NUR 254 MATERNAL EXAM 2 V1,V2 | COMPREHENSIVE
QUESTIONS AND ANSWERS | 2026/27 UPDATE | 100%
CORRECT - GALEN COLLEGE OF NURSING.
150 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 254 MATERNAL EXAM 2 V1,V2 | COMPREHENSIVE QUESTIONS AND ANSWERS | 2026/27 UPDATE |
100% CORRECT - GALEN COLLEGE OF NURSING.. It contains 150 carefully selected questions that reflect the
most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 150 Questions
Foundations - Application - NUR 254 Maternal 2 V1 V2 Comprehensive AND 2026/27 Update 100 Correct -
Galen College OF Nursing Maternal-newborn Health Nursing Undergraduate YEAR 3 Maternal-newborn
Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Antepartum Assessment 1-25 Weeks Gestation, Fetal, Finding, Appropriate, Heart RATE
AND RISK Factors
Intrapartum Nursing CARE 26-50 Finding, Appropriate, Fetal, Weeks, Gestation
AND Fetal Monitoring
Postpartum Maternal 51-75 Fetal, Weeks, Gestation, Finding, Heart RATE
Adaptations AND
Complications
Newborn Assessment AND 76-100 Finding, Labor, Weeks, Fetal, Preeclampsia
Transition TO Extrauterine
LIFE
Pharmacological 101-125 Weeks, Fetal, Labor, Gestation, Heart
Interventions IN
Maternal-newborn Nursing
Complications OF Pregnancy 126-150 Weeks, Gestation, Fetal, Finding, Intervention
E G Preeclampsia
Gestational Diabetes
TOTAL 150 All questions include answers and detailed rationales
,Section A - Antepartum Assessment AND RISK Factors
Q1.
In a primigravid client at 39 weeks gestation, the nurse notes a sudden increase in
baseline fetal heart rate from 135 to 165 bpm with minimal variability and recurrent late
decelerations. Maternal vital signs are stable. Which intervention should the nurse
implement first?
A. Administer oxygen via face mask at 10 B. Reposition the client to left lateral.
L/min.
C. Discontinue oxytocin infusion. D. Prepare for immediate cesarean delivery.
Correct: B - Reposition the client to left lateral.
Rationale:Repositioning to left lateral is the first-line intervention because it improves
uteroplacental blood flow by relieving aortocaval compression. Oxygen and discontinuing
oxytocin are subsequent steps if repositioning fails. Immediate cesarean is not the first action
without resolution of the pattern.
Q2.
A client with preeclampsia with severe features is receiving magnesium sulfate. The nurse
notes a respiratory rate of 10 breaths/min, absent deep tendon reflexes, and urine output
of 20 mL/hr. Which action is most appropriate?
A. Slow the infusion rate and notify the B. Administer calcium gluconate
provider. immediately.
C. Continue the infusion and monitor closely.D. Stop the infusion and prepare for
intubation.
Correct: B - Administer calcium gluconate immediately.
Rationale:The signs indicate magnesium toxicity. Calcium gluconate is the antidote and
should be administered immediately. Slowing the infusion may be done after antidote, but the
priority is to reverse toxicity. Continuation is contraindicated. Intubation may be needed if
respiratory arrest occurs, but calcium gluconate is the immediate action.
Q3.
During a nonstress test, a term fetus exhibits a reactive pattern with moderate variability
and no decelerations. However, the client reports decreased fetal movement over the past
24 hours. Which additional assessment is most important for the nurse to perform?
A. Obtain a biophysical profile. B. Measure fundal height.
Page 3
, Section A - Antepartum Assessment AND RISK Factors
C. Perform a contraction stress test. D. Check maternal blood glucose level.
Correct: A - Obtain a biophysical profile.
Rationale:A reactive NST indicates normal fetal heart rate reactivity, but decreased fetal
movement warrants further evaluation of fetal well-being, such as a biophysical profile (which
includes fetal breathing, movement, tone, and amniotic fluid volume). Contraction stress test
is not indicated without decelerations. Fundal height and glucose are not the priority.
Q4.
A multiparous client at 41 weeks gestation is in active labor. The nurse observes a
variable deceleration that drops to 70 bpm and lasts 60 seconds, with slow return to
baseline. Which intervention is most likely to resolve the deceleration?
A. Change the client's position. B. Increase the intravenous fluid rate.
C. Administer oxygen at 10 L/min. D. Perform a vaginal examination.
Correct: A - Change the client's position.
Rationale:Variable decelerations are caused by umbilical cord compression. Position
changes can relieve the compression and resolve the deceleration. IV fluids and oxygen are
supportive but do not directly relieve cord compression. Vaginal exam may be indicated to
assess for prolapse but is not the first intervention.
Q5.
A client with type 1 diabetes mellitus is in labor and has an order for insulin lispro. The
nurse notes that the client's blood glucose level is 82 mg/dL. What is the most appropriate
nursing action?
A. Administer the insulin as ordered. B. Hold the insulin and notify the provider.
C. Give a carbohydrate snack and then D. Administer half the prescribed insulin
administer insulin. dose.
Correct: B - Hold the insulin and notify the provider.
Rationale:Insulin lispro is a rapid-acting insulin; administering it when blood glucose is 82
mg/dL could cause hypoglycemia. The nurse should hold the dose and notify the provider to
adjust the order. Giving a snack may be appropriate if hypoglycemic, but the priority is to
withhold insulin and communicate with the provider.
Q6.
A nurse is caring for a client with premature rupture of membranes at 32 weeks gestation.
The provider prescribes betamethasone. The client asks why this medication is needed.
