Download NUR 2633 NUR2633 Maternal Child Nursing Exam | Questions And Correct Answers (Verified An and more Exams Nursing in PDF only on Docsity!
NUR 2633 NUR 2633 Maternal Child Nursing Exam |
Questions And Correct Answers (Verified Answers)
Plus Rationales 2025 Q&A | Instant Download Pdf
- What is the normal range for fetal heart rate during labor? a) 60–100 bpm b) 110–160 bpm c) 180–220 bpm d) 90–120 bpm b) 110–160 bpm The normal fetal heart rate ranges between 110 and 160 beats per minute. Rates outside this range may indicate fetal distress.
- Which hormone is responsible for milk production postpartum? a) Estrogen b) Progesterone c) Prolactin d) Oxytocin c) Prolactin Prolactin stimulates milk production in the mammary glands after delivery. Oxytocin triggers milk ejection, not production.
- The first stage of labor ends with: a) Delivery of the placenta
b) Complete cervical dilation c) Onset of contractions d) Delivery of the fetus b) Complete cervical dilation The first stage of labor starts with regular contractions and ends when the cervix is fully dilated to 10 cm.
- What is the most common cause of postpartum hemorrhage? a) Retained placenta b) Uterine atony c) Vaginal lacerations d) Coagulation disorders b) Uterine atony Uterine atony, or failure of the uterus to contract after delivery, is the most frequent cause of postpartum hemorrhage.
- A newborn’s APGAR score is assessed at: a) 1 and 3 minutes b) 1 and 5 minutes c) 3 and 5 minutes d) 5 and 10 minutes b) 1 and 5 minutes APGAR is assessed at 1 and 5 minutes after birth to evaluate newborn adaptation and the need for resuscitation.
- Which vitamin is given to newborns to prevent hemorrhagic disease? a) Vitamin A
a) Administer oxygen b) Reposition the mother c) Prepare for immediate delivery d) Increase IV fluids b) Reposition the mother Early decelerations are usually benign and related to fetal head compression; repositioning helps relieve pressure. 10.The Lochia flow expected 2 days postpartum is: a) Lochia rubra b) Lochia serosa c) Lochia alba d) No lochia a) Lochia rubra Lochia rubra, a red vaginal discharge, occurs in the first 3-4 days postpartum due to bleeding from the placental site. 11.Which of the following vaccines is contraindicated during pregnancy? a) Influenza vaccine b) Tdap vaccine c) MMR vaccine d) Hepatitis B vaccine c) MMR vaccine The MMR vaccine contains live virus and is contraindicated during pregnancy.
12.What is the recommended position for a woman in labor to optimize fetal oxygenation? a) Supine b) Left lateral c) Trendelenburg d) Standing b) Left lateral The left lateral position improves uterine perfusion and decreases pressure on the inferior vena cava. 13.Which of the following is a late sign of fetal hypoxia? a) Early decelerations b) Variable decelerations c) Late decelerations d) Accelerations c) Late decelerations Late decelerations occur after the contraction peak and indicate uteroplacental insufficiency and fetal hypoxia. 14.Which maternal condition is associated with macrosomia? a) Preeclampsia b) Gestational diabetes c) Hyperemesis gravidarum d) Placenta previa b) Gestational diabetes Gestational diabetes causes increased glucose availability, leading to fetal overgrowth or macrosomia.
