NSG 3500
Exam 4 Maternal Health Comprehensive Quiz
Exam 4 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
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✓ Complete Rationales Included
Exam (elaborations)
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,NSG 3500 Exam 4 | Maternal Health Comprehensive Quiz 2026/2027 UPDATED – Galen
1. A nurse is monitoring a client in labor and notes a fetal heart rate pattern with late
decelerations. Which of the following is the priority nursing action?
A. Administer oxygen at 2 L/min via nasal cannula.
B. Reposition the client to a side-lying position.
C. Increase the rate of the maintenance intravenous fluid.
D. Prepare the client for an immediate vaginal delivery.
Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve placental perfusion, which is best achieved by repositioning the mother to a side-
lying position to remove pressure from the vena cava.
2. A client at 34 weeks gestation is receiving magnesium sulfate for pre-eclampsia. Which
finding should the nurse report to the provider immediately?
A. Urinary output of 40 mL/hr.
B. Generalized feeling of warmth and flushing.
C. Respiratory rate of 14 breaths/min.
D. Absent deep tendon reflexes.
, Answer: D
Rationale: Loss of deep tendon reflexes is a primary indicator of magnesium sulfate
toxicity. Other signs include respiratory depression (less than 12) and oliguria (less than 30
mL/hr).
3. A pregnant woman presents with painless, bright red vaginal bleeding in the third
trimester. Which condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Cervical laceration
Answer: B
Rationale: Placenta previa is classically characterized by painless, bright red vaginal
bleeding. Abruptio placentae usually involves painful, dark red bleeding and uterine
rigidity.
4. Which assessment finding in a postpartum client 2 hours after delivery requires immediate
intervention?
A. Lochia rubra with small clots.
B. A boggy uterus that is displaced to the right.
C. Heart rate of 60 beats/min.
Exam 4 Maternal Health Comprehensive Quiz
Exam 4 • 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 4 | Maternal Health Comprehensive Quiz 2026/2027 UPDATED – Galen
1. A nurse is monitoring a client in labor and notes a fetal heart rate pattern with late
decelerations. Which of the following is the priority nursing action?
A. Administer oxygen at 2 L/min via nasal cannula.
B. Reposition the client to a side-lying position.
C. Increase the rate of the maintenance intravenous fluid.
D. Prepare the client for an immediate vaginal delivery.
Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve placental perfusion, which is best achieved by repositioning the mother to a side-
lying position to remove pressure from the vena cava.
2. A client at 34 weeks gestation is receiving magnesium sulfate for pre-eclampsia. Which
finding should the nurse report to the provider immediately?
A. Urinary output of 40 mL/hr.
B. Generalized feeling of warmth and flushing.
C. Respiratory rate of 14 breaths/min.
D. Absent deep tendon reflexes.
, Answer: D
Rationale: Loss of deep tendon reflexes is a primary indicator of magnesium sulfate
toxicity. Other signs include respiratory depression (less than 12) and oliguria (less than 30
mL/hr).
3. A pregnant woman presents with painless, bright red vaginal bleeding in the third
trimester. Which condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Cervical laceration
Answer: B
Rationale: Placenta previa is classically characterized by painless, bright red vaginal
bleeding. Abruptio placentae usually involves painful, dark red bleeding and uterine
rigidity.
4. Which assessment finding in a postpartum client 2 hours after delivery requires immediate
intervention?
A. Lochia rubra with small clots.
B. A boggy uterus that is displaced to the right.
C. Heart rate of 60 beats/min.
