NU 170
Exam 3 Maternal-Child
Nursing Advanced Practice Quiz
Exam 3 • 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 3 Maternal-Child Nursing Advanced Practice Quiz 2026/2027 UPDATE – Galen
1. A nurse is monitoring a client in active labor and notes a fetal heart rate (FHR) pattern of
late decelerations. What is the priority nursing action?
A. Administer oxygen via non-rebreather mask at 8-10 L/min.
B. Increase the rate of the intravenous infusion.
C. Change the maternal position to lateral.
D. Perform a vaginal examination to check for cord prolapse.
Answer: C
Rationale: Late decelerations are caused by uteroplacental insufficiency. The first step in
intrauterine resuscitation is to change the maternal position to lateral to increase blood
flow to the placenta.
2. A client at 34 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
assessment finding indicates magnesium toxicity?
A. Respirations of 10 breaths per minute.
B. Presence of +2 deep tendon reflexes.
C. Urinary output of 40 mL per hour.
D. Serum magnesium level of 6 mg/dL.
, Answer: A
Rationale: Signs of magnesium toxicity include respiratory depression (less than 12
breaths/min), loss of deep tendon reflexes, and decreased urinary output. A level of 6
mg/dL is within the therapeutic range (4-7 mg/dL).
3. A nurse is caring for a client in the transition phase of the first stage of labor. Which clinical
manifestation is most characteristic of this phase?
A. Irritability and a feeling of loss of control.
B. Client reporting a desire to push or ‘bearing down’ sensation.
C. Contractions occurring every 5 to 7 minutes.
D. Cervical dilation of 3 to 5 cm.
Answer: A
Rationale: The transition phase (8-10 cm dilation) is characterized by intense
contractions, irritability, nausea, and a feeling of loss of control. The desire to push usually
marks the end of transition or start of the second stage.
4. A postpartum nurse is assessing a client 2 hours after a vaginal delivery. The fundus is
boggy and displaced to the right of the midline. What is the nurse’s first action?
A. Administer oxytocin as ordered.
B. Assist the client to the bathroom to void.
C. Perform vigorous fundal massage.
Exam 3 Maternal-Child
Nursing Advanced Practice Quiz
Exam 3 • 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 3 Maternal-Child Nursing Advanced Practice Quiz 2026/2027 UPDATE – Galen
1. A nurse is monitoring a client in active labor and notes a fetal heart rate (FHR) pattern of
late decelerations. What is the priority nursing action?
A. Administer oxygen via non-rebreather mask at 8-10 L/min.
B. Increase the rate of the intravenous infusion.
C. Change the maternal position to lateral.
D. Perform a vaginal examination to check for cord prolapse.
Answer: C
Rationale: Late decelerations are caused by uteroplacental insufficiency. The first step in
intrauterine resuscitation is to change the maternal position to lateral to increase blood
flow to the placenta.
2. A client at 34 weeks gestation is receiving magnesium sulfate for preeclampsia. Which
assessment finding indicates magnesium toxicity?
A. Respirations of 10 breaths per minute.
B. Presence of +2 deep tendon reflexes.
C. Urinary output of 40 mL per hour.
D. Serum magnesium level of 6 mg/dL.
, Answer: A
Rationale: Signs of magnesium toxicity include respiratory depression (less than 12
breaths/min), loss of deep tendon reflexes, and decreased urinary output. A level of 6
mg/dL is within the therapeutic range (4-7 mg/dL).
3. A nurse is caring for a client in the transition phase of the first stage of labor. Which clinical
manifestation is most characteristic of this phase?
A. Irritability and a feeling of loss of control.
B. Client reporting a desire to push or ‘bearing down’ sensation.
C. Contractions occurring every 5 to 7 minutes.
D. Cervical dilation of 3 to 5 cm.
Answer: A
Rationale: The transition phase (8-10 cm dilation) is characterized by intense
contractions, irritability, nausea, and a feeling of loss of control. The desire to push usually
marks the end of transition or start of the second stage.
4. A postpartum nurse is assessing a client 2 hours after a vaginal delivery. The fundus is
boggy and displaced to the right of the midline. What is the nurse’s first action?
A. Administer oxytocin as ordered.
B. Assist the client to the bathroom to void.
C. Perform vigorous fundal massage.
