NU 170
Final Exam Maternal-Child Nursing Study Guide
Final Exam • Comprehensive Study Guide
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 Final Exam | Maternal-Child Nursing | Study Guide 2026/2027 UPDATED – Galen
1. A nurse is caring for a client who is at 34 weeks of gestation and presents with sudden-
onset, painful vaginal bleeding and a rigid, board-like abdomen. Which complication should
the nurse suspect?
A. Placenta previa
B. Uterine rupture
C. Abruptio placentae
D. Cervical insufficiency
Answer: C
Rationale: Abruptio placentae is characterized by painful vaginal bleeding, uterine
tenderness, and a board-like abdomen. Placenta previa is typically painless bleeding.
2. Which of the following is the priority nursing intervention for a client receiving Magnesium
Sulfate for preeclampsia who presents with a respiratory rate of 10/min and absent deep
tendon reflexes?
A. Increase the infusion rate to prevent seizures
B. Place the client in a Trendelenburg position
C. Notify the provider and request a BUN test
D. Administer Calcium Gluconate intravenously
, Answer: D
Rationale: Absent DTRs and respiratory depression are signs of Magnesium toxicity.
Calcium Gluconate is the antidote and should be administered immediately.
3. A nurse is assessing a newborn 1 minute after birth. The heart rate is 110 bpm, there is a
weak cry, some flexion of extremities, the newborn grimaces when stimulated, and the body
is pink with blue extremities. What is the Apgar score?
A. 5
B. 8
C. 7
D. 6
Answer: D
Rationale: HR >100 (2), weak cry (1), some flexion (1), grimace (1), acrocyanosis (1) = 6.
4. During the active phase of labor, a fetal heart rate monitor shows late decelerations. What
is the first action the nurse should take?
A. Turn the client to a side-lying position
B. Apply oxygen via non-rebreather mask
C. Increase the IV fluid rate
D. Prepare for immediate delivery
Answer: A
Final Exam Maternal-Child Nursing Study Guide
Final Exam • Comprehensive Study Guide
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 Final Exam | Maternal-Child Nursing | Study Guide 2026/2027 UPDATED – Galen
1. A nurse is caring for a client who is at 34 weeks of gestation and presents with sudden-
onset, painful vaginal bleeding and a rigid, board-like abdomen. Which complication should
the nurse suspect?
A. Placenta previa
B. Uterine rupture
C. Abruptio placentae
D. Cervical insufficiency
Answer: C
Rationale: Abruptio placentae is characterized by painful vaginal bleeding, uterine
tenderness, and a board-like abdomen. Placenta previa is typically painless bleeding.
2. Which of the following is the priority nursing intervention for a client receiving Magnesium
Sulfate for preeclampsia who presents with a respiratory rate of 10/min and absent deep
tendon reflexes?
A. Increase the infusion rate to prevent seizures
B. Place the client in a Trendelenburg position
C. Notify the provider and request a BUN test
D. Administer Calcium Gluconate intravenously
, Answer: D
Rationale: Absent DTRs and respiratory depression are signs of Magnesium toxicity.
Calcium Gluconate is the antidote and should be administered immediately.
3. A nurse is assessing a newborn 1 minute after birth. The heart rate is 110 bpm, there is a
weak cry, some flexion of extremities, the newborn grimaces when stimulated, and the body
is pink with blue extremities. What is the Apgar score?
A. 5
B. 8
C. 7
D. 6
Answer: D
Rationale: HR >100 (2), weak cry (1), some flexion (1), grimace (1), acrocyanosis (1) = 6.
4. During the active phase of labor, a fetal heart rate monitor shows late decelerations. What
is the first action the nurse should take?
A. Turn the client to a side-lying position
B. Apply oxygen via non-rebreather mask
C. Increase the IV fluid rate
D. Prepare for immediate delivery
Answer: A
