NUR 334 EXAM 2: MATERNAL-CHILD
HEALTH AND ADVANCED PEDIATRIC
NURSING QUESTIONS AND DETAILED
ANSWERS 2026/2027
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a
biophysical profile (BPP). The nurse should understand that which of the following variables
are included in this test?
A. Contraction stress test results and cervical dilation
B. Fetal heart rate, maternal blood pressure, and fetal weight
C. L/S ratio, surfactant levels, and fetal glucose levels
D. Fetal breathing movement, fetal tone, amniotic fluid volume, and nonstress test
Answer: D
Conceptual Explanation: The BPP assesses five variables: fetal breathing movements,
fetal body movements, fetal tone, amniotic fluid volume, and reactive FHR (via a nonstress
test).
2. A nurse is monitoring a client who is in the active phase of labor and has an external fetal
monitor. The nurse notes late decelerations on the monitor strip. Which of the following
actions should the nurse take first?
A. Administer oxygen at 2 L/min via nasal cannula
,B. Increase the rate of the maintenance IV fluid
C. Prepare for immediate vaginal delivery
D. Assist the client into a side-lying position
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority action is to improve placental perfusion by turning the client to their side.
3. A nurse is providing teaching to a client who is at 30 weeks of gestation and has a new
diagnosis of gestational diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?
A. I will follow a diet where 50% of my calories come from simple carbohydrates.
B. I will perform a kick count every morning before I eat.
C. I will reduce my exercise to avoid hypoglycemia.
D. I will notify my provider if my fasting blood glucose is above 95 mg/dL.
Answer: D
Conceptual Explanation: A fasting blood glucose level above 95 mg/dL or a 2-hour
postprandial level above 120 mg/dL should be reported to the provider.
4. A nurse is assessing a client who is 2 hours postpartum and has a boggy fundus that is
displaced to the right of the midline. Which of the following actions should the nurse take?
A. Administer oxytocin 10 units IM.
, B. Perform a vigorous fundal massage.
C. Assist the client to the bathroom to void.
D. Place the client in a Trendelenburg position.
Answer: C
Conceptual Explanation: A fundus displaced to the right usually indicates a full bladder,
which prevents the uterus from contracting. Voiding should resolve the displacement.
5. A nurse is caring for a client who is at 32 weeks of gestation and is receiving magnesium
sulfate for preeclampsia. Which of the following findings should the nurse report to the
provider as a sign of magnesium toxicity?
A. Presence of 2+ deep tendon reflexes
B. Urine output of 40 mL/hr
C. Respiratory rate of 10 breaths per minute
D. Feeling of warmth and flushing
Answer: C
Conceptual Explanation: Signs of magnesium toxicity include a respiratory rate less than
12/min, absent deep tendon reflexes, and decreased urinary output (less than 30 mL/hr).
6. A nurse is assessing a newborn who is 1 hour old. Which of the following findings should
the nurse report to the provider?
A. Respiratory rate of 50 breaths per minute
HEALTH AND ADVANCED PEDIATRIC
NURSING QUESTIONS AND DETAILED
ANSWERS 2026/2027
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a
biophysical profile (BPP). The nurse should understand that which of the following variables
are included in this test?
A. Contraction stress test results and cervical dilation
B. Fetal heart rate, maternal blood pressure, and fetal weight
C. L/S ratio, surfactant levels, and fetal glucose levels
D. Fetal breathing movement, fetal tone, amniotic fluid volume, and nonstress test
Answer: D
Conceptual Explanation: The BPP assesses five variables: fetal breathing movements,
fetal body movements, fetal tone, amniotic fluid volume, and reactive FHR (via a nonstress
test).
2. A nurse is monitoring a client who is in the active phase of labor and has an external fetal
monitor. The nurse notes late decelerations on the monitor strip. Which of the following
actions should the nurse take first?
A. Administer oxygen at 2 L/min via nasal cannula
,B. Increase the rate of the maintenance IV fluid
C. Prepare for immediate vaginal delivery
D. Assist the client into a side-lying position
Answer: D
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency. The
priority action is to improve placental perfusion by turning the client to their side.
3. A nurse is providing teaching to a client who is at 30 weeks of gestation and has a new
diagnosis of gestational diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?
A. I will follow a diet where 50% of my calories come from simple carbohydrates.
B. I will perform a kick count every morning before I eat.
C. I will reduce my exercise to avoid hypoglycemia.
D. I will notify my provider if my fasting blood glucose is above 95 mg/dL.
Answer: D
Conceptual Explanation: A fasting blood glucose level above 95 mg/dL or a 2-hour
postprandial level above 120 mg/dL should be reported to the provider.
4. A nurse is assessing a client who is 2 hours postpartum and has a boggy fundus that is
displaced to the right of the midline. Which of the following actions should the nurse take?
A. Administer oxytocin 10 units IM.
, B. Perform a vigorous fundal massage.
C. Assist the client to the bathroom to void.
D. Place the client in a Trendelenburg position.
Answer: C
Conceptual Explanation: A fundus displaced to the right usually indicates a full bladder,
which prevents the uterus from contracting. Voiding should resolve the displacement.
5. A nurse is caring for a client who is at 32 weeks of gestation and is receiving magnesium
sulfate for preeclampsia. Which of the following findings should the nurse report to the
provider as a sign of magnesium toxicity?
A. Presence of 2+ deep tendon reflexes
B. Urine output of 40 mL/hr
C. Respiratory rate of 10 breaths per minute
D. Feeling of warmth and flushing
Answer: C
Conceptual Explanation: Signs of magnesium toxicity include a respiratory rate less than
12/min, absent deep tendon reflexes, and decreased urinary output (less than 30 mL/hr).
6. A nurse is assessing a newborn who is 1 hour old. Which of the following findings should
the nurse report to the provider?
A. Respiratory rate of 50 breaths per minute
