NU 170: Maternal-Child Nursing
Exam 1
Questions And Answers | Comprehensive Review
| Detailed Rationales | Latest 2026 Instant Pdf
Download | Graded A+
This exam guide is intended for educational purposes only and is
designed to assist in exam preparation. Content is based on publicly
available study materials for NU 170 Maternal-Child Nursing at Galen
College of Nursing and reflects current 2026/2027 nursing
standards.
,ANTEPARTUM CARE AND PRENATAL DEVELOPMENT
1. A pregnant client at 30 weeks gestation reports sudden
severe headache, blurred vision, and epigastric pain. Her blood
pressure is 168/110 mmHg. What is the priority nursing action?
A. Encourage oral fluids
B. Prepare for delivery and notify the provider immediately
C. Administer oral glucose
D. Place the client in the supine position
Correct Answer: B
Rationale: These are severe signs of preeclampsia (headache,
blurred vision, epigastric pain, hypertension). Immediate
stabilization and delivery planning are required to prevent
eclampsia and maternal/fetal complications. Supine positioning
could worsen supine hypotensive syndrome.
2. A pregnant client at 24 weeks gestation reports painless
vaginal bleeding. What is the priority nursing action?
A. Perform a vaginal exam
B. Suspect placenta previa and avoid vaginal exam
,C. Encourage walking
D. Administer oxytocin
Correct Answer: B
Rationale: Painless vaginal bleeding in the second or third
trimester is a classic sign of placenta previa. Vaginal exams are
contraindicated because they can cause severe hemorrhage.
Bed rest and monitoring are indicated, and delivery may be
considered if bleeding persists or becomes heavy.
3. A pregnant client is Rh-negative and is 28 weeks gestation.
Which medication should be administered to prevent Rh
isoimmunization?
A. Insulin
B. Rho(D) immune globulin (RhoGAM)
C. Magnesium sulfate
D. Oxytocin
Correct Answer: B
Rationale: Rho(D) immune globulin (RhoGAM) is given to Rh-
negative mothers at 28 weeks gestation and again within 72
, hours after delivery if the newborn is Rh-positive. It prevents
the mother from developing antibodies against fetal Rh-
positive red blood cells, protecting future pregnancies from
hemolytic disease of the newborn.
4. A nurse is providing prenatal teaching to a client at 12 weeks
gestation. Which statement by the client indicates a need for
further teaching?
A. "I should increase my folic acid intake to prevent neural tube
defects."
B. "I can continue to clean my cat's litter box as long as I wear
gloves."
C. "I need to avoid undercooked meat and unpasteurized dairy
products."
D. "I should sleep on my side, preferably my left side, during the
third trimester."
Correct Answer: B
Rationale: Pregnant women should avoid cleaning cat litter
boxes entirely to prevent toxoplasmosis infection, which can
cause congenital defects. While gloves reduce risk, it is safest to
Exam 1
Questions And Answers | Comprehensive Review
| Detailed Rationales | Latest 2026 Instant Pdf
Download | Graded A+
This exam guide is intended for educational purposes only and is
designed to assist in exam preparation. Content is based on publicly
available study materials for NU 170 Maternal-Child Nursing at Galen
College of Nursing and reflects current 2026/2027 nursing
standards.
,ANTEPARTUM CARE AND PRENATAL DEVELOPMENT
1. A pregnant client at 30 weeks gestation reports sudden
severe headache, blurred vision, and epigastric pain. Her blood
pressure is 168/110 mmHg. What is the priority nursing action?
A. Encourage oral fluids
B. Prepare for delivery and notify the provider immediately
C. Administer oral glucose
D. Place the client in the supine position
Correct Answer: B
Rationale: These are severe signs of preeclampsia (headache,
blurred vision, epigastric pain, hypertension). Immediate
stabilization and delivery planning are required to prevent
eclampsia and maternal/fetal complications. Supine positioning
could worsen supine hypotensive syndrome.
2. A pregnant client at 24 weeks gestation reports painless
vaginal bleeding. What is the priority nursing action?
A. Perform a vaginal exam
B. Suspect placenta previa and avoid vaginal exam
,C. Encourage walking
D. Administer oxytocin
Correct Answer: B
Rationale: Painless vaginal bleeding in the second or third
trimester is a classic sign of placenta previa. Vaginal exams are
contraindicated because they can cause severe hemorrhage.
Bed rest and monitoring are indicated, and delivery may be
considered if bleeding persists or becomes heavy.
3. A pregnant client is Rh-negative and is 28 weeks gestation.
Which medication should be administered to prevent Rh
isoimmunization?
A. Insulin
B. Rho(D) immune globulin (RhoGAM)
C. Magnesium sulfate
D. Oxytocin
Correct Answer: B
Rationale: Rho(D) immune globulin (RhoGAM) is given to Rh-
negative mothers at 28 weeks gestation and again within 72
, hours after delivery if the newborn is Rh-positive. It prevents
the mother from developing antibodies against fetal Rh-
positive red blood cells, protecting future pregnancies from
hemolytic disease of the newborn.
4. A nurse is providing prenatal teaching to a client at 12 weeks
gestation. Which statement by the client indicates a need for
further teaching?
A. "I should increase my folic acid intake to prevent neural tube
defects."
B. "I can continue to clean my cat's litter box as long as I wear
gloves."
C. "I need to avoid undercooked meat and unpasteurized dairy
products."
D. "I should sleep on my side, preferably my left side, during the
third trimester."
Correct Answer: B
Rationale: Pregnant women should avoid cleaning cat litter
boxes entirely to prevent toxoplasmosis infection, which can
cause congenital defects. While gloves reduce risk, it is safest to
