1
NSG 432 Nursing Care Childbearing Family
Exam 2 GCU Actual Exam 2026/2027 with
Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Antepartum Nursing | Q1 – Q10
Section 2 | Intrapartum Nursing | Q11 – Q22
Section 3 | Postpartum Nursing | Q23 – Q32
Section 4 | Newborn Nursing & High-Risk Neonates | Q33 – Q42
Section 5 | NGN-Style Clinical Judgment & Integrated Case Analysis |
Q43 – Q50
Instructions: Choose the single best answer. Pass: 40 of 50 in 90
minutes.
══════════════════════════════════════
SECTION 1: ANTEPARTUM NURSING Q1 – Q10
══════════════════════════════════════
Question 1 of 50
,2
Maria Santos, a 28-year-old G1P0 at 12 weeks' gestation, presents to the
prenatal clinic reporting persistent nausea and vomiting for the past three
weeks. She has lost 3 pounds since her last visit four weeks ago, reports
being unable to keep down solid foods, and appears fatigued with dry
mucous membranes. Her blood pressure is 108/68 mmHg, pulse 98 bpm,
and urine dipstick shows ketones 2+. Which intervention should the
nurse prioritize?
A. Instruct the patient to increase fluid intake to 3 liters daily and return
in one week
B. Recommend eating small, frequent meals high in protein and low in
fat before getting out of bed
C. Arrange immediate hospital admission for IV hydration and
antiemetic therapy ✓ CORRECT
D. Suggest taking over-the-counter dimenhydrinate 50 mg every 6 hours
as needed
Correct Answer: C
Rationale: Hyperemesis gravidarum is characterized by severe nausea
and vomiting leading to dehydration, weight loss, ketonuria, and
electrolyte imbalance, requiring aggressive management including IV
fluids, antiemetics, and sometimes parenteral nutrition. While dietary
modifications are appropriate for mild morning sickness, this patient's
significant weight loss, dehydration signs, and presence of ketones
indicate she has progressed beyond self-management strategies and
needs medical intervention.
Question 2 of 50
,3
A 34-year-old G2P1 at 28 weeks' gestation arrives at the obstetric triage
unit complaining of sudden onset of bright red vaginal bleeding without
pain. She denies any trauma or intercourse recently. On assessment, her
fundal height measures 30 cm, fetal heart rate is 148 bpm with moderate
variability, and the uterus feels soft and nontender. The nurse recognizes
which condition as most likely?
A. Placenta previa causing painless bleeding as the lower uterine
segment thins and stretches near term ✓ CORRECT
B. Abruptio placentae with concealed hemorrhage requiring emergency
cesarean delivery
C. Normal bloody show indicating early labor should be expected at this
gestational age
D. Cervical polyp or vaginitis as the source of bleeding, warranting
speculum examination
Correct Answer: A
Rationale: Painless, bright red vaginal bleeding in the second or third
trimester, particularly with a soft nontender uterus and stable fetal status,
is classic for placenta previa until proven otherwise by ultrasound.
Abruptio placentae typically presents with painful, dark bleeding and a
firm, tender uterus; bloody show would not occur this early in an
uncomplicated pregnancy, and while cervical pathology can cause
bleeding, placenta previa must always be ruled out first before any
vaginal examination is performed due to the risk of catastrophic
hemorrhage.
, 4
Question 3 of 50
During a routine prenatal visit at 24 weeks, Chen Wei, a 32-year-old
G1P0, asks why she has been feeling short of breath when climbing
stairs, even though she was physically active before pregnancy. Her vital
signs are within normal limits, lung sounds are clear bilaterally, and
oxygen saturation is 98% on room air. How should the nurse respond?
A. Refer her immediately for echocardiography to rule out peripartum
cardiomyopathy
B. Explain that elevated progesterone causes increased respiratory drive
and a sensation of dyspnea ✓ CORRECT
C. Reassure her that this is normal and no further evaluation is needed at
this time
D. Schedule pulmonary function tests to assess for pregnancy-induced
asthma exacerbation
Correct Answer: B
Rationale: Progesterone levels rise significantly during pregnancy,
stimulating the respiratory center and increasing tidal volume, which
produces a subjective sensation of breathlessness or "air hunger" even in
healthy pregnant women—this physiologic dyspnea of pregnancy is very
common by the second trimester. While reassurance is appropriate,
simply dismissing the symptom without explanation misses an important
teaching opportunity about normal physiological adaptations; cardiac
and pulmonary pathology should only be suspected when dyspnea is
accompanied by abnormal vital signs, abnormal lung sounds, orthopnea,
or exertional limitations beyond what is typical for this gestational age.
