NSG 432 EXAM 2 NURSING CARE
CHILDBEARING FAMILY ACTUAL
EXAM 2026/2027 - 100% VERIFIED
LATEST MOCK PRACTICE SET
190 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NSG 432 EXAM 2 NURSING CARE CHILDBEARING FAMILY ACTUAL EXAM 2026/2027 - 100% VERIFIED |
DETAILED RATIONALES - PASS GUARANTEED - A+ GRADED. It contains 190 carefully selected questions that
reflect the most current exam content and testing strategies. Each question is accompanied by a correct answer
and a detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 190 Questions
Foundations - Application - NSG 432 2 Nursing CARE Childbearing Family Actual 2026/2027 100 Detailed
Rationales PASS Guaranteed A Nursing Childbearing Family Undergraduate YEAR 4 Senior
All answers with rationales
,Table of Contents
Section A - Finding Section B - Fetal
Questions 1 to 48 Questions 49 to 96
Section C - Weeks Section D - Gestation
Questions 97 to 144 Questions 145 to 190
,Section A - Finding
Q1.
A client at 32 weeks gestation presents with sudden onset of severe headache, epigastric
pain, and visual disturbances. Blood pressure is 168/110 mmHg. Which assessment
finding is most critical to guide immediate management?
A. Urine protein of 2+ on dipstick B. Platelet count of 90,000/mm³
C. Fetal heart rate of 150 bpm with D. Deep tendon reflexes of 2+
moderate variability
Correct: B - Platelet count of 90,000/mm³
Rationale:Thrombocytopenia (platelets <100,000) indicates severe preeclampsia with
possible HELLP syndrome, which increases risk of hemorrhage and requires prompt delivery.
While proteinuria and hypertension are diagnostic, the platelet count is the most critical for
immediate management due to bleeding risk. Normal fetal heart rate and reflexes do not
indicate the same level of urgency.
Q2.
During a nonstress test, a fetus has a reactive pattern. Which physiological mechanism
primarily mediates the observed fetal heart rate accelerations?
A. Parasympathetic nervous system B. Sympathetic nervous system activation
activation
C. Baroreceptor response to fetal movement D. Chemoreceptor response to hypoxia
Correct: B - Sympathetic nervous system activation
Rationale:Fetal heart rate accelerations are mediated by the sympathetic nervous system,
which increases heart rate in response to fetal movement. Parasympathetic activation would
decelerate. Baroreceptors respond to blood pressure changes, and chemoreceptors to
oxygen levels, but neither directly causes accelerations.
Q3.
A nurse is caring for a client in active labor with an epidural. Which finding indicates the
need for immediate intervention?
A. Maternal blood pressure of 110/70 mmHg B. Fetal heart rate decelerations to 110 bpm
with recovery
C. Maternal temperature of 37.5°C (99.5°F) D. Loss of sensation in the lower extremities
Correct: B - Fetal heart rate decelerations to 110 bpm with recovery
Page 3
, Section A - Finding
Rationale: Fetal heart rate decelerations, especially late or variable, may indicate fetal
compromise and require intervention. Blood pressure of 110/70 is acceptable, temperature is
slightly elevated but not alarming, and loss of sensation is expected with epidural.
Decelerations that do not recover are ominous.
Q4.
Which assessment finding in a postpartum client is most indicative of uterine atony?
A. Fundus palpable at the umbilicus and B. Fundus firm and at the level of the
deviated to the right umbilicus
C. Fundus boggy and displaced above the D. Fundus firm and below the umbilicus
umbilicus
Correct: C - Fundus boggy and displaced above the umbilicus
Rationale:Uterine atony is characterized by a soft (boggy) fundus that is higher than
expected due to poor contraction. A firm fundus at or below the umbilicus indicates good
tone. Deviation to the right suggests a full bladder, not atony.
Q5.
A newborn is exhibiting respiratory distress with grunting, nasal flaring, and intercostal
retractions. Which intervention should the nurse implement first?
A. Initiate positive pressure ventilation B. Suction the oropharynx
C. Provide blow-by oxygen D. Obtain a chest x-ray
Correct: A - Initiate positive pressure ventilation
Rationale:In a newborn with respiratory distress, the first step is to ensure adequate
ventilation. Positive pressure ventilation is indicated if the newborn is apneic or breathing
ineffectively. Suctioning is only if secretions are obstructing. Blow-by oxygen is not sufficient.
Chest x-ray is not the first intervention.
Q6.
Which medication is contraindicated in a client with preeclampsia and severe features?
