NU 170
Final Exam Maternal-Child Nursing (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 (2026) UPDATE – Galen
1. A nurse is caring for a client with preeclampsia who is receiving intravenous magnesium
sulfate. Which finding should the nurse prioritize as a sign of magnesium toxicity?
A. Blood pressure of 150/90 mmHg
B. Fetal heart rate of 140 bpm
C. Increased urinary output
D. Absence of deep tendon reflexes
Answer: D
Rationale: Magnesium sulfate is a CNS depressant; the loss of deep tendon reflexes is an
early sign of toxicity that precedes respiratory depression and cardiac arrest.
2. Which clinical manifestation is a hallmark sign of Placenta Previa in the third trimester?
A. Board-like, rigid abdomen
B. Severe abdominal pain
C. Dark red vaginal bleeding with contractions
D. Painless, bright red vaginal bleeding
Answer: D
, Rationale: Placenta previa is characterized by painless, bright red bleeding, whereas
abruptio placentae involves painful, dark red bleeding and a rigid abdomen.
3. A newborn has an APGAR score of 7 at 1 minute. The nurse notes a heart rate of 110,
slow/irregular respiratory effort, some flexion of extremities, grimace during suctioning, and
a pink body with blue extremities. What is the score for ‘Color’?
A. 0
B. 1
C. 2
D. 3
Answer: B
Rationale: Acrocyanosis (pink body with blue extremities) receives a score of 1. A
completely pink baby scores 2, and a blue or pale baby scores 0.
4. A nurse is monitoring a client in the active phase of labor. The electronic fetal monitor
shows late decelerations. Which action should the nurse take first?
A. Increase the Oxytocin infusion rate
B. Administer oxygen via non-rebreather mask
C. Assist the client into a supine position
D. Prepare for immediate forceps delivery
Answer: B
Final Exam Maternal-Child Nursing (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 (2026) UPDATE – Galen
1. A nurse is caring for a client with preeclampsia who is receiving intravenous magnesium
sulfate. Which finding should the nurse prioritize as a sign of magnesium toxicity?
A. Blood pressure of 150/90 mmHg
B. Fetal heart rate of 140 bpm
C. Increased urinary output
D. Absence of deep tendon reflexes
Answer: D
Rationale: Magnesium sulfate is a CNS depressant; the loss of deep tendon reflexes is an
early sign of toxicity that precedes respiratory depression and cardiac arrest.
2. Which clinical manifestation is a hallmark sign of Placenta Previa in the third trimester?
A. Board-like, rigid abdomen
B. Severe abdominal pain
C. Dark red vaginal bleeding with contractions
D. Painless, bright red vaginal bleeding
Answer: D
, Rationale: Placenta previa is characterized by painless, bright red bleeding, whereas
abruptio placentae involves painful, dark red bleeding and a rigid abdomen.
3. A newborn has an APGAR score of 7 at 1 minute. The nurse notes a heart rate of 110,
slow/irregular respiratory effort, some flexion of extremities, grimace during suctioning, and
a pink body with blue extremities. What is the score for ‘Color’?
A. 0
B. 1
C. 2
D. 3
Answer: B
Rationale: Acrocyanosis (pink body with blue extremities) receives a score of 1. A
completely pink baby scores 2, and a blue or pale baby scores 0.
4. A nurse is monitoring a client in the active phase of labor. The electronic fetal monitor
shows late decelerations. Which action should the nurse take first?
A. Increase the Oxytocin infusion rate
B. Administer oxygen via non-rebreather mask
C. Assist the client into a supine position
D. Prepare for immediate forceps delivery
Answer: B
