NU 170 Maternal Child Nursing Exam 3 Final Exam Prep
Document | 2026/2027 Edition | 250 Verified Questions
NU 170 Maternal Child Nursing Exam 3 2026-2027 QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document covers all critical topics for NU 170 Maternal Child
Nursing Exam 3. With 250 verified questions and detailed rationales, it ensures mastery of antepartum,
intrapartum, postpartum, and newborn nursing care. Updated for the 2026/2027 academic year, this
resource reflects the latest clinical guidelines and evidence-based practices. Students can confidently
pass the exam with this A+ graded material.
Key Features:
Antepartum Nursing Care: Assessment, complications, and interventions
Intrapartum Nursing: Labor stages, pain management, fetal monitoring
Postpartum Care: Maternal recovery, breastfeeding support, complications
Newborn Nursing: Transition, assessment, congenital disorders
High-Risk Pregnancies: Gestational diabetes, preeclampsia, preterm labor
Pharmacology for Maternal-Child Nursing
Updates for 2026:
- Incorporates 2026 AWHONN guidelines for fetal monitoring
- Updates newborn resuscitation protocols per NRP 8th edition
- Adds new questions on maternal mental health and postpartum depression
- Revises pharmacology section with latest FDA pregnancy categories
- Reflects updated CDC recommendations for breastfeeding and neonatal care
Abstract:
This exam preparation document is meticulously crafted for nursing students enrolled in NU 170 Maternal Child
Nursing, focusing on Exam 3 content. It comprises 250 fully verified questions with detailed rationales that explain
correct and incorrect answer choices, fostering deeper understanding of key concepts. The material covers
comprehensive topics including antepartum care, intrapartum management, postpartum recovery, and newborn
assessment. Each question aligns with the latest NCLEX-RN test plan and incorporates 2026/2027 clinical practice
guidelines. Special emphasis is placed on high-risk conditions such as gestational diabetes, preeclampsia, and
preterm labor. The rationales are designed to enhance critical thinking and clinical reasoning skills. This resource
is essential for students aiming for an A+ grade and guaranteed pass on their examination.
Keywords:
Maternal Child Nursing, NU 170, Exam 3, NCLEX Preparation, Antepartum Care, Intrapartum Nursing,
Postpartum Complications, Newborn Assessment, High-Risk Pregnancy, Nursing Rationales
Answer Format:
Each question includes a correct answer with a detailed rationale explaining the physiological rationale and nursing
implications. Incorrect options are accompanied by distractor explanations that clarify common misconceptions.
Rationales are organized systematically to support retention and application.
Compliance Checklist:
Questions aligned with NCLEX-RN 2026 test plan
Answers verified by subject matter experts
Rationales cite current evidence-based practice guidelines
Page 1
, Content reviewed for accuracy by nursing faculty
Covers all major exam content domains
Updated for 2026/2027 academic cycle
Content Area Overview:
Content Area Questions Key Topics Weight
Antepartum Nursing 1-50 Prenatal assessment, nutritional needs, fetal 20%
development, common discomforts,
complications (preeclampsia, GD)
Intrapartum Nursing 51-110 Labor stages, pain management, fetal 24%
monitoring, induction, dystocia, operative
deliveries
Postpartum Nursing 111-170 Maternal physiological changes, 24%
breastfeeding, postpartum hemorrhage,
infection, mood disorders
Newborn Nursing 171-220 Transition to extrauterine life, assessment 20%
(Apgar, gestational age), newborn reflexes,
jaundice, congenital anomalies
Pharmacology & High-Risk 221-250 Medications (oxytocin, magnesium sulfate, 12%
Conditions antihypertensives), management of PIH,
preterm labor, postnatal complications
Page 2
,Q1. A client with severe preeclampsia develops a blood pressure of 172/110 mmHg
and a headache. Which intravenous medication is indicated for seizure prophylaxis?
