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NU 170 EXAM 3 | MATERNAL-CHILD NURSING STUDY GUIDE — GALEN
COLLEGE EXAM COMPREHENSIVE QUESTIONS AND CORRECT ANSWERS
LATEST EDITION 2026
NU 170 Exam 3 | Maternal-Child Nursing Study Guide — Galen College
10-Point Summarized Exam Coverage
1. Antepartum Nursing Care: Prenatal assessment, Nagele's rule, fetal development,
prenatal nutrition, danger signs, and routine prenatal testing.
2. Intrapartum Nursing Care: Stages and phases of labor, fetal monitoring, contraction
patterns, pain management, and nursing interventions during delivery.
3. Postpartum Nursing Care: Uterine assessment, lochia, perineal care, breastfeeding
support, postpartum complications (hemorrhage, infection), and emotional adaptation.
4. Newborn Nursing Care: Apgar scoring, newborn reflexes, thermoregulation, feeding,
jaundice, and routine newborn assessments.
5. High-Risk Pregnancy: Preeclampsia/eclampsia, gestational diabetes, placenta previa,
abruptio placentae, preterm labor, and fetal monitoring complications.
6. Newborn Complications: Respiratory distress, prematurity, macrosomia, congenital
anomalies, and neonatal abstinence syndrome.
7. Pharmacology in Maternal-Child Nursing: Oxytocin, magnesium sulfate, terbutaline,
RhoGAM, vitamin K, and erythromycin.
8. Professional Issues & Patient Education: Cultural competence, informed consent,
patient teaching, and family-centered care.
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9. Fetal Monitoring & Assessment: Baseline FHR, variability, accelerations, decelerations
(early, late, variable), and non-stress testing.
10. Maternal-Newborn Medications & Procedures: Amniocentesis, chorionic villus
sampling, biophysical profile, and Group B Streptococcus prophylaxis.
SECTION 1: ANTEPARTUM NURSING CARE (Questions 1–45)
Question 1
A nurse is caring for a client at 10 weeks gestation who reports nausea and vomiting every
morning. Which intervention is most appropriate?
A) Administer IV fluids immediately
B) Recommend the client stop eating solid foods
C) Encourage the client to avoid prenatal vitamins entirely
D) Advise the client to eat small, frequent, bland meals and take prenatal vitamins at bedtime
Answer: D
Rationale: Morning sickness is common in the first trimester. Small, frequent bland meals help
reduce nausea. Taking prenatal vitamins at bedtime reduces gastric irritation. IV fluids are
reserved for hyperemesis gravidarum .
Question 2
A primigravida at 12 weeks gestation asks when she will first feel fetal movement. What is the
nurse's best response?
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A) "You should feel movement by 8 weeks."
B) "Fetal movement begins at 20 weeks for all women."
C) "You will feel movement only after 30 weeks."
D) "Most first-time mothers feel fetal movement between 18 and 20 weeks gestation."
Answer: D
Rationale: Quickening (first fetal movement felt by the mother) typically occurs between 16–20
weeks in multigravidas and 18–20 weeks in primigravidas .
Question 3
Which finding during a first prenatal visit requires immediate follow-up by the nurse?
A) Blood pressure of 110/70 mmHg
B) Mild ankle edema
C) Blood pressure of 158/96 mmHg
D) Weight gain of 2 pounds in the first trimester
Answer: C
Rationale: A BP of 158/96 meets the criteria for severe-range hypertension in pregnancy and
warrants immediate evaluation for preeclampsia. Normal BP in pregnancy should be below
140/90 mmHg .
Question 4
A nurse is teaching a pregnant client about Nagele's rule. The client's last menstrual period was
July 10. What is the estimated date of delivery?
A) March 17
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B) April 17
C) May 10
D) June 3
Answer: B
Rationale: Nagele's rule: subtract 3 months from LMP, add 7 days, adjust the year. July 10 − 3
months = April 10 + 7 days = April 17 .
Question 5
A pregnant client at 28 weeks is scheduled for a glucose challenge test. The result is 152 mg/dL.
What is the nurse's next action?
A) Reassure the client that the result is normal
B) Immediately administer insulin
C) Repeat the test in 4 weeks
D) Notify the provider and prepare the client for a 3-hour glucose tolerance test
Answer: D
Rationale: A glucose challenge test result ≥140 mg/dL requires follow-up with a 3-hour glucose
tolerance test to diagnose gestational diabetes .
Question 6
A 32-year-old primigravida at 38 weeks gestation presents with a blood pressure of 152/96
mmHg, 3+ proteinuria, and generalized edema. She reports a severe headache and visual
disturbances. Which of the following is the priority nursing intervention?
