NU 170
Maternal-Child Nursing Advanced Final Exam
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 Maternal-Child Nursing Advanced Final Exam 2026/2027 UPDATE – Galen
1. A nurse is caring for a client at 34 weeks gestation who presents with sudden-onset, painful
vaginal bleeding and a board-like abdomen. Which condition should the nurse suspect?
A. Placenta previa
B. Hydatidiform mole
C. Abruptio placentae
D. Uterine rupture
Answer: C
Rationale: Abruptio placentae is characterized by painful vaginal bleeding and abdominal
rigidity (board-like). Placenta previa is typically painless bleeding.
2. A client with preeclampsia is receiving a magnesium sulfate infusion. Which assessment
finding is the most sensitive indicator of magnesium toxicity?
A. Respiratory rate of 10 breaths per minute
B. Increased urine output
C. Hyperactive deep tendon reflexes
D. Blood pressure of 150/90 mmHg
Answer: A
, Rationale: Magnesium sulfate is a CNS depressant. Signs of toxicity include respiratory
depression (<12 bpm), loss of deep tendon reflexes, and decreased urine output.
3. During the active phase of labor, the fetal heart rate monitor shows late decelerations.
Which action should the nurse take first?
A. Perform a vaginal examination
B. Administer oxygen via nasal cannula
C. Increase the oxytocin infusion rate
D. Turn the client to the left side
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. The first action is to
improve perfusion by repositioning the client to the side.
4. A nurse is performing a fundal assessment on a client two hours postpartum and finds the
fundus is boggy and displaced to the right. What is the priority nursing intervention?
A. Perform fundal massage
B. Assist the client to the bathroom to void
C. Notify the healthcare provider immediately
D. Increase the intravenous fluid rate
Answer: B
Maternal-Child Nursing Advanced Final Exam
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 Maternal-Child Nursing Advanced Final Exam 2026/2027 UPDATE – Galen
1. A nurse is caring for a client at 34 weeks gestation who presents with sudden-onset, painful
vaginal bleeding and a board-like abdomen. Which condition should the nurse suspect?
A. Placenta previa
B. Hydatidiform mole
C. Abruptio placentae
D. Uterine rupture
Answer: C
Rationale: Abruptio placentae is characterized by painful vaginal bleeding and abdominal
rigidity (board-like). Placenta previa is typically painless bleeding.
2. A client with preeclampsia is receiving a magnesium sulfate infusion. Which assessment
finding is the most sensitive indicator of magnesium toxicity?
A. Respiratory rate of 10 breaths per minute
B. Increased urine output
C. Hyperactive deep tendon reflexes
D. Blood pressure of 150/90 mmHg
Answer: A
, Rationale: Magnesium sulfate is a CNS depressant. Signs of toxicity include respiratory
depression (<12 bpm), loss of deep tendon reflexes, and decreased urine output.
3. During the active phase of labor, the fetal heart rate monitor shows late decelerations.
Which action should the nurse take first?
A. Perform a vaginal examination
B. Administer oxygen via nasal cannula
C. Increase the oxytocin infusion rate
D. Turn the client to the left side
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. The first action is to
improve perfusion by repositioning the client to the side.
4. A nurse is performing a fundal assessment on a client two hours postpartum and finds the
fundus is boggy and displaced to the right. What is the priority nursing intervention?
A. Perform fundal massage
B. Assist the client to the bathroom to void
C. Notify the healthcare provider immediately
D. Increase the intravenous fluid rate
Answer: B
