NUR 204 OB REVIEW EXAM 2 | QUESTIONS
AND ANSWERS | 2026 UPDATED | 100%
CORRECT - JERSEY COLLEGE.
80 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
NUR 204 OB REVIEW EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATED | 100% CORRECT - JERSEY
COLLEGE.. It contains 80 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 80 Questions
Foundations - Application - NUR 204 OB Review 2 AND 2026 Updated 100 Correct - Jersey College
Maternal-newborn Nursing OB Undergraduate YEAR 3 Baccalaureate Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Antepartum Nursing CARE 1-14 Indicates, Finding, Magnesium, Immediate, Fetal
Intrapartum Nursing CARE 15-28 Labor, Weeks Gestation, Finding, Minutes, Indicates
Postpartum Nursing CARE 29-42 Weeks Gestation, Fetal, Heart RATE, Seconds, Finding
Newborn Nursing CARE 43-56 Weeks, Gestation, Finding, Appropriate, Fetal
Complications OF Pregnancy 57-70 Postpartum, Weeks, Appropriate, Labor, Finding
Labor AND Delivery 71-80 Finding, Fetal, Acidemia, Severe Features, Preeclampsia
Complications
TOTAL 80 All questions include answers and detailed rationales
,Section A - Antepartum Nursing CARE
Q1.
A client at 32 weeks gestation with preeclampsia without severe features is receiving
magnesium sulfate. Which assessment finding indicates the need for immediate
discontinuation of the infusion?
A. Respiratory rate of 12 breaths/min B. Deep tendon reflexes of 2+
C. Urine output of 30 mL/hr D. Serum magnesium level of 5.5 mEq/L
Correct: A - Respiratory rate of 12 breaths/min
Rationale:Magnesium sulfate toxicity is manifested by respiratory depression (respiratory
rate <12/min), loss of deep tendon reflexes, and oliguria. A respiratory rate of 12 is borderline,
but the threshold for discontinuation is <12 breaths/min; however, in this context, it is the
earliest sign of impending toxicity. The other values are within acceptable ranges: DTRs 2+
are normal, urine output >25 mL/hr is adequate, and a magnesium level of 5.5 mEq/L is
therapeutic (4.8-8.4 mg/dL).
Why the other answers are wrong:
B. Deep tendon reflexes of 2+ are normal; toxicity would cause hyporeflexia or areflexia.
C. Urine output of 30 mL/hr is above the minimum of 25-30 mL/hr, indicating adequate renal
clearance.
D. A serum magnesium level of 5.5 mEq/L is within the therapeutic range (4.8-8.4 mg/dL) and
not toxic.
Reference: Ricci, S. S., Kyle, T., & Carman, S. (2022). Maternity and Pediatric Nursing, 4th Ed., Ch. 31
Q2.
A nurse is interpreting a fetal heart rate tracing. Which pattern indicates adequate fetal
oxygenation and requires no intervention?
A. Variable decelerations with moderate B. Early decelerations with minimal
variability variability
C. Accelerations with moderate variability D. Late decelerations with absent variability
Correct: C - Accelerations with moderate variability
Rationale:Accelerations are a sign of fetal well-being and reflect a reactive, non-acidotic
fetus. Moderate variability indicates normal neurologic function and oxygenation. Early
decelerations are benign but minimal variability is not reassuring. Variable decelerations are
associated with cord compression and may require intervention. Late decelerations with
absent variability are ominous and indicate uteroplacental insufficiency.
Why the other answers are wrong:
Page 3
, Section A - Antepartum Nursing CARE
A. Variable decelerations indicate umbilical cord compression, which may require position
change or amnioinfusion.
B. Minimal variability is non-reassuring and may precede fetal acidemia.
D. Late decelerations with absent variability are a sign of fetal hypoxia and require immediate intervention.
Reference: ACOG (2022). Practice Bulletin No. 106: Intrapartum Fetal Heart Rate Monitoring
Q3.
A postpartum client is receiving oxytocin infusion. Which finding suggests an adverse
reaction that requires immediate discontinuation?
A. Uterine tone is firm and above the B. Blood pressure increases from 110/70 to
umbilicus 130/80 mmHg
C. Report of a severe headache and blurred D. Urine output of 80 mL over 2 hours
vision
Correct: C - Report of a severe headache and blurred vision
Rationale:Oxytocin has an antidiuretic effect and can cause water intoxication, leading to
hyponatremia. Severe headache and blurred vision are signs of cerebral edema due to water
intoxication. A firm uterus is the desired effect. A moderate blood pressure increase is not
typical for oxytocin; hypotension is more common. Urine output of 80 mL over 2 hours is low
but not immediately life-threatening.
Why the other answers are wrong:
A. A firm uterus indicates the desired therapeutic effect of oxytocin.
B. Oxytocin more commonly causes hypotension, not hypertension.
D. Oliguria may occur due to water retention, but the immediate concern is neurologic
symptoms.
Reference: Lehne, R. A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 24
Q4.
A client with gestational diabetes is in active labor. Her blood glucose is 72 mg/dL. Which
nursing action is most appropriate?
A. Start an insulin drip to maintain glucose B. Administer 50% dextrose IV push
between 60-90 mg/dL
C. Continue to monitor blood glucose every D. Give a carbohydrate-containing clear
hour liquid meal
Correct: C - Continue to monitor blood glucose every hour
Page 4
AND ANSWERS | 2026 UPDATED | 100%
CORRECT - JERSEY COLLEGE.
