NSG 3500 EXAM 4 STUDY GUIDE | 2026/27
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ACTUAL EXAM QUESTIONS AND CORRECT --- --- --- --- ---
ANSWERS/GRADE A+ ASSURED/NEWEST --- --- ---
UPDATE!!! ---
Nursing Practice – Maternal Health | Galen
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College of Nursing | Complete Coverage --- --- --- --- --- ---
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UNIT 1: MATERNAL PHYSIOLOGY & ANTEPARTUM (Questions
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1– 40)
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Question 1: A patient at 32 weeks gestation reports dizziness
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when lying supine. What is the most likely cause?
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• A) Gestational diabetes
--- --- ---
• B) Supine hypotensive syndrome
--- --- --- ---
• C) Preeclampsia
--- ---
• D) Anemia
--- ---
,Answer: B --- ---
Rationale: The gravid uterus compresses the inferior vena cava
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when the patient is supine, decreasing venous return and cardiac
--- --- --- --- --- --- --- --- --- ---
output, leading to hypotension and dizziness . Side-lying position
--- --- --- --- --- --- --- --- ---
relieves this compression. The nurse should instruct the patient to
--- --- --- --- --- --- --- --- --- ---
avoid the supine position and rest on her left side.
--- --- --- --- --- --- --- --- --- ---
--
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Question 2: A pregnant patient's hemoglobin is 10.2 g/dL at 28
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- weeks gestation. Which intervention is most appropriate?
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• A) Blood transfusion
--- --- ---
• B) Iron supplementation
--- --- ---
• C) Immediate delivery
--- --- ---
• D) High-dose vitamin C
--- --- --- ---
Answer: B --- ---
Rationale: Physiologic anemia of pregnancy occurs due to
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increased plasma volume outpacing RBC production .
--- --- --- --- --- --- ---
Hemoglobin <11 g/dL in second trimester indicates iron
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deficiency anemia, which is treated with iron supplementation.
--- --- --- --- --- --- --- ---
,Blood transfusion is not indicated for mild anemia, and
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immediate delivery is not warranted. --- --- --- --- ---
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Question 3: During a prenatal visit at 36 weeks, the nurse notes
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the patient's fundal height is 38 cm. This finding suggests:
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• A) Intrauterine growth restriction
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• B) Normal finding
--- --- ---
• C) Macrosomia or multiple gestation
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• D) Oligohydramnios
--- ---
Answer: C --- ---
Rationale: Fundal height in centimeters should correlate with
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weeks of gestation ±2 cm . At 36 weeks, 38 cm is 2 cm above
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expected, suggesting possible large for gestational age,
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macrosomia, or multiple gestation. This finding requires further
--- --- --- --- --- --- --- ---
assessment to determine the cause. --- --- --- --- ---
--
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Question 4: A patient at 10 weeks gestation has a rubella titer
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of 1:8. What is the appropriate nursing action?
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• A) Administer rubella vaccine now
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, • B) Notify provider, no immunity identified
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• C) Repeat titer in 2 weeks
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• D) This is a normal finding
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Answer: B --- ---
Rationale: Rubella titer <1:8 indicates non-immune status . The
--- --- --- --- --- --- --- --- ---
patient should be advised to avoid exposure and receive
--- --- --- --- --- --- --- --- ---
vaccination postpartum. MMR vaccine is contraindicated during
--- --- --- --- --- --- ---
pregnancy because it is a live virus vaccine and could cause
--- --- --- --- --- --- --- --- --- --- ---
congenital rubella syndrome.--- --- ---
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Question 5: A 32-week primigravida presents with a blood
--- --- --- --- --- --- --- --- ---
pressure of 150/92 mmHg and 2+ proteinuria. Which
--- --- --- --- --- --- --- ---
intervention is most appropriate initially?
--- --- --- --- ---
• A) Administer labetalol
--- --- ---
• B) Administer magnesium sulfate
--- --- --- ---
• C) Administer betamethasone
--- --- ---
• D) Prepare for immediate delivery
--- --- --- --- ---
--- --- --- --- --- --- --- --
ACTUAL EXAM QUESTIONS AND CORRECT --- --- --- --- ---
ANSWERS/GRADE A+ ASSURED/NEWEST --- --- ---
UPDATE!!! ---
Nursing Practice – Maternal Health | Galen
--- --- --- --- --- --- ---
College of Nursing | Complete Coverage --- --- --- --- --- ---
--
-
UNIT 1: MATERNAL PHYSIOLOGY & ANTEPARTUM (Questions
--- --- --- --- --- --- --
1– 40)
- -
Question 1: A patient at 32 weeks gestation reports dizziness
--- --- --- --- --- --- --- --- --- ---
when lying supine. What is the most likely cause?
