NU 170
Exam 1 Maternal-Child Nursing Comprehensive
Review
Exam Review • High-Yield Practice
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 170
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 170 Exam 1 | Maternal-Child Nursing Comprehensive Review 2026/2027 UPDATED –
Galen
1. A woman is currently pregnant, has a history of one term delivery at 39 weeks, one
preterm delivery at 32 weeks, and two spontaneous abortions at 10 and 12 weeks. She has
two living children. What is her GTPAL?
A. G5 T1 P1 A2 L2
B. G4 T2 P1 A1 L2
C. G5 T2 P0 A2 L2
D. G4 T1 P2 A1 L2
Answer: A
Rationale: G (Gravida) includes current pregnancy (1) + term (1) + preterm (1) +
abortions (2) = 5. T (Term) = 1. P (Preterm) = 1. A (Abortion) = 2. L (Living) = 2.
2. Which fetal heart rate pattern is considered an ominous sign and requires immediate
nursing intervention, such as repositioning the mother and administering oxygen?
A. Early decelerations
B. Late decelerations
C. Accelerations
D. Variable decelerations
, Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency and are non-reassuring,
requiring intrauterine resuscitation.
3. A patient at 34 weeks gestation presents with sudden-onset, sharp abdominal pain and a
board-like abdomen. There is dark red vaginal bleeding. Which condition should the nurse
suspect?
A. Placenta Previa
B. Uterine Rupture
C. Abruptio Placentae
D. Cervical Cerclage Failure
Answer: C
Rationale: Abruptio placentae is characterized by painful vaginal bleeding and abdominal
rigidity; placenta previa is typically painless.
4. During the administration of Magnesium Sulfate for preeclampsia, the nurse notes a
respiratory rate of 10 breaths per minute and absent deep tendon reflexes. What is the
priority action?
A. Increase the infusion rate
B. Notify the physician to order a bolus
C. Administer Calcium Gluconate
Exam 1 Maternal-Child Nursing Comprehensive
Review
Exam Review • High-Yield Practice
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 170
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 170 Exam 1 | Maternal-Child Nursing Comprehensive Review 2026/2027 UPDATED –
Galen
1. A woman is currently pregnant, has a history of one term delivery at 39 weeks, one
preterm delivery at 32 weeks, and two spontaneous abortions at 10 and 12 weeks. She has
two living children. What is her GTPAL?
A. G5 T1 P1 A2 L2
B. G4 T2 P1 A1 L2
C. G5 T2 P0 A2 L2
D. G4 T1 P2 A1 L2
Answer: A
Rationale: G (Gravida) includes current pregnancy (1) + term (1) + preterm (1) +
abortions (2) = 5. T (Term) = 1. P (Preterm) = 1. A (Abortion) = 2. L (Living) = 2.
2. Which fetal heart rate pattern is considered an ominous sign and requires immediate
nursing intervention, such as repositioning the mother and administering oxygen?
A. Early decelerations
B. Late decelerations
C. Accelerations
D. Variable decelerations
, Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency and are non-reassuring,
requiring intrauterine resuscitation.
3. A patient at 34 weeks gestation presents with sudden-onset, sharp abdominal pain and a
board-like abdomen. There is dark red vaginal bleeding. Which condition should the nurse
suspect?
A. Placenta Previa
B. Uterine Rupture
C. Abruptio Placentae
D. Cervical Cerclage Failure
Answer: C
Rationale: Abruptio placentae is characterized by painful vaginal bleeding and abdominal
rigidity; placenta previa is typically painless.
4. During the administration of Magnesium Sulfate for preeclampsia, the nurse notes a
respiratory rate of 10 breaths per minute and absent deep tendon reflexes. What is the
priority action?
A. Increase the infusion rate
B. Notify the physician to order a bolus
C. Administer Calcium Gluconate
