NU 170 FINAL EXAM / APPROVED NU 170 MATERNAL
CHILD NURSING FINAL EXAM ACTUAL 2026/2027 HIGH
YIELD PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM REAL QUESTIONS AND
CORRECT VERIFIED SOLUTIONS WITH DETAILED
RATIONALES (100% RELIABLE ANSWERS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED PASS
A+ |FULL REVISED EXAM | JUST RELEASED
1. A nurse is performing an initial newborn assessment. Which
finding should be reported to the healthcare provider immediately?
A) A heart rate of 140 beats per minute
B) A respiratory rate of 40 breaths per minute
C) An axillary temperature of 36.2°C (97.2°F)
D) A blood glucose level of 45 mg/dL
CORRECT ANSWER: C
Rationale: A temperature of 36.2°C (97.2°F) is below the normal
range for a newborn (36.5°C–37.5°C) and indicates hypothermia,
which can lead to hypoglycemia, metabolic acidosis, and increased
oxygen consumption. Heart rate of 140, respiratory rate of 40, and
glucose of 45 mg/dL are within expected ranges for a newborn.
2. A client at 39 weeks' gestation is admitted with a diagnosis of
preeclampsia with severe features. The healthcare provider prescribes
magnesium sulfate. The nurse understands that the primary purpose
of this medication is to:
,A) Lower the client's blood pressure to below 140/90 mmHg
B) Prevent the onset of eclamptic seizures
C) Induce labor and promote cervical ripening
D) Decrease the amount of protein in the urine
CORRECT ANSWER: B
Rationale: Magnesium sulfate is the first-line medication for seizure
prophylaxis in clients with severe preeclampsia or eclampsia. It acts
as a central nervous system depressant to reduce the risk of seizures.
While it may have a mild vasodilatory effect, it is not primarily an
antihypertensive.
3. A nurse is assessing a school-age child who has been diagnosed
with acute glomerulonephritis. Which finding is most consistent with
this diagnosis?
A) Hypotension and bradycardia
B) Periorbital edema and hematuria
C) Polyuria and polydipsia
D) Jaundice and hepatomegaly
CORRECT ANSWER: B
Rationale: Acute post-streptococcal glomerulonephritis typically
presents with periorbital edema, hematuria (tea-colored urine),
proteinuria, and hypertension. It occurs 1–2 weeks after a
streptococcal infection. Polyuria and polydipsia suggest diabetes,
while jaundice indicates liver involvement.
,4. A nurse is calculating the estimated date of delivery (EDD) using
Naegele's rule for a client whose last menstrual period (LMP) began
on May 20. Which date is the correct EDD?
A) February 27
B) February 20
C) March 27
D) April 20
CORRECT ANSWER: A
Rationale: Naegele's rule is calculated by subtracting 3 months from
the first day of the LMP and adding 7 days. May 20 minus 3 months
is February 20, plus 7 days equals February 27. This rule assumes a
28-day cycle and is used to estimate the due date.
5. A client in active labor is experiencing contractions every 2 to 3
minutes. The nurse notes the fetal heart rate (FHR) drops to 80 bpm
during a contraction and returns to 140 bpm 45 seconds after the
contraction ends. This pattern is best described as:
A) Early decelerations
B) Variable decelerations
C) Late decelerations
D) Prolonged decelerations
CORRECT ANSWER: C
, Rationale: Late decelerations begin after the contraction has started
and return to baseline after the contraction ends. They are indicative
of uteroplacental insufficiency and are caused by hypoxemia, which
stimulates vagal nerve activity. This is a non-reassuring pattern
requiring immediate intervention, such as position change and
oxygen administration.
6. A postpartum nurse is assessing a client 2 hours after delivery and
finds the fundus is boggy and displaced to the right. What is the first
action the nurse should take?
A) Administer oxytocin
B) Assist the client to the bathroom to void
C) Massage the fundus
D) Notify the provider
CORRECT ANSWER: B
Rationale: A fundus displaced to the right usually indicates a
distended bladder, which can prevent the uterus from contracting.
Emptying the bladder is the first step to allow the uterus to return to
the midline and firm up.
7. Which of the following findings is a hallmark sign of placenta
previa?
