NUR 230 MATERNAL EXAM 2 2026/2027 | GALEN COLLEGE
NURSING PRACTICE QUESTIONS & VERIFIED ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
CORE DOMAINS
Fetal Monitoring and Assessment
Labor and Delivery
Postpartum Care
Newborn Assessment and Care
High-Risk Pregnancy Complications
Maternal-Newborn Pharmacology
Breastfeeding and Nutrition
Postpartum Complications and Emergencies
INTRODUCTION
This assessment evaluates the clinical knowledge and
decision-making required of nursing students in maternal-
newborn care. It covers fetal monitoring, stages of labor,
postpartum assessment, newborn care, high-risk conditions,
pharmacology, breastfeeding, and obstetric emergencies. The
multiple-choice and scenario-based format measures recall,
interpretation, prioritization, and real-world application.
Emphasis is placed on evidence-based interventions, patient
safety, and critical thinking in the childbearing family. This
,exam prepares candidates for professional practice by testing
the application of maternal-newborn principles to clinical
decision-making.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a client in labor. Which finding
indicates the transition phase of the first stage of labor?
A. Cervical dilation of 4 cm
B. Cervical dilation of 10 cm with intense contractions
C. Cervical dilation of 7 cm with moderate contractions
D. Cervical dilation of 2 cm with mild contractions
🟢 B. Cervical dilation of 10 cm with intense contractions
🔴 RATIONALE: The transition phase is the last part of the
first stage of labor, characterized by complete dilation (10
cm), intense contractions, and often nausea, vomiting, and
an urge to push.
2. A nurse is reviewing the GTPAL of a client who is currently
pregnant with twins, has one child born at 39 weeks, and
had one miscarriage at 8 weeks. What is the correct
documentation?
A. G4 T1 P0 A1 L1
B. G3 T1 P0 A1 L1
,C. G4 T0 P1 A1 L1
D. G3 T0 P1 A0 L1
🟢 A. G4 T1 P0 A1 L1
🔴 RATIONALE: Gravida is 4 (current pregnancy with twins
counts as one pregnancy, plus one term birth and one
miscarriage). Term is 1. Preterm is 0. Abortion is 1. Living is 1.
3. A nurse is monitoring a fetal heart tracing and notes
variable decelerations. Which action should the nurse take
first?
A. Administer oxygen
B. Reposition the client
C. Increase the IV fluid rate
D. Notify the provider
🟢 B. Reposition the client
🔴 RATIONALE: Variable decelerations indicate umbilical
cord compression. The first action is to reposition the client
to relieve pressure on the cord. Oxygen and IV fluids may
follow.
4. A nurse is caring for a client receiving magnesium sulfate
for preeclampsia. Which finding indicates magnesium
toxicity?
, A. Blood pressure of 140/90 mm Hg
B. Deep tendon reflexes of 2+
C. Respiratory rate of 10/min
D. Urine output of 50 mL/hr
🟢 C. Respiratory rate of 10/min
🔴 RATIONALE: Magnesium toxicity manifests as respiratory
depression (rate less than 12/min), loss of deep tendon
reflexes, and oliguria. The antidote is calcium gluconate.
5. A nurse is assessing a newborn 1 hour after birth. Which
finding should the nurse report to the provider?
A. Heart rate of 130/min
B. Acrocyanosis
C. Nasal flaring and grunting
D. Vernix caseosa
🟢 C. Nasal flaring and grunting
🔴 RATIONALE: Nasal flaring and grunting are signs of
respiratory distress in a newborn and require immediate
evaluation. The other findings are normal.
6. A nurse is calculating the estimated date of delivery for a
client whose last menstrual period began on October 10.
NURSING PRACTICE QUESTIONS & VERIFIED ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
CORE DOMAINS
Fetal Monitoring and Assessment
Labor and Delivery
Postpartum Care
Newborn Assessment and Care
High-Risk Pregnancy Complications
Maternal-Newborn Pharmacology
Breastfeeding and Nutrition
Postpartum Complications and Emergencies
INTRODUCTION
This assessment evaluates the clinical knowledge and
decision-making required of nursing students in maternal-
newborn care. It covers fetal monitoring, stages of labor,
postpartum assessment, newborn care, high-risk conditions,
pharmacology, breastfeeding, and obstetric emergencies. The
multiple-choice and scenario-based format measures recall,
interpretation, prioritization, and real-world application.
Emphasis is placed on evidence-based interventions, patient
safety, and critical thinking in the childbearing family. This
,exam prepares candidates for professional practice by testing
the application of maternal-newborn principles to clinical
decision-making.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a client in labor. Which finding
indicates the transition phase of the first stage of labor?
A. Cervical dilation of 4 cm
B. Cervical dilation of 10 cm with intense contractions
C. Cervical dilation of 7 cm with moderate contractions
D. Cervical dilation of 2 cm with mild contractions
🟢 B. Cervical dilation of 10 cm with intense contractions
🔴 RATIONALE: The transition phase is the last part of the
first stage of labor, characterized by complete dilation (10
cm), intense contractions, and often nausea, vomiting, and
an urge to push.
2. A nurse is reviewing the GTPAL of a client who is currently
pregnant with twins, has one child born at 39 weeks, and
had one miscarriage at 8 weeks. What is the correct
documentation?
A. G4 T1 P0 A1 L1
B. G3 T1 P0 A1 L1
,C. G4 T0 P1 A1 L1
D. G3 T0 P1 A0 L1
🟢 A. G4 T1 P0 A1 L1
🔴 RATIONALE: Gravida is 4 (current pregnancy with twins
counts as one pregnancy, plus one term birth and one
miscarriage). Term is 1. Preterm is 0. Abortion is 1. Living is 1.
3. A nurse is monitoring a fetal heart tracing and notes
variable decelerations. Which action should the nurse take
first?
A. Administer oxygen
B. Reposition the client
C. Increase the IV fluid rate
D. Notify the provider
🟢 B. Reposition the client
🔴 RATIONALE: Variable decelerations indicate umbilical
cord compression. The first action is to reposition the client
to relieve pressure on the cord. Oxygen and IV fluids may
follow.
4. A nurse is caring for a client receiving magnesium sulfate
for preeclampsia. Which finding indicates magnesium
toxicity?
, A. Blood pressure of 140/90 mm Hg
B. Deep tendon reflexes of 2+
C. Respiratory rate of 10/min
D. Urine output of 50 mL/hr
🟢 C. Respiratory rate of 10/min
🔴 RATIONALE: Magnesium toxicity manifests as respiratory
depression (rate less than 12/min), loss of deep tendon
reflexes, and oliguria. The antidote is calcium gluconate.
5. A nurse is assessing a newborn 1 hour after birth. Which
finding should the nurse report to the provider?
A. Heart rate of 130/min
B. Acrocyanosis
C. Nasal flaring and grunting
D. Vernix caseosa
🟢 C. Nasal flaring and grunting
🔴 RATIONALE: Nasal flaring and grunting are signs of
respiratory distress in a newborn and require immediate
evaluation. The other findings are normal.
6. A nurse is calculating the estimated date of delivery for a
client whose last menstrual period began on October 10.