80 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
NUR 204 OB REVIEW EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATED | 100% CORRECT - JERSEY
COLLEGE.. It contains 80 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 80 Questions
Foundations - Application - NUR 204 OB Review 2 AND 2026 Updated 100 Correct - Jersey College
Maternal-newborn Nursing OB Undergraduate YEAR 3 Baccalaureate Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Antepartum Nursing CARE 1-14 Indicates, Finding, Magnesium, Immediate, Fetal
Intrapartum Nursing CARE 15-28 Labor, Weeks Gestation, Finding, Minutes, Indicates
Postpartum Nursing CARE 29-42 Weeks Gestation, Fetal, Heart RATE, Seconds, Finding
Newborn Nursing CARE 43-56 Weeks, Gestation, Finding, Appropriate, Fetal
Complications OF Pregnancy 57-70 Postpartum, Weeks, Appropriate, Labor, Finding
Labor AND Delivery 71-80 Finding, Fetal, Acidemia, Severe Features, Preeclampsia
Complications
TOTAL 80 All questions include answers and detailed rationales
,Section A - Antepartum Nursing CARE
Q1.
A client at 32 weeks gestation with preeclampsia without severe features is receiving
magnesium sulfate. Which assessment finding indicates the need for immediate
discontinuation of the infusion?
A. Respiratory rate of 12 breaths/min B. Deep tendon reflexes of 2+
C. Urine output of 30 mL/hr D. Serum magnesium level of 5.5 mEq/L
Correct: A - Respiratory rate of 12 breaths/min
Rationale:Magnesium sulfate toxicity is manifested by respiratory depression (respiratory
rate <12/min), loss of deep tendon reflexes, and oliguria. A respiratory rate of 12 is borderline,
but the threshold for discontinuation is <12 breaths/min; however, in this context, it is the
earliest sign of impending toxicity. The other values are within acceptable ranges: DTRs 2+
are normal, urine output >25 mL/hr is adequate, and a magnesium level of 5.5 mEq/L is
therapeutic (4.8-8.4 mg/dL).
Why the other answers are wrong:
B. Deep tendon reflexes of 2+ are normal; toxicity would cause hyporeflexia or areflexia.
C. Urine output of 30 mL/hr is above the minimum of 25-30 mL/hr, indicating adequate renal
clearance.
D. A serum magnesium level of 5.5 mEq/L is within the therapeutic range (4.8-8.4 mg/dL) and
not toxic.
Reference: Ricci, S. S., Kyle, T., & Carman, S. (2022). Maternity and Pediatric Nursing, 4th Ed., Ch. 31
Q2.
A nurse is interpreting a fetal heart rate tracing. Which pattern indicates adequate fetal
oxygenation and requires no intervention?
A. Variable decelerations with moderate B. Early decelerations with minimal
variability variability
C. Accelerations with moderate variability D. Late decelerations with absent variability
Correct: C - Accelerations with moderate variability
Rationale:Accelerations are a sign of fetal well-being and reflect a reactive, non-acidotic
fetus. Moderate variability indicates normal neurologic function and oxygenation. Early
decelerations are benign but minimal variability is not reassuring. Variable decelerations are
associated with cord compression and may require intervention. Late decelerations with
absent variability are ominous and indicate uteroplacental insufficiency.
Why the other answers are wrong:
Page 3
, Section A - Antepartum Nursing CARE
A. Variable decelerations indicate umbilical cord compression, which may require position
change or amnioinfusion.
B. Minimal variability is non-reassuring and may precede fetal acidemia.
D. Late decelerations with absent variability are a sign of fetal hypoxia and require immediate intervention.
Reference: ACOG (2022). Practice Bulletin No. 106: Intrapartum Fetal Heart Rate Monitoring
Q3.
A postpartum client is receiving oxytocin infusion. Which finding suggests an adverse
reaction that requires immediate discontinuation?
A. Uterine tone is firm and above the B. Blood pressure increases from 110/70 to
umbilicus 130/80 mmHg
C. Report of a severe headache and blurred D. Urine output of 80 mL over 2 hours
vision
Correct: C - Report of a severe headache and blurred vision
Rationale:Oxytocin has an antidiuretic effect and can cause water intoxication, leading to
hyponatremia. Severe headache and blurred vision are signs of cerebral edema due to water
intoxication. A firm uterus is the desired effect. A moderate blood pressure increase is not
typical for oxytocin; hypotension is more common. Urine output of 80 mL over 2 hours is low
but not immediately life-threatening.
Why the other answers are wrong:
A. A firm uterus indicates the desired therapeutic effect of oxytocin.
B. Oxytocin more commonly causes hypotension, not hypertension.
D. Oliguria may occur due to water retention, but the immediate concern is neurologic
symptoms.
Reference: Lehne, R. A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 24
Q4.
A client with gestational diabetes is in active labor. Her blood glucose is 72 mg/dL. Which
nursing action is most appropriate?
A. Start an insulin drip to maintain glucose B. Administer 50% dextrose IV push
between 60-90 mg/dL
C. Continue to monitor blood glucose every D. Give a carbohydrate-containing clear
hour liquid meal
Correct: C - Continue to monitor blood glucose every hour
Page 4
