NUR2513 MATERNAL CHILD EXAM 3
NUR2513 MATERNAL CHILD EXAM 3 NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
A woman is receiving oxytocin (Pitocin) via infusion. The nurse assesses the
following: uterine contractions lasting 100 seconds every 1.5 minutes, uterine
resting tone 36 mm Hg, baseline fetal heart rate (FHR) 108 beats/minute with
absent variability. What action by the nurse takes priority?
A.
Document the findings.
B.
Notify the provider.
C.
Reassess the FHR in 10 minutes
D.
Stop the infusion. - ANSWER-D
Oxytocin can cause uterine tachysystole, and the nurse's assessments are
consistent with this condition. The priority action by the nurse is to stop the
infusion. The nurse should notify the provider. Documentation should be
thorough. Reassessment should be driven by a written protocol.
A nurse has instructed a woman on the procedure for nipple rolling. What action
by the patient demonstrates good understanding of the teaching?
A.
Pinches and pulls the nipples on alternating sides
B.
1|Page
, NUR2513 MATERNAL CHILD EXAM 3
Rolls both nipples together for 10 minutes
C.
Rolls one nipple at a time during a contraction
D.
Rolls one nipple at a time through her clothing - ANSWER-D
Nipple rolling can stimulate uterine contractions after labor has begun. The
technique is used when labor is not progressing satisfactorily. The nurse instructs
the patient to roll one nipple at a time for 10 minutes through her clothing. Then
she should switch to the other side. The woman should rest during contractions.
A new nurse is working with a patient undergoing an induction of labor. What
action by the new nurse would prompt the preceptor to intervene?
A.
Assesses contractions every 5 minutes in the second stage of labor
B.
Calculates and charts the maternal total urine output every 4 hours
C.
Documents an IV intake of 1,500 mL in 8 hours
D.
Records the maternal vital signs a minimum of every 60 minutes - ANSWER-C
During an induction of labor, the IV fluid intake should not exceed 1,000 mL in 8
hours to prevent fluid overload after the placenta is delivered. If the new nurse
has documented a larger amount, the preceptor needs to intervene. The other
options show proper care of this patient.
2|Page
, NUR2513 MATERNAL CHILD EXAM 3
A nurse is assisting with a forceps delivery. After the forceps are applied, the nurse
notes fetal bradycardia. What action by the nurse takes priority?
A.
Assess the fetal heart rate in 5 minutes.
B.
Document the findings in the chart.
C.
Inform the health-care provider immediately.
D.
Turn the woman on her left side. - ANSWER-C
When the forceps are applied, umbilical cord compression can occur. Compression
of the cord causes a decrease in the fetal heart rate. The nurse should
immediately inform the provider so that the pressure can be released. The nurse
is responsible for documenting the fetal heart rate before and immediately after
forceps application, but relieving the pressure on the umbilical cord takes priority.
The nurse should not wait 5 minutes for another assessment, nor should the
nurse turn the patient on her side as a first action.
A nurse is caring for a pregnant woman with diabetes mellitus. What assessment
finding demonstrates that the patient has successfully met an important goal
during pregnancy?
A.
Blood glucose consistently < 130 mg/dL
B.
Electrolyte levels remaining within normal limits
C.
3|Page
, NUR2513 MATERNAL CHILD EXAM 3
Fetal weight > 4,500 g at birth
D.
Pregnancy weight gain of no more than 20 lb - ANSWER-A
Women with diabetes should strive to maintain their blood glucose readings
within normal parameters during pregnancy. Poor glycemic control contributes to
fetal macrosomia (fetal weight > 500 g) and other complications. Weight gain
should not be restricted to 20 lb, and electrolyte readings are not related to a
major goal for this woman.
A woman at 30 weeks' gestation is 80% effaced and 5 cm dilated. Which action by
the nurse takes priority?
A.
Arrange a palliative care consult for probable fetal demise.
B.
Encourage the woman to attempt a trial of labor before undergoing a cesarean
section.
C.
Ensure that informed consent for a cesarean birth is on the chart.
D.
Inform the woman that if the tocolytic therapy is successful, she will deliver. -
ANSWER-C
In preterm labor, if the woman's membranes have ruptured or if her cervix is more
than 50% effaced and 3-4 cm dilated, it is not likely that the labor can be stopped.
A cesarean birth is preferable to a vaginal delivery because it diminishes pressure
on the fetal head and decreases the risk of intracranial hemorrhage. Because
there is a high likelihood of cesarean birth, the nurse should ensure that consent
for cesarean delivery is on the chart, in the event that the labor cannot be halted.
