NU 170
Final Exam
Maternal-Child Nursing Comprehensive 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 Comprehensive Study Guide 2026/2027 UPDATE –
Galen
1. A nurse is caring for a client in the first stage of labor. The fetal heart rate monitor shows
late decelerations. Which action should the nurse take first?
A. Assist the client into a side-lifting position.
B. Increase the rate of the oxytocin infusion.
C. Administer oxygen via a non-rebreather mask at 8-10 L/min.
D. Prepare for an immediate vaginal examination.
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve placental perfusion by turning the client to a lateral position. Oxygen
administration and stopping oxytocin would follow.
2. A patient at 32 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
finding requires immediate notification of the provider?
A. Urinary output of 40 mL over the last 2 hours.
B. Respiratory rate of 10 breaths per minute.
C. Deep tendon reflexes of 2+.
D. Fetal heart rate baseline of 140 bpm.
, Answer: B
Rationale: Magnesium sulfate toxicity is characterized by respiratory depression (less
than 12/min), loss of deep tendon reflexes, and decreased urinary output (less than 30
mL/hr).
3. Which of the following findings is considered a positive sign of pregnancy?
A. A positive home pregnancy test.
B. Amenorrhea and morning sickness.
C. Chadwick sign (bluish discoloration of the cervix).
D. Fetal heart tones heard by Doppler ultrasound.
Answer: D
Rationale: Positive signs of pregnancy are those attributed only to the presence of a fetus,
such as fetal heart tones, visualization of the fetus by ultrasound, or fetal movement felt by
a clinician.
4. A newborn is being assessed at 1 minute of life. The heart rate is 110, there is a weak cry,
some flexion of extremities, the body is pink with blue hands and feet, and the infant
grimaces to suctioning. What is the Apgar score?
A. 6
B. 5
C. 7
Final Exam
Maternal-Child Nursing Comprehensive 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 Comprehensive Study Guide 2026/2027 UPDATE –
Galen
1. A nurse is caring for a client in the first stage of labor. The fetal heart rate monitor shows
late decelerations. Which action should the nurse take first?
A. Assist the client into a side-lifting position.
B. Increase the rate of the oxytocin infusion.
C. Administer oxygen via a non-rebreather mask at 8-10 L/min.
D. Prepare for an immediate vaginal examination.
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve placental perfusion by turning the client to a lateral position. Oxygen
administration and stopping oxytocin would follow.
2. A patient at 32 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
finding requires immediate notification of the provider?
A. Urinary output of 40 mL over the last 2 hours.
B. Respiratory rate of 10 breaths per minute.
C. Deep tendon reflexes of 2+.
D. Fetal heart rate baseline of 140 bpm.
, Answer: B
Rationale: Magnesium sulfate toxicity is characterized by respiratory depression (less
than 12/min), loss of deep tendon reflexes, and decreased urinary output (less than 30
mL/hr).
3. Which of the following findings is considered a positive sign of pregnancy?
A. A positive home pregnancy test.
B. Amenorrhea and morning sickness.
C. Chadwick sign (bluish discoloration of the cervix).
D. Fetal heart tones heard by Doppler ultrasound.
Answer: D
Rationale: Positive signs of pregnancy are those attributed only to the presence of a fetus,
such as fetal heart tones, visualization of the fetus by ultrasound, or fetal movement felt by
a clinician.
4. A newborn is being assessed at 1 minute of life. The heart rate is 110, there is a weak cry,
some flexion of extremities, the body is pink with blue hands and feet, and the infant
grimaces to suctioning. What is the Apgar score?
A. 6
B. 5
C. 7
