NU 170
EXAM 3
Tested Questions with Rationales
Maternal-Child Nursing
Galen College of Nursing
TTTT DTTTTTTT TTTTTTTTTTT:
This document contains a collection of 50 tested and verified
questions with accurate answers from Exam 3 of NU 170 at the
Galen College of Nursing. It covers core topics assessed in the
course and reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,### 1. The nurse preceptor and newly hired nurse are discussing possible
maternal complications following the delivery of a newborn with fetal
macrosomia. Which of the following complications is appropriate for the
newly hired nurse to identify as a priority?
A. Uterine atony
B. Postpartum depression
C. Preeclampsia
D. Urinary tract infection
Correct Answer: A. Uterine atony
Rationale:
Fetal macrosomia significantly increases the risk for uterine atony—a failure of
the uterus to contract effectively after delivery—leading to postpartum
hemorrhage, which is a leading cause of maternal morbidity and mortality.
Identifying and prioritizing uterine atony is essential in the immediate
postpartum period to prevent hemorrhage. Other options, while possible
complications, are less immediate threats after fetal macrosomia delivery.
---
### 2. The nurse is reinforcing teaching with a client who is in active labor
and is experiencing significant back pain with each contraction about how
to relieve the back pain. Which of the following client statements indicates
that further teaching is necessary?
A. "I will use counter-pressure on my back during contractions."
B. "I will lie down in a flat reclining chair."
C. "I will try warm compresses on my lower back."
D. "I will change positions frequently to find comfort."
Correct Answer: B. "I will lie down in a flat reclining chair."
Rationale:
, Lying flat in a reclining chair is generally not recommended during labor because
it can decrease pelvic dimensions, worsening back pain and potentially hindering
labor progress. Effective back pain relief includes counter-pressure, position
changes, and warm compresses. Therefore, this statement indicates
misunderstanding and the need for further teaching.
---
### 3. The nurse manager and the newly hired nurse are reviewing the
newborn Apgar score. Which of the following assessment categories
identified by the newly hired nurse indicates the need for additional
teaching?
A. Heart rate
B. Respiration
C. Temperature
D. Muscle tone
Correct Answer: C. Temperature
Rationale:
The Apgar score includes five criteria: heart rate, respiratory effort, muscle
tone, reflex irritability, and color. Temperature is not part of the Apgar score
assessment. Misidentifying temperature as a component indicates a need for
additional teaching on neonatal assessment.
---
### 4. The nurse is caring for a client who is in labor and has had
spontaneous rupture of membranes with a large amount of clear fluid noted.
Which of the following observations by the nurse indicates head
compression?
A. Early decelerations
B. Late decelerations
EXAM 3
Tested Questions with Rationales
Maternal-Child Nursing
Galen College of Nursing
TTTT DTTTTTTT TTTTTTTTTTT:
This document contains a collection of 50 tested and verified
questions with accurate answers from Exam 3 of NU 170 at the
Galen College of Nursing. It covers core topics assessed in the
course and reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,### 1. The nurse preceptor and newly hired nurse are discussing possible
maternal complications following the delivery of a newborn with fetal
macrosomia. Which of the following complications is appropriate for the
newly hired nurse to identify as a priority?
A. Uterine atony
B. Postpartum depression
C. Preeclampsia
D. Urinary tract infection
Correct Answer: A. Uterine atony
Rationale:
Fetal macrosomia significantly increases the risk for uterine atony—a failure of
the uterus to contract effectively after delivery—leading to postpartum
hemorrhage, which is a leading cause of maternal morbidity and mortality.
Identifying and prioritizing uterine atony is essential in the immediate
postpartum period to prevent hemorrhage. Other options, while possible
complications, are less immediate threats after fetal macrosomia delivery.
---
### 2. The nurse is reinforcing teaching with a client who is in active labor
and is experiencing significant back pain with each contraction about how
to relieve the back pain. Which of the following client statements indicates
that further teaching is necessary?
A. "I will use counter-pressure on my back during contractions."
B. "I will lie down in a flat reclining chair."
C. "I will try warm compresses on my lower back."
D. "I will change positions frequently to find comfort."
Correct Answer: B. "I will lie down in a flat reclining chair."
Rationale:
, Lying flat in a reclining chair is generally not recommended during labor because
it can decrease pelvic dimensions, worsening back pain and potentially hindering
labor progress. Effective back pain relief includes counter-pressure, position
changes, and warm compresses. Therefore, this statement indicates
misunderstanding and the need for further teaching.
---
### 3. The nurse manager and the newly hired nurse are reviewing the
newborn Apgar score. Which of the following assessment categories
identified by the newly hired nurse indicates the need for additional
teaching?
A. Heart rate
B. Respiration
C. Temperature
D. Muscle tone
Correct Answer: C. Temperature
Rationale:
The Apgar score includes five criteria: heart rate, respiratory effort, muscle
tone, reflex irritability, and color. Temperature is not part of the Apgar score
assessment. Misidentifying temperature as a component indicates a need for
additional teaching on neonatal assessment.
---
### 4. The nurse is caring for a client who is in labor and has had
spontaneous rupture of membranes with a large amount of clear fluid noted.
Which of the following observations by the nurse indicates head
compression?
A. Early decelerations
B. Late decelerations
