NURS 354: MATERNAL-NEWBORN
NURSING COMPREHENSIVE QUIZ 1
QUESTIONS AND ANSWERS
1. A nurse is reviewing the GTPAL of a client who is currently pregnant, has a 5-year-old born
at 38 weeks, a 3-year-old born at 35 weeks, and had a miscarriage at 10 weeks. What is the
correct GTPAL?
A. G4, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L2
D. G3, T1, P1, A1, L1
Answer: A
Conceptual Explanation: The client is Gravida 4 (current pregnancy, 38-weeker, 35-
weeker, miscarriage). Term is 1 (38 weeks). Preterm is 1 (35 weeks). Abortion is 1
(miscarriage). Living is 2.
2. A client at 34 weeks gestation reports a sudden gush of vaginal fluid. Which bedside test
should the nurse perform first to confirm the rupture of membranes?
A. Nitrazine paper test
,B. Cervical exam for dilation
C. Urine dipstick for protein
D. Leopold’s maneuvers
Answer: A
Conceptual Explanation: Nitrazine paper tests the pH of vaginal fluid; amniotic fluid is
alkaline (pH 7.0-7.5) and turns the paper blue, suggesting ROM.
3. Which fetal heart rate pattern is most indicative of uteroplacental insufficiency?
A. Early decelerations
B. Accelerations
C. Variable decelerations
D. Late decelerations
Answer: D
Conceptual Explanation: Late decelerations are caused by uteroplacental insufficiency
and are a non-reassuring sign requiring immediate intervention.
4. A nurse is administering Magnesium Sulfate to a client with preeclampsia. Which of the
following is the priority assessment to monitor for toxicity?
A. Blood pressure
B. Fetal heart rate
, C. Deep tendon reflexes
D. Serum glucose
Answer: C
Conceptual Explanation: Loss of deep tendon reflexes (DTRs) is one of the earliest signs
of magnesium toxicity, along with respiratory depression and decreased urine output.
5. What is the antidote for Magnesium Sulfate toxicity?
A. Naloxone
B. Vitamin K
C. Protamine sulfate
D. Calcium gluconate
Answer: D
Conceptual Explanation: Calcium gluconate is the specific antagonist used to reverse the
effects of magnesium toxicity.
6. A newborn has a heart rate of 110, a slow/irregular respiratory effort, some flexion of
extremities, a grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 8
C. 7
NURSING COMPREHENSIVE QUIZ 1
QUESTIONS AND ANSWERS
1. A nurse is reviewing the GTPAL of a client who is currently pregnant, has a 5-year-old born
at 38 weeks, a 3-year-old born at 35 weeks, and had a miscarriage at 10 weeks. What is the
correct GTPAL?
A. G4, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L2
D. G3, T1, P1, A1, L1
Answer: A
Conceptual Explanation: The client is Gravida 4 (current pregnancy, 38-weeker, 35-
weeker, miscarriage). Term is 1 (38 weeks). Preterm is 1 (35 weeks). Abortion is 1
(miscarriage). Living is 2.
2. A client at 34 weeks gestation reports a sudden gush of vaginal fluid. Which bedside test
should the nurse perform first to confirm the rupture of membranes?
A. Nitrazine paper test
,B. Cervical exam for dilation
C. Urine dipstick for protein
D. Leopold’s maneuvers
Answer: A
Conceptual Explanation: Nitrazine paper tests the pH of vaginal fluid; amniotic fluid is
alkaline (pH 7.0-7.5) and turns the paper blue, suggesting ROM.
3. Which fetal heart rate pattern is most indicative of uteroplacental insufficiency?
A. Early decelerations
B. Accelerations
C. Variable decelerations
D. Late decelerations
Answer: D
Conceptual Explanation: Late decelerations are caused by uteroplacental insufficiency
and are a non-reassuring sign requiring immediate intervention.
4. A nurse is administering Magnesium Sulfate to a client with preeclampsia. Which of the
following is the priority assessment to monitor for toxicity?
A. Blood pressure
B. Fetal heart rate
, C. Deep tendon reflexes
D. Serum glucose
Answer: C
Conceptual Explanation: Loss of deep tendon reflexes (DTRs) is one of the earliest signs
of magnesium toxicity, along with respiratory depression and decreased urine output.
5. What is the antidote for Magnesium Sulfate toxicity?
A. Naloxone
B. Vitamin K
C. Protamine sulfate
D. Calcium gluconate
Answer: D
Conceptual Explanation: Calcium gluconate is the specific antagonist used to reverse the
effects of magnesium toxicity.
6. A newborn has a heart rate of 110, a slow/irregular respiratory effort, some flexion of
extremities, a grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 8
C. 7
