NUR 254 MATERNAL EXAM 2 V1,V2 | COMPREHENSIVE
QUESTIONS AND ANSWERS | 2026/27 UPDATE | 100%
CORRECT - GALEN COLLEGE OF NURSING.
143 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 254 MATERNAL EXAM 2 V1,V2 | COMPREHENSIVE QUESTIONS AND ANSWERS | 2026/27 UPDATE |
100% CORRECT - GALEN COLLEGE OF NURSING.. It contains 143 carefully selected questions that reflect the
most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 143 Questions
Foundations - Application - NUR 254 Maternal 2 V1 V2 Comprehensive AND 2026/27 Update 100 Correct -
Galen College OF Nursing Maternal-newborn Nursing Undergraduate YEAR 2 Nursing Maternal-newborn
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Antepartum CARE AND Fetal 1-24 Finding, Weeks, Gestation, Receiving, Preeclampsia
Assessment
Intrapartum Nursing CARE 25-48 Finding, Labor, Postpartum, Weeks Gestation, Indicates
AND Fetal Monitoring
Postpartum Assessment 49-72 Finding, Receiving, Preeclampsia, Weeks Gestation, Severe
AND Complications
High-risk Pregnancy 73-96 Labor, Weeks Gestation, Finding, Receiving, Preeclampsia
Conditions
Labor AND Birth 97-120 Weeks Gestation, Finding, First, Postpartum, Magnesium
Complications
Newborn Transition AND 121-143 Finding, Weeks Gestation, Labor, Fetal, Order
Immediate CARE
TOTAL 143 All questions include answers and detailed rationales
,Section A - Antepartum CARE AND Fetal Assessment
Q1.
A laboring patient at 41 weeks gestation has a Category II fetal heart tracing with repetitive
late decelerations. After repositioning, IV fluid bolus, and oxygen, the decelerations
persist. Which action should the nurse anticipate next?
A. Prepare for immediate cesarean birth. B. Increase oxytocin infusion to expedite
delivery.
C. Continue monitoring and reassess in 30 D. Administer terbutaline subcutaneously.
minutes.
Correct: A - Prepare for immediate cesarean birth.
Rationale:Persistent late decelerations despite intrauterine resuscitation indicate fetal
hypoxemia and possible metabolic acidemia; immediate delivery is indicated. Oxytocin would
worsen uteroplacental insufficiency, and continued observation delays necessary intervention.
Terbutaline is used for tachysystole, not late decelerations.
Why the other answers are wrong:
B. Oxytocin increases uterine tone and worsens placental perfusion, exacerbating late
decelerations.
C. Delaying delivery risks fetal acidosis and demise when resuscitation measures fail.
D. Terbutaline treats tachysystole, not late decelerations from uteroplacental insufficiency.
Reference: AWHONN (2024). Fetal Heart Monitoring Principles and Practices, 6th Ed., Ch. 7
Q2.
A postpartum patient receiving magnesium sulfate for preeclampsia has a respiratory rate
of 10/min, absent deep tendon reflexes, and urine output of 20 mL/hr. Which is the priority
nursing action?
A. Continue the infusion and reassess in 1 B. Stop the infusion and prepare to
hour. administer calcium gluconate.
C. Increase the infusion rate to maintain D. Administer oxytocin to counteract
therapeutic levels. magnesium effects.
Correct: B - Stop the infusion and prepare to administer calcium gluconate.
Rationale:These findings indicate magnesium toxicity; the infusion must be stopped
immediately and the antidote, calcium gluconate, administered. Continuing or increasing the
infusion worsens toxicity, and oxytocin does not reverse magnesium effects.
Why the other answers are wrong:
A. Continued infusion risks respiratory depression and cardiac arrest.
Page 3
, Section A - Antepartum CARE AND Fetal Assessment
C. Increasing the rate exacerbates toxicity and is contraindicated.
D. Oxytocin has no role in reversing magnesium sulfate toxicity.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 28
Q3.
A patient at 36 weeks gestation with severe preeclampsia is prescribed betamethasone.
What is the primary rationale for this medication?
A. Lower maternal blood pressure. B. Prevent maternal seizures.
C. Accelerate fetal lung maturity. D. Induce labor.
Correct: C - Accelerate fetal lung maturity.
Rationale:Betamethasone is a corticosteroid given to promote fetal surfactant production and
reduce respiratory distress syndrome in preterm infants. It does not lower blood pressure,
prevent seizures, or induce labor.
Why the other answers are wrong:
A. Betamethasone does not have antihypertensive effects.
B. Magnesium sulfate, not betamethasone, prevents eclamptic seizures.
D. Betamethasone does not initiate labor; oxytocin or misoprostol may be used for induction.
Reference: ACOG Practice Bulletin No. 222 (2024). Gestational Hypertension and Preeclampsia
Q4.
A patient is admitted in active labor with a known history of opioid use disorder and is
receiving buprenorphine. Which nursing action is most appropriate regarding pain
management?
A. Withhold all opioid analgesics due to B. Administer naloxone if respiratory rate
addiction risk. falls below 12/min.
C. Provide nonpharmacologic measures D. Collaborate with the provider for
only. scheduled opioid analgesia while monitoring
for withdrawal.
Correct: D - Collaborate with the provider for scheduled opioid analgesia while monitoring
for withdrawal.
Rationale:Patients on buprenorphine for OUD still require adequate labor analgesia;
scheduled opioids with monitoring are appropriate. Withholding analgesia is unethical,
naloxone would precipitate withdrawal, and nonpharmacologic measures alone are
insufficient for active labor pain.
