NUR 214 Maternal-Newborn Final Exam
ACTUAL EXAM TEST BANK QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION 2026/2027
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and Newest
Version!!!
A pregnant client at 36 weeks presents with painless vaginal bleeding. What is the
priority nursing action?
a. Perform vaginal exam
b. Assess fetal heart rate
c. Encourage ambulation
d. Apply fundal pressure
✔️ Correct Answer: B
Rationale: Painless bleeding suggests placenta previa. A vaginal exam is contraindicated
because it can trigger hemorrhage. The priority is assessing fetal status (FHR) to
determine stability. DIF: Application | REF: Antepartum Hemorrhage | OBJ: Identify
priority intervention for placenta previa
A client with preeclampsia has BP 160/110 and proteinuria. What medication should the
nurse anticipate?
a. Oxytocin
b. Magnesium sulfate
,c. Insulin
d. Terbutaline
✔️ Correct Answer: B
Rationale: Magnesium sulfate is used to prevent seizures in preeclampsia. Oxytocin
induces labor, terbutaline stops contractions, and insulin treats diabetes. DIF: Knowledge
| REF: Preeclampsia Management | OBJ: Identify medication for seizure prophylaxis
Which finding indicates magnesium toxicity?
a. Hyperreflexia
b. Respiratory rate 10/min
c. BP 150/90
d. Urine output 50 mL/hr
✔️ Correct Answer: B
Rationale: Respiratory depression (<12/min) is a key sign of magnesium toxicity. Early
signs include decreased reflexes; severe toxicity leads to respiratory arrest. DIF: Analysis |
REF: Magnesium Sulfate Therapy | OBJ: Recognize magnesium toxicity
Antidote for magnesium sulfate toxicity:
a. Naloxone
b. Calcium gluconate
c. Vitamin K
d. Epinephrine
✔️ Correct Answer: B
Rationale: Calcium gluconate reverses magnesium toxicity by restoring neuromuscular
function. Naloxone reverses opioids, Vitamin K reverses warfarin, and epinephrine treats
anaphylaxis. DIF: Knowledge | REF: Pharmacology | OBJ: Identify antidote for magnesium
toxicity
,Late decelerations are caused by:
a. Cord compression
b. Head compression
c. Uteroplacental insufficiency
d. Fetal movement
✔️ Correct Answer: C
Rationale: Late decelerations indicate decreased oxygen transfer from placenta → fetal
hypoxia. Cord compression (Option A) causes variable decelerations. Head compression
(Option B) causes early decelerations. DIF: Analysis | REF: Fetal Monitoring | OBJ: Identify
cause of late decelerations
Priority action for late decelerations:
a. Increase oxytocin
b. Turn to left side
c. Encourage pushing
d. Give oral fluids
✔️ Correct Answer: B
Rationale: Side-lying improves placental perfusion. Oxytocin should be stopped, not
increased. DIF: Application | REF: Fetal Monitoring Interventions | OBJ: Prioritize
intervention for late decelerations
Variable decelerations indicate:
a. Placental insufficiency
b. Cord compression
c. Head compression
d. Infection
✔️ Correct Answer: B
Rationale: Umbilical cord compression causes abrupt drops in FHR (variable decels). Late
decelerations (Option A) indicate placental insufficiency. Early decelerations (Option C)
, indicate head compression. DIF: Knowledge | REF: Fetal Monitoring | OBJ: Identify cause
of variable decelerations
A client receiving oxytocin develops contractions every 1 minute. What is the priority?
a. Continue infusion
b. Stop oxytocin
c. Encourage pushing
d. Administer analgesics
✔️ Correct Answer: B
Rationale: This is uterine tachysystole → decreased fetal oxygenation. Stop oxytocin
immediately. DIF: Application | REF: Oxytocin Administration | OBJ: Respond to uterine
tachysystole
A newborn with HR 80 bpm requires:
a. Stimulation only
b. Positive pressure ventilation
c. Chest compressions
d. Observation
✔️ Correct Answer: B
Rationale: HR <100 = ventilate. Compressions begin if HR <60 after ventilation. DIF:
Application | REF: Neonatal Resuscitation | OBJ: Identify intervention for bradycardia in
newborn
A boggy uterus postpartum indicates:
a. Infection
b. Uterine atony
ACTUAL EXAM TEST BANK QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION 2026/2027
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and Newest
Version!!!
