Nursing Final Exam Actual Exam Questions
and Answers
COVERAGE OVERVIEW
This comprehensive final examination covers the essential content areas for NUR2513 Maternal-Child
Nursing. The exam consists of 100 multiple-choice questions organized into 10 content sections, each
focusing on a critical domain of maternal-child nursing practice. All answers are verified and include
detailed rationales aligned with Rasmussen College course objectives and NCLEX standards.
EXAM COVERAGE BY SECTION
Section Topic Area Questions
1 Foundations, Ethics, and Reproductive Health 1-10
2 Antepartum Care and Fetal Development 11-20
3 Complications of Pregnancy 21-30
4 Labor and Delivery 31-40
5 Intrapartum Fetal Monitoring 41-50
6 Postpartum Care 51-60
7 Newborn Assessment and Care 61-70
8 Pediatric Growth and Development 71-80
9 Pediatric Respiratory and HEENT 81-90
,Section Topic Area Questions
10 Pediatric Gastrointestinal and Medication 91-100
SECTION 1: FOUNDATIONS, ETHICS, AND REPRODUCTIVE HEALTH (Questions 1-10)
Question 1
A nurse is implementing family-centered care. Which action best demonstrates the principles of this
approach?
A. Restricting visitation to immediate family only during visiting hours
B. Providing care primarily based on the nurse's clinical judgment without family input
C. Collaborating with the patient and family to create a care plan that respects their cultural beliefs
and preferences
D. Limiting information sharing to prevent overwhelming the family
Explanation: Family-centered care is based on dignity, respect, information sharing, and collaboration.
The nurse must partner with the family, not dictate care .
Question 2
A 16-year-old pregnant adolescent presents to the clinic without a parent. According to ethical and legal
standards regarding consent, what should the nurse understand?
A. Treatment cannot be provided without parental consent
B. The father of the baby must provide consent
C. In most states, minors can consent to prenatal care and delivery-related treatment
D. The clinic must obtain a court order before treatment
Explanation: Many jurisdictions allow minors to consent to pregnancy-related care based on the concept
of the "mature minor" and to ensure the health of the mother and fetus .
Question 3
The nurse is teaching a couple about conception. The nurse explains that fertilization typically occurs in
which structure?
A. The fundus of the uterus
B. The vagina
C. The outer third of the fallopian tube (ampulla)
D. The ovary
Explanation: While the egg is released from the ovary, fertilization by the sperm usually takes place in
the ampullar portion of the fallopian tube .
, Question 4
What is the primary purpose of the White House Conference on Children and Youth?
A. Set criteria for normal growth patterns
B. Examine the number of live births in minority populations
C. Raise money to support well-child clinics in rural areas
D. Promote comprehensive child welfare
Explanation: The White House Conference on Children and Youth, held every 10 years, focuses on
promoting comprehensive child welfare by addressing health, education, and social needs to improve
outcomes for children and youth .
Question 5
A patient asks how to best track ovulation to achieve pregnancy. Which response by the nurse is most
accurate?
A. "Ovulation always occurs exactly on day 14 of your cycle"
B. "You should take your temperature first thing in the morning; a slight drop followed by a sustained
rise indicates ovulation"
C. "Cervical mucus will be thick and sticky during ovulation"
D. "You will feel sharp pain called 'mittelschmerz' every month without fail"
Explanation: Basal body temperature (BBT) charting is a common fertility awareness method. A slight dip
then a sustained thermal shift suggests ovulation has occurred due to progesterone release .
Question 6
The Papanicolaou (Pap) test is primarily used to screen for:
A. Ovarian cysts
B. Sexually transmitted infections only
C. Cervical cancer via microscopic examination of cells
D. Hormonal imbalances
Explanation: The Pap smear screens for cervical dysplasia and cancer by collecting cells from the
transformation zone of the cervix .
Question 7
According to current guidelines, when should a patient receive her first routine Pap test?
A. When she becomes sexually active
B. At age 21, regardless of sexual activity
C. At age 18
D. Only if she has symptoms