NU 170
Final Exam
Maternal-Child Nursing Study Guide (2026)
Final Exam • Comprehensive Study Guide
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 Final Exam | Maternal-Child Nursing | Study Guide (2026) UPDATE – Galen
1. A nurse is caring for a client with preeclampsia receiving Magnesium Sulfate. The nurse
notes the client’s respiratory rate is 10/min and deep tendon reflexes are absent. What is the
priority nursing action?
A. Decrease the infusion rate and reassess in 15 minutes.
B. Stop the infusion and notify the provider immediately.
C. Prepare the client for an emergency Cesarean section.
D. Administer Calcium Gluconate intravenously.
Answer: B
Rationale: Magnesium Sulfate toxicity causes respiratory depression and loss of deep
tendon reflexes. The first action is to stop the medication, followed by notifying the
provider and administering the antagonist, Calcium Gluconate.
2. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which of
the following procedures should the nurse avoid?
A. External fetal monitoring
B. Leopold maneuvers
C. Abdominal ultrasound
D. Digital vaginal examination
, Answer: D
Rationale: Painless bright red bleeding is indicative of Placenta Previa. A digital vaginal
exam is contraindicated as it can cause placental perforation and hemorrhage.
3. When interpreting a fetal heart rate (FHR) tracing, the nurse notes late decelerations. What
is the physiological cause of this pattern?
A. Umbilical cord compression
B. Uteroplacental insufficiency
C. Fetal head compression
D. Fetal sleep cycle
Answer: B
Rationale: Late decelerations are caused by uteroplacental insufficiency, meaning the
placenta is not providing enough oxygen to the fetus during contractions.
4. A nurse is assessing a newborn 1 minute after birth. The heart rate is 110 bpm, the baby
has a weak cry, some flexion of extremities, is grimacing, and the body is pink with blue
extremities. What is the APGAR score?
A. 5
B. 8
C. 7
D. 6
Final Exam
Maternal-Child Nursing Study Guide (2026)
Final Exam • Comprehensive Study Guide
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 Final Exam | Maternal-Child Nursing | Study Guide (2026) UPDATE – Galen
1. A nurse is caring for a client with preeclampsia receiving Magnesium Sulfate. The nurse
notes the client’s respiratory rate is 10/min and deep tendon reflexes are absent. What is the
priority nursing action?
A. Decrease the infusion rate and reassess in 15 minutes.
B. Stop the infusion and notify the provider immediately.
C. Prepare the client for an emergency Cesarean section.
D. Administer Calcium Gluconate intravenously.
Answer: B
Rationale: Magnesium Sulfate toxicity causes respiratory depression and loss of deep
tendon reflexes. The first action is to stop the medication, followed by notifying the
provider and administering the antagonist, Calcium Gluconate.
2. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which of
the following procedures should the nurse avoid?
A. External fetal monitoring
B. Leopold maneuvers
C. Abdominal ultrasound
D. Digital vaginal examination
, Answer: D
Rationale: Painless bright red bleeding is indicative of Placenta Previa. A digital vaginal
exam is contraindicated as it can cause placental perforation and hemorrhage.
3. When interpreting a fetal heart rate (FHR) tracing, the nurse notes late decelerations. What
is the physiological cause of this pattern?
A. Umbilical cord compression
B. Uteroplacental insufficiency
C. Fetal head compression
D. Fetal sleep cycle
Answer: B
Rationale: Late decelerations are caused by uteroplacental insufficiency, meaning the
placenta is not providing enough oxygen to the fetus during contractions.
4. A nurse is assessing a newborn 1 minute after birth. The heart rate is 110 bpm, the baby
has a weak cry, some flexion of extremities, is grimacing, and the body is pink with blue
extremities. What is the APGAR score?
A. 5
B. 8
C. 7
D. 6