Rhogam is given prophylactically at 28 weeks and postpartum to prevent Rh sensitization. 18.What is the expected normal blood loss for a vaginal delivery? a) 200–300 mL b) 500–600 mL c) 800–1000 mL d) 1500 mL b) 500–600 mL _The average blood loss for vaginal delivery is about 500 mL; blood loss
1000 mL is considered hemorrhage._ 19.The newborn’s normal respiratory rate is: a) 10–20 breaths per minute b) 30–60 breaths per minute c) 60–80 breaths per minute d) 80–100 breaths per minute b) 30–60 breaths per minute Newborns normally breathe 30 to 60 times per minute. 20.A sign of magnesium sulfate toxicity includes: a) Hyperreflexia b) Respiratory depression c) Hypertension d) Tachycardia b) Respiratory depression
Magnesium sulfate overdose can cause respiratory depression and loss of deep tendon reflexes. 21.The primary function of surfactant in the newborn’s lungs is to: a) Fight infection b) Reduce surface tension to keep alveoli open c) Aid in oxygen transport d) Prevent fluid accumulation b) Reduce surface tension to keep alveoli open Surfactant reduces surface tension, preventing alveolar collapse and facilitating breathing. 22.Which condition is a contraindication for vaginal delivery? a) Placenta previa b) Cephalopelvic disproportion c) Previous cesarean section d) Breech presentation a) Placenta previa Placenta previa (placenta covering cervical opening) is a contraindication for vaginal birth due to bleeding risk. 23.How often should fetal heart rate be assessed in active labor for a low-risk pregnancy? a) Every 15–30 minutes b) Every 5 minutes c) Continuously d) Every hour
b) Nitrazine paper test and ferning test Nitrazine test (alkaline pH) and microscopic ferning confirm rupture of membranes. 27.Which medication is commonly used to induce labor? a) Terbutaline b) Oxytocin c) Magnesium sulfate d) Betamethasone b) Oxytocin Oxytocin stimulates uterine contractions and is used for labor induction. 28.What is the priority nursing intervention for a mother experiencing severe postpartum hemorrhage? a) Encourage breastfeeding b) Fundal massage c) Apply ice to perineum d) Assist with ambulation b) Fundal massage Fundal massage helps the uterus contract and reduce bleeding after delivery. 29.Which sign indicates effective labor contractions? a) Contractions every 10 minutes lasting 10 seconds b) Contractions every 2– 3 minutes lasting 60 seconds c) Contractions every 15 minutes lasting 5 seconds d) No contractions
b) Contractions every 2–3 minutes lasting 60 seconds Effective labor contractions occur every 2–3 minutes and last about 60 seconds. 30.When should glucose screening for gestational diabetes typically occur? a) 8–12 weeks b) 24–28 weeks c) 30–34 weeks d) At delivery b) 24–28 weeks Gestational diabetes screening is recommended between 24 and 28 weeks gestation. 31.Which of the following increases the risk for preterm labor? a) Multiple gestation b) Post-term pregnancy c) Maternal hypothyroidism d) Advanced maternal age a) Multiple gestation Multiple pregnancies increase uterine stretch, raising the risk of preterm labor. 32.What is the correct action if the fundus is boggy and displaced to the right postpartum? a) Document and reassess in 4 hours b) Encourage voiding and massage the fundus c) Administer pain medication
c) Prolonged labor d) Excessive bleeding b) Difficulty with vaginal delivery and fetal injury Breech presentations increase the risk of delivery complications and fetal trauma. 36.When is the postpartum period considered complete? a) 24 hours after delivery b) 2 weeks postpartum c) 6 weeks postpartum d) 3 months postpartum c) 6 weeks postpartum The postpartum period (puerperium) typically lasts 6 weeks as the body returns to pre-pregnancy state. 37.What is a common cause of neonatal jaundice? a) Excess bilirubin due to immature liver b) Infection c) Hypoglycemia d) Respiratory distress a) Excess bilirubin due to immature liver Neonatal jaundice results from immature hepatic function leading to bilirubin accumulation. 38.What is the recommended site for IM injections in a newborn? a) Deltoid b) Vastus lateralis