4|Page
NUR2513 MATERNAL CHILD EXAM 3 NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
A woman is receiving oxytocin (Pitocin) via infusion. The nurse assesses the
following: uterine contractions lasting 100 seconds every 1.5 minutes, uterine
resting tone 36 mm Hg, baseline fetal heart rate (FHR) 108 beats/minute with
absent variability. What action by the nurse takes priority?
A.
Document the findings.
B.
Notify the provider.
C.
Reassess the FHR in 10 minutes
D.
Stop the infusion. - ANSWER-D
Oxytocin can cause uterine tachysystole, and the nurse's assessments are
consistent with this condition. The priority action by the nurse is to stop the
infusion. The nurse should notify the provider. Documentation should be
thorough. Reassessment should be driven by a written protocol.
A nurse has instructed a woman on the procedure for nipple rolling. What action
by the patient demonstrates good understanding of the teaching?
A.
Pinches and pulls the nipples on alternating sides
B.
1|Page
, NUR2513 MATERNAL CHILD EXAM 3
Rolls both nipples together for 10 minutes
C.
Rolls one nipple at a time during a contraction
D.
Rolls one nipple at a time through her clothing - ANSWER-D
Nipple rolling can stimulate uterine contractions after labor has begun. The
technique is used when labor is not progressing satisfactorily. The nurse instructs
the patient to roll one nipple at a time for 10 minutes through her clothing. Then
she should switch to the other side. The woman should rest during contractions.
A new nurse is working with a patient undergoing an induction of labor. What
action by the new nurse would prompt the preceptor to intervene?
A.
Assesses contractions every 5 minutes in the second stage of labor
B.
Calculates and charts the maternal total urine output every 4 hours
C.
Documents an IV intake of 1,500 mL in 8 hours
D.
Records the maternal vital signs a minimum of every 60 minutes - ANSWER-C
During an induction of labor, the IV fluid intake should not exceed 1,000 mL in 8
hours to prevent fluid overload after the placenta is delivered. If the new nurse
has documented a larger amount, the preceptor needs to intervene. The other
options show proper care of this patient.
2|Page
, NUR2513 MATERNAL CHILD EXAM 3
A nurse is assisting with a forceps delivery. After the forceps are applied, the nurse
notes fetal bradycardia. What action by the nurse takes priority?
A.
Assess the fetal heart rate in 5 minutes.
B.
Document the findings in the chart.
C.
Inform the health-care provider immediately.
D.
Turn the woman on her left side. - ANSWER-C
When the forceps are applied, umbilical cord compression can occur. Compression
of the cord causes a decrease in the fetal heart rate. The nurse should
immediately inform the provider so that the pressure can be released. The nurse
is responsible for documenting the fetal heart rate before and immediately after
forceps application, but relieving the pressure on the umbilical cord takes priority.
The nurse should not wait 5 minutes for another assessment, nor should the
nurse turn the patient on her side as a first action.
A nurse is caring for a pregnant woman with diabetes mellitus. What assessment
finding demonstrates that the patient has successfully met an important goal
during pregnancy?
A.
Blood glucose consistently < 130 mg/dL
B.
Electrolyte levels remaining within normal limits
C.
3|Page
, NUR2513 MATERNAL CHILD EXAM 3
Fetal weight > 4,500 g at birth
D.
Pregnancy weight gain of no more than 20 lb - ANSWER-A
Women with diabetes should strive to maintain their blood glucose readings
within normal parameters during pregnancy. Poor glycemic control contributes to
fetal macrosomia (fetal weight > 500 g) and other complications. Weight gain
should not be restricted to 20 lb, and electrolyte readings are not related to a
major goal for this woman.
A woman at 30 weeks' gestation is 80% effaced and 5 cm dilated. Which action by
the nurse takes priority?
A.
Arrange a palliative care consult for probable fetal demise.
B.
Encourage the woman to attempt a trial of labor before undergoing a cesarean
section.
C.
Ensure that informed consent for a cesarean birth is on the chart.
D.
Inform the woman that if the tocolytic therapy is successful, she will deliver. -
ANSWER-C
In preterm labor, if the woman's membranes have ruptured or if her cervix is more
than 50% effaced and 3-4 cm dilated, it is not likely that the labor can be stopped.
A cesarean birth is preferable to a vaginal delivery because it diminishes pressure
on the fetal head and decreases the risk of intracranial hemorrhage. Because
there is a high likelihood of cesarean birth, the nurse should ensure that consent
for cesarean delivery is on the chart, in the event that the labor cannot be halted.
4|Page