A. Labetalol 20 mg IV push
B. Hydralazine 5 mg IV push
C. Magnesium sulfate 4 g IV bolus
D. Phenytoin 100 mg IV infusion
Correct Answer: C. Magnesium sulfate 4 g IV bolus
Rationale: Magnesium sulfate is the standard anticonvulsant for seizure prophylaxis in
severe preeclampsia/eclampsia. Labetalol and hydralazine treat hypertension but do not
prevent seizures. Phenytoin is not indicated for eclampsia prophylaxis.
Why Wrong:
A - Labetalol reduces blood pressure but is not an anticonvulsant.
B - Hydralazine lowers blood pressure but does not prevent seizures.
D - Phenytoin is used for other seizure disorders, not eclampsia prophylaxis.
Reference: ACOG Practice Bulletin No. 222. (2021). Gestational Hypertension and
Preeclampsia. Obstetrics & Gynecology.
Q2. During a difficult vaginal delivery, shoulder dystocia is encountered. After calling
for help, which maneuver should the nurse perform first?
A. Apply suprapubic pressure while the provider flexes the client's thighs (McRoberts
maneuver)
B. Apply fundal pressure to assist expulsion
C. Rotate the infant's shoulders via internal manipulative maneuvers
D. Deliver the posterior arm
Correct Answer: A. Apply suprapubic pressure while the provider flexes the client's
thighs (McRoberts maneuver)
Rationale: The initial response to shoulder dystocia is the McRoberts maneuver
(hyperflexion of maternal thighs) combined with suprapubic pressure. Fundal pressure is
contraindicated as it worsens impaction. Internal rotation and posterior arm delivery are
subsequent steps.
Why Wrong:
B - Fundal pressure is contraindicated and can cause brachial plexus injury.
C - Internal rotation maneuvers are performed after McRoberts if needed.
D - Posterior arm delivery is a later maneuver if others fail.
Reference: ACOG Practice Bulletin No. 178. (2017). Shoulder Dystocia. Obstetrics &
Gynecology.
Page 3
, Q3. A term newborn, born to a mother with poorly controlled type 1 diabetes, is
admitted to the newborn nursery. Which laboratory result warrants immediate
intervention?
A. Serum glucose 45 mg/dL at 30 minutes of age
B. Serum glucose 35 mg/dL at 2 hours of life
C. Serum calcium 8.5 mg/dL (total)
D. Serum bilirubin 6 mg/dL at 12 hours
Correct Answer: B. Serum glucose 35 mg/dL at 2 hours of life
Rationale: Infants of diabetic mothers are at high risk for hypoglycemia. A plasma glucose
<40 mg/dL at 2 hours of life is below the threshold and requires treatment (e.g., IV
dextrose or feeding). The 45 mg/dL at 30 minutes is within acceptable range (transient low
is common). Calcium and bilirubin values are normal for age.
Why Wrong:
A - At 30 minutes, a glucose of 45 mg/dL is acceptable and often stabilizes.
C - Total calcium of 8.5 mg/dL is within normal limits for a newborn.
D - Bilirubin of 6 mg/dL at 12 hours is physiological and not concerning.
Reference: AAP Committee on Fetus and Newborn. (2021). Hypoglycemia in Newborns.
Pediatrics.
Q4. A client who delivered vaginally 6 hours ago has excessive bright red bleeding, a
boggy uterus at the umbilicus, and a pulse of 110 bpm. After fundal massage and
administering oxytocin, bleeding continues. Which is the priority next action?
A. Administer methylergonovine 0.2 mg IM
B. Prepare for surgical evacuation of retained products
C. Bimanual uterine compression and administer tranexamic acid
D. Administer carboprost 250 mcg IM
Correct Answer: C. Bimanual uterine compression and administer tranexamic acid
Rationale: For uncontrolled postpartum hemorrhage despite initial oxytocin and massage,
bimanual compression and tranexamic acid (antifibrinolytic) are recommended.
Methylergonovine and carboprost are second-line uterotonics, but the immediate priority
is mechanical compression and hemostatic control. Surgical evacuation is later if medical
management fails.
Why Wrong:
A - Methylergonovine is a second-line uterotonic but not the immediate next step;
compression is priority.
B - Surgical evacuation is indicated for retained products but not before attempting
compression and TXA.
D - Carboprost is another uterotonic but delay in mechanical compression may worsen
hemorrhage.
