NSG 3500
Exam 3 Maternal Health Study Guide
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 Study Guide 2026/2027 UPDATE- Galen
1. A patient at 32 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
assessment finding should the nurse prioritize as an early sign of toxicity?
A. Blood pressure 150/90 mmHg
B. Respiratory rate of 14 breaths/min
C. Increased urinary output
D. Diminished deep tendon reflexes
Answer: D
Rationale: Loss or diminution of deep tendon reflexes (DTRs) is often the first sign of
magnesium toxicity, appearing before respiratory depression or cardiac arrest.
2. While monitoring a fetal heart rate (FHR) strip, the nurse notes late decelerations. What is
the pathophysiological cause of this pattern?
A. Uteroplacental insufficiency
B. Umbilical cord compression
C. Fetal head compression
D. Fetal sleep cycle
Answer: A
, Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating that
the fetus is not receiving enough oxygen during contractions.
3. A client presents with sudden-onset, painless, bright red vaginal bleeding at 34 weeks
gestation. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Cervical insufficiency
Answer: B
Rationale: Placenta previa is classically characterized by painless, bright red vaginal
bleeding in the third trimester.
4. Which medication is specifically contraindicated for a client with a history of asthma who is
experiencing postpartum hemorrhage?
A. Oxytocin
B. Methylergonovine
C. Carboprost tromethamine
D. Misoprostol
Answer: C
Exam 3 Maternal Health Study Guide
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 Study Guide 2026/2027 UPDATE- Galen
1. A patient at 32 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
assessment finding should the nurse prioritize as an early sign of toxicity?
A. Blood pressure 150/90 mmHg
B. Respiratory rate of 14 breaths/min
C. Increased urinary output
D. Diminished deep tendon reflexes
Answer: D
Rationale: Loss or diminution of deep tendon reflexes (DTRs) is often the first sign of
magnesium toxicity, appearing before respiratory depression or cardiac arrest.
2. While monitoring a fetal heart rate (FHR) strip, the nurse notes late decelerations. What is
the pathophysiological cause of this pattern?
A. Uteroplacental insufficiency
B. Umbilical cord compression
C. Fetal head compression
D. Fetal sleep cycle
Answer: A
, Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating that
the fetus is not receiving enough oxygen during contractions.
3. A client presents with sudden-onset, painless, bright red vaginal bleeding at 34 weeks
gestation. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Cervical insufficiency
Answer: B
Rationale: Placenta previa is classically characterized by painless, bright red vaginal
bleeding in the third trimester.
4. Which medication is specifically contraindicated for a client with a history of asthma who is
experiencing postpartum hemorrhage?
A. Oxytocin
B. Methylergonovine
C. Carboprost tromethamine
D. Misoprostol
Answer: C