A pregnant client at 36 weeks presents with painless vaginal bleeding. What is the
priority nursing action?
a. Perform vaginal exam
b. Assess fetal heart rate
c. Encourage ambulation
d. Apply fundal pressure
✔️ Correct Answer: B
Rationale: Painless bleeding suggests placenta previa. A vaginal exam is contraindicated
because it can trigger hemorrhage. The priority is assessing fetal status (FHR) to
determine stability. DIF: Application | REF: Antepartum Hemorrhage | OBJ: Identify
priority intervention for placenta previa
A client with preeclampsia has BP 160/110 and proteinuria. What medication should the
nurse anticipate?
a. Oxytocin
b. Magnesium sulfate
,c. Insulin
d. Terbutaline
✔️ Correct Answer: B
Rationale: Magnesium sulfate is used to prevent seizures in preeclampsia. Oxytocin
induces labor, terbutaline stops contractions, and insulin treats diabetes. DIF: Knowledge
| REF: Preeclampsia Management | OBJ: Identify medication for seizure prophylaxis
Which finding indicates magnesium toxicity?
a. Hyperreflexia
b. Respiratory rate 10/min
c. BP 150/90
d. Urine output 50 mL/hr
✔️ Correct Answer: B
Rationale: Respiratory depression (<12/min) is a key sign of magnesium toxicity. Early
signs include decreased reflexes; severe toxicity leads to respiratory arrest. DIF: Analysis |
REF: Magnesium Sulfate Therapy | OBJ: Recognize magnesium toxicity
Antidote for magnesium sulfate toxicity:
a. Naloxone
b. Calcium gluconate
c. Vitamin K
d. Epinephrine
✔️ Correct Answer: B
Rationale: Calcium gluconate reverses magnesium toxicity by restoring neuromuscular
function. Naloxone reverses opioids, Vitamin K reverses warfarin, and epinephrine treats
anaphylaxis. DIF: Knowledge | REF: Pharmacology | OBJ: Identify antidote for magnesium
toxicity
,Late decelerations are caused by:
a. Cord compression
b. Head compression
c. Uteroplacental insufficiency
d. Fetal movement
✔️ Correct Answer: C
Rationale: Late decelerations indicate decreased oxygen transfer from placenta → fetal
hypoxia. Cord compression (Option A) causes variable decelerations. Head compression
(Option B) causes early decelerations. DIF: Analysis | REF: Fetal Monitoring | OBJ: Identify
cause of late decelerations
Priority action for late decelerations:
a. Increase oxytocin
b. Turn to left side
c. Encourage pushing
d. Give oral fluids
✔️ Correct Answer: B
Rationale: Side-lying improves placental perfusion. Oxytocin should be stopped, not
increased. DIF: Application | REF: Fetal Monitoring Interventions | OBJ: Prioritize
intervention for late decelerations
Variable decelerations indicate:
a. Placental insufficiency
b. Cord compression
c. Head compression
d. Infection
✔️ Correct Answer: B
Rationale: Umbilical cord compression causes abrupt drops in FHR (variable decels). Late
decelerations (Option A) indicate placental insufficiency. Early decelerations (Option C)
, indicate head compression. DIF: Knowledge | REF: Fetal Monitoring | OBJ: Identify cause
of variable decelerations
A client receiving oxytocin develops contractions every 1 minute. What is the priority?
a. Continue infusion
b. Stop oxytocin
c. Encourage pushing
d. Administer analgesics
✔️ Correct Answer: B
Rationale: This is uterine tachysystole → decreased fetal oxygenation. Stop oxytocin
immediately. DIF: Application | REF: Oxytocin Administration | OBJ: Respond to uterine
tachysystole
A newborn with HR 80 bpm requires:
a. Stimulation only
b. Positive pressure ventilation
c. Chest compressions
d. Observation
✔️ Correct Answer: B
Rationale: HR <100 = ventilate. Compressions begin if HR <60 after ventilation. DIF:
Application | REF: Neonatal Resuscitation | OBJ: Identify intervention for bradycardia in
newborn
A boggy uterus postpartum indicates:
a. Infection
b. Uterine atony
