NUR2513 MATERNAL CHILD EXAM 2
NUR2513 MATERNAL CHILD EXAM 2 NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
1. A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-pound, 7-
ounce boy after augmentation of labor with Pitocin. She puts on her call light and
asks for her nurse right away, stating, "I'm bleeding a lot." The most likely cause of
postpartum hemorrhage in this woman is:
a.Retained placental fragments.
b.Unrepaired vaginal lacerations.
c.Uterine atony.
d Puerperal infection. - ANSWER-ANS: C
Atony of the uterus, also called uterine atony, is a serious condition that can occur
after childbirth. It occurs when the uterus fails to contract after the delivery of the
baby, and it can lead to a potentially life-threatening condition known as
postpartum hemorrhage
This woman gave birth to a macrosomic boy after Pitocin augmentation. The most
likely cause of bleeding 4 hours after delivery, combined with these risk factors, is
uterine atony. Although retained placental fragments may cause postpartum
hemorrhage, this typically would be detected in the first hour after delivery of the
placenta and is not the most likely cause of hemorrhage in this woman. Although
unrepaired vaginal lacerations may cause bleeding, they typically would occur in
the period immediately after birth. Puerperal infection can cause subinvolution
and subsequent bleeding; however, this typically would be detected 24 hours after
delivery.
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, NUR2513 MATERNAL CHILD EXAM 2
2. On examining a woman who gave birth 5 hours ago, the nurse finds that the
woman has completely saturated a perineal pad within 15 minutes. The nurse's
first action is to:
a. Begin an intravenous (IV) infusion of Ringer's lactate solution.
b. Assess the woman's vital signs
c. Call the woman's primary health care provider.
d. Massage the woman's fundus. - ANSWER-ANS: D
The nurse should assess the uterus for atony. Uterine tone must be established to
prevent excessive blood loss. The nurse may begin an IV infusion to restore
circulatory volume, but this would not be the first action. Blood pressure is not a
reliable indicator of impending shock from impending hemorrhage; assessing vital
signs should not be the nurse's first action. The physician would be notified after
the nurse completes the assessment of the woman.
3. A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her
primary health care provider has written orders for perineal ice packs, use of a sitz
bath tid, and a stool softener. What information is most closely correlated with
these orders?
a.The woman is a gravida 2, para 2.
b.The woman had a vacuum-assisted birth.
c. The woman received epidural anesthesia.
d. The woman has an episiotomy. - ANSWER-ANS: D
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, NUR2513 MATERNAL CHILD EXAM 2
episiotomy: a surgical cut made at the opening of the vagina during childbirth, to
aid a difficult delivery and prevent rupture of tissues.
These orders are typical interventions for a woman who has had an episiotomy,
lacerations, and hemorrhoids. A multiparous classification is not an indication for
these orders. A vacuum-assisted birth may be used in conjunction with an
episiotomy, which would indicate these interventions. Use of epidural anesthesia
has no correlation with these orders.
4. The laboratory results for a postpartum woman are as follows: blood type, A;
Rh status, positive; rubella titer, 1:8 (EIA 0.8); hematocrit, 30%. How would the
nurse best interpret these data?
a. Rubella vaccine should be given.
b. A blood transfusion is necessary.
c. Rh immune globulin is necessary within 72 hours of birth.
d.A Kleihauer-Betke test should be performed. - ANSWER-ANS: A
This client's rubella titer indicates that she is not immune and that she needs to
receive a vaccine. These data do not indicate that the client needs a blood
transfusion. Rh immune globulin is indicated only if the client has a negative Rh
status and the infant has a positive Rh status. A Kleihauer-Betke test should be
performed if a large fetomaternal transfusion is suspected, especially if the
mother is Rh negative. The data do not provide any indication for performing this
test.
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, NUR2513 MATERNAL CHILD EXAM 2
5. A woman gave birth 48 hours ago to a healthy infant girl. She has decided to
bottle-feed. During your assessment you notice that both of her breasts are
swollen, warm, and tender on palpation. The woman should be advised that this
condition can best be treated by:
a. Running warm water on her breasts during a shower.
b. Applying ice to the breasts for comfort.
c. Expressing small amounts of milk from the breasts to relieve pressure.
d. Wearing a loose-fitting bra to prevent nipple irritation. - ANSWER-ANS: B
Applying ice to the breasts for comfort is appropriate for treating engorgement in
a mother who is bottle-feeding. This woman is experiencing engorgement, which
can be treated by using ice packs (because she is not breastfeeding) and cabbage
leaves. A bottle-feeding mother should avoid any breast stimulation, including
pumping or expressing milk. A bottle-feeding mother should wear a well-fitted
support bra or breast binder continuously for at least the first 72 hours after giving
birth. A loose-fitting bra will not aid lactation suppression. Furthermore, the
shifting of the bra against the breasts may stimulate the nipples and thereby
stimulate lactation.
6. A 25-year-old multiparous woman gave birth to an infant boy 1 day ago. Today
her husband brings a large container of brown seaweed soup to the hospital.
When the nurse enters the room, the husband asks for help with warming the
soup so that his wife can eat it. The nurse's most appropriate response is to ask
the woman:
a. "Didn't you like your lunch?"
