NUR 2513 / NUR2513: Maternal-Child Nursing Exam 1,
EXAM 2, EXAM 3, FINAL (Latest )
Rasmussen GALEN, TESTBANK | 100 % CORRECT
The nurse is evaluating the FHR rhythm strip and determines the heart rate amplitude varies
with a rate 15 to 20 bpm. What does this assessment finding indicate?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked
Answer: C. Variability is moderate
Rationale: Moderate variability (6–25 bpm fluctuations) is a reassuring sign of fetal
oxygenation and intact neurological function. Absent or minimal variability may indicate
fetal hypoxia or CNS depression.
What is the most effective way for a nurse to assess a woman's usual food intake during
pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe total intake for a week
C. Assess skin for hydration and color
D. Ask her to describe intake for the last 24 hours
Answer: D. Ask her to describe intake for the last 24 hours
Rationale: A 24-hour dietary recall provides the most accurate and realistic snapshot of
actual intake without requiring long-term recall bias.
The nurse is teaching a client on diaphragm use. Which statement indicates need for further
teaching?
A. I need to use my finger to remove the diaphragm
B. I should remove the diaphragm 6 hours after intercourse
C. I should stop using it if I get a cervical infection
D. I need to have the diaphragm checked if my weight changes by 30 lb
,Answer: D. I need to have the diaphragm checked if my weight changes by 30 lb
Rationale: Diaphragm size is affected by significant weight change, but not specifically 30 lb.
This indicates misunderstanding of correct indications for refitting.
Which client is appropriate for tocolytic therapy?
A. Fetal death at 34 weeks
B. Preterm labor at 29 weeks
C. Braxton Hicks at 37 weeks
D. Post-term pregnancy at 41 weeks
Answer: B. Preterm labor at 29 weeks
Rationale: Tocolytics are used to delay preterm labor to allow fetal lung maturity.
Which are non-pharmacologic pain control methods in labor? (Select all that apply)
A. Epidural
B. Hydrotherapy
C. Massage
D. Birth ball
E. Pudendal block
F. Breathing patterns
Answer: B, C, D, F
Rationale: These are non-medication methods that promote relaxation and pain control.
Epidural and pudendal block are pharmacologic/anesthetic interventions.
What is the primary cause of cervical cancer?
A. HPV causes 70% of cases
B. Bacterial infection requiring antibiotics
C. HPV treated with antivirals
D. Fungal infection
Answer: A. HPV causes 70% of cases
Rationale: High-risk HPV strains are the leading cause of cervical cancer.
Which medication is used for tocolysis?
A. Methylergometrine
B. Terbutaline
, C. Betamethasone
D. Oxytocin
Answer: B. Terbutaline
Rationale: Terbutaline relaxes uterine smooth muscle to delay preterm labor.
GTPAL: 39w, 40w, 35w delivery + 17w miscarriage = ?
A. 4-2-1-1-3
B. 4-1-2-1-3
C. 5-2-1-1-3
D. 5-2-0-2-3
Answer: A. 4-2-1-1-3
Rationale: Includes gravida, term, preterm, abortion, living children accurately calculated.
What indicates effective treatment for hyperemesis gravidarum?
A. Morning vomiting only
B. Soft food tolerance only
C. Clear liquids only
D. Progression to regular diet
Answer: D. Progression to regular diet
Rationale: Full dietary tolerance indicates resolution of dehydration and metabolic
imbalance.
Frequent urination in 3rd trimester is caused by:
A. Uterine pressure on bladder
B. Increased urine concentration
C. Fetal urine mixing
D. Decreased GFR
Answer: A. Uterine pressure on bladder
Rationale: Enlarging uterus compresses bladder causing frequency.
First trimester tests include (select all that apply):
A. Blood type/Rh
B. Group B strep
EXAM 2, EXAM 3, FINAL (Latest )
Rasmussen GALEN, TESTBANK | 100 % CORRECT
The nurse is evaluating the FHR rhythm strip and determines the heart rate amplitude varies
with a rate 15 to 20 bpm. What does this assessment finding indicate?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked
Answer: C. Variability is moderate
Rationale: Moderate variability (6–25 bpm fluctuations) is a reassuring sign of fetal
oxygenation and intact neurological function. Absent or minimal variability may indicate
fetal hypoxia or CNS depression.
What is the most effective way for a nurse to assess a woman's usual food intake during
pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe total intake for a week
C. Assess skin for hydration and color
D. Ask her to describe intake for the last 24 hours
Answer: D. Ask her to describe intake for the last 24 hours
Rationale: A 24-hour dietary recall provides the most accurate and realistic snapshot of
actual intake without requiring long-term recall bias.
The nurse is teaching a client on diaphragm use. Which statement indicates need for further
teaching?
A. I need to use my finger to remove the diaphragm
B. I should remove the diaphragm 6 hours after intercourse
C. I should stop using it if I get a cervical infection
D. I need to have the diaphragm checked if my weight changes by 30 lb
,Answer: D. I need to have the diaphragm checked if my weight changes by 30 lb
Rationale: Diaphragm size is affected by significant weight change, but not specifically 30 lb.
This indicates misunderstanding of correct indications for refitting.
Which client is appropriate for tocolytic therapy?
A. Fetal death at 34 weeks
B. Preterm labor at 29 weeks
C. Braxton Hicks at 37 weeks
D. Post-term pregnancy at 41 weeks
Answer: B. Preterm labor at 29 weeks
Rationale: Tocolytics are used to delay preterm labor to allow fetal lung maturity.
Which are non-pharmacologic pain control methods in labor? (Select all that apply)
A. Epidural
B. Hydrotherapy
C. Massage
D. Birth ball
E. Pudendal block
F. Breathing patterns
Answer: B, C, D, F
Rationale: These are non-medication methods that promote relaxation and pain control.
Epidural and pudendal block are pharmacologic/anesthetic interventions.
What is the primary cause of cervical cancer?
A. HPV causes 70% of cases
B. Bacterial infection requiring antibiotics
C. HPV treated with antivirals
D. Fungal infection
Answer: A. HPV causes 70% of cases
Rationale: High-risk HPV strains are the leading cause of cervical cancer.
Which medication is used for tocolysis?
A. Methylergometrine
B. Terbutaline
, C. Betamethasone
D. Oxytocin
Answer: B. Terbutaline
Rationale: Terbutaline relaxes uterine smooth muscle to delay preterm labor.
GTPAL: 39w, 40w, 35w delivery + 17w miscarriage = ?
A. 4-2-1-1-3
B. 4-1-2-1-3
C. 5-2-1-1-3
D. 5-2-0-2-3
Answer: A. 4-2-1-1-3
Rationale: Includes gravida, term, preterm, abortion, living children accurately calculated.
What indicates effective treatment for hyperemesis gravidarum?
A. Morning vomiting only
B. Soft food tolerance only
C. Clear liquids only
D. Progression to regular diet
Answer: D. Progression to regular diet
Rationale: Full dietary tolerance indicates resolution of dehydration and metabolic
imbalance.
Frequent urination in 3rd trimester is caused by:
A. Uterine pressure on bladder
B. Increased urine concentration
C. Fetal urine mixing
D. Decreased GFR
Answer: A. Uterine pressure on bladder
Rationale: Enlarging uterus compresses bladder causing frequency.
First trimester tests include (select all that apply):
A. Blood type/Rh
B. Group B strep
