NSG 3500
Exam 1 Maternal Health (2026)
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NSG 3500 Exam 1 | Maternal Health (2026) UPDATE – Galen
1. A pregnant client at 32 weeks gestation presents with sudden, painless vaginal bleeding.
What is the most likely diagnosis?
A. Placental abruption
B. Ectopic pregnancy
C. Uterine rupture
D. Placenta previa
Answer: D
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is the
classic sign of placenta previa. Placental abruption is typically painful.
2. A nurse is calculating a client’s due date using Naegele’s rule. The client’s last menstrual
period began on May 10th. What is the estimated date of birth (EDB)?
A. February 24th
B. February 3rd
C. February 10th
D. February 17th
Answer: D
, Rationale: Naegele’s rule: Subtract 3 months, add 7 days, and add 1 year to the first day of
the last menstrual period (LMP). May 10 - 3 months = February 10 + 7 days = February 17.
3. Which of the following is a ‘positive’ sign of pregnancy?
A. Positive pregnancy test
B. Chadwick’s sign
C. Amenorrhea
D. Fetal heart tones heard by Doppler
Answer: D
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, visualization by ultrasound, and palpable fetal movement by a clinician.
4. A client is receiving Magnesium Sulfate for preeclampsia. Which assessment finding
requires immediate intervention?
A. Respiratory rate of 10 breaths/min
B. Deep tendon reflexes of 2+
C. Urine output of 40 mL/hr
D. Blood pressure of 150/95 mmHg
Answer: A
Rationale: Magnesium toxicity causes respiratory depression (rate <12), loss of deep
tendon reflexes, and decreased urine output. A respiratory rate of 10 is critically low.
Exam 1 Maternal Health (2026)
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NSG 3500 Exam 1 | Maternal Health (2026) UPDATE – Galen
1. A pregnant client at 32 weeks gestation presents with sudden, painless vaginal bleeding.
What is the most likely diagnosis?
A. Placental abruption
B. Ectopic pregnancy
C. Uterine rupture
D. Placenta previa
Answer: D
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is the
classic sign of placenta previa. Placental abruption is typically painful.
2. A nurse is calculating a client’s due date using Naegele’s rule. The client’s last menstrual
period began on May 10th. What is the estimated date of birth (EDB)?
A. February 24th
B. February 3rd
C. February 10th
D. February 17th
Answer: D
, Rationale: Naegele’s rule: Subtract 3 months, add 7 days, and add 1 year to the first day of
the last menstrual period (LMP). May 10 - 3 months = February 10 + 7 days = February 17.
3. Which of the following is a ‘positive’ sign of pregnancy?
A. Positive pregnancy test
B. Chadwick’s sign
C. Amenorrhea
D. Fetal heart tones heard by Doppler
Answer: D
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, visualization by ultrasound, and palpable fetal movement by a clinician.
4. A client is receiving Magnesium Sulfate for preeclampsia. Which assessment finding
requires immediate intervention?
A. Respiratory rate of 10 breaths/min
B. Deep tendon reflexes of 2+
C. Urine output of 40 mL/hr
D. Blood pressure of 150/95 mmHg
Answer: A
Rationale: Magnesium toxicity causes respiratory depression (rate <12), loss of deep
tendon reflexes, and decreased urine output. A respiratory rate of 10 is critically low.
