NU 170
Final Exam
Maternal-Child Nursing Comprehensive Review
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 Comprehensive Review 2026/2027 UPDATE –
Galen
1. A nurse is monitoring a client who is receiving magnesium sulfate for the treatment of
preeclampsia. Which of the following findings should the nurse report to the provider as a
sign of toxicity?
A. Urinary output of 40 mL/hr
B. Deep tendon reflexes 2+
C. Blood pressure of 140/90 mm Hg
D. Respiratory rate of 10/min
Answer: D
Rationale: Respiratory rate less than 12/min is a sign of magnesium toxicity. Other signs
include absent deep tendon reflexes and decreased urinary output (less than 30 mL/hr).
2. A nurse is caring for a client in the active phase of labor. The electronic fetal monitor shows
late decelerations. Which of the following actions should the nurse take first?
A. Increase the rate of the maintenance IV fluid
B. Administer oxygen at 8 to 10 L/min via nonrebreather mask
C. Assist the client into a left-lateral position
D. Perform a vaginal examination to check for cord prolapse
, Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve placental perfusion by turning the client to their side to relieve pressure on the
inferior vena cava.
3. A client is 4 hours postpartum and the nurse notes the fundus is boggy and displaced to the
right. Which of the following actions should the nurse take?
A. Assist the client to the bathroom to void
B. Massage the fundus until firm
C. Administer oxytocin IV bolus
D. Insert an indwelling urinary catheter
Answer: A
Rationale: A displaced fundus to the right is a classic sign of bladder distention. The nurse
should assist the client to void to allow the uterus to return to the midline and contract
effectively.
4. Which of the following instructions should the nurse provide to a client who is Rh-negative
and just gave birth to an Rh-positive neonate?
A. Rho(D) immune globulin is only necessary during your next pregnancy.
B. You will receive Rho(D) immune globulin if your baby develops jaundice.
C. The baby will require a blood transfusion immediately.
Final Exam
Maternal-Child Nursing Comprehensive Review
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 Comprehensive Review 2026/2027 UPDATE –
Galen
1. A nurse is monitoring a client who is receiving magnesium sulfate for the treatment of
preeclampsia. Which of the following findings should the nurse report to the provider as a
sign of toxicity?
A. Urinary output of 40 mL/hr
B. Deep tendon reflexes 2+
C. Blood pressure of 140/90 mm Hg
D. Respiratory rate of 10/min
Answer: D
Rationale: Respiratory rate less than 12/min is a sign of magnesium toxicity. Other signs
include absent deep tendon reflexes and decreased urinary output (less than 30 mL/hr).
2. A nurse is caring for a client in the active phase of labor. The electronic fetal monitor shows
late decelerations. Which of the following actions should the nurse take first?
A. Increase the rate of the maintenance IV fluid
B. Administer oxygen at 8 to 10 L/min via nonrebreather mask
C. Assist the client into a left-lateral position
D. Perform a vaginal examination to check for cord prolapse
, Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve placental perfusion by turning the client to their side to relieve pressure on the
inferior vena cava.
3. A client is 4 hours postpartum and the nurse notes the fundus is boggy and displaced to the
right. Which of the following actions should the nurse take?
A. Assist the client to the bathroom to void
B. Massage the fundus until firm
C. Administer oxytocin IV bolus
D. Insert an indwelling urinary catheter
Answer: A
Rationale: A displaced fundus to the right is a classic sign of bladder distention. The nurse
should assist the client to void to allow the uterus to return to the midline and contract
effectively.
4. Which of the following instructions should the nurse provide to a client who is Rh-negative
and just gave birth to an Rh-positive neonate?
A. Rho(D) immune globulin is only necessary during your next pregnancy.
B. You will receive Rho(D) immune globulin if your baby develops jaundice.
C. The baby will require a blood transfusion immediately.
