2026 UPDATED QUESTIONS DOWNLOAD
NUR 2513 Maternal-Child Nursing Final Practice Exam
A patient’s Last Menstrual Period (LMP) was October 20th. Using Naegele’s Rule, what
is the Estimated Date of Birth (EDB)?
A) July 13th
B) July 27th
C) July 20th
D) August 27th
Rationale: Subtract 3 months from Oct (July), add 7 days to 20 (27), and add 1 year.
A patient is currently pregnant, has a 3-year-old at home born at 39 weeks, and had
one miscarriage at 10 weeks. What is her GTPAL?
A) G2 T1 P0 A1 L1
B) G3 T1 P0 A1 L1
C) G3 T2 P0 A0 L2
D) G2 T2 P0 A1 L1
Rationale: G=3 (current, 3-year-old, miscarriage); T=1 (39 weeks); P=0; A=1
(miscarriage); L=1.
Which sign of pregnancy is considered a "Positive" sign?
A) Amenorrhea
B) Positive pregnancy test
C) Visualization of the fetus via ultrasound
D) Hegar’s sign
Rationale: Presumptive/Probable signs can have other causes; only fetal heart
tones, ultrasound, or fetal movement felt by a provider are positive.
A nurse notes "Variable Decelerations" on the fetal heart rate (FHR) monitor. What
is the cause and priority action?
A) Cord compression; Reposition the mother to the side
B) Head compression; Continue to monitor
C) Uteroplacental insufficiency; Administer oxygen
D) Fetal sleep; Stimulate the fetus
Rationale: VEAL CHOP: Variable = Cord. The first action is to relieve pressure
by turning the mother.
A patient at 32 weeks gestation presents with painless, bright red vaginal
bleeding. What is the likely diagnosis?
,2026 UPDATED QUESTIONS DOWNLOAD
A) Placental Abruption
B) Placenta Previa
C) Ruptured Ectopic Pregnancy
D) Labor onset
Rationale: Previa is painless/bright red; Abruption is painful/dark red with a
board-like abdomen.
Which medication is the antidote for Magnesium Sulfate toxicity?
A) Narcan
B) Calcium Gluconate
C) Terbutaline
D) Betamethasone
Rationale: Calcium Gluconate is kept at the bedside to reverse respiratory
depression and absent DTRs.
A postpartum patient has a boggy uterus displaced to the right of the midline.
What is the nurse's first action?
A) Perform fundal massage
B) Have the patient void (empty bladder)
C) Call the provider
D) Administer Pitocin
Rationale: A full bladder displaces the uterus and prevents it from contracting,
increasing hemorrhage risk.
An infant has a heart rate of 120, a vigorous cry, active motion, is pink all over, and
sneezes when stimulated. What is the APGAR score?
A) 8
B) 9
C) 10
D) 7
Rationale: HR(2), Resp(2), Muscle(2), Reflex(2), Color(2) = 10.
What is the primary purpose of administering Betamethasone to a mother in
preterm labor?
A) To stop contractions
B) To promote fetal lung maturity (surfactant production)
C) To treat maternal infection
D) To lower maternal blood pressure
, 2026 UPDATED QUESTIONS DOWNLOAD
Rationale: It reduces the risk of Respiratory Distress Syndrome (RDS) in the
neonate.
A patient on Magnesium Sulfate has a respiratory rate of 10 and absent Deep
Tendon Reflexes (DTRs). What is the priority?
A) Stop the Magnesium infusion immediately
B) Increase the IV fluids
C) Give a bolus of Pitocin
D) Re-check the reflexes in 15 minutes
Rationale: These are signs of toxic magnesium levels; the infusion must be
halted before giving the antidote.
"Early Decelerations" on the FHR monitor are typically caused by:
A) Cord compression
B) Head compression during labor
C) Maternal hypotension
D) Fetal hypoxia
Rationale: VEAL CHOP: Early = Head. These are benign and usually occur
during the transition phase.
A patient at 36 weeks gestation has a BP of 162/110 and 4+ proteinuria. This is:
A) Gestational Hypertension
B) Mild Preeclampsia
C) Severe Preeclampsia
D) Eclampsia
Rationale: Severe preeclampsia is defined by BP >160/110 and high protein
levels (or organ damage).
What is the hallmark of Eclampsia?
A) Facial edema
B) High protein in urine
C) Onset of seizures
D) Headache
Rationale: Eclampsia is preeclampsia with the addition of grand mal seizures.
Which nursing action is priority for a Prolapsed Umbilical Cord?
