NU 170
Exam 2 Maternal-Child Nursing Comprehensive
Review
Exam Review • High-Yield Practice
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 Review 2026/2029 UPDATE – Galen
1. A client at 34 weeks gestation presents with a sudden onset of severe abdominal pain,
uterine tenderness, and a firm, board-like abdomen. The nurse notes dark red vaginal
bleeding. Which condition should the nurse suspect?
A. Abruptio Placentae
B. Placenta Previa
C. Uterine Atony
D. Vasa Previa
Answer: A
Rationale: Abruptio placentae is characterized by premature separation of the placenta,
causing severe pain, uterine rigidity (board-like), and often dark red bleeding. Placenta
previa is typically painless bright red bleeding.
2. A patient is receiving Magnesium Sulfate for preeclampsia. The nurse notes a respiratory
rate of 10 breaths/min and absent deep tendon reflexes. What is the priority nursing action?
A. Continue monitoring the infusion
B. Notify the provider immediately
C. Increase IV fluid bolus
D. Stop the infusion and prepare Calcium Gluconate
, Answer: D
Rationale: Bradypnea and loss of DTRs are classic signs of magnesium toxicity. The
immediate action is to stop the medication and prepare the antagonist, calcium gluconate.
3. Which of the following findings in a 1-hour-old newborn should be reported to the
healthcare provider immediately?
A. Acrocyanosis
B. Respiratory rate of 50 breaths/min
C. Milia on the nose
D. Nasal flaring and grunting
Answer: D
Rationale: Nasal flaring, grunting, and retractions are signs of respiratory distress
syndrome. Acrocyanosis and milia are normal findings in the early neonatal period.
4. A nurse is caring for a client in the second stage of labor. The electronic fetal monitor
shows a pattern of variable decelerations. What is the most likely cause?
A. Uteroplacental insufficiency
B. Maternal hypotension
C. Fetal head compression
D. Umbilical cord compression
Answer: D
Exam 2 Maternal-Child Nursing Comprehensive
Review
Exam Review • High-Yield Practice
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 Review 2026/2029 UPDATE – Galen
1. A client at 34 weeks gestation presents with a sudden onset of severe abdominal pain,
uterine tenderness, and a firm, board-like abdomen. The nurse notes dark red vaginal
bleeding. Which condition should the nurse suspect?
A. Abruptio Placentae
B. Placenta Previa
C. Uterine Atony
D. Vasa Previa
Answer: A
Rationale: Abruptio placentae is characterized by premature separation of the placenta,
causing severe pain, uterine rigidity (board-like), and often dark red bleeding. Placenta
previa is typically painless bright red bleeding.
2. A patient is receiving Magnesium Sulfate for preeclampsia. The nurse notes a respiratory
rate of 10 breaths/min and absent deep tendon reflexes. What is the priority nursing action?
A. Continue monitoring the infusion
B. Notify the provider immediately
C. Increase IV fluid bolus
D. Stop the infusion and prepare Calcium Gluconate
, Answer: D
Rationale: Bradypnea and loss of DTRs are classic signs of magnesium toxicity. The
immediate action is to stop the medication and prepare the antagonist, calcium gluconate.
3. Which of the following findings in a 1-hour-old newborn should be reported to the
healthcare provider immediately?
A. Acrocyanosis
B. Respiratory rate of 50 breaths/min
C. Milia on the nose
D. Nasal flaring and grunting
Answer: D
Rationale: Nasal flaring, grunting, and retractions are signs of respiratory distress
syndrome. Acrocyanosis and milia are normal findings in the early neonatal period.
4. A nurse is caring for a client in the second stage of labor. The electronic fetal monitor
shows a pattern of variable decelerations. What is the most likely cause?
A. Uteroplacental insufficiency
B. Maternal hypotension
C. Fetal head compression
D. Umbilical cord compression
Answer: D