Which response by the nurse is most accurate?
Page 4
QUESTIONS AND ANSWERS | 2026/27 UPDATE | 100%
CORRECT - GALEN COLLEGE OF NURSING.
150 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 254 MATERNAL EXAM 2 V1,V2 | COMPREHENSIVE QUESTIONS AND ANSWERS | 2026/27 UPDATE |
100% CORRECT - GALEN COLLEGE OF NURSING.. It contains 150 carefully selected questions that reflect the
most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 150 Questions
Foundations - Application - NUR 254 Maternal 2 V1 V2 Comprehensive AND 2026/27 Update 100 Correct -
Galen College OF Nursing Maternal-newborn Health Nursing Undergraduate YEAR 3 Maternal-newborn
Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Antepartum Assessment 1-25 Weeks Gestation, Fetal, Finding, Appropriate, Heart RATE
AND RISK Factors
Intrapartum Nursing CARE 26-50 Finding, Appropriate, Fetal, Weeks, Gestation
AND Fetal Monitoring
Postpartum Maternal 51-75 Fetal, Weeks, Gestation, Finding, Heart RATE
Adaptations AND
Complications
Newborn Assessment AND 76-100 Finding, Labor, Weeks, Fetal, Preeclampsia
Transition TO Extrauterine
LIFE
Pharmacological 101-125 Weeks, Fetal, Labor, Gestation, Heart
Interventions IN
Maternal-newborn Nursing
Complications OF Pregnancy 126-150 Weeks, Gestation, Fetal, Finding, Intervention
E G Preeclampsia
Gestational Diabetes
TOTAL 150 All questions include answers and detailed rationales
,Section A - Antepartum Assessment AND RISK Factors
Q1.
In a primigravid client at 39 weeks gestation, the nurse notes a sudden increase in
baseline fetal heart rate from 135 to 165 bpm with minimal variability and recurrent late
decelerations. Maternal vital signs are stable. Which intervention should the nurse
implement first?
A. Administer oxygen via face mask at 10 B. Reposition the client to left lateral.
L/min.
C. Discontinue oxytocin infusion. D. Prepare for immediate cesarean delivery.
Correct: B - Reposition the client to left lateral.
Rationale:Repositioning to left lateral is the first-line intervention because it improves
uteroplacental blood flow by relieving aortocaval compression. Oxygen and discontinuing
oxytocin are subsequent steps if repositioning fails. Immediate cesarean is not the first action
without resolution of the pattern.
Q2.
A client with preeclampsia with severe features is receiving magnesium sulfate. The nurse
notes a respiratory rate of 10 breaths/min, absent deep tendon reflexes, and urine output
of 20 mL/hr. Which action is most appropriate?
A. Slow the infusion rate and notify the B. Administer calcium gluconate
provider. immediately.
C. Continue the infusion and monitor closely.D. Stop the infusion and prepare for
intubation.
Correct: B - Administer calcium gluconate immediately.
Rationale:The signs indicate magnesium toxicity. Calcium gluconate is the antidote and
should be administered immediately. Slowing the infusion may be done after antidote, but the
priority is to reverse toxicity. Continuation is contraindicated. Intubation may be needed if
respiratory arrest occurs, but calcium gluconate is the immediate action.
Q3.
During a nonstress test, a term fetus exhibits a reactive pattern with moderate variability
and no decelerations. However, the client reports decreased fetal movement over the past
24 hours. Which additional assessment is most important for the nurse to perform?
A. Obtain a biophysical profile. B. Measure fundal height.
Page 3
, Section A - Antepartum Assessment AND RISK Factors
C. Perform a contraction stress test. D. Check maternal blood glucose level.
Correct: A - Obtain a biophysical profile.
Rationale:A reactive NST indicates normal fetal heart rate reactivity, but decreased fetal
movement warrants further evaluation of fetal well-being, such as a biophysical profile (which
includes fetal breathing, movement, tone, and amniotic fluid volume). Contraction stress test
is not indicated without decelerations. Fundal height and glucose are not the priority.
Q4.
A multiparous client at 41 weeks gestation is in active labor. The nurse observes a
variable deceleration that drops to 70 bpm and lasts 60 seconds, with slow return to
baseline. Which intervention is most likely to resolve the deceleration?
A. Change the client's position. B. Increase the intravenous fluid rate.
C. Administer oxygen at 10 L/min. D. Perform a vaginal examination.
Correct: A - Change the client's position.
Rationale:Variable decelerations are caused by umbilical cord compression. Position
changes can relieve the compression and resolve the deceleration. IV fluids and oxygen are
supportive but do not directly relieve cord compression. Vaginal exam may be indicated to
assess for prolapse but is not the first intervention.
Q5.
A client with type 1 diabetes mellitus is in labor and has an order for insulin lispro. The
nurse notes that the client's blood glucose level is 82 mg/dL. What is the most appropriate
nursing action?
A. Administer the insulin as ordered. B. Hold the insulin and notify the provider.
C. Give a carbohydrate snack and then D. Administer half the prescribed insulin
administer insulin. dose.
Correct: B - Hold the insulin and notify the provider.
Rationale:Insulin lispro is a rapid-acting insulin; administering it when blood glucose is 82
mg/dL could cause hypoglycemia. The nurse should hold the dose and notify the provider to
adjust the order. Giving a snack may be appropriate if hypoglycemic, but the priority is to
withhold insulin and communicate with the provider.
Q6.
A nurse is caring for a client with premature rupture of membranes at 32 weeks gestation.
The provider prescribes betamethasone. The client asks why this medication is needed.
Which response by the nurse is most accurate?
Page 4
