Maternal-Child Nursing
NU 170 Comprehensive Final Exam
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
Maternal-Child Nursing
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
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,Maternal-Child Nursing NU 170 Comprehensive Final Exam 2026/2027 UPDATED – Galen
1. A nurse is monitoring a client in active labor and notes a fetal heart rate pattern with late
decelerations. Which of the following is the priority nursing intervention?
A. Administer oxygen via a non-rebreather mask at 8-10 L/min
B. Increase the rate of the maintenance IV fluids
C. Place the client in a side-lying position
D. Perform a vaginal examination to check for cord prolapse
Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
optimize oxygenation by placing the client in a side-lying position to improve uterine blood
flow, followed by oxygen administration and IV fluid boluses.
2. A postpartum nurse is assessing a client 2 hours after delivery and finds the fundus to be
boggy and shifted to the right. Which action should the nurse take first?
A. Encourage the client to void or catheterize if necessary
B. Check for perineal lacerations
C. Perform fundal massage until firm
D. Increase the oxytocin infusion rate
, Answer: A
Rationale: A fundus that is boggy and shifted to the right usually indicates a distended
bladder, which prevents the uterus from contracting. The priority is to empty the bladder.
3. A nurse is caring for a client with preeclampsia who is receiving Magnesium Sulfate. The
nurse notes absent deep tendon reflexes and a respiratory rate of 10/min. Which medication
should the nurse prepare?
A. Naloxone
B. Terbutaline
C. Protamine Sulfate
D. Calcium Gluconate
Answer: D
Rationale: Absent DTRs and respiratory depression are signs of Magnesium Sulfate
toxicity. Calcium Gluconate is the specific antagonist for magnesium toxicity.
4. Which of the following findings in a newborn should the nurse report to the provider
immediately?
A. Acrocyanosis in the hands and feet
B. Apgar score of 8 at five minutes
C. Milium on the bridge of the nose
D. Nasal flaring and chest retractions
NU 170 Comprehensive Final Exam
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
Maternal-Child Nursing
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,Maternal-Child Nursing NU 170 Comprehensive Final Exam 2026/2027 UPDATED – Galen
1. A nurse is monitoring a client in active labor and notes a fetal heart rate pattern with late
decelerations. Which of the following is the priority nursing intervention?
A. Administer oxygen via a non-rebreather mask at 8-10 L/min
B. Increase the rate of the maintenance IV fluids
C. Place the client in a side-lying position
D. Perform a vaginal examination to check for cord prolapse
Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
optimize oxygenation by placing the client in a side-lying position to improve uterine blood
flow, followed by oxygen administration and IV fluid boluses.
2. A postpartum nurse is assessing a client 2 hours after delivery and finds the fundus to be
boggy and shifted to the right. Which action should the nurse take first?
A. Encourage the client to void or catheterize if necessary
B. Check for perineal lacerations
C. Perform fundal massage until firm
D. Increase the oxytocin infusion rate
, Answer: A
Rationale: A fundus that is boggy and shifted to the right usually indicates a distended
bladder, which prevents the uterus from contracting. The priority is to empty the bladder.
3. A nurse is caring for a client with preeclampsia who is receiving Magnesium Sulfate. The
nurse notes absent deep tendon reflexes and a respiratory rate of 10/min. Which medication
should the nurse prepare?
A. Naloxone
B. Terbutaline
C. Protamine Sulfate
D. Calcium Gluconate
Answer: D
Rationale: Absent DTRs and respiratory depression are signs of Magnesium Sulfate
toxicity. Calcium Gluconate is the specific antagonist for magnesium toxicity.
4. Which of the following findings in a newborn should the nurse report to the provider
immediately?
A. Acrocyanosis in the hands and feet
B. Apgar score of 8 at five minutes
C. Milium on the bridge of the nose
D. Nasal flaring and chest retractions