Why the other answers are wrong:
A. Denying analgesia based on OUD history violates standards of care.
B. Naloxone would reverse buprenorphine and precipitate acute withdrawal.
Page 4
QUESTIONS AND ANSWERS | 2026/27 UPDATE | 100%
CORRECT - GALEN COLLEGE OF NURSING.
143 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 254 MATERNAL EXAM 2 V1,V2 | COMPREHENSIVE QUESTIONS AND ANSWERS | 2026/27 UPDATE |
100% CORRECT - GALEN COLLEGE OF NURSING.. It contains 143 carefully selected questions that reflect the
most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 143 Questions
Foundations - Application - NUR 254 Maternal 2 V1 V2 Comprehensive AND 2026/27 Update 100 Correct -
Galen College OF Nursing Maternal-newborn Nursing Undergraduate YEAR 2 Nursing Maternal-newborn
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Antepartum CARE AND Fetal 1-24 Finding, Weeks, Gestation, Receiving, Preeclampsia
Assessment
Intrapartum Nursing CARE 25-48 Finding, Labor, Postpartum, Weeks Gestation, Indicates
AND Fetal Monitoring
Postpartum Assessment 49-72 Finding, Receiving, Preeclampsia, Weeks Gestation, Severe
AND Complications
High-risk Pregnancy 73-96 Labor, Weeks Gestation, Finding, Receiving, Preeclampsia
Conditions
Labor AND Birth 97-120 Weeks Gestation, Finding, First, Postpartum, Magnesium
Complications
Newborn Transition AND 121-143 Finding, Weeks Gestation, Labor, Fetal, Order
Immediate CARE
TOTAL 143 All questions include answers and detailed rationales
,Section A - Antepartum CARE AND Fetal Assessment
Q1.
A laboring patient at 41 weeks gestation has a Category II fetal heart tracing with repetitive
late decelerations. After repositioning, IV fluid bolus, and oxygen, the decelerations
persist. Which action should the nurse anticipate next?
A. Prepare for immediate cesarean birth. B. Increase oxytocin infusion to expedite
delivery.
C. Continue monitoring and reassess in 30 D. Administer terbutaline subcutaneously.
minutes.
Correct: A - Prepare for immediate cesarean birth.
Rationale:Persistent late decelerations despite intrauterine resuscitation indicate fetal
hypoxemia and possible metabolic acidemia; immediate delivery is indicated. Oxytocin would
worsen uteroplacental insufficiency, and continued observation delays necessary intervention.
Terbutaline is used for tachysystole, not late decelerations.
Why the other answers are wrong:
B. Oxytocin increases uterine tone and worsens placental perfusion, exacerbating late
decelerations.
C. Delaying delivery risks fetal acidosis and demise when resuscitation measures fail.
D. Terbutaline treats tachysystole, not late decelerations from uteroplacental insufficiency.
Reference: AWHONN (2024). Fetal Heart Monitoring Principles and Practices, 6th Ed., Ch. 7
Q2.
A postpartum patient receiving magnesium sulfate for preeclampsia has a respiratory rate
of 10/min, absent deep tendon reflexes, and urine output of 20 mL/hr. Which is the priority
nursing action?
A. Continue the infusion and reassess in 1 B. Stop the infusion and prepare to
hour. administer calcium gluconate.
C. Increase the infusion rate to maintain D. Administer oxytocin to counteract
therapeutic levels. magnesium effects.
Correct: B - Stop the infusion and prepare to administer calcium gluconate.
Rationale:These findings indicate magnesium toxicity; the infusion must be stopped
immediately and the antidote, calcium gluconate, administered. Continuing or increasing the
infusion worsens toxicity, and oxytocin does not reverse magnesium effects.
Why the other answers are wrong:
A. Continued infusion risks respiratory depression and cardiac arrest.
Page 3
, Section A - Antepartum CARE AND Fetal Assessment
C. Increasing the rate exacerbates toxicity and is contraindicated.
D. Oxytocin has no role in reversing magnesium sulfate toxicity.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 28
Q3.
A patient at 36 weeks gestation with severe preeclampsia is prescribed betamethasone.
What is the primary rationale for this medication?
A. Lower maternal blood pressure. B. Prevent maternal seizures.
C. Accelerate fetal lung maturity. D. Induce labor.
Correct: C - Accelerate fetal lung maturity.
Rationale:Betamethasone is a corticosteroid given to promote fetal surfactant production and
reduce respiratory distress syndrome in preterm infants. It does not lower blood pressure,
prevent seizures, or induce labor.
Why the other answers are wrong:
A. Betamethasone does not have antihypertensive effects.
B. Magnesium sulfate, not betamethasone, prevents eclamptic seizures.
D. Betamethasone does not initiate labor; oxytocin or misoprostol may be used for induction.
Reference: ACOG Practice Bulletin No. 222 (2024). Gestational Hypertension and Preeclampsia
Q4.
A patient is admitted in active labor with a known history of opioid use disorder and is
receiving buprenorphine. Which nursing action is most appropriate regarding pain
management?
A. Withhold all opioid analgesics due to B. Administer naloxone if respiratory rate
addiction risk. falls below 12/min.
C. Provide nonpharmacologic measures D. Collaborate with the provider for
only. scheduled opioid analgesia while monitoring
for withdrawal.
Correct: D - Collaborate with the provider for scheduled opioid analgesia while monitoring
for withdrawal.
Rationale:Patients on buprenorphine for OUD still require adequate labor analgesia;
scheduled opioids with monitoring are appropriate. Withholding analgesia is unethical,
naloxone would precipitate withdrawal, and nonpharmacologic measures alone are
insufficient for active labor pain.
Why the other answers are wrong:
A. Denying analgesia based on OUD history violates standards of care.
B. Naloxone would reverse buprenorphine and precipitate acute withdrawal.
Page 4
