NSG 3500
Maternal Health Exam 2 Comprehensive Quiz
Exam 2 • 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)
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,NSG 3500 Maternal Health Exam 2 Comprehensive Quiz 2026/2027 UPDATED – Galen
1. A nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which of the
following findings should the nurse identify as a priority to report to the provider?
A. Serum magnesium level of 6.0 mEq/L
B. Deep tendon reflexes of 2+
C. Respiratory rate of 14/min
D. Urinary output of 25 mL/hr
Answer: D
Rationale: Magnesium sulfate is excreted by the kidneys. Urinary output less than 30
mL/hr indicates renal compromise, which can lead to toxic levels of magnesium. RR <
12/min and absent DTRs are also signs of toxicity, but the choices provided here favor the
low UO as the critical warning sign of impending toxicity.
2. A client at 34 weeks gestation presents with sudden, dark red vaginal bleeding and intense
abdominal pain. The nurse suspects which condition?
A. Placenta previa
B. Abruptio placentae
C. Cervical insufficiency
D. Vasa previa
, Answer: B
Rationale: Abruptio placentae is characterized by painful, dark red vaginal bleeding and a
‘board-like’ rigid abdomen. Placenta previa is usually characterized by painless, bright red
bleeding.
3. During a non-stress test (NST), the nurse notes two fetal heart rate accelerations of 15 bpm
above baseline, each lasting 15 seconds, within a 20-minute period. How should the nurse
document this?
A. Non-reactive
B. Unsatisfactory
C. Equivocal
D. Reactive
Answer: D
Rationale: A reactive NST is defined as two or more accelerations of at least 15 bpm above
baseline lasting at least 15 seconds within a 20-minute window, indicating fetal well-being.
4. A nurse is caring for a client in the active phase of the first stage of labor. The fetal heart
rate (FHR) shows late decelerations. Which action should the nurse take first?
A. Increase the oxytocin infusion rate
B. Administer oxygen via non-rebreather mask at 8-10 L/min
C. Assist the client into a supine position
Maternal Health Exam 2 Comprehensive Quiz
Exam 2 • 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 Maternal Health Exam 2 Comprehensive Quiz 2026/2027 UPDATED – Galen
1. A nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which of the
following findings should the nurse identify as a priority to report to the provider?
A. Serum magnesium level of 6.0 mEq/L
B. Deep tendon reflexes of 2+
C. Respiratory rate of 14/min
D. Urinary output of 25 mL/hr
Answer: D
Rationale: Magnesium sulfate is excreted by the kidneys. Urinary output less than 30
mL/hr indicates renal compromise, which can lead to toxic levels of magnesium. RR <
12/min and absent DTRs are also signs of toxicity, but the choices provided here favor the
low UO as the critical warning sign of impending toxicity.
2. A client at 34 weeks gestation presents with sudden, dark red vaginal bleeding and intense
abdominal pain. The nurse suspects which condition?
A. Placenta previa
B. Abruptio placentae
C. Cervical insufficiency
D. Vasa previa
, Answer: B
Rationale: Abruptio placentae is characterized by painful, dark red vaginal bleeding and a
‘board-like’ rigid abdomen. Placenta previa is usually characterized by painless, bright red
bleeding.
3. During a non-stress test (NST), the nurse notes two fetal heart rate accelerations of 15 bpm
above baseline, each lasting 15 seconds, within a 20-minute period. How should the nurse
document this?
A. Non-reactive
B. Unsatisfactory
C. Equivocal
D. Reactive
Answer: D
Rationale: A reactive NST is defined as two or more accelerations of at least 15 bpm above
baseline lasting at least 15 seconds within a 20-minute window, indicating fetal well-being.
4. A nurse is caring for a client in the active phase of the first stage of labor. The fetal heart
rate (FHR) shows late decelerations. Which action should the nurse take first?
A. Increase the oxytocin infusion rate
B. Administer oxygen via non-rebreather mask at 8-10 L/min
C. Assist the client into a supine position
