NSG 3500 MATERNAL EXAM 2 REVIEW |
QUESTIONS AND ANSWERS | 2026/27
UPDATED COMPLETE – GALEN COLLEGE
[QUESTION 1-200] AND ANSWERS
UPDATED 2026/2027 | 100% VERIFIED
| DETAILED RATIONALES – PASS
GUARANTEED A+ GRADED | INSTANT
DOWNLOAD
INTRODUCTION
The NSG 3500 Maternal Exam 2 Review is designed to help nursing students
strengthen their understanding of maternal and reproductive health, pregnancy
assessment, prenatal care, common pregnancy complications, and evidence-based
nursing interventions. This study resource is intended for students preparing for a
maternal nursing examination, particularly those reviewing concepts commonly
taught in undergraduate nursing programs such as Galen College.
Maternal nursing requires more than memorizing facts. Students must recognize
abnormal findings, interpret assessment data, prioritize interventions, administer
medications safely, communicate effectively, and identify complications that threaten
maternal or fetal well-being. Questions in this practice bank emphasize clinical
judgment, application of nursing principles, patient safety, and scenario-based
decision-making.
The question format consists of four-option multiple-choice items, with one best
answer and a detailed rationale explaining why the correct response is appropriate and
why the alternatives are less appropriate. Use this resource alongside your course
objectives, assigned readings, lecture notes, and instructor-provided study guides. The
questions are original educational practice items, not verified official Galen College
exam questions. No study resource can guarantee a particular grade, but deliberate
practice and reviewing rationales can help you identify knowledge gaps and prepare
more effectively.
CORE DOMAINS TESTED
1.
,Reproductive health and preconception care: Risk assessment, fertility
considerations, folic acid, and health promotion.
2.
3.
Normal pregnancy physiology: Maternal cardiovascular, respiratory, renal,
and gastrointestinal adaptations.
4.
5.
Prenatal assessment: Obstetric history, gestational age, fundal height, fetal
heart rate, and pregnancy symptoms.
6.
7.
Prenatal laboratory testing: Blood type, Rh status, antibody screening, anemia,
and infection screening.
8.
9.
Nutrition during pregnancy: Weight gain, hydration, micronutrients, and food
safety.
10.
11.
Prenatal screening and fetal assessment: Ultrasound, nonstress testing,
biophysical profiles, and genetic screening.
12.
13.
Hypertensive disorders of pregnancy: Gestational hypertension, preeclampsia,
severe features, and eclampsia.
14.
15.
Gestational diabetes: Screening, glucose management, nutrition, and fetal risks.
16.
17.
High-risk pregnancy: Placental disorders, preterm labor, membrane rupture,
and fetal growth concerns.
, 18.
19.
Maternal infections: Group B streptococcus, urinary tract infections, and
selected congenital infection risks.
20.
21.
Medication safety: Common pregnancy medications, contraindications,
adverse effects, and monitoring.
22.
23.
Clinical judgment and prioritization: Recognizing emergencies, escalating care,
and evaluating outcomes.
24.
QUESTIONS 1–100
Section 1: Reproductive Health and Prenatal
Assessment
Q1: A nurse is assessing a client at 9 weeks of gestation who reports mild nausea,
breast tenderness, and urinary frequency. The client denies vaginal bleeding, severe
abdominal pain, and fever. Which response by the nurse is most appropriate?
A) “These symptoms indicate that your pregnancy may be failing.”
B) “You should restrict fluids until the urinary frequency improves.”
C) “These symptoms are common in early pregnancy, but report severe pain, heavy
bleeding, or fever promptly.”
D) “You should begin taking an over-the-counter antiemetic without consulting your
provider.”
Rationale: Option C is correct because nausea, breast tenderness, and urinary
frequency are common early pregnancy changes, while severe pain, heavy bleeding,
and fever warrant prompt evaluation. Option A incorrectly interprets common
symptoms as evidence of pregnancy failure. Option B can contribute to dehydration
and does not address the cause of urinary frequency. Option D is inappropriate
because medication safety should be assessed with the prenatal provider or pharmacist.
, Q2: A client at 10 weeks of gestation tells the nurse that she takes a daily
multivitamin but is unsure whether it contains enough folic acid. Which
recommendation is most appropriate for a client at average risk of a neural tube defect?
A) Take folic acid only after fetal movement begins.
B) Avoid folic acid because it interferes with iron absorption.
C) Take a high-dose supplement without discussing it with the provider.
D) Verify that the supplement provides approximately 400–800 micrograms of folic
acid daily.
Rationale: Option D is correct because 400–800 micrograms daily is a common
preconception and early-pregnancy recommendation for people at average risk,
although individualized recommendations may differ. Option A is incorrect because
neural tube development occurs early in pregnancy. Option B is incorrect because
folic acid is important for fetal neural tube development. Option C is unsafe because
high-dose supplementation may be indicated for selected high-risk clients but should
be prescribed or recommended by a qualified clinician.