Page 4
Document | 2026/2027 Edition | 250 Verified Questions
NU 170 Maternal Child Nursing Exam 3 2026-2027 QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document covers all critical topics for NU 170 Maternal Child
Nursing Exam 3. With 250 verified questions and detailed rationales, it ensures mastery of antepartum,
intrapartum, postpartum, and newborn nursing care. Updated for the 2026/2027 academic year, this
resource reflects the latest clinical guidelines and evidence-based practices. Students can confidently
pass the exam with this A+ graded material.
Key Features:
Antepartum Nursing Care: Assessment, complications, and interventions
Intrapartum Nursing: Labor stages, pain management, fetal monitoring
Postpartum Care: Maternal recovery, breastfeeding support, complications
Newborn Nursing: Transition, assessment, congenital disorders
High-Risk Pregnancies: Gestational diabetes, preeclampsia, preterm labor
Pharmacology for Maternal-Child Nursing
Updates for 2026:
- Incorporates 2026 AWHONN guidelines for fetal monitoring
- Updates newborn resuscitation protocols per NRP 8th edition
- Adds new questions on maternal mental health and postpartum depression
- Revises pharmacology section with latest FDA pregnancy categories
- Reflects updated CDC recommendations for breastfeeding and neonatal care
Abstract:
This exam preparation document is meticulously crafted for nursing students enrolled in NU 170 Maternal Child
Nursing, focusing on Exam 3 content. It comprises 250 fully verified questions with detailed rationales that explain
correct and incorrect answer choices, fostering deeper understanding of key concepts. The material covers
comprehensive topics including antepartum care, intrapartum management, postpartum recovery, and newborn
assessment. Each question aligns with the latest NCLEX-RN test plan and incorporates 2026/2027 clinical practice
guidelines. Special emphasis is placed on high-risk conditions such as gestational diabetes, preeclampsia, and
preterm labor. The rationales are designed to enhance critical thinking and clinical reasoning skills. This resource
is essential for students aiming for an A+ grade and guaranteed pass on their examination.
Keywords:
Maternal Child Nursing, NU 170, Exam 3, NCLEX Preparation, Antepartum Care, Intrapartum Nursing,
Postpartum Complications, Newborn Assessment, High-Risk Pregnancy, Nursing Rationales
Answer Format:
Each question includes a correct answer with a detailed rationale explaining the physiological rationale and nursing
implications. Incorrect options are accompanied by distractor explanations that clarify common misconceptions.
Rationales are organized systematically to support retention and application.
Compliance Checklist:
Questions aligned with NCLEX-RN 2026 test plan
Answers verified by subject matter experts
Rationales cite current evidence-based practice guidelines
Page 1
, Content reviewed for accuracy by nursing faculty
Covers all major exam content domains
Updated for 2026/2027 academic cycle
Content Area Overview:
Content Area Questions Key Topics Weight
Antepartum Nursing 1-50 Prenatal assessment, nutritional needs, fetal 20%
development, common discomforts,
complications (preeclampsia, GD)
Intrapartum Nursing 51-110 Labor stages, pain management, fetal 24%
monitoring, induction, dystocia, operative
deliveries
Postpartum Nursing 111-170 Maternal physiological changes, 24%
breastfeeding, postpartum hemorrhage,
infection, mood disorders
Newborn Nursing 171-220 Transition to extrauterine life, assessment 20%
(Apgar, gestational age), newborn reflexes,
jaundice, congenital anomalies
Pharmacology & High-Risk 221-250 Medications (oxytocin, magnesium sulfate, 12%
Conditions antihypertensives), management of PIH,
preterm labor, postnatal complications
Page 2
,Q1. A client with severe preeclampsia develops a blood pressure of 172/110 mmHg
and a headache. Which intravenous medication is indicated for seizure prophylaxis?
A. Labetalol 20 mg IV push
B. Hydralazine 5 mg IV push
C. Magnesium sulfate 4 g IV bolus
D. Phenytoin 100 mg IV infusion
Correct Answer: C. Magnesium sulfate 4 g IV bolus
Rationale: Magnesium sulfate is the standard anticonvulsant for seizure prophylaxis in
severe preeclampsia/eclampsia. Labetalol and hydralazine treat hypertension but do not
prevent seizures. Phenytoin is not indicated for eclampsia prophylaxis.
