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NUR 231 Exam 4: Galen Maternal Nursing Study Guide 2026 (125+ Q&A)

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Prepare for NUR 231 Exam 4 with 125+ practice questions on maternal nursing, fetal heart rate monitoring, and variable decelerations. Includes detailed rationales for Galen College maternal nursing success.

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NUR 231 Exam 4

Galen Maternal Nursing (2026) Preparation


Over 125 Practice Questions




Main Features

Comprehensive Review
Clinical Scenarios
Detailed Rationales

,Table of Contents

Instructions
Practice Questions



Instructions

Use this guide to test your knowledge of maternal nursing. Review the rationales even if you answer
correctly.

Question 1

During the assessment of a primipara at 38 weeks gestation, the nurse identifies the fetal heart rate
(FHR) at 110 beats per minute with variable decelerations occurring intermittently. What is the
nurse's priority action?

A. Increase the intravenous fluid rate.
B. Position the client on her left side.
C. Prepare the client for an immediate cesarean section.
D. Administer oxygen at 10 L/min via non-rebreather mask.

Correct Answer: B. Position the client on her left side.

Rationale: Variable decelerations are often associated with umbilical cord compression.
Repositioning the mother to the lateral position (left side) is the initial nursing intervention to
relieve pressure on the umbilical cord and improve placental perfusion.

,Question 2

During the assessment of a primipara at 38 weeks gestation, the nurse identifies the fetal heart rate
(FHR) at 110 beats per minute with variable decelerations occurring intermittently. What is the
nurse's priority action?

A. Increase the intravenous fluid rate.
B. Position the client on her left side.
C. Prepare the client for an immediate cesarean section.
D. Administer oxygen at 10 L/min via non-rebreather mask.

Correct Answer: B. Position the client on her left side.

Rationale: Variable decelerations are often associated with umbilical cord compression.
Repositioning the mother to the lateral position (left side) is the initial nursing intervention to
relieve pressure on the umbilical cord and improve placental perfusion.



Question 3

During the assessment of a primipara at 38 weeks gestation, the nurse identifies the fetal heart rate
(FHR) at 110 beats per minute with variable decelerations occurring intermittently. What is the
nurse's priority action?

A. Increase the intravenous fluid rate.
B. Position the client on her left side.
C. Prepare the client for an immediate cesarean section.
D. Administer oxygen at 10 L/min via non-rebreather mask.

Correct Answer: B. Position the client on her left side.

Rationale: Variable decelerations are often associated with umbilical cord compression.
Repositioning the mother to the lateral position (left side) is the initial nursing intervention to
relieve pressure on the umbilical cord and improve placental perfusion.

, Question 4

During the assessment of a primipara at 38 weeks gestation, the nurse identifies the fetal heart rate
(FHR) at 110 beats per minute with variable decelerations occurring intermittently. What is the
nurse's priority action?

A. Increase the intravenous fluid rate.
B. Position the client on her left side.
C. Prepare the client for an immediate cesarean section.
D. Administer oxygen at 10 L/min via non-rebreather mask.

Correct Answer: B. Position the client on her left side.

Rationale: Variable decelerations are often associated with umbilical cord compression.
Repositioning the mother to the lateral position (left side) is the initial nursing intervention to
relieve pressure on the umbilical cord and improve placental perfusion.



Question 5

During the assessment of a primipara at 38 weeks gestation, the nurse identifies the fetal heart rate
(FHR) at 110 beats per minute with variable decelerations occurring intermittently. What is the
nurse's priority action?

A. Increase the intravenous fluid rate.
B. Position the client on her left side.
C. Prepare the client for an immediate cesarean section.
D. Administer oxygen at 10 L/min via non-rebreather mask.

Correct Answer: B. Position the client on her left side.

Rationale: Variable decelerations are often associated with umbilical cord compression.
Repositioning the mother to the lateral position (left side) is the initial nursing intervention to
relieve pressure on the umbilical cord and improve placental perfusion.

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August 16, 2026
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