NUR 254 MATERNAL EXAM 4 COMPREHENSIVE |
V1,V2 QUESTIONS AND ANSWERS | 2026/27 UPDATE |
100% CORRECT - GALEN COLLEGE OF NURSING.
144 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 254 MATERNAL EXAM 4 COMPREHENSIVE | V1,V2 QUESTIONS AND ANSWERS | 2026/27 UPDATE |
100% CORRECT - GALEN COLLEGE OF NURSING.. It contains 144 carefully selected questions that reflect the
most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 144 Questions
Foundations - Application - NUR 254 Maternal 4 Comprehensive V1 V2 AND 2026/27 Update 100 Correct -
Galen College OF Nursing Maternal-newborn Nursing Undergraduate YEAR 2 Nursing Maternal-newborn
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Antepartum CARE AND Fetal 1-24 Finding, Postpartum, Receiving, Nursing, Appropriate
Assessment
Intrapartum CARE AND 25-48 Gestation, Finding, Weeks, Magnesium, Fetal
Labor Complications
Postpartum CARE AND 49-72 Finding, Labor, Receiving, Magnesium, Weeks Gestation
Complications
Newborn CARE AND 73-96 Finding, Weeks Gestation, Fetal, Vaginal, Receiving
Neonatal Complications
High-risk Pregnancy AND 97-120 Finding, Gestation, Receiving, Weeks, Magnesium
Maternal-fetal Conditions
Pharmacological Therapies 121-144 Finding, Weeks Gestation, Postpartum, Receiving, First
IN Maternal-newborn Nursing
TOTAL 144 All questions include answers and detailed rationales
,Section A - Antepartum CARE AND Fetal Assessment
Q1.
A postpartum patient with a history of preeclampsia is receiving magnesium sulfate. The
nurse notes the patient has a respiratory rate of 10/min, absent deep tendon reflexes, and
urine output of 20 mL/hr. Which action should the nurse take first?
A. Administer the next scheduled dose of B. Prepare to administer calcium gluconate.
magnesium sulfate.
C. Increase the magnesium sulfate infusion D. Document the findings and reassess in 1
rate. hour.
Correct: B - Prepare to administer calcium gluconate.
Rationale:These findings indicate magnesium toxicity; calcium gluconate is the antidote and
should be given immediately. Continuing or increasing magnesium would worsen toxicity.
Documentation alone delays necessary treatment.
Why the other answers are wrong:
A. Administering more magnesium would exacerbate toxicity.
C. Increasing the infusion rate would worsen magnesium toxicity.
D. Delaying intervention risks respiratory arrest and cardiac arrest.
Reference: Lowdermilk, D.L., et al. (2024). Maternity & Women's Health Care, 13th Ed., Ch. 27.
Q2.
A newborn is 2 hours old, born to a mother with gestational diabetes. The newborn is
jittery and has a blood glucose of 40 mg/dL. Which nursing action is most appropriate?
A. Initiate immediate intravenous dextrose B. Feed the newborn formula or breast milk
infusion. and recheck glucose in 30 minutes.
C. Place the newborn under a radiant D. Administer glucagon intramuscularly.
warmer and reassess in 1 hour.
Correct: B - Feed the newborn formula or breast milk and recheck glucose in 30 minutes.
Rationale:For asymptomatic hypoglycemia (glucose 40-45 mg/dL), the first step is to feed
and recheck. IV dextrose is reserved for symptomatic or severe hypoglycemia. Warming and
glucagon are not first-line.
Why the other answers are wrong:
A. IV dextrose is for severe or symptomatic hypoglycemia not responding to feeding.
C. Warming does not address hypoglycemia; delayed feeding worsens it.
D. Glucagon is not routine for neonatal hypoglycemia.
Reference: Gardner, S.L., et al. (2023). Merenstein & Gardner's Handbook of Neonatal Intensive Care,
Page 3
, Section A - Antepartum CARE AND Fetal Assessment
10th Ed., Ch. 13.