Why Wrong:
A - Labetalol reduces blood pressure but is not an anticonvulsant.
B - Hydralazine lowers blood pressure but does not prevent seizures.
D - Phenytoin is used for other seizure disorders, not eclampsia prophylaxis.
Reference: ACOG Practice Bulletin No. 222. (2021). Gestational Hypertension and
Preeclampsia. Obstetrics & Gynecology.
Q2. During a difficult vaginal delivery, shoulder dystocia is encountered. After calling
for help, which maneuver should the nurse perform first?
A. Apply suprapubic pressure while the provider flexes the client's thighs (McRoberts
maneuver)
B. Apply fundal pressure to assist expulsion
C. Rotate the infant's shoulders via internal manipulative maneuvers
D. Deliver the posterior arm
Correct Answer: A. Apply suprapubic pressure while the provider flexes the client's
thighs (McRoberts maneuver)
Rationale: The initial response to shoulder dystocia is the McRoberts maneuver
(hyperflexion of maternal thighs) combined with suprapubic pressure. Fundal pressure is
contraindicated as it worsens impaction. Internal rotation and posterior arm delivery are
subsequent steps.
Why Wrong:
B - Fundal pressure is contraindicated and can cause brachial plexus injury.
C - Internal rotation maneuvers are performed after McRoberts if needed.
D - Posterior arm delivery is a later maneuver if others fail.
Reference: ACOG Practice Bulletin No. 178. (2017). Shoulder Dystocia. Obstetrics &
Gynecology.
Page 3
, Q3. A term newborn, born to a mother with poorly controlled type 1 diabetes, is
admitted to the newborn nursery. Which laboratory result warrants immediate
intervention?
A. Serum glucose 45 mg/dL at 30 minutes of age
B. Serum glucose 35 mg/dL at 2 hours of life
C. Serum calcium 8.5 mg/dL (total)
D. Serum bilirubin 6 mg/dL at 12 hours
Correct Answer: B. Serum glucose 35 mg/dL at 2 hours of life
Rationale: Infants of diabetic mothers are at high risk for hypoglycemia. A plasma glucose
<40 mg/dL at 2 hours of life is below the threshold and requires treatment (e.g., IV
dextrose or feeding). The 45 mg/dL at 30 minutes is within acceptable range (transient low
is common). Calcium and bilirubin values are normal for age.
Why Wrong:
A - At 30 minutes, a glucose of 45 mg/dL is acceptable and often stabilizes.
C - Total calcium of 8.5 mg/dL is within normal limits for a newborn.
D - Bilirubin of 6 mg/dL at 12 hours is physiological and not concerning.
Reference: AAP Committee on Fetus and Newborn. (2021). Hypoglycemia in Newborns.
Pediatrics.
Q4. A client who delivered vaginally 6 hours ago has excessive bright red bleeding, a
boggy uterus at the umbilicus, and a pulse of 110 bpm. After fundal massage and
administering oxytocin, bleeding continues. Which is the priority next action?
A. Administer methylergonovine 0.2 mg IM
B. Prepare for surgical evacuation of retained products
C. Bimanual uterine compression and administer tranexamic acid
D. Administer carboprost 250 mcg IM
Correct Answer: C. Bimanual uterine compression and administer tranexamic acid
Rationale: For uncontrolled postpartum hemorrhage despite initial oxytocin and massage,
bimanual compression and tranexamic acid (antifibrinolytic) are recommended.
Methylergonovine and carboprost are second-line uterotonics, but the immediate priority
is mechanical compression and hemostatic control. Surgical evacuation is later if medical
management fails.
Why Wrong:
A - Methylergonovine is a second-line uterotonic but not the immediate next step;
compression is priority.
B - Surgical evacuation is indicated for retained products but not before attempting
compression and TXA.
D - Carboprost is another uterotonic but delay in mechanical compression may worsen
hemorrhage.
Page 4
