NUR 230 MATERNAL EXAM 4 GALEN COLLEGE OF
NURSING QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES INSTANT DOWNLOAD PDF
48 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex maternal-fetal data to prioritize nursing interventions in high-risk perinatal scenarios
2 Synthesize pathophysiologic mechanisms with clinical manifestations to differentiate obstetric and
neonatal complications
3 Apply current evidence-based guidelines to evaluate provider prescriptions and nursing actions for safety
and efficacy
4 NUR 230 MATERNAL EXAM 4 GALEN COLLEGE OF NURSING QUESTIONS AND CORRECT
ANSWERS
5 VERIFIED ANSWERS
6 PLUS RATIONALES INSTANT DOWNLOAD PDF
7 Foundations of Maternal-Newborn Nursing
8 Applied Maternal-Newborn Nursing
9 Advanced Maternal-Newborn Nursing
10 Maternal-Newborn Nursing Review
ABSTRACT
This study document brings together 48 carefully worded exam questions drawn from NUR 230
MATERNAL EXAM 4 GALEN COLLEGE OF NURSING QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES INSTANT DOWNLOAD PDF, with the strongest
emphasis placed on Analyze complex maternal-fetal data to prioritize nursing interventions in
high-risk perinatal scenarios, Synthesize pathophysiologic mechanisms with clinical manifestations
to differentiate obstetric and neonatal complications and Apply current evidence-based guidelines
to evaluate provider prescriptions and nursing actions for safety and efficacy. 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 COMPLEX MATERNAL-FETAL DATA TO PRIORITIZE NURSING INTERVENTIONS
IN HIGH-RISK PERINATAL SCENARIOS
A patient at 34 weeks gestation presents with a fundal height of 39 cm and a
reactive nonstress test. Ultrasound reveals polyhydramnios. Which maternal
condition most strongly correlates with this finding?
A. Gestational diabetes mellitus CORRECT
B. Chronic hypertension
C. Placenta previa
D. Oligohydramnios
RATIONALE: Polyhydramnios is commonly associated with fetal hyperglycemia and increased
urine output in gestational diabetes. Chronic hypertension and placenta previa are not typically
linked to polyhydramnios, and oligohydramnios is the opposite finding.
Q2 ANALYZE COMPLEX MATERNAL-FETAL DATA TO PRIORITIZE NURSING INTERVENTIONS
IN HIGH-RISK PERINATAL SCENARIOS
During a postpartum assessment, a patient who delivered 2 hours ago has a
boggy uterus, saturated perineal pad, and heart rate of 118 bpm. After fundal
massage and administration of oxytocin, bleeding continues. Which medication
should the nurse anticipate next?
A. Methylergonovine
B. Carboprost tromethamine CORRECT
C. Misoprostol
D. Magnesium sulfate
RATIONALE: Carboprost tromethamine is a prostaglandin used for refractory uterine atony when
oxytocin is ineffective. Methylergonovine is contraindicated in hypertension, misoprostol is less
potent, and magnesium sulfate is a tocolytic, not a uterotonic.
Page 2
, Q3 ANALYZE COMPLEX MATERNAL-FETAL DATA TO PRIORITIZE NURSING INTERVENTIONS
IN HIGH-RISK PERINATAL SCENARIOS
A newborn delivered at 38 weeks has respiratory distress, grunting, and nasal
flaring. Chest X-ray shows ground-glass opacities and air bronchograms. Which
pathophysiologic mechanism best explains these findings?
A. Surfactant deficiency leading to alveolar collapse CORRECT
B. Meconium aspiration causing airway obstruction
C. Transient tachypnea from delayed fluid clearance
D. Persistent pulmonary hypertension
RATIONALE: Ground-glass opacities and air bronchograms are classic for respiratory distress
syndrome due to surfactant deficiency, causing alveolar atelectasis. Meconium aspiration shows
coarse infiltrates, TTN shows fluid in fissures, and PPHN presents with oxygenation issues
without these X-ray findings.
Q4 ANALYZE COMPLEX MATERNAL-FETAL DATA TO PRIORITIZE NURSING INTERVENTIONS
IN HIGH-RISK PERINATAL SCENARIOS
A patient in labor has a Category II fetal heart tracing with repetitive late
decelerations. After repositioning, IV fluid bolus, and oxygen, the decelerations
persist. Which intervention should the nurse anticipate next?
A. Administer terbutaline subcutaneously
B. Increase oxytocin infusion rate
C. Prepare for immediate cesarean delivery CORRECT
D. Perform amnioinfusion
RATIONALE: Persistent late decelerations despite intrauterine resuscitation indicate fetal hypoxia
and may require immediate delivery. Terbutaline is for tachysystole, increasing oxytocin worsens
the condition, and amnioinfusion is for variable decelerations from cord compression.