A) Administer magnesium sulfate as prescribed
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NU 170 EXAM 3 | MATERNAL-CHILD NURSING STUDY GUIDE — GALEN
COLLEGE EXAM COMPREHENSIVE QUESTIONS AND CORRECT ANSWERS
LATEST EDITION 2026
NU 170 Exam 3 | Maternal-Child Nursing Study Guide — Galen College
10-Point Summarized Exam Coverage
1. Antepartum Nursing Care: Prenatal assessment, Nagele's rule, fetal development,
prenatal nutrition, danger signs, and routine prenatal testing.
2. Intrapartum Nursing Care: Stages and phases of labor, fetal monitoring, contraction
patterns, pain management, and nursing interventions during delivery.
3. Postpartum Nursing Care: Uterine assessment, lochia, perineal care, breastfeeding
support, postpartum complications (hemorrhage, infection), and emotional adaptation.
4. Newborn Nursing Care: Apgar scoring, newborn reflexes, thermoregulation, feeding,
jaundice, and routine newborn assessments.
5. High-Risk Pregnancy: Preeclampsia/eclampsia, gestational diabetes, placenta previa,
abruptio placentae, preterm labor, and fetal monitoring complications.
6. Newborn Complications: Respiratory distress, prematurity, macrosomia, congenital
anomalies, and neonatal abstinence syndrome.
7. Pharmacology in Maternal-Child Nursing: Oxytocin, magnesium sulfate, terbutaline,
RhoGAM, vitamin K, and erythromycin.
8. Professional Issues & Patient Education: Cultural competence, informed consent,
patient teaching, and family-centered care.
1|Page
,Page 2 of 132
9. Fetal Monitoring & Assessment: Baseline FHR, variability, accelerations, decelerations
(early, late, variable), and non-stress testing.
10. Maternal-Newborn Medications & Procedures: Amniocentesis, chorionic villus
sampling, biophysical profile, and Group B Streptococcus prophylaxis.
SECTION 1: ANTEPARTUM NURSING CARE (Questions 1–45)
Question 1
A nurse is caring for a client at 10 weeks gestation who reports nausea and vomiting every
morning. Which intervention is most appropriate?
A) Administer IV fluids immediately
B) Recommend the client stop eating solid foods
C) Encourage the client to avoid prenatal vitamins entirely
D) Advise the client to eat small, frequent, bland meals and take prenatal vitamins at bedtime
Answer: D
Rationale: Morning sickness is common in the first trimester. Small, frequent bland meals help
reduce nausea. Taking prenatal vitamins at bedtime reduces gastric irritation. IV fluids are
reserved for hyperemesis gravidarum .
Question 2
A primigravida at 12 weeks gestation asks when she will first feel fetal movement. What is the
nurse's best response?
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A) "You should feel movement by 8 weeks."
B) "Fetal movement begins at 20 weeks for all women."
C) "You will feel movement only after 30 weeks."
D) "Most first-time mothers feel fetal movement between 18 and 20 weeks gestation."
Answer: D
Rationale: Quickening (first fetal movement felt by the mother) typically occurs between 16–20
weeks in multigravidas and 18–20 weeks in primigravidas .
Question 3
Which finding during a first prenatal visit requires immediate follow-up by the nurse?
A) Blood pressure of 110/70 mmHg
B) Mild ankle edema
C) Blood pressure of 158/96 mmHg
D) Weight gain of 2 pounds in the first trimester
Answer: C
Rationale: A BP of 158/96 meets the criteria for severe-range hypertension in pregnancy and
warrants immediate evaluation for preeclampsia. Normal BP in pregnancy should be below
140/90 mmHg .
Question 4
A nurse is teaching a pregnant client about Nagele's rule. The client's last menstrual period was
July 10. What is the estimated date of delivery?
A) March 17
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B) April 17
C) May 10
D) June 3
Answer: B
Rationale: Nagele's rule: subtract 3 months from LMP, add 7 days, adjust the year. July 10 − 3
months = April 10 + 7 days = April 17 .
Question 5
A pregnant client at 28 weeks is scheduled for a glucose challenge test. The result is 152 mg/dL.
What is the nurse's next action?
A) Reassure the client that the result is normal
B) Immediately administer insulin
C) Repeat the test in 4 weeks
D) Notify the provider and prepare the client for a 3-hour glucose tolerance test
Answer: D
Rationale: A glucose challenge test result ≥140 mg/dL requires follow-up with a 3-hour glucose
tolerance test to diagnose gestational diabetes .
Question 6
A 32-year-old primigravida at 38 weeks gestation presents with a blood pressure of 152/96
mmHg, 3+ proteinuria, and generalized edema. She reports a severe headache and visual
disturbances. Which of the following is the priority nursing intervention?
A) Administer magnesium sulfate as prescribed
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