Maternal-Child Nursing
Exam 3 Comprehensive Study Guide
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)
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,Maternal-Child Nursing Exam 3 Comprehensive Study Guide 2026/2027 UPDATE – Galen
1. A nurse is monitoring a client in labor and notes a fetal heart rate (FHR) pattern of late
decelerations. Which of the following is the priority nursing action?
A. Assist the client into a lateral position.
B. Increase the rate of the maintenance intravenous fluid.
C. Prepare for immediate vaginal delivery.
D. Administer oxygen via a non-rebreather face mask at 10 L/min.
Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency. The first priority
is to improve oxygenation to the placenta, which is best achieved by repositioning the
mother to her side to relieve pressure on the inferior vena cava.
2. Which clinical finding should the nurse prioritize in a client receiving Magnesium Sulfate for
preeclampsia?
A. Urine output of 40 mL/hr.
B. Respiratory rate of 10 breaths per minute.
C. Deep tendon reflexes of 2+.
D. Serum magnesium level of 6.0 mg/dL.
, Answer: B
Rationale: Magnesium Sulfate is a CNS depressant. A respiratory rate below 12 breaths per
minute indicates magnesium toxicity, which can lead to respiratory arrest. Reflexes of 2+
and urine output of 40 mL/hr are normal findings.
3. A newborn is evaluated at 1 minute of life. The heart rate is 110 bpm, the infant has a weak
cry, some flexion of the extremities, grimaces to suctioning, and a pink body with blue
extremities. What is the APGAR score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate >100 (2), weak cry (1), some flexion (1), grimace (1), and
acrocyanosis (1) equals a total APGAR score of 6.
4. A postpartum client is experiencing heavy vaginal bleeding and a boggy uterus 1 hour after
delivery. Which medication should the nurse expect to administer first?
A. Oxytocin
B. Methylergonovine
C. Carboprost
Exam 3 Comprehensive Study Guide
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 Exam 3 Comprehensive Study Guide 2026/2027 UPDATE – Galen
1. A nurse is monitoring a client in labor and notes a fetal heart rate (FHR) pattern of late
decelerations. Which of the following is the priority nursing action?
A. Assist the client into a lateral position.
B. Increase the rate of the maintenance intravenous fluid.
C. Prepare for immediate vaginal delivery.
D. Administer oxygen via a non-rebreather face mask at 10 L/min.
Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency. The first priority
is to improve oxygenation to the placenta, which is best achieved by repositioning the
mother to her side to relieve pressure on the inferior vena cava.
2. Which clinical finding should the nurse prioritize in a client receiving Magnesium Sulfate for
preeclampsia?
A. Urine output of 40 mL/hr.
B. Respiratory rate of 10 breaths per minute.
C. Deep tendon reflexes of 2+.
D. Serum magnesium level of 6.0 mg/dL.
, Answer: B
Rationale: Magnesium Sulfate is a CNS depressant. A respiratory rate below 12 breaths per
minute indicates magnesium toxicity, which can lead to respiratory arrest. Reflexes of 2+
and urine output of 40 mL/hr are normal findings.
3. A newborn is evaluated at 1 minute of life. The heart rate is 110 bpm, the infant has a weak
cry, some flexion of the extremities, grimaces to suctioning, and a pink body with blue
extremities. What is the APGAR score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate >100 (2), weak cry (1), some flexion (1), grimace (1), and
acrocyanosis (1) equals a total APGAR score of 6.
4. A postpartum client is experiencing heavy vaginal bleeding and a boggy uterus 1 hour after
delivery. Which medication should the nurse expect to administer first?
A. Oxytocin
B. Methylergonovine
C. Carboprost
