NU 170
Exam 1 Maternal-Child
Nursing Advanced Practice Quiz
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 170
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 170 Exam 1 Maternal-Child Nursing Advanced Practice Quiz 2026/2027 UPDATED – Galen
1. A nurse is assessing a pregnant client at 30 weeks gestation who presents with a sudden
onset of painless, bright red vaginal bleeding. Which condition should the nurse suspect first?
A. Abruptio placentae
B. Placenta previa
C. Cervical insufficiency
D. Preterm labor
Answer: B
Rationale: Painless, bright red vaginal bleeding during the second or third trimester is the
classic sign of placenta previa. Abruptio placentae usually presents with painful, dark red
bleeding and uterine rigidity.
2. Using Naegele’s rule, calculate the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on November 21st.
A. August 28th
B. August 14th
C. August 21st
D. September 28th
, Answer: A
Rationale: Naegele’s rule: Subtract 3 months from the first day of the LMP and add 7 days.
November 21 minus 3 months is August 21, plus 7 days equals August 28.
3. A client at 34 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
finding requires immediate intervention by the nurse?
A. Respiratory rate of 10 breaths/min
B. Urinary output of 40 mL/hr
C. Deep tendon reflexes of 2+
D. Fetal heart rate of 140 bpm
Answer: A
Rationale: Magnesium sulfate is a CNS depressant. A respiratory rate below 12
breaths/min indicates magnesium toxicity and requires immediate cessation of the
infusion and administration of calcium gluconate.
4. A newborn is evaluated at 1 minute after birth. The heart rate is 110 bpm, the cry is
vigorous, there is some flexion of extremities, the newborn sneezes when suctioned, and the
body is pink with blue extremities. What is the APGAR score?
A. 7
B. 10
C. 9
Exam 1 Maternal-Child
Nursing Advanced Practice Quiz
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 170
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 170 Exam 1 Maternal-Child Nursing Advanced Practice Quiz 2026/2027 UPDATED – Galen
1. A nurse is assessing a pregnant client at 30 weeks gestation who presents with a sudden
onset of painless, bright red vaginal bleeding. Which condition should the nurse suspect first?
A. Abruptio placentae
B. Placenta previa
C. Cervical insufficiency
D. Preterm labor
Answer: B
Rationale: Painless, bright red vaginal bleeding during the second or third trimester is the
classic sign of placenta previa. Abruptio placentae usually presents with painful, dark red
bleeding and uterine rigidity.
2. Using Naegele’s rule, calculate the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on November 21st.
A. August 28th
B. August 14th
C. August 21st
D. September 28th
, Answer: A
Rationale: Naegele’s rule: Subtract 3 months from the first day of the LMP and add 7 days.
November 21 minus 3 months is August 21, plus 7 days equals August 28.
3. A client at 34 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
finding requires immediate intervention by the nurse?
A. Respiratory rate of 10 breaths/min
B. Urinary output of 40 mL/hr
C. Deep tendon reflexes of 2+
D. Fetal heart rate of 140 bpm
Answer: A
Rationale: Magnesium sulfate is a CNS depressant. A respiratory rate below 12
breaths/min indicates magnesium toxicity and requires immediate cessation of the
infusion and administration of calcium gluconate.
4. A newborn is evaluated at 1 minute after birth. The heart rate is 110 bpm, the cry is
vigorous, there is some flexion of extremities, the newborn sneezes when suctioned, and the
body is pink with blue extremities. What is the APGAR score?
A. 7
B. 10
C. 9