Q3.
A patient at 34 weeks gestation presents with painless, bright red vaginal bleeding. Which
assessment finding is most concerning for placenta previa?
A. Uterine tenderness and board-like B. A soft, nontender uterus.
abdomen.
C. Fetal heart rate decelerations with D. Cervical dilation of 4 cm.
contractions.
Correct: B - A soft, nontender uterus.
Rationale:Placenta previa typically presents with painless bleeding and a soft, nontender
uterus. Painful bleeding with a rigid abdomen suggests abruption. Cervical dilation may
provoke bleeding but is not diagnostic.
Why the other answers are wrong:
A. Painful, board-like abdomen is characteristic of placental abruption.
C. Decelerations may occur but are not specific to previa.
D. Dilation does not confirm previa; digital exam is contraindicated.
Reference: Lowdermilk, D.L., et al. (2024). Maternity & Women's Health Care, 13th Ed., Ch. 21.
Q4.
A nurse is reviewing laboratory results for a patient with severe preeclampsia. Which
finding requires immediate notification of the provider?
A. Platelet count 90,000/mm³ B. Serum creatinine 0.8 mg/dL
C. AST 25 U/L D. Urine protein 1+
Correct: A - Platelet count 90,000/mm³
Rationale:Thrombocytopenia (platelets <100,000) indicates HELLP syndrome and risk for
bleeding, requiring immediate attention. Other values are within normal or expected ranges
for preeclampsia.
Why the other answers are wrong:
B. Creatinine 0.8 is normal; renal impairment would be elevated.
C. AST 25 is normal; elevation suggests liver involvement.
D. 1+ proteinuria is mild; severe preeclampsia has >3+.
Reference: ACOG Practice Bulletin No. 222 (2020). Gestational Hypertension and Preeclampsia.
Q5.
A patient is receiving oxytocin for labor augmentation. The nurse observes a contraction
pattern of 90 seconds duration with less than 1 minute relaxation. What is the priority
Page 4
V1,V2 QUESTIONS AND ANSWERS | 2026/27 UPDATE |
100% CORRECT - GALEN COLLEGE OF NURSING.
144 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 254 MATERNAL EXAM 4 COMPREHENSIVE | V1,V2 QUESTIONS AND ANSWERS | 2026/27 UPDATE |
100% CORRECT - GALEN COLLEGE OF NURSING.. It contains 144 carefully selected questions that reflect the
most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 144 Questions
Foundations - Application - NUR 254 Maternal 4 Comprehensive V1 V2 AND 2026/27 Update 100 Correct -
Galen College OF Nursing Maternal-newborn Nursing Undergraduate YEAR 2 Nursing Maternal-newborn
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Antepartum CARE AND Fetal 1-24 Finding, Postpartum, Receiving, Nursing, Appropriate
Assessment
Intrapartum CARE AND 25-48 Gestation, Finding, Weeks, Magnesium, Fetal
Labor Complications
Postpartum CARE AND 49-72 Finding, Labor, Receiving, Magnesium, Weeks Gestation
Complications
Newborn CARE AND 73-96 Finding, Weeks Gestation, Fetal, Vaginal, Receiving
Neonatal Complications
High-risk Pregnancy AND 97-120 Finding, Gestation, Receiving, Weeks, Magnesium
Maternal-fetal Conditions
Pharmacological Therapies 121-144 Finding, Weeks Gestation, Postpartum, Receiving, First
IN Maternal-newborn Nursing
TOTAL 144 All questions include answers and detailed rationales
,Section A - Antepartum CARE AND Fetal Assessment
Q1.
A postpartum patient with a history of preeclampsia is receiving magnesium sulfate. The
nurse notes the patient has a respiratory rate of 10/min, absent deep tendon reflexes, and
urine output of 20 mL/hr. Which action should the nurse take first?
A. Administer the next scheduled dose of B. Prepare to administer calcium gluconate.
magnesium sulfate.
