NUR 230 MATERNAL EXAM 1 GALEN COLLEGE OF
NURSING QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES INSTANT DOWNLOAD PDF
49 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze physiologic and psychosocial adaptations during the antepartum, intrapartum, and postpartum
periods
2 Interpret fetal surveillance data and select appropriate nursing interventions
3 Apply pharmacologic and non-pharmacologic management for obstetric complications and emergencies
4 Prioritize nursing care using evidence-based guidelines and safety principles
5 NUR 230 MATERNAL EXAM 1 GALEN COLLEGE OF NURSING QUESTIONS AND CORRECT
ANSWERS
6 VERIFIED ANSWERS
7 PLUS RATIONALES INSTANT DOWNLOAD PDF
8 Foundations of Maternal-Newborn Nursing (Obstetrics)
9 Applied Maternal-Newborn Nursing (Obstetrics)
10 Advanced Maternal-Newborn Nursing (Obstetrics)
11 Maternal-Newborn Nursing (Obstetrics) Review
ABSTRACT
This study document brings together 49 carefully worded exam questions drawn from NUR 230
MATERNAL EXAM 1 GALEN COLLEGE OF NURSING QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES INSTANT DOWNLOAD PDF, with the strongest
emphasis placed on Analyze physiologic and psychosocial adaptations during the antepartum,
intrapartum, and postpartum periods, Interpret fetal surveillance data and select appropriate
nursing interventions and Apply pharmacologic and non-pharmacologic management for obstetric
complications and emergencies. Every item follows the wording style and level of reasoning you
meet in the real paper, and each one is paired with a clear rationale so the correct choice is never
a guess. Work through the set at your own pace, mark the questions that slow you down, then
come back to them until the reasoning feels automatic. Learners who revise this way walk into the
exam room recognising the pattern behind the questions instead of meeting them for the first time.
Keep going - steady, honest practice is what turns a difficult paper into a comfortable pass.
Page 1
,Q1 ANALYZE PHYSIOLOGIC AND PSYCHOSOCIAL ADAPTATIONS DURING THE
ANTEPARTUM, INTRAPARTUM, AND POSTPARTUM PERIODS
A patient at 36 weeks gestation presents with a fundal height of 32 cm, and
ultrasound reveals an amniotic fluid index (AFI) of 6 cm. Which condition is most
consistent with these findings?
A. Polyhydramnios
B. Oligohydramnios CORRECT
C. Normal amniotic fluid volume
D. Chorioamnionitis
RATIONALE: An AFI of 6 cm is below the normal range (5-25 cm), indicating oligohydramnios.
Polyhydramnios is defined as AFI >25 cm. Normal AFI is 5-25 cm, but 6 cm is borderline low and
with a fundal height smaller than gestational age suggests oligohydramnios. Chorioamnionitis
typically presents with fever and uterine tenderness, not decreased fluid.
Q2 ANALYZE PHYSIOLOGIC AND PSYCHOSOCIAL ADAPTATIONS DURING THE
ANTEPARTUM, INTRAPARTUM, AND POSTPARTUM PERIODS
A patient receiving magnesium sulfate for preeclampsia has a serum magnesium
level of 8.2 mg/dL. Which assessment finding requires immediate intervention?
A. Respiratory rate of 14 breaths/min
B. Deep tendon reflexes 2+
C. Urine output of 20 mL/hr CORRECT
D. Serum magnesium level of 8.2 mg/dL
RATIONALE: Urine output <30 mL/hr indicates possible magnesium toxicity due to decreased
renal excretion. Respiratory rate <12, absent reflexes, and magnesium level >9 mg/dL are also
signs of toxicity. The other findings are within normal limits.
Page 2
, Q3 ANALYZE PHYSIOLOGIC AND PSYCHOSOCIAL ADAPTATIONS DURING THE
ANTEPARTUM, INTRAPARTUM, AND POSTPARTUM PERIODS
A laboring patient at 5 cm dilation requests epidural analgesia. The nurse notes a
platelet count of 80,000/mm³. Which action is most appropriate?
A. Administer epidural as requested
B. Notify the provider and hold the epidural CORRECT
C. Encourage IV opioid instead
D. Recheck platelet count in 1 hour
RATIONALE: Thrombocytopenia (platelets <100,000/mm³) is a contraindication for epidural due
to risk of spinal hematoma. The nurse should notify the provider and hold the procedure. IV
opioids may be an alternative but require a provider order. Rechecking in 1 hour delays
necessary intervention.
Q4 ANALYZE PHYSIOLOGIC AND PSYCHOSOCIAL ADAPTATIONS DURING THE
ANTEPARTUM, INTRAPARTUM, AND POSTPARTUM PERIODS
A patient at 39 weeks gestation is in active labor. The fetal heart rate tracing
shows variable decelerations. Which nursing intervention is the priority?
A. Administer oxygen 10 L/min via face mask
B. Reposition the patient to left lateral CORRECT
C. Increase IV fluid rate
D. Prepare for immediate cesarean delivery
RATIONALE: Variable decelerations are often caused by umbilical cord compression.
Repositioning to left lateral may relieve compression. Oxygen and IV fluids are supportive but not
the first action. Cesarean is not indicated unless decelerations persist despite interventions.
