,
, NUR 254 MATERNAL EXAM 3
COMPREHENSIVE | QUESTIONS AND
ANSWERS | 2026 UPDATED | WITH
COMPLETE SOLUTIONS | RATED 100%
CORRECT - GALEN COLLEGE.
SECTION 1: ANTEPARTUM AND HIGH-RISK
PREGNANCY
Question 1. A nurse is caring for a client at 37 weeks gestation with
suspected placental abruption. What is the priority nursing action?
A) Encourage ambulation to promote labor
B) Monitor fetal heart rate and prepare for emergency delivery
C) Administer tocolytics to stop contractions
D) Document findings as normal
Answer: B) Monitor fetal heart rate and prepare for emergency delivery
Rationale: Placental abruption is a medical emergency requiring immediate
fetal monitoring and preparation for delivery due to risks of fetal hypoxia .
Placental abruption is characterized by premature separation of the
placenta, presenting with vaginal bleeding (often accompanied by pain),
uterine tenderness, and a board-like abdomen due to concealed bleeding .
Hypertonic contractions are classic. Painless bleeding is characteristic of
placenta previa, not abruption .
Section: Antepartum - Placental Abruption
Source: NUR 254 Exam 3
Question 2. A client with gestational hypertension is at risk for which
complication during labor?
, NUR 254 MATERNAL EXAM 3
COMPREHENSIVE | QUESTIONS AND
ANSWERS | 2026 UPDATED | WITH
COMPLETE SOLUTIONS | RATED 100%
CORRECT - GALEN COLLEGE.
SECTION 1: ANTEPARTUM AND HIGH-RISK
PREGNANCY
Question 1. A nurse is caring for a client at 37 weeks gestation with
suspected placental abruption. What is the priority nursing action?
A) Encourage ambulation to promote labor
B) Monitor fetal heart rate and prepare for emergency delivery
C) Administer tocolytics to stop contractions
D) Document findings as normal
Answer: B) Monitor fetal heart rate and prepare for emergency delivery
Rationale: Placental abruption is a medical emergency requiring immediate
fetal monitoring and preparation for delivery due to risks of fetal hypoxia .
Placental abruption is characterized by premature separation of the
placenta, presenting with vaginal bleeding (often accompanied by pain),
uterine tenderness, and a board-like abdomen due to concealed bleeding .
Hypertonic contractions are classic. Painless bleeding is characteristic of
placenta previa, not abruption .
Section: Antepartum - Placental Abruption
Source: NUR 254 Exam 3
Question 2. A client with gestational hypertension is at risk for which
complication during labor?