A) Painful, dark red vaginal bleeding
B) Painless, bright red vaginal bleeding
CHILD NURSING FINAL EXAM ACTUAL 2026/2027 HIGH
YIELD PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM REAL QUESTIONS AND
CORRECT VERIFIED SOLUTIONS WITH DETAILED
RATIONALES (100% RELIABLE ANSWERS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED PASS
A+ |FULL REVISED EXAM | JUST RELEASED
1. A nurse is performing an initial newborn assessment. Which
finding should be reported to the healthcare provider immediately?
A) A heart rate of 140 beats per minute
B) A respiratory rate of 40 breaths per minute
C) An axillary temperature of 36.2°C (97.2°F)
D) A blood glucose level of 45 mg/dL
CORRECT ANSWER: C
Rationale: A temperature of 36.2°C (97.2°F) is below the normal
range for a newborn (36.5°C–37.5°C) and indicates hypothermia,
which can lead to hypoglycemia, metabolic acidosis, and increased
oxygen consumption. Heart rate of 140, respiratory rate of 40, and
glucose of 45 mg/dL are within expected ranges for a newborn.
2. A client at 39 weeks' gestation is admitted with a diagnosis of
preeclampsia with severe features. The healthcare provider prescribes
magnesium sulfate. The nurse understands that the primary purpose
of this medication is to:
,A) Lower the client's blood pressure to below 140/90 mmHg
B) Prevent the onset of eclamptic seizures
C) Induce labor and promote cervical ripening
D) Decrease the amount of protein in the urine
CORRECT ANSWER: B
Rationale: Magnesium sulfate is the first-line medication for seizure
prophylaxis in clients with severe preeclampsia or eclampsia. It acts
as a central nervous system depressant to reduce the risk of seizures.
While it may have a mild vasodilatory effect, it is not primarily an
antihypertensive.
3. A nurse is assessing a school-age child who has been diagnosed
with acute glomerulonephritis. Which finding is most consistent with
this diagnosis?
A) Hypotension and bradycardia
B) Periorbital edema and hematuria
C) Polyuria and polydipsia
D) Jaundice and hepatomegaly
CORRECT ANSWER: B
Rationale: Acute post-streptococcal glomerulonephritis typically
presents with periorbital edema, hematuria (tea-colored urine),
proteinuria, and hypertension. It occurs 1–2 weeks after a
streptococcal infection. Polyuria and polydipsia suggest diabetes,
while jaundice indicates liver involvement.
,4. A nurse is calculating the estimated date of delivery (EDD) using
Naegele's rule for a client whose last menstrual period (LMP) began
on May 20. Which date is the correct EDD?
A) February 27
B) February 20
C) March 27
D) April 20
CORRECT ANSWER: A
Rationale: Naegele's rule is calculated by subtracting 3 months from
the first day of the LMP and adding 7 days. May 20 minus 3 months
is February 20, plus 7 days equals February 27. This rule assumes a
28-day cycle and is used to estimate the due date.
5. A client in active labor is experiencing contractions every 2 to 3
minutes. The nurse notes the fetal heart rate (FHR) drops to 80 bpm
during a contraction and returns to 140 bpm 45 seconds after the
contraction ends. This pattern is best described as:
A) Early decelerations
B) Variable decelerations
C) Late decelerations
D) Prolonged decelerations
CORRECT ANSWER: C
, Rationale: Late decelerations begin after the contraction has started
and return to baseline after the contraction ends. They are indicative
of uteroplacental insufficiency and are caused by hypoxemia, which
stimulates vagal nerve activity. This is a non-reassuring pattern
requiring immediate intervention, such as position change and
oxygen administration.
6. A postpartum nurse is assessing a client 2 hours after delivery and
finds the fundus is boggy and displaced to the right. What is the first
action the nurse should take?
A) Administer oxytocin
B) Assist the client to the bathroom to void
C) Massage the fundus
D) Notify the provider
CORRECT ANSWER: B
Rationale: A fundus displaced to the right usually indicates a
distended bladder, which can prevent the uterus from contracting.
Emptying the bladder is the first step to allow the uterus to return to
the midline and firm up.
7. Which of the following findings is a hallmark sign of placenta
previa?
A) Painful, dark red vaginal bleeding
B) Painless, bright red vaginal bleeding
