NUR 2513 MATERNAL CHILD NURSING EXAM 1
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2513 MATERNAL CHILD NURSING PRACTICE EXAM
Question 1
A nurse is teaching a pregnant client about the purpose of folic acid during
pregnancy. Which statement by the client indicates understanding?
A. “It prevents excessive weight gain.”
B. “It helps prevent neural tube defects.”
C. “It reduces the risk of gestational diabetes.”
D. “It increases calcium absorption.”
Answer: B
Rationale: Folic acid helps reduce the risk of neural tube defects in the
developing fetus.
Question 2
Which sign is considered a presumptive sign of pregnancy?
A. Positive fetal heart tones
B. Ultrasound visualization of fetus
C. Amenorrhea
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D. Fetal movement felt by examiner
Answer: C
Rationale: Amenorrhea is a presumptive sign based on the woman’s subjective
experience.
Question 3
A postpartum nurse assesses a boggy uterus. What is the nurse’s priority action?
A. Administer pain medication
B. Massage the fundus
C. Encourage breastfeeding
D. Apply ice packs
Answer: B
Rationale: Fundal massage helps stimulate uterine contraction and reduce
postpartum hemorrhage.
Question 4
Which finding in a newborn requires immediate intervention?
A. Acrocyanosis
B. Respiratory rate of 68 breaths/min with grunting
C. Heart rate of 130 beats/min
D. Vernix on the skin
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Answer: B
Rationale: Grunting and tachypnea may indicate respiratory distress requiring
prompt intervention.
Question 5
A nurse is caring for a laboring client in the transition phase. Which finding is
expected?
A. Mild contractions every 15 minutes
B. Cervical dilation of 8–10 cm
C. Client is talkative and excited
D. Urge to push absent
Answer: B
Rationale: The transition phase occurs at 8–10 cm dilation with intense
contractions.
Question 6
Which intervention is appropriate for a newborn immediately after birth?
A. Delay drying the infant for 30 minutes
B. Place infant under radiant warmer and dry thoroughly
C. Administer formula feeding immediately
D. Bathe the infant within 10 minutes
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Answer: B
Rationale: Drying and warming help prevent heat loss in newborns.
Question 7
A pregnant client reports morning sickness. Which recommendation should the
nurse provide?
A. Eat large meals three times daily
B. Drink fluids only with meals
C. Eat dry crackers before getting out of bed
D. Avoid carbohydrates completely
Answer: C
Rationale: Dry crackers before rising may help reduce nausea.
Question 8
Which maternal hormone is primarily responsible for maintaining pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Estrogen
Answer: B
Rationale: Progesterone maintains the uterine lining and supports pregnancy.
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