NSG 3500
Maternal Health Exam 3 Advanced 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 Maternal Health Exam 3 Advanced Study Guide 2026/2027 UPDATE – Galen
1. A laboring patient’s electronic fetal monitor shows late decelerations. What is the primary
pathophysiological cause of this pattern?
A. Umbilical cord compression
B. Uteroplacental insufficiency
C. Fetal head compression
D. Fetal central nervous system stimulation
Answer: B
Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating that
the fetus is not receiving adequate oxygen during contractions.
2. Which medication is the antidote for magnesium sulfate toxicity in a patient being treated
for preeclampsia?
A. Calcium gluconate
B. Naloxone
C. Terbutaline
D. Protamine sulfate
Answer: A
, Rationale: Calcium gluconate is the specific antagonist used to reverse the effects of
magnesium sulfate toxicity, such as respiratory depression and loss of deep tendon
reflexes.
3. A nurse is assessing a patient 2 hours postpartum and notes the fundus is firm, midline,
and at the level of the umbilicus, but the patient is experiencing heavy bright red bleeding
with clots. What is the most likely cause?
A. Uterine atony
B. Cervical or vaginal laceration
C. Retained placental fragments
D. Bladder distention
Answer: B
Rationale: If the fundus is firm and midline (not atonic) but bleeding remains heavy, a
laceration of the birth canal is the most probable cause of the hemorrhage.
4. A patient at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
diagnostic procedure is contraindicated?
A. Vaginal examination
B. External fetal monitoring
C. Transabdominal ultrasound
D. Serum hemoglobin and hematocrit
Maternal Health Exam 3 Advanced 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 Maternal Health Exam 3 Advanced Study Guide 2026/2027 UPDATE – Galen
1. A laboring patient’s electronic fetal monitor shows late decelerations. What is the primary
pathophysiological cause of this pattern?
A. Umbilical cord compression
B. Uteroplacental insufficiency
C. Fetal head compression
D. Fetal central nervous system stimulation
Answer: B
Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating that
the fetus is not receiving adequate oxygen during contractions.
2. Which medication is the antidote for magnesium sulfate toxicity in a patient being treated
for preeclampsia?
A. Calcium gluconate
B. Naloxone
C. Terbutaline
D. Protamine sulfate
Answer: A
, Rationale: Calcium gluconate is the specific antagonist used to reverse the effects of
magnesium sulfate toxicity, such as respiratory depression and loss of deep tendon
reflexes.
3. A nurse is assessing a patient 2 hours postpartum and notes the fundus is firm, midline,
and at the level of the umbilicus, but the patient is experiencing heavy bright red bleeding
with clots. What is the most likely cause?
A. Uterine atony
B. Cervical or vaginal laceration
C. Retained placental fragments
D. Bladder distention
Answer: B
Rationale: If the fundus is firm and midline (not atonic) but bleeding remains heavy, a
laceration of the birth canal is the most probable cause of the hemorrhage.
4. A patient at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
diagnostic procedure is contraindicated?
A. Vaginal examination
B. External fetal monitoring
C. Transabdominal ultrasound
D. Serum hemoglobin and hematocrit
