developmental milestones, and family-centered care models essential for contemporary nursing
practice.
,SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a biophysical profile
(BPP). The nurse should inform the client that this test assesses which of the following variables?
A. Fetal lung maturity
B. Amniotic fluid index
C. Fetal fibronectin levels
D. Maternal serum alpha-fetoprotein
🟢 Correct answer B
🔴 RATIONALE: A biophysical profile (BPP) uses ultrasound to visualize five variables: fetal breathing
movements, fetal movements, fetal tone, amniotic fluid volume (index), and reactive FHR. Fetal lung maturity is
assessed via amniocentesis.
2. A nurse is assessing a client in the first stage of labor. The nurse notes the presence of early decelerations
on the fetal monitor tracing. Which of the following actions should the nurse take?
A. Administer oxygen via nonrebreather mask.
B. Increase the rate of the IV fluid bolus.
C. Continue to monitor the fetal heart rate.
D. Prepare the client for an immediate cesarean birth.
🟢 Correct answer C
🔴 RATIONALE: Early decelerations are caused by fetal head compression during contractions and are
considered a reassuring sign. No clinical intervention is required other than continued monitoring.
3. A nurse is teaching a new mother about breastfeeding. Which of the following statements by the client
indicates an understanding of the teaching?
,A. "I should feed my baby on a strict schedule every 4 hours."
B. "I will wake my baby up to feed if it has been more than 3 hours since the last feeding."
C. "I should offer my baby water between feedings if it is hot outside."
D. "I will supplement with formula for the first two days until my milk comes in."
🟢 Correct answer B
🔴 RATIONALE: Newborns should be fed on demand, but during the first few weeks, they should not go longer
than 3 hours without a feeding to ensure adequate weight gain and milk supply. Water and formula supplements
are not recommended for exclusive breastfeeding.
4. A nurse is assessing a 4-year-old child during a well-child visit. Which of the following developmental
milestones should the nurse expect the child to have achieved?
A. Tying shoelaces independently
B. Using a pair of scissors to cut out a shape
C. Brushing teeth without any supervision
D. Identifying left and right sides of the body
🟢 Correct answer B
🔴 RATIONALE: A 4-year-old typically has the fine motor skills to use scissors to cut out a shape. Tying
shoelaces and identifying left/right are usually 5-year-old milestones. Brush teeth without supervision is generally
achieved later in school-age years.
5. A nurse is preparing to administer magnesium sulfate IV to a client who has severe preeclampsia. Which of
the following findings is a priority for the nurse to report to the provider?
A. Blood pressure 150/98 mmHg
B. Respiratory rate 10/min
, C. Deep tendon reflexes 2+
D. Urinary output 40 mL/hr
🟢 Correct answer B
🔴 RATIONALE: A respiratory rate less than 12/min is a sign of magnesium sulfate toxicity and must be reported
immediately. The therapeutic goal of magnesium is to prevent seizures, but it can cause respiratory depression.
6. A nurse is caring for a client who is postpartum and has a boggy uterus that is displaced to the right of the
midline. Which of the following actions should the nurse take first?
A. Administer oxytocin IM.
B. Massage the fundus until firm.
C. Assist the client to the bathroom to void.
D. Notify the provider of the findings.
🟢 Correct answer C
🔴 RATIONALE: A fundus displaced to the right usually indicates a distended bladder. Emptying the bladder
allows the uterus to contract effectively. While massage is important for a boggy uterus, addressing the cause (the
full bladder) is the priority in this specific scenario.
7. A nurse is caring for a newborn immediately following birth. Which of the following is the priority nursing
intervention?
A. Administering Vitamin K.
B. Placing an identification band on the newborn.
C. Drying the newborn and maintaining a warm environment.
D. Performing the initial Apgar score.