Page 3
NURSING QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES INSTANT DOWNLOAD PDF
49 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze physiologic and psychosocial adaptations during the antepartum, intrapartum, and postpartum
periods
2 Interpret fetal surveillance data and select appropriate nursing interventions
3 Apply pharmacologic and non-pharmacologic management for obstetric complications and emergencies
4 Prioritize nursing care using evidence-based guidelines and safety principles
5 NUR 230 MATERNAL EXAM 1 GALEN COLLEGE OF NURSING QUESTIONS AND CORRECT
ANSWERS
6 VERIFIED ANSWERS
7 PLUS RATIONALES INSTANT DOWNLOAD PDF
8 Foundations of Maternal-Newborn Nursing (Obstetrics)
9 Applied Maternal-Newborn Nursing (Obstetrics)
10 Advanced Maternal-Newborn Nursing (Obstetrics)
11 Maternal-Newborn Nursing (Obstetrics) Review
ABSTRACT
This study document brings together 49 carefully worded exam questions drawn from NUR 230
MATERNAL EXAM 1 GALEN COLLEGE OF NURSING QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES INSTANT DOWNLOAD PDF, with the strongest
emphasis placed on Analyze physiologic and psychosocial adaptations during the antepartum,
intrapartum, and postpartum periods, Interpret fetal surveillance data and select appropriate
nursing interventions and Apply pharmacologic and non-pharmacologic management for obstetric
complications and emergencies. Every item follows the wording style and level of reasoning you
meet in the real paper, and each one is paired with a clear rationale so the correct choice is never
a guess. Work through the set at your own pace, mark the questions that slow you down, then
come back to them until the reasoning feels automatic. Learners who revise this way walk into the
exam room recognising the pattern behind the questions instead of meeting them for the first time.
Keep going - steady, honest practice is what turns a difficult paper into a comfortable pass.
Page 1
,Q1 ANALYZE PHYSIOLOGIC AND PSYCHOSOCIAL ADAPTATIONS DURING THE
ANTEPARTUM, INTRAPARTUM, AND POSTPARTUM PERIODS
A patient at 36 weeks gestation presents with a fundal height of 32 cm, and
ultrasound reveals an amniotic fluid index (AFI) of 6 cm. Which condition is most
consistent with these findings?
A. Polyhydramnios
B. Oligohydramnios CORRECT
C. Normal amniotic fluid volume
D. Chorioamnionitis
RATIONALE: An AFI of 6 cm is below the normal range (5-25 cm), indicating oligohydramnios.
Polyhydramnios is defined as AFI >25 cm. Normal AFI is 5-25 cm, but 6 cm is borderline low and
with a fundal height smaller than gestational age suggests oligohydramnios. Chorioamnionitis
typically presents with fever and uterine tenderness, not decreased fluid.
Q2 ANALYZE PHYSIOLOGIC AND PSYCHOSOCIAL ADAPTATIONS DURING THE
ANTEPARTUM, INTRAPARTUM, AND POSTPARTUM PERIODS
A patient receiving magnesium sulfate for preeclampsia has a serum magnesium
level of 8.2 mg/dL. Which assessment finding requires immediate intervention?
A. Respiratory rate of 14 breaths/min
B. Deep tendon reflexes 2+
C. Urine output of 20 mL/hr CORRECT
D. Serum magnesium level of 8.2 mg/dL
RATIONALE: Urine output <30 mL/hr indicates possible magnesium toxicity due to decreased
renal excretion. Respiratory rate <12, absent reflexes, and magnesium level >9 mg/dL are also
signs of toxicity. The other findings are within normal limits.
Page 2
, Q3 ANALYZE PHYSIOLOGIC AND PSYCHOSOCIAL ADAPTATIONS DURING THE
ANTEPARTUM, INTRAPARTUM, AND POSTPARTUM PERIODS
A laboring patient at 5 cm dilation requests epidural analgesia. The nurse notes a
platelet count of 80,000/mm³. Which action is most appropriate?
A. Administer epidural as requested
B. Notify the provider and hold the epidural CORRECT
C. Encourage IV opioid instead
D. Recheck platelet count in 1 hour
RATIONALE: Thrombocytopenia (platelets <100,000/mm³) is a contraindication for epidural due
to risk of spinal hematoma. The nurse should notify the provider and hold the procedure. IV
opioids may be an alternative but require a provider order. Rechecking in 1 hour delays
necessary intervention.
Q4 ANALYZE PHYSIOLOGIC AND PSYCHOSOCIAL ADAPTATIONS DURING THE
ANTEPARTUM, INTRAPARTUM, AND POSTPARTUM PERIODS
A patient at 39 weeks gestation is in active labor. The fetal heart rate tracing
shows variable decelerations. Which nursing intervention is the priority?
A. Administer oxygen 10 L/min via face mask
B. Reposition the patient to left lateral CORRECT
C. Increase IV fluid rate
D. Prepare for immediate cesarean delivery
RATIONALE: Variable decelerations are often caused by umbilical cord compression.
Repositioning to left lateral may relieve compression. Oxygen and IV fluids are supportive but not
the first action. Cesarean is not indicated unless decelerations persist despite interventions.
Page 3
