,South College NSG 3332 Final Exam | Maternal-Infant Nursing
Care (2026) Q&A
1. A postpartum patient is at risk for hemorrhage. Which assessment finding requires
immediate intervention?
A) Lochia rubra scant amount
B) Fundus firm and midline
C) Saturating a peripad within 15 minutes
D) Uterus palpable at the umbilicus
Correct Answer: Saturating a peripad within 15 minutes
Rationale: Saturating a peripad within 15 minutes indicates excessive bleeding, which is a
sign of postpartum hemorrhage and requires urgent intervention. Scant lochia rubra, a firm
fundus, and a uterus palpable at the umbilicus are normal findings in the immediate
postpartum period.
2. A woman with preeclampsia is receiving magnesium sulfate. Which finding indicates
magnesium toxicity?
A) Blood pressure 150/92 mmHg
B) Respiratory rate of 10 breaths per minute
C) Deep tendon reflexes +2
D) Urine output 45 mL/hr
Correct Answer: Respiratory rate of 10 breaths per minute
Rationale: Respiratory depression (<12 breaths/min) is a key sign of magnesium toxicity.
Other signs include loss of deep tendon reflexes and oliguria (<30 mL/hr). Blood pressure of
150/92 and urine output of 45 mL/hr are not indicators of toxicity.
3. The nurse is caring for a newborn with hypoglycemia. Which clinical manifestation is
expected?
,A) Flushed skin
B) Jitteriness and tremors
C) Strong cry
D) Relaxed posture
Correct Answer: Jitteriness and tremors
Rationale: Hypoglycemia in newborns often presents with jitteriness, tremors, irritability,
lethargy, and poor feeding. Flushed skin and a strong cry are not typical signs of
hypoglycemia.
4. A mother asks when her infant should receive the first hepatitis B vaccine. What is the
correct response?
A) At 2 months of age
B) At 6 months of age
C) Within 24 hours after birth
D) At 1 year of age
Correct Answer: Within 24 hours after birth
Rationale: The first dose of the hepatitis B vaccine should be administered within 24 hours
of birth, regardless of birth weight. The second dose is given at 1-2 months, and the third at
6-18 months.
5. A patient in labor is experiencing variable decelerations on fetal monitoring. What should
the nurse do?
A) Reposition the mother and provide oxygen
B) Stop oxytocin immediately
C) Prepare for immediate cesarean section
D) Notify pediatrics
, Correct Answer: Reposition the mother and provide oxygen
Rationale: Variable decelerations are often due to cord compression. Repositioning the
mother and providing oxygen can improve fetal oxygenation. Stopping oxytocin is
appropriate for late decelerations, and immediate cesarean is not the first-line intervention.
6. A primigravida at 32 weeks gestation reports painless vaginal bleeding. The nurse suspects
which condition?
A) Placenta previa
B) Abruptio placentae
C) Uterine rupture
D) Preterm labor
Correct Answer: Placenta previa
Rationale: Painless vaginal bleeding in the third trimester is the classic presentation of
placenta previa. Abruptio placentae typically presents with painful bleeding, and uterine
rupture presents with severe abdominal pain and fetal distress.
7. A newborn is born at 28 weeks gestation. Which nursing intervention is a priority?
A) Initiate early breastfeeding
B) Maintain thermoregulation in an incubator
C) Begin oral vitamin supplementation
D) Assess for vernix
Correct Answer: Maintain thermoregulation in an incubator
Rationale: Premature infants cannot regulate their body temperature effectively. Maintaining
warmth in an incubator is critical to prevent hypothermia and its complications, including
hypoglycemia and respiratory distress.
Care (2026) Q&A
1. A postpartum patient is at risk for hemorrhage. Which assessment finding requires
immediate intervention?
A) Lochia rubra scant amount
B) Fundus firm and midline
C) Saturating a peripad within 15 minutes
D) Uterus palpable at the umbilicus
Correct Answer: Saturating a peripad within 15 minutes
Rationale: Saturating a peripad within 15 minutes indicates excessive bleeding, which is a
sign of postpartum hemorrhage and requires urgent intervention. Scant lochia rubra, a firm
fundus, and a uterus palpable at the umbilicus are normal findings in the immediate
postpartum period.
2. A woman with preeclampsia is receiving magnesium sulfate. Which finding indicates
magnesium toxicity?
A) Blood pressure 150/92 mmHg
B) Respiratory rate of 10 breaths per minute
C) Deep tendon reflexes +2
D) Urine output 45 mL/hr
Correct Answer: Respiratory rate of 10 breaths per minute
Rationale: Respiratory depression (<12 breaths/min) is a key sign of magnesium toxicity.
Other signs include loss of deep tendon reflexes and oliguria (<30 mL/hr). Blood pressure of
150/92 and urine output of 45 mL/hr are not indicators of toxicity.
3. The nurse is caring for a newborn with hypoglycemia. Which clinical manifestation is
expected?
,A) Flushed skin
B) Jitteriness and tremors
C) Strong cry
D) Relaxed posture
Correct Answer: Jitteriness and tremors
Rationale: Hypoglycemia in newborns often presents with jitteriness, tremors, irritability,
lethargy, and poor feeding. Flushed skin and a strong cry are not typical signs of
hypoglycemia.
4. A mother asks when her infant should receive the first hepatitis B vaccine. What is the
correct response?
A) At 2 months of age
B) At 6 months of age
C) Within 24 hours after birth
D) At 1 year of age
Correct Answer: Within 24 hours after birth
Rationale: The first dose of the hepatitis B vaccine should be administered within 24 hours
of birth, regardless of birth weight. The second dose is given at 1-2 months, and the third at
6-18 months.
5. A patient in labor is experiencing variable decelerations on fetal monitoring. What should
the nurse do?
A) Reposition the mother and provide oxygen
B) Stop oxytocin immediately
C) Prepare for immediate cesarean section
D) Notify pediatrics
, Correct Answer: Reposition the mother and provide oxygen
Rationale: Variable decelerations are often due to cord compression. Repositioning the
mother and providing oxygen can improve fetal oxygenation. Stopping oxytocin is
appropriate for late decelerations, and immediate cesarean is not the first-line intervention.
6. A primigravida at 32 weeks gestation reports painless vaginal bleeding. The nurse suspects
which condition?
A) Placenta previa
B) Abruptio placentae
C) Uterine rupture
D) Preterm labor
Correct Answer: Placenta previa
Rationale: Painless vaginal bleeding in the third trimester is the classic presentation of
placenta previa. Abruptio placentae typically presents with painful bleeding, and uterine
rupture presents with severe abdominal pain and fetal distress.
7. A newborn is born at 28 weeks gestation. Which nursing intervention is a priority?
A) Initiate early breastfeeding
B) Maintain thermoregulation in an incubator
C) Begin oral vitamin supplementation
D) Assess for vernix
Correct Answer: Maintain thermoregulation in an incubator
Rationale: Premature infants cannot regulate their body temperature effectively. Maintaining
warmth in an incubator is critical to prevent hypothermia and its complications, including
hypoglycemia and respiratory distress.