--- --- --- --- --- --- --- --- ---
• A) Gestational diabetes
--- --- ---
• B) Supine hypotensive syndrome
--- --- --- ---
• C) Preeclampsia
--- ---
• D) Anemia
--- ---
,Answer: B --- ---
Rationale: The gravid uterus compresses the inferior vena cava
--- --- --- --- --- --- --- --- ---
when the patient is supine, decreasing venous return and cardiac
--- --- --- --- --- --- --- --- --- ---
output, leading to hypotension and dizziness . Side-lying position
--- --- --- --- --- --- --- --- ---
relieves this compression. The nurse should instruct the patient to
--- --- --- --- --- --- --- --- --- ---
avoid the supine position and rest on her left side.
--- --- --- --- --- --- --- --- --- ---
--
-
Question 2: A pregnant patient's hemoglobin is 10.2 g/dL at 28
--- --- --- --- --- --- --- --- --- --- --
- weeks gestation. Which intervention is most appropriate?
--- --- --- --- --- --- ---
• A) Blood transfusion
--- --- ---
• B) Iron supplementation
--- --- ---
• C) Immediate delivery
--- --- ---
• D) High-dose vitamin C
--- --- --- ---
Answer: B --- ---
Rationale: Physiologic anemia of pregnancy occurs due to
--- --- --- --- --- --- --- ---
increased plasma volume outpacing RBC production .
--- --- --- --- --- --- ---
Hemoglobin <11 g/dL in second trimester indicates iron
--- --- --- --- --- --- --- ---
deficiency anemia, which is treated with iron supplementation.
--- --- --- --- --- --- --- ---
,Blood transfusion is not indicated for mild anemia, and
--- --- --- --- --- --- --- --- ---
immediate delivery is not warranted. --- --- --- --- ---
--
-
Question 3: During a prenatal visit at 36 weeks, the nurse notes
--- --- --- --- --- --- --- --- --- --- --- ---
the patient's fundal height is 38 cm. This finding suggests:
--- --- --- --- --- --- --- --- --- ---
• A) Intrauterine growth restriction
--- --- --- ---
• B) Normal finding
--- --- ---
• C) Macrosomia or multiple gestation
--- --- --- --- ---
• D) Oligohydramnios
--- ---
Answer: C --- ---
Rationale: Fundal height in centimeters should correlate with
--- --- --- --- --- --- --- ---
weeks of gestation ±2 cm . At 36 weeks, 38 cm is 2 cm above
--- --- --- --- --- --- --- --- --- --- --- --- --- --- ---
expected, suggesting possible large for gestational age,
--- --- --- --- --- --- ---
macrosomia, or multiple gestation. This finding requires further
--- --- --- --- --- --- --- ---
assessment to determine the cause. --- --- --- --- ---
--
-
Question 4: A patient at 10 weeks gestation has a rubella titer
--- --- --- --- --- --- --- --- --- --- --- ---
of 1:8. What is the appropriate nursing action?
--- --- --- --- --- --- --- ---
• A) Administer rubella vaccine now
--- --- --- --- ---
, • B) Notify provider, no immunity identified
--- --- --- --- --- ---
• C) Repeat titer in 2 weeks
--- --- --- --- --- ---
• D) This is a normal finding
--- --- --- --- --- ---
Answer: B --- ---
Rationale: Rubella titer <1:8 indicates non-immune status . The
--- --- --- --- --- --- --- --- ---
patient should be advised to avoid exposure and receive
--- --- --- --- --- --- --- --- ---
vaccination postpartum. MMR vaccine is contraindicated during
--- --- --- --- --- --- ---
pregnancy because it is a live virus vaccine and could cause
--- --- --- --- --- --- --- --- --- --- ---
congenital rubella syndrome.--- --- ---
--
-
Question 5: A 32-week primigravida presents with a blood
--- --- --- --- --- --- --- --- ---
pressure of 150/92 mmHg and 2+ proteinuria. Which
--- --- --- --- --- --- --- ---
intervention is most appropriate initially?
--- --- --- --- ---
• A) Administer labetalol
--- --- ---
• B) Administer magnesium sulfate
--- --- --- ---
• C) Administer betamethasone
--- --- ---
• D) Prepare for immediate delivery
--- --- --- --- ---