NSG 432 Nursing Care Childbearing Family
Exam 2 GCU Actual Exam 2026/2027 with
Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Antepartum Nursing | Q1 – Q10
Section 2 | Intrapartum Nursing | Q11 – Q22
Section 3 | Postpartum Nursing | Q23 – Q32
Section 4 | Newborn Nursing & High-Risk Neonates | Q33 – Q42
Section 5 | NGN-Style Clinical Judgment & Integrated Case Analysis |
Q43 – Q50
Instructions: Choose the single best answer. Pass: 40 of 50 in 90
minutes.
══════════════════════════════════════
SECTION 1: ANTEPARTUM NURSING Q1 – Q10
══════════════════════════════════════
Question 1 of 50
,2
Maria Santos, a 28-year-old G1P0 at 12 weeks' gestation, presents to the
prenatal clinic reporting persistent nausea and vomiting for the past three
weeks. She has lost 3 pounds since her last visit four weeks ago, reports
being unable to keep down solid foods, and appears fatigued with dry
mucous membranes. Her blood pressure is 108/68 mmHg, pulse 98 bpm,
and urine dipstick shows ketones 2+. Which intervention should the
nurse prioritize?
A. Instruct the patient to increase fluid intake to 3 liters daily and return
in one week
B. Recommend eating small, frequent meals high in protein and low in
fat before getting out of bed
C. Arrange immediate hospital admission for IV hydration and
antiemetic therapy ✓ CORRECT
D. Suggest taking over-the-counter dimenhydrinate 50 mg every 6 hours
as needed
Correct Answer: C
Rationale: Hyperemesis gravidarum is characterized by severe nausea
and vomiting leading to dehydration, weight loss, ketonuria, and
electrolyte imbalance, requiring aggressive management including IV
fluids, antiemetics, and sometimes parenteral nutrition. While dietary
modifications are appropriate for mild morning sickness, this patient's
significant weight loss, dehydration signs, and presence of ketones
indicate she has progressed beyond self-management strategies and
needs medical intervention.
Question 2 of 50
,3
A 34-year-old G2P1 at 28 weeks' gestation arrives at the obstetric triage
unit complaining of sudden onset of bright red vaginal bleeding without
pain. She denies any trauma or intercourse recently. On assessment, her
fundal height measures 30 cm, fetal heart rate is 148 bpm with moderate
variability, and the uterus feels soft and nontender. The nurse recognizes
which condition as most likely?
A. Placenta previa causing painless bleeding as the lower uterine
segment thins and stretches near term ✓ CORRECT
B. Abruptio placentae with concealed hemorrhage requiring emergency
cesarean delivery
C. Normal bloody show indicating early labor should be expected at this
gestational age
D. Cervical polyp or vaginitis as the source of bleeding, warranting
speculum examination
Correct Answer: A
Rationale: Painless, bright red vaginal bleeding in the second or third
trimester, particularly with a soft nontender uterus and stable fetal status,
is classic for placenta previa until proven otherwise by ultrasound.
Abruptio placentae typically presents with painful, dark bleeding and a
firm, tender uterus; bloody show would not occur this early in an
uncomplicated pregnancy, and while cervical pathology can cause
bleeding, placenta previa must always be ruled out first before any
vaginal examination is performed due to the risk of catastrophic
hemorrhage.
, 4
Question 3 of 50
During a routine prenatal visit at 24 weeks, Chen Wei, a 32-year-old
G1P0, asks why she has been feeling short of breath when climbing
stairs, even though she was physically active before pregnancy. Her vital
signs are within normal limits, lung sounds are clear bilaterally, and
oxygen saturation is 98% on room air. How should the nurse respond?
A. Refer her immediately for echocardiography to rule out peripartum
cardiomyopathy
B. Explain that elevated progesterone causes increased respiratory drive
and a sensation of dyspnea ✓ CORRECT
C. Reassure her that this is normal and no further evaluation is needed at
this time
D. Schedule pulmonary function tests to assess for pregnancy-induced
asthma exacerbation
Correct Answer: B
Rationale: Progesterone levels rise significantly during pregnancy,
stimulating the respiratory center and increasing tidal volume, which
produces a subjective sensation of breathlessness or "air hunger" even in
healthy pregnant women—this physiologic dyspnea of pregnancy is very
common by the second trimester. While reassurance is appropriate,
simply dismissing the symptom without explanation misses an important
teaching opportunity about normal physiological adaptations; cardiac
and pulmonary pathology should only be suspected when dyspnea is
accompanied by abnormal vital signs, abnormal lung sounds, orthopnea,
or exertional limitations beyond what is typical for this gestational age.