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NUR2513 MATERNAL CHILD EXAM 2 NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
1. A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-pound, 7-
ounce boy after augmentation of labor with Pitocin. She puts on her call light and
asks for her nurse right away, stating, "I'm bleeding a lot." The most likely cause of
postpartum hemorrhage in this woman is:
a.Retained placental fragments.
b.Unrepaired vaginal lacerations.
c.Uterine atony.
d Puerperal infection. - ANSWER-ANS: C
Atony of the uterus, also called uterine atony, is a serious condition that can occur
after childbirth. It occurs when the uterus fails to contract after the delivery of the
baby, and it can lead to a potentially life-threatening condition known as
postpartum hemorrhage
This woman gave birth to a macrosomic boy after Pitocin augmentation. The most
likely cause of bleeding 4 hours after delivery, combined with these risk factors, is
uterine atony. Although retained placental fragments may cause postpartum
hemorrhage, this typically would be detected in the first hour after delivery of the
placenta and is not the most likely cause of hemorrhage in this woman. Although
unrepaired vaginal lacerations may cause bleeding, they typically would occur in
the period immediately after birth. Puerperal infection can cause subinvolution
and subsequent bleeding; however, this typically would be detected 24 hours after
delivery.
1|Page
, NUR2513 MATERNAL CHILD EXAM 2
2. On examining a woman who gave birth 5 hours ago, the nurse finds that the
woman has completely saturated a perineal pad within 15 minutes. The nurse's
first action is to:
a. Begin an intravenous (IV) infusion of Ringer's lactate solution.
b. Assess the woman's vital signs
c. Call the woman's primary health care provider.
d. Massage the woman's fundus. - ANSWER-ANS: D
The nurse should assess the uterus for atony. Uterine tone must be established to
prevent excessive blood loss. The nurse may begin an IV infusion to restore
circulatory volume, but this would not be the first action. Blood pressure is not a
reliable indicator of impending shock from impending hemorrhage; assessing vital
signs should not be the nurse's first action. The physician would be notified after
the nurse completes the assessment of the woman.
3. A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her
primary health care provider has written orders for perineal ice packs, use of a sitz
bath tid, and a stool softener. What information is most closely correlated with
these orders?
a.The woman is a gravida 2, para 2.
b.The woman had a vacuum-assisted birth.
c. The woman received epidural anesthesia.
d. The woman has an episiotomy. - ANSWER-ANS: D
2|Page
, NUR2513 MATERNAL CHILD EXAM 2
episiotomy: a surgical cut made at the opening of the vagina during childbirth, to
aid a difficult delivery and prevent rupture of tissues.
These orders are typical interventions for a woman who has had an episiotomy,
lacerations, and hemorrhoids. A multiparous classification is not an indication for
these orders. A vacuum-assisted birth may be used in conjunction with an
episiotomy, which would indicate these interventions. Use of epidural anesthesia
has no correlation with these orders.
4. The laboratory results for a postpartum woman are as follows: blood type, A;
Rh status, positive; rubella titer, 1:8 (EIA 0.8); hematocrit, 30%. How would the
nurse best interpret these data?
a. Rubella vaccine should be given.
b. A blood transfusion is necessary.
c. Rh immune globulin is necessary within 72 hours of birth.
d.A Kleihauer-Betke test should be performed. - ANSWER-ANS: A
This client's rubella titer indicates that she is not immune and that she needs to
receive a vaccine. These data do not indicate that the client needs a blood
transfusion. Rh immune globulin is indicated only if the client has a negative Rh
status and the infant has a positive Rh status. A Kleihauer-Betke test should be
performed if a large fetomaternal transfusion is suspected, especially if the
mother is Rh negative. The data do not provide any indication for performing this
test.
3|Page
, NUR2513 MATERNAL CHILD EXAM 2
5. A woman gave birth 48 hours ago to a healthy infant girl. She has decided to
bottle-feed. During your assessment you notice that both of her breasts are
swollen, warm, and tender on palpation. The woman should be advised that this
condition can best be treated by:
a. Running warm water on her breasts during a shower.
b. Applying ice to the breasts for comfort.
c. Expressing small amounts of milk from the breasts to relieve pressure.
d. Wearing a loose-fitting bra to prevent nipple irritation. - ANSWER-ANS: B
Applying ice to the breasts for comfort is appropriate for treating engorgement in
a mother who is bottle-feeding. This woman is experiencing engorgement, which
can be treated by using ice packs (because she is not breastfeeding) and cabbage
leaves. A bottle-feeding mother should avoid any breast stimulation, including
pumping or expressing milk. A bottle-feeding mother should wear a well-fitted
support bra or breast binder continuously for at least the first 72 hours after giving
birth. A loose-fitting bra will not aid lactation suppression. Furthermore, the
shifting of the bra against the breasts may stimulate the nipples and thereby
stimulate lactation.
6. A 25-year-old multiparous woman gave birth to an infant boy 1 day ago. Today
her husband brings a large container of brown seaweed soup to the hospital.
When the nurse enters the room, the husband asks for help with warming the
soup so that his wife can eat it. The nurse's most appropriate response is to ask
the woman:
a. "Didn't you like your lunch?"
4|Page