Page 3
NURSING QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES INSTANT DOWNLOAD PDF
48 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex maternal-fetal data to prioritize nursing interventions in high-risk perinatal scenarios
2 Synthesize pathophysiologic mechanisms with clinical manifestations to differentiate obstetric and
neonatal complications
3 Apply current evidence-based guidelines to evaluate provider prescriptions and nursing actions for safety
and efficacy
4 NUR 230 MATERNAL EXAM 4 GALEN COLLEGE OF NURSING QUESTIONS AND CORRECT
ANSWERS
5 VERIFIED ANSWERS
6 PLUS RATIONALES INSTANT DOWNLOAD PDF
7 Foundations of Maternal-Newborn Nursing
8 Applied Maternal-Newborn Nursing
9 Advanced Maternal-Newborn Nursing
10 Maternal-Newborn Nursing Review
ABSTRACT
This study document brings together 48 carefully worded exam questions drawn from NUR 230
MATERNAL EXAM 4 GALEN COLLEGE OF NURSING QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES INSTANT DOWNLOAD PDF, with the strongest
emphasis placed on Analyze complex maternal-fetal data to prioritize nursing interventions in
high-risk perinatal scenarios, Synthesize pathophysiologic mechanisms with clinical manifestations
to differentiate obstetric and neonatal complications and Apply current evidence-based guidelines
to evaluate provider prescriptions and nursing actions for safety and efficacy. 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 COMPLEX MATERNAL-FETAL DATA TO PRIORITIZE NURSING INTERVENTIONS
IN HIGH-RISK PERINATAL SCENARIOS
A patient at 34 weeks gestation presents with a fundal height of 39 cm and a
reactive nonstress test. Ultrasound reveals polyhydramnios. Which maternal
condition most strongly correlates with this finding?
A. Gestational diabetes mellitus CORRECT
B. Chronic hypertension
C. Placenta previa
D. Oligohydramnios
RATIONALE: Polyhydramnios is commonly associated with fetal hyperglycemia and increased
urine output in gestational diabetes. Chronic hypertension and placenta previa are not typically
linked to polyhydramnios, and oligohydramnios is the opposite finding.
Q2 ANALYZE COMPLEX MATERNAL-FETAL DATA TO PRIORITIZE NURSING INTERVENTIONS
IN HIGH-RISK PERINATAL SCENARIOS
During a postpartum assessment, a patient who delivered 2 hours ago has a
boggy uterus, saturated perineal pad, and heart rate of 118 bpm. After fundal
massage and administration of oxytocin, bleeding continues. Which medication
should the nurse anticipate next?
A. Methylergonovine
B. Carboprost tromethamine CORRECT
C. Misoprostol
D. Magnesium sulfate
RATIONALE: Carboprost tromethamine is a prostaglandin used for refractory uterine atony when
oxytocin is ineffective. Methylergonovine is contraindicated in hypertension, misoprostol is less
potent, and magnesium sulfate is a tocolytic, not a uterotonic.
Page 2
, Q3 ANALYZE COMPLEX MATERNAL-FETAL DATA TO PRIORITIZE NURSING INTERVENTIONS
IN HIGH-RISK PERINATAL SCENARIOS
A newborn delivered at 38 weeks has respiratory distress, grunting, and nasal
flaring. Chest X-ray shows ground-glass opacities and air bronchograms. Which
pathophysiologic mechanism best explains these findings?
A. Surfactant deficiency leading to alveolar collapse CORRECT
B. Meconium aspiration causing airway obstruction
C. Transient tachypnea from delayed fluid clearance
D. Persistent pulmonary hypertension
RATIONALE: Ground-glass opacities and air bronchograms are classic for respiratory distress
syndrome due to surfactant deficiency, causing alveolar atelectasis. Meconium aspiration shows
coarse infiltrates, TTN shows fluid in fissures, and PPHN presents with oxygenation issues
without these X-ray findings.
Q4 ANALYZE COMPLEX MATERNAL-FETAL DATA TO PRIORITIZE NURSING INTERVENTIONS
IN HIGH-RISK PERINATAL SCENARIOS
A patient in labor has a Category II fetal heart tracing with repetitive late
decelerations. After repositioning, IV fluid bolus, and oxygen, the decelerations
persist. Which intervention should the nurse anticipate next?
A. Administer terbutaline subcutaneously
B. Increase oxytocin infusion rate
C. Prepare for immediate cesarean delivery CORRECT
D. Perform amnioinfusion
RATIONALE: Persistent late decelerations despite intrauterine resuscitation indicate fetal hypoxia
and may require immediate delivery. Terbutaline is for tachysystole, increasing oxytocin worsens
the condition, and amnioinfusion is for variable decelerations from cord compression.
Page 3
