NU 170
Final Exam Maternal-Child Nursing Comprehensive
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)
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,NU 170 Final Exam: Maternal-Child Nursing Comprehensive 2026/2027 UPDATED – Galen
1. A nurse is caring for a client at 34 weeks gestation who presents with sudden-onset vaginal
bleeding, a board-like abdomen, and intense uterine pain. Which condition should the nurse
suspect?
A. Placenta previa
B. Vasa previa
C. Abruptio placentae
D. Uterine rupture
Answer: C
Rationale: Abruptio placentae is characterized by painful vaginal bleeding, uterine
tenderness, and a firm, board-like abdomen. Placenta previa is typically painless.
2. A postpartum client is receiving an infusion of Magnesium Sulfate for preeclampsia. Which
assessment finding requires immediate intervention?
A. Urinary output of 40 mL/hr
B. Deep tendon reflexes of 2+
C. Respiratory rate of 10 breaths per minute
D. Blood pressure of 150/95 mmHg
, Answer: C
Rationale: Magnesium sulfate is a central nervous system depressant. A respiratory rate
below 12 breaths/min indicates toxicity and requires immediate cessation of the infusion
and administration of calcium gluconate.
3. A nurse is assessing a newborn 1 minute after birth. The heart rate is 110 bpm, the baby
has a weak cry, some flexion of extremities, grimace in response to suctioning, and a pink
body with blue extremities. What is the Apgar score?
A. 5
B. 6
C. 7
D. 8
Answer: B
Rationale: HR >100 (2 points), weak cry (1 point), some flexion (1 point), grimace (1
point), acrocyanosis (1 point). Total = 6.
4. Which of the following findings is considered a ‘positive’ sign of pregnancy?
A. Amenorrhea
B. Positive serum HCG test
C. Chadwick’s sign
D. Fetal heart tones heard via Doppler
Final Exam Maternal-Child Nursing Comprehensive
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 2026/2027 UPDATED – Galen
1. A nurse is caring for a client at 34 weeks gestation who presents with sudden-onset vaginal
bleeding, a board-like abdomen, and intense uterine pain. Which condition should the nurse
suspect?
A. Placenta previa
B. Vasa previa
C. Abruptio placentae
D. Uterine rupture
Answer: C
Rationale: Abruptio placentae is characterized by painful vaginal bleeding, uterine
tenderness, and a firm, board-like abdomen. Placenta previa is typically painless.
2. A postpartum client is receiving an infusion of Magnesium Sulfate for preeclampsia. Which
assessment finding requires immediate intervention?
A. Urinary output of 40 mL/hr
B. Deep tendon reflexes of 2+
C. Respiratory rate of 10 breaths per minute
D. Blood pressure of 150/95 mmHg
, Answer: C
Rationale: Magnesium sulfate is a central nervous system depressant. A respiratory rate
below 12 breaths/min indicates toxicity and requires immediate cessation of the infusion
and administration of calcium gluconate.
3. A nurse is assessing a newborn 1 minute after birth. The heart rate is 110 bpm, the baby
has a weak cry, some flexion of extremities, grimace in response to suctioning, and a pink
body with blue extremities. What is the Apgar score?
A. 5
B. 6
C. 7
D. 8
Answer: B
Rationale: HR >100 (2 points), weak cry (1 point), some flexion (1 point), grimace (1
point), acrocyanosis (1 point). Total = 6.
4. Which of the following findings is considered a ‘positive’ sign of pregnancy?
A. Amenorrhea
B. Positive serum HCG test
C. Chadwick’s sign
D. Fetal heart tones heard via Doppler
