NU 170
Maternal-Child Nursing -
Advanced Assessment (2026 Edition)
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 Maternal-Child Nursing - Advanced Assessment (2026 Edition) UPDATE – Galen
1. A nurse is assessing a client at 34 weeks gestation who presents with sudden, dark red
vaginal bleeding and intense abdominal pain. The uterus is firm to the touch. Which condition
should the nurse suspect?
A. Placenta Previa
B. Abruptio Placentae
C. Vasa Previa
D. Uterine Rupture
Answer: B
Rationale: Abruptio placentae is characterized by painful vaginal bleeding (often dark red)
and a board-like, tender uterus. Placenta previa is typically painless, bright red bleeding.
2. A client is receiving Magnesium Sulfate for the management of preeclampsia. Which
finding should the nurse identify as the priority sign of toxicity?
A. Respiratory rate of 10 breaths per minute
B. Serum magnesium level of 6 mg/dL
C. Presence of 2+ deep tendon reflexes
D. Urinary output of 40 mL per hour
, Answer: A
Rationale: Signs of magnesium toxicity include a respiratory rate below 12/min, loss of
deep tendon reflexes, and urinary output less than 30 mL/hr. A respiratory rate of 10 is the
most critical physiological concern.
3. During the active phase of the first stage of labor, a nurse notes late decelerations on the
fetal heart rate monitor. What is the priority nursing action?
A. Increase the IV oxytocin infusion rate
B. Position the client on her left side
C. Prepare for immediate forceps-assisted delivery
D. Perform a vaginal exam to check for cord prolapse
Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve oxygenation by turning the client to a side-lying position, increasing IV fluids, and
stopping oxytocin if applicable.
4. A newborn is being assessed at 1 minute of life. The heart rate is 110 bpm, the cry is
vigorous, there is some flexion of the extremities, the body is pink with blue hands and feet,
and the infant sneezes when stimulated. What is the APGAR score?
A. 7
B. 8
Maternal-Child Nursing -
Advanced Assessment (2026 Edition)
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 Maternal-Child Nursing - Advanced Assessment (2026 Edition) UPDATE – Galen
1. A nurse is assessing a client at 34 weeks gestation who presents with sudden, dark red
vaginal bleeding and intense abdominal pain. The uterus is firm to the touch. Which condition
should the nurse suspect?
A. Placenta Previa
B. Abruptio Placentae
C. Vasa Previa
D. Uterine Rupture
Answer: B
Rationale: Abruptio placentae is characterized by painful vaginal bleeding (often dark red)
and a board-like, tender uterus. Placenta previa is typically painless, bright red bleeding.
2. A client is receiving Magnesium Sulfate for the management of preeclampsia. Which
finding should the nurse identify as the priority sign of toxicity?
A. Respiratory rate of 10 breaths per minute
B. Serum magnesium level of 6 mg/dL
C. Presence of 2+ deep tendon reflexes
D. Urinary output of 40 mL per hour
, Answer: A
Rationale: Signs of magnesium toxicity include a respiratory rate below 12/min, loss of
deep tendon reflexes, and urinary output less than 30 mL/hr. A respiratory rate of 10 is the
most critical physiological concern.
3. During the active phase of the first stage of labor, a nurse notes late decelerations on the
fetal heart rate monitor. What is the priority nursing action?
A. Increase the IV oxytocin infusion rate
B. Position the client on her left side
C. Prepare for immediate forceps-assisted delivery
D. Perform a vaginal exam to check for cord prolapse
Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve oxygenation by turning the client to a side-lying position, increasing IV fluids, and
stopping oxytocin if applicable.
4. A newborn is being assessed at 1 minute of life. The heart rate is 110 bpm, the cry is
vigorous, there is some flexion of the extremities, the body is pink with blue hands and feet,
and the infant sneezes when stimulated. What is the APGAR score?
A. 7
B. 8