Q3: A client who is 11 weeks pregnant reports taking isotretinoin for acne until
discovering the pregnancy. What is the nurse’s priority action?
A) Reassure the client that first-trimester medications cannot affect fetal development.
B) Tell the client to wait until the anatomy ultrasound before reporting the exposure.
C) Recommend doubling the folic acid dose to reverse possible effects.
D) Promptly notify the prenatal provider and facilitate urgent counseling about the
exposure.
Rationale: Option D is correct because isotretinoin is strongly teratogenic, and
exposure during pregnancy requires prompt specialist assessment and counseling.
Option A is incorrect because some medications can cause serious fetal harm. Option
B delays important evaluation. Option C is incorrect because folic acid does not
reverse isotretinoin-associated fetal risks.
Q4: A pregnant client at 8 weeks of gestation reports a previous pregnancy affected
by a neural tube defect. Which action should the nurse anticipate?
A) Advising the client that no additional preventive measures are possible.
B) Referring the client promptly for individualized preconception-risk counseling and
high-dose folic acid guidance.
C) Recommending that folic acid be discontinued during pregnancy.
D) Delaying any discussion until the third trimester.
QUESTIONS AND ANSWERS | 2026/27
UPDATED COMPLETE – GALEN COLLEGE
[QUESTION 1-200] AND ANSWERS
UPDATED 2026/2027 | 100% VERIFIED
| DETAILED RATIONALES – PASS
GUARANTEED A+ GRADED | INSTANT
DOWNLOAD
INTRODUCTION
The NSG 3500 Maternal Exam 2 Review is designed to help nursing students
strengthen their understanding of maternal and reproductive health, pregnancy
assessment, prenatal care, common pregnancy complications, and evidence-based
nursing interventions. This study resource is intended for students preparing for a
maternal nursing examination, particularly those reviewing concepts commonly
taught in undergraduate nursing programs such as Galen College.
Maternal nursing requires more than memorizing facts. Students must recognize
abnormal findings, interpret assessment data, prioritize interventions, administer
medications safely, communicate effectively, and identify complications that threaten
maternal or fetal well-being. Questions in this practice bank emphasize clinical
judgment, application of nursing principles, patient safety, and scenario-based
decision-making.
The question format consists of four-option multiple-choice items, with one best
answer and a detailed rationale explaining why the correct response is appropriate and
why the alternatives are less appropriate. Use this resource alongside your course
objectives, assigned readings, lecture notes, and instructor-provided study guides. The
questions are original educational practice items, not verified official Galen College
exam questions. No study resource can guarantee a particular grade, but deliberate
practice and reviewing rationales can help you identify knowledge gaps and prepare
more effectively.
CORE DOMAINS TESTED
1.
,Reproductive health and preconception care: Risk assessment, fertility
considerations, folic acid, and health promotion.
2.
3.
Normal pregnancy physiology: Maternal cardiovascular, respiratory, renal,
and gastrointestinal adaptations.
4.
5.
Prenatal assessment: Obstetric history, gestational age, fundal height, fetal
heart rate, and pregnancy symptoms.
6.
7.
Prenatal laboratory testing: Blood type, Rh status, antibody screening, anemia,
and infection screening.
8.
9.
Nutrition during pregnancy: Weight gain, hydration, micronutrients, and food
safety.
10.
11.
Prenatal screening and fetal assessment: Ultrasound, nonstress testing,
biophysical profiles, and genetic screening.
12.
13.
Hypertensive disorders of pregnancy: Gestational hypertension, preeclampsia,
severe features, and eclampsia.
14.
15.
Gestational diabetes: Screening, glucose management, nutrition, and fetal risks.
16.
17.
High-risk pregnancy: Placental disorders, preterm labor, membrane rupture,
and fetal growth concerns.
, 18.
19.
Maternal infections: Group B streptococcus, urinary tract infections, and
selected congenital infection risks.
20.
21.
Medication safety: Common pregnancy medications, contraindications,
adverse effects, and monitoring.
22.
23.
Clinical judgment and prioritization: Recognizing emergencies, escalating care,
and evaluating outcomes.
24.
QUESTIONS 1–100
Section 1: Reproductive Health and Prenatal
Assessment
Q1: A nurse is assessing a client at 9 weeks of gestation who reports mild nausea,
breast tenderness, and urinary frequency. The client denies vaginal bleeding, severe
abdominal pain, and fever. Which response by the nurse is most appropriate?
A) “These symptoms indicate that your pregnancy may be failing.”
B) “You should restrict fluids until the urinary frequency improves.”
C) “These symptoms are common in early pregnancy, but report severe pain, heavy
bleeding, or fever promptly.”
D) “You should begin taking an over-the-counter antiemetic without consulting your
provider.”
Rationale: Option C is correct because nausea