A) Document the finding
B) Use a sterile gloved hand to push the fetal head off the cord
NUR 2513 Maternal-Child Nursing Final Practice Exam
A patient’s Last Menstrual Period (LMP) was October 20th. Using Naegele’s Rule, what
is the Estimated Date of Birth (EDB)?
A) July 13th
B) July 27th
C) July 20th
D) August 27th
Rationale: Subtract 3 months from Oct (July), add 7 days to 20 (27), and add 1 year.
A patient is currently pregnant, has a 3-year-old at home born at 39 weeks, and had
one miscarriage at 10 weeks. What is her GTPAL?
A) G2 T1 P0 A1 L1
B) G3 T1 P0 A1 L1
C) G3 T2 P0 A0 L2
D) G2 T2 P0 A1 L1
Rationale: G=3 (current, 3-year-old, miscarriage); T=1 (39 weeks); P=0; A=1
(miscarriage); L=1.
Which sign of pregnancy is considered a "Positive" sign?
A) Amenorrhea
B) Positive pregnancy test
C) Visualization of the fetus via ultrasound
D) Hegar’s sign
Rationale: Presumptive/Probable signs can have other causes; only fetal heart
tones, ultrasound, or fetal movement felt by a provider are positive.
A nurse notes "Variable Decelerations" on the fetal heart rate (FHR) monitor. What
is the cause and priority action?
A) Cord compression; Reposition the mother to the side
B) Head compression; Continue to monitor
C) Uteroplacental insufficiency; Administer oxygen
D) Fetal sleep; Stimulate the fetus
Rationale: VEAL CHOP: Variable = Cord. The first action is to relieve pressure
by turning the mother.
A patient at 32 weeks gestation presents with painless, bright red vaginal
bleeding. What is the likely diagnosis?
,2026 UPDATED QUESTIONS DOWNLOAD
A) Placental Abruption
B) Placenta Previa
C) Ruptured Ectopic Pregnancy
D) Labor onset
Rationale: Previa is painless/bright red; Abruption is painful/dark red with a
board-like abdomen.
Which medication is the antidote for Magnesium Sulfate toxicity?
A) Narcan
B) Calcium Gluconate
C) Terbutaline
D) Betamethasone
Rationale: Calcium Gluconate is kept at the bedside to reverse respiratory
depression and absent DTRs.
A postpartum patient has a boggy uterus displaced to the right of the midline.
What is the nurse's first action?
A) Perform fundal massage
B) Have the patient void (empty bladder)
C) Call the provider
D) Administer Pitocin
Rationale: A full bladder displaces the uterus and prevents it from contracting,
increasing hemorrhage risk.
An infant has a heart rate of 120, a vigorous cry, active motion, is pink all over, and
sneezes when stimulated. What is the APGAR score?
A) 8
B) 9
C) 10
D) 7
Rationale: HR(2), Resp(2), Muscle(2), Reflex(2), Color(2) = 10.
What is the primary purpose of administering Betamethasone to a mother in
preterm labor?
A) To stop contractions
B) To promote fetal lung maturity (surfactant production)
C) To treat maternal infection
D) To lower maternal blood pressure
, 2026 UPDATED QUESTIONS DOWNLOAD
Rationale: It reduces the risk of Respiratory Distress Syndrome (RDS) in the
neonate.
A patient on Magnesium Sulfate has a respiratory rate of 10 and absent Deep
Tendon Reflexes (DTRs). What is the priority?
A) Stop the Magnesium infusion immediately
B) Increase the IV fluids
C) Give a bolus of Pitocin
D) Re-check the reflexes in 15 minutes
Rationale: These are signs of toxic magnesium levels; the infusion must be
halted before giving the antidote.
"Early Decelerations" on the FHR monitor are typically caused by:
A) Cord compression
B) Head compression during labor
C) Maternal hypotension
D) Fetal hypoxia
Rationale: VEAL CHOP: Early = Head. These are benign and usually occur
during the transition phase.
A patient at 36 weeks gestation has a BP of 162/110 and 4+ proteinuria. This is:
A) Gestational Hypertension
B) Mild Preeclampsia
C) Severe Preeclampsia
D) Eclampsia
Rationale: Severe preeclampsia is defined by BP >160/110 and high protein
levels (or organ damage).
What is the hallmark of Eclampsia?
A) Facial edema
B) High protein in urine
C) Onset of seizures
D) Headache
Rationale: Eclampsia is preeclampsia with the addition of grand mal seizures.
Which nursing action is priority for a Prolapsed Umbilical Cord?
A) Document the finding
B) Use a sterile gloved hand to push the fetal head off the cord
