NU 170
Exam 2 Maternal-Child Nursing Comprehensive Quiz
Exam 2 • 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)
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,NU 170 Exam 2 Maternal-Child Nursing Comprehensive Quiz 2026/2027 UPDATED – Galen
1. A client at 32 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
assessment finding is most concerning to the nurse?
A. Blood pressure of 150/96 mmHg
B. Deep tendon reflexes (DTR) of 1+
C. Respiratory rate of 10 breaths/min
D. Urine output of 40 mL/hr
Answer: C
Rationale: A respiratory rate below 12 breaths/min is a sign of magnesium toxicity and
requires immediate intervention (stopping the infusion and administering calcium
gluconate). DTRs of 1+ are diminished but not as critical as respiratory depression.
2. While monitoring a fetal heart rate (FHR) tracing, the nurse notes late decelerations. What
is the priority nursing action?
A. Perform a vaginal exam to check for cord prolapse
B. Increase the rate of the Pitocin infusion
C. Reposition the client to a side-lying position
D. Administer oxygen at 2L/min via nasal cannula
, Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve perfusion by repositioning the mother, followed by oxygen at 8-10L/min via non-
rebreather mask and stopping Pitocin.
3. A patient presents with painless, bright red vaginal bleeding at 34 weeks gestation. The
nurse should avoid which of the following?
A. External fetal monitoring
B. Abdominal ultrasound
C. Intravenous access setup
D. Vaginal examination
Answer: D
Rationale: Painless bright red bleeding is indicative of placenta previa. A digital vaginal
exam is strictly contraindicated as it can cause massive hemorrhage by puncturing the
placenta.
4. Which clinical finding is pathognomonic for abruptio placentae?
A. Soft, non-tender uterus
B. Fetal accelerations on the monitor
C. Painless vaginal bleeding
D. Board-like, rigid abdomen
Exam 2 Maternal-Child Nursing Comprehensive Quiz
Exam 2 • 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 2 Maternal-Child Nursing Comprehensive Quiz 2026/2027 UPDATED – Galen
1. A client at 32 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
assessment finding is most concerning to the nurse?
A. Blood pressure of 150/96 mmHg
B. Deep tendon reflexes (DTR) of 1+
C. Respiratory rate of 10 breaths/min
D. Urine output of 40 mL/hr
Answer: C
Rationale: A respiratory rate below 12 breaths/min is a sign of magnesium toxicity and
requires immediate intervention (stopping the infusion and administering calcium
gluconate). DTRs of 1+ are diminished but not as critical as respiratory depression.
2. While monitoring a fetal heart rate (FHR) tracing, the nurse notes late decelerations. What
is the priority nursing action?
A. Perform a vaginal exam to check for cord prolapse
B. Increase the rate of the Pitocin infusion
C. Reposition the client to a side-lying position
D. Administer oxygen at 2L/min via nasal cannula
, Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve perfusion by repositioning the mother, followed by oxygen at 8-10L/min via non-
rebreather mask and stopping Pitocin.
3. A patient presents with painless, bright red vaginal bleeding at 34 weeks gestation. The
nurse should avoid which of the following?
A. External fetal monitoring
B. Abdominal ultrasound
C. Intravenous access setup
D. Vaginal examination
Answer: D
Rationale: Painless bright red bleeding is indicative of placenta previa. A digital vaginal
exam is strictly contraindicated as it can cause massive hemorrhage by puncturing the
placenta.
4. Which clinical finding is pathognomonic for abruptio placentae?
A. Soft, non-tender uterus
B. Fetal accelerations on the monitor
C. Painless vaginal bleeding
D. Board-like, rigid abdomen