C. Increase the magnesium sulfate infusion D. Document the findings and reassess in 1
rate. hour.
Correct: B - Prepare to administer calcium gluconate.
Rationale:These findings indicate magnesium toxicity; calcium gluconate is the antidote and
should be given immediately. Continuing or increasing magnesium would worsen toxicity.
Documentation alone delays necessary treatment.
Why the other answers are wrong:
A. Administering more magnesium would exacerbate toxicity.
C. Increasing the infusion rate would worsen magnesium toxicity.
D. Delaying intervention risks respiratory arrest and cardiac arrest.
Reference: Lowdermilk, D.L., et al. (2024). Maternity & Women's Health Care, 13th Ed., Ch. 27.
Q2.
A newborn is 2 hours old, born to a mother with gestational diabetes. The newborn is
jittery and has a blood glucose of 40 mg/dL. Which nursing action is most appropriate?
A. Initiate immediate intravenous dextrose B. Feed the newborn formula or breast milk
infusion. and recheck glucose in 30 minutes.
C. Place the newborn under a radiant D. Administer glucagon intramuscularly.
warmer and reassess in 1 hour.
Correct: B - Feed the newborn formula or breast milk and recheck glucose in 30 minutes.
Rationale:For asymptomatic hypoglycemia (glucose 40-45 mg/dL), the first step is to feed
and recheck. IV dextrose is reserved for symptomatic or severe hypoglycemia. Warming and
glucagon are not first-line.
Why the other answers are wrong:
A. IV dextrose is for severe or symptomatic hypoglycemia not responding to feeding.
C. Warming does not address hypoglycemia; delayed feeding worsens it.
D. Glucagon is not routine for neonatal hypoglycemia.
Reference: Gardner, S.L., et al. (2023). Merenstein & Gardner's Handbook of Neonatal Intensive Care,
Page 3
, Section A - Antepartum CARE AND Fetal Assessment
10th Ed., Ch. 13.
Q3.
A patient at 34 weeks gestation presents with painless, bright red vaginal bleeding. Which
assessment finding is most concerning for placenta previa?
A. Uterine tenderness and board-like B. A soft, nontender uterus.
abdomen.
C. Fetal heart rate decelerations with D. Cervical dilation of 4 cm.
contractions.
Correct: B - A soft, nontender uterus.
Rationale:Placenta previa typically presents with painless bleeding and a soft, nontender
uterus. Painful bleeding with a rigid abdomen suggests abruption. Cervical dilation may
provoke bleeding but is not diagnostic.
Why the other answers are wrong:
A. Painful, board-like abdomen is characteristic of placental abruption.
C. Decelerations may occur but are not specific to previa.
D. Dilation does not confirm previa; digital exam is contraindicated.
Reference: Lowdermilk, D.L., et al. (2024). Maternity & Women's Health Care, 13th Ed., Ch. 21.
Q4.
A nurse is reviewing laboratory results for a patient with severe preeclampsia. Which
finding requires immediate notification of the provider?
A. Platelet count 90,000/mm³ B. Serum creatinine 0.8 mg/dL
C. AST 25 U/L D. Urine protein 1+
Correct: A - Platelet count 90,000/mm³
Rationale:Thrombocytopenia (platelets <100,000) indicates HELLP syndrome and risk for
bleeding, requiring immediate attention. Other values are within normal or expected ranges
for preeclampsia.
Why the other answers are wrong:
B. Creatinine 0.8 is normal; renal impairment would be elevated.
C. AST 25 is normal; elevation suggests liver involvement.
D. 1+ proteinuria is mild; severe preeclampsia has >3+.
Reference: ACOG Practice Bulletin No. 222 (2020). Gestational Hypertension and Preeclampsia.
Q5.
A patient is receiving oxytocin for labor augmentation. The nurse observes a contraction
pattern of 90 seconds duration with less than 1 minute relaxation. What is the priority
Page 4
