MATERNITY ACTUAL FINAL EXAM
QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026
ASSURED EXCEL!!
A nurse is caring for a client with preeclampsia. Which interventions should the nurse
implement to reduce seizure risk? Select all that apply.
A. Reduce environmental stimulation
B. Maintain a quiet environment
C. Keep calcium gluconate available
D. Administer magnesium sulfate as prescribed
E. Encourage frequent ambulation
Answers: A, B, C, D
Rationale:
Clients with preeclampsia are at risk for seizures (eclampsia). Nursing care includes:
• Reducing stimulation (quiet, dark environment)
• Administering magnesium sulfate to prevent seizures
• Keeping calcium gluconate available as an antidote for magnesium toxicity
Ambulation is avoided because it increases risk.
D - CORRECT ANSWERS — A nurse is caring for a client receiving magnesium sulfate for
preeclampsia. Which finding indicates magnesium toxicity?
A. Increased urine output
B. Respiratory rate 24/min
C. Hyperactive reflexes
D. Respiratory depression
Answer: D. Respiratory depression
, Rationale:
Magnesium toxicity causes CNS depression:
• ↓ Deep tendon reflexes
• Respiratory depression
• Decreased level of consciousness
• Cardiac arrest in severe cases
The antidote is calcium gluconate.
C - CORRECT ANSWERS — A postpartum client receiving magnesium sulfate reports weakness
and difficulty breathing. What is the nurse's priority action?
A. Encourage deep breathing exercises
B. Increase the magnesium infusion
C. Stop magnesium sulfate infusion
D. Place the client in Trendelenburg position
Answer: C. Stop magnesium sulfate infusion
Rationale:
Difficulty breathing and weakness indicate possible magnesium toxicity. Stop the medication
immediately and notify the provider. Prepare to administer calcium gluconate.
A, B, D - CORRECT ANSWERS — Which findings indicate worsening preeclampsia? Select all
that apply.
A. Severe headache
B. Visual disturbances
C. Increased appetite
D. Epigastric/RUQ pain
E. Increased fetal movement
Answers: A, B, D
Rationale:
Signs of severe preeclampsia include:
• Severe headache
QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026
ASSURED EXCEL!!
A nurse is caring for a client with preeclampsia. Which interventions should the nurse
implement to reduce seizure risk? Select all that apply.
A. Reduce environmental stimulation
B. Maintain a quiet environment
C. Keep calcium gluconate available
D. Administer magnesium sulfate as prescribed
E. Encourage frequent ambulation
Answers: A, B, C, D
Rationale:
Clients with preeclampsia are at risk for seizures (eclampsia). Nursing care includes:
• Reducing stimulation (quiet, dark environment)
• Administering magnesium sulfate to prevent seizures
• Keeping calcium gluconate available as an antidote for magnesium toxicity
Ambulation is avoided because it increases risk.
D - CORRECT ANSWERS — A nurse is caring for a client receiving magnesium sulfate for
preeclampsia. Which finding indicates magnesium toxicity?
A. Increased urine output
B. Respiratory rate 24/min
C. Hyperactive reflexes
D. Respiratory depression
Answer: D. Respiratory depression
, Rationale:
Magnesium toxicity causes CNS depression:
• ↓ Deep tendon reflexes
• Respiratory depression
• Decreased level of consciousness
• Cardiac arrest in severe cases
The antidote is calcium gluconate.
C - CORRECT ANSWERS — A postpartum client receiving magnesium sulfate reports weakness
and difficulty breathing. What is the nurse's priority action?
A. Encourage deep breathing exercises
B. Increase the magnesium infusion
C. Stop magnesium sulfate infusion
D. Place the client in Trendelenburg position
Answer: C. Stop magnesium sulfate infusion
Rationale:
Difficulty breathing and weakness indicate possible magnesium toxicity. Stop the medication
immediately and notify the provider. Prepare to administer calcium gluconate.
A, B, D - CORRECT ANSWERS — Which findings indicate worsening preeclampsia? Select all
that apply.
A. Severe headache
B. Visual disturbances
C. Increased appetite
D. Epigastric/RUQ pain
E. Increased fetal movement
Answers: A, B, D
Rationale:
Signs of severe preeclampsia include:
• Severe headache
