NSG 3500
Exam 3 - Maternal
Health (Galen College of Nursing)
Exam 3 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NSG 3500 Exam 3 - Maternal Health (Galen College of Nursing) 2026/2027 UPDATE- Galen
1. A nurse is caring for a client who is at 36 weeks of gestation and has preeclampsia. Which
of the following findings should the nurse identify as a priority to report to the provider?
A. 1+ pitting edema in the lower extremities
B. Urinary output of 20 mL/hr
C. Increased fetal movement
D. Deep tendon reflexes of 2+
Answer: B
Rationale: Urinary output of less than 30 mL/hr is a sign of declining renal perfusion and
is a critical finding in preeclampsia, potentially indicating progression to eclampsia or
HELLP syndrome.
2. A nurse is monitoring a client who is receiving magnesium sulfate IV for the treatment of
preeclampsia. Which of the following findings is an indication of magnesium toxicity?
A. Hyperreflexia
B. Respiratory rate of 10/min
C. Increased urinary output
D. Tachycardia
, Answer: B
Rationale: Signs of magnesium sulfate toxicity include bradypnea (RR < 12/min), loss of
deep tendon reflexes, and decreased urinary output. The priority is to stop the infusion and
administer calcium gluconate.
3. A nurse is assessing a client who is at 32 weeks of gestation and reports painless, bright red
vaginal bleeding. The nurse should suspect which of the following conditions?
A. Abruptio placentae
B. Placenta previa
C. Ectopic pregnancy
D. Molar pregnancy
Answer: B
Rationale: Painless, bright red vaginal bleeding during the second or third trimester is the
classic sign of placenta previa. Abruptio placentae usually involves painful, dark red
bleeding.
4. Which of the following interventions is contraindicated for a client suspected of having
placenta previa?
A. External fetal monitoring
B. Obtaining a type and crossmatch
C. Maintaining bed rest
Exam 3 - Maternal
Health (Galen College of Nursing)
Exam 3 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NSG 3500 Exam 3 - Maternal Health (Galen College of Nursing) 2026/2027 UPDATE- Galen
1. A nurse is caring for a client who is at 36 weeks of gestation and has preeclampsia. Which
of the following findings should the nurse identify as a priority to report to the provider?
A. 1+ pitting edema in the lower extremities
B. Urinary output of 20 mL/hr
C. Increased fetal movement
D. Deep tendon reflexes of 2+
Answer: B
Rationale: Urinary output of less than 30 mL/hr is a sign of declining renal perfusion and
is a critical finding in preeclampsia, potentially indicating progression to eclampsia or
HELLP syndrome.
2. A nurse is monitoring a client who is receiving magnesium sulfate IV for the treatment of
preeclampsia. Which of the following findings is an indication of magnesium toxicity?
A. Hyperreflexia
B. Respiratory rate of 10/min
C. Increased urinary output
D. Tachycardia
, Answer: B
Rationale: Signs of magnesium sulfate toxicity include bradypnea (RR < 12/min), loss of
deep tendon reflexes, and decreased urinary output. The priority is to stop the infusion and
administer calcium gluconate.
3. A nurse is assessing a client who is at 32 weeks of gestation and reports painless, bright red
vaginal bleeding. The nurse should suspect which of the following conditions?
A. Abruptio placentae
B. Placenta previa
C. Ectopic pregnancy
D. Molar pregnancy
Answer: B
Rationale: Painless, bright red vaginal bleeding during the second or third trimester is the
classic sign of placenta previa. Abruptio placentae usually involves painful, dark red
bleeding.
4. Which of the following interventions is contraindicated for a client suspected of having
placenta previa?
A. External fetal monitoring
B. Obtaining a type and crossmatch
C. Maintaining bed rest
