Maternal-Child Nursing
Comprehensive Exam 3
Exam 3 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
Maternal-Child Nursing
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,Maternal-Child Nursing Comprehensive Exam 3 2026/2027 UPDATE – Galen
1. A laboring client’s electronic fetal monitor shows a pattern of variable decelerations.
Which nursing action is the priority?
A. Increase the rate of the intravenous infusion.
B. Administer oxygen at 2 L/min via nasal cannula.
C. Prepare for immediate forceps-assisted delivery.
D. Change the client’s position to lateral or knee-chest.
Answer: D
Rationale: Variable decelerations are typically caused by umbilical cord compression. The
first action is to change the maternal position to relieve pressure on the cord.
2. Which clinical finding is a hallmark sign of Magnesium Sulfate toxicity in a preeclamptic
client?
A. Absence of deep tendon reflexes
B. Increased urinary output
C. Hyperreflexia (4+ DTRs)
D. Tachycardia and hypertension
Answer: A
, Rationale: Magnesium sulfate is a CNS depressant. Signs of toxicity include loss of DTRs,
respiratory depression, and decreased urinary output.
3. A client at 34 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Placental abruption
B. Uterine rupture
C. Placenta previa
D. Preterm labor
Answer: C
Rationale: Placenta previa is characterized by painless, bright red bleeding, whereas
placental abruption involves painful bleeding and a rigid abdomen.
4. What is the primary purpose of administering Vitamin K (Phytonadione) to a newborn
within 1 hour of birth?
A. To promote blood clotting and prevent hemorrhage
B. To stimulate the production of red blood cells
C. To prevent ophthalmia neonatorum
D. To enhance the infant’s immune response
Answer: A
Comprehensive Exam 3
Exam 3 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
Maternal-Child Nursing
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,Maternal-Child Nursing Comprehensive Exam 3 2026/2027 UPDATE – Galen
1. A laboring client’s electronic fetal monitor shows a pattern of variable decelerations.
Which nursing action is the priority?
A. Increase the rate of the intravenous infusion.
B. Administer oxygen at 2 L/min via nasal cannula.
C. Prepare for immediate forceps-assisted delivery.
D. Change the client’s position to lateral or knee-chest.
Answer: D
Rationale: Variable decelerations are typically caused by umbilical cord compression. The
first action is to change the maternal position to relieve pressure on the cord.
2. Which clinical finding is a hallmark sign of Magnesium Sulfate toxicity in a preeclamptic
client?
A. Absence of deep tendon reflexes
B. Increased urinary output
C. Hyperreflexia (4+ DTRs)
D. Tachycardia and hypertension
Answer: A
, Rationale: Magnesium sulfate is a CNS depressant. Signs of toxicity include loss of DTRs,
respiratory depression, and decreased urinary output.
3. A client at 34 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Placental abruption
B. Uterine rupture
C. Placenta previa
D. Preterm labor
Answer: C
Rationale: Placenta previa is characterized by painless, bright red bleeding, whereas
placental abruption involves painful bleeding and a rigid abdomen.
4. What is the primary purpose of administering Vitamin K (Phytonadione) to a newborn
within 1 hour of birth?
A. To promote blood clotting and prevent hemorrhage
B. To stimulate the production of red blood cells
C. To prevent ophthalmia neonatorum
D. To enhance the infant’s immune response
Answer: A