c) Gluteus maximus d) Ventrogluteal b) Vastus lateralis The vastus lateralis (anterolateral thigh) is preferred for newborn IM injections due to muscle mass and safety. 39.What type of contraception is safe to use while breastfeeding? a) Combined oral contraceptives b) Progestin-only pills c) Diaphragm d) Copper IUD b) Progestin-only pills Progestin-only contraceptives do not affect milk supply and are preferred during breastfeeding. 40.Which symptom is NOT typical of early pregnancy? a) Morning sickness b) Breast tenderness c) Weight loss d) Frequent urination c) Weight loss Weight gain or no change is typical; weight loss in early pregnancy may indicate problems. 41.The normal range for maternal blood pressure during pregnancy is: a) <90/60 mmHg b) 120/80 mmHg
b) Mastitis c) Urinary tract infection d) Preeclampsia a) Endometritis Endometritis is an infection of the uterine lining with these classic signs. 45.What is the role of progesterone during pregnancy? a) Stimulate uterine contractions b) Maintain the uterine lining c) Promote milk production d) Stimulate cervical dilation b) Maintain the uterine lining Progesterone supports the endometrium, preventing menstruation and maintaining pregnancy. 46.What is the cause of gestational trophoblastic disease (hydatidiform mole)? a) Infection b) Abnormal fertilization resulting in abnormal trophoblastic tissue growth c) Genetic mutation in fetus d) Placental insufficiency b) Abnormal fertilization resulting in abnormal trophoblastic tissue growth Molar pregnancy results from abnormal fertilization causing proliferative trophoblast growth without viable fetus. 47.What is the expected urine output for a postpartum woman? a) 100 mL/day
b) 500 mL/day c) 1500 mL/day d) 3000 mL/day c) 1500 mL/day Normal postpartum urine output is about 1500 mL/day to clear fluids and maintain hydration. 48.Which reflex is tested by stroking the cheek of a newborn? a) Moro reflex b) Rooting reflex c) Babinski reflex d) Grasp reflex b) Rooting reflex The rooting reflex helps the newborn turn toward the stimulus to find the nipple for feeding. 49.What is the normal hemoglobin level in pregnancy? a) 7–9 g/dL b) 10–14 g/dL c) 15–18 g/dL d) 20–22 g/dL b) 10–14 g/dL Physiologic anemia of pregnancy lowers hemoglobin, but normal levels remain between 10 and 14 g/dL. 50.Which condition requires immediate cesarean section? a) Fetal heart rate 140 bpm
53.What is the first action a nurse should take when the amniotic sac ruptures? a) Assess fetal heart rate b) Prepare for delivery c) Perform vaginal exam d) Administer oxytocin a) Assess fetal heart rate Fetal heart rate assessment immediately after rupture helps detect cord prolapse or distress. 54.Which electrolyte imbalance is a concern with magnesium sulfate therapy? a) Hyperkalemia b) Hypocalcemia c) Hypermagnesemia d) Hyponatremia c) Hypermagnesemia Excess magnesium can accumulate causing toxicity, including respiratory depression and loss of reflexes. 55.Which of the following newborn reflexes disappears by 4 months of age? a) Moro reflex b) Rooting reflex c) Babinski reflex d) Stepping reflex a) Moro reflex The Moro (startle) reflex typically fades by 3–4 months as the nervous system matures.
56.What is the recommended management for a pregnant woman with Rh- negative blood and no antibodies detected at 28 weeks? a) No treatment needed b) Administer Rh immune globulin (Rhogam) c) Start corticosteroids d) Deliver the baby early b) Administer Rh immune globulin (Rhogam) Rhogam is given prophylactically to prevent sensitization in Rh-negative women without antibodies. 57.What is the ideal time frame to initiate breastfeeding after birth? a) Within the first hour b) 3–4 hours after birth c) 6 hours after birth d) 12 hours after birth a) Within the first hour Early initiation promotes bonding, stimulates milk production, and supports newborn adaptation. 58.Which of the following is a contraindication for breastfeeding? a) Maternal HIV infection in developed countries b) Maternal diabetes c) Maternal use of antibiotics d) Neonatal jaundice a) Maternal HIV infection in developed countries In developed countries, breastfeeding is contraindicated for HIV-positive mothers due to transmission risk.