A. Magnesium sulfate B. Labetalol
C. Hydralazine D. Terbutaline
Correct: D - Terbutaline
Page 4
CHILDBEARING FAMILY ACTUAL
EXAM 2026/2027 - 100% VERIFIED
LATEST MOCK PRACTICE SET
190 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NSG 432 EXAM 2 NURSING CARE CHILDBEARING FAMILY ACTUAL EXAM 2026/2027 - 100% VERIFIED |
DETAILED RATIONALES - PASS GUARANTEED - A+ GRADED. It contains 190 carefully selected questions that
reflect the most current exam content and testing strategies. Each question is accompanied by a correct answer
and a detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 190 Questions
Foundations - Application - NSG 432 2 Nursing CARE Childbearing Family Actual 2026/2027 100 Detailed
Rationales PASS Guaranteed A Nursing Childbearing Family Undergraduate YEAR 4 Senior
All answers with rationales
,Table of Contents
Section A - Finding Section B - Fetal
Questions 1 to 48 Questions 49 to 96
Section C - Weeks Section D - Gestation
Questions 97 to 144 Questions 145 to 190
,Section A - Finding
Q1.
A client at 32 weeks gestation presents with sudden onset of severe headache, epigastric
pain, and visual disturbances. Blood pressure is 168/110 mmHg. Which assessment
finding is most critical to guide immediate management?
A. Urine protein of 2+ on dipstick B. Platelet count of 90,000/mm³
C. Fetal heart rate of 150 bpm with D. Deep tendon reflexes of 2+
moderate variability
Correct: B - Platelet count of 90,000/mm³
Rationale:Thrombocytopenia (platelets <100,000) indicates severe preeclampsia with
possible HELLP syndrome, which increases risk of hemorrhage and requires prompt delivery.
While proteinuria and hypertension are diagnostic, the platelet count is the most critical for
immediate management due to bleeding risk. Normal fetal heart rate and reflexes do not
indicate the same level of urgency.
Q2.
During a nonstress test, a fetus has a reactive pattern. Which physiological mechanism
primarily mediates the observed fetal heart rate accelerations?
A. Parasympathetic nervous system B. Sympathetic nervous system activation
activation
C. Baroreceptor response to fetal movement D. Chemoreceptor response to hypoxia
Correct: B - Sympathetic nervous system activation
Rationale:Fetal heart rate accelerations are mediated by the sympathetic nervous system,
which increases heart rate in response to fetal movement. Parasympathetic activation would
decelerate. Baroreceptors respond to blood pressure changes, and chemoreceptors to
oxygen levels, but neither directly causes accelerations.
Q3.
A nurse is caring for a client in active labor with an epidural. Which finding indicates the
need for immediate intervention?
A. Maternal blood pressure of 110/70 mmHg B. Fetal heart rate decelerations to 110 bpm
with recovery
C. Maternal temperature of 37.5°C (99.5°F) D. Loss of sensation in the lower extremities
Correct: B - Fetal heart rate decelerations to 110 bpm with recovery
Page 3
, Section A - Finding
Rationale: Fetal heart rate decelerations, especially late or variable, may indicate fetal
compromise and require intervention. Blood pressure of 110/70 is acceptable, temperature is
slightly elevated but not alarming, and loss of sensation is expected with epidural.
Decelerations that do not recover are ominous.
Q4.
Which assessment finding in a postpartum client is most indicative of uterine atony?
A. Fundus palpable at the umbilicus and B. Fundus firm and at the level of the
deviated to the right umbilicus
C. Fundus boggy and displaced above the D. Fundus firm and below the umbilicus
umbilicus
Correct: C - Fundus boggy and displaced above the umbilicus
Rationale:Uterine atony is characterized by a soft (boggy) fundus that is higher than
expected due to poor contraction. A firm fundus at or below the umbilicus indicates good
tone. Deviation to the right suggests a full bladder, not atony.
Q5.
A newborn is exhibiting respiratory distress with grunting, nasal flaring, and intercostal
retractions. Which intervention should the nurse implement first?
A. Initiate positive pressure ventilation B. Suction the oropharynx
C. Provide blow-by oxygen D. Obtain a chest x-ray
Correct: A - Initiate positive pressure ventilation
Rationale:In a newborn with respiratory distress, the first step is to ensure adequate
ventilation. Positive pressure ventilation is indicated if the newborn is apneic or breathing
ineffectively. Suctioning is only if secretions are obstructing. Blow-by oxygen is not sufficient.
Chest x-ray is not the first intervention.
Q6.
Which medication is contraindicated in a client with preeclampsia and severe features?
A. Magnesium sulfate B. Labetalol
C. Hydralazine D. Terbutaline
Correct: D - Terbutaline
Page 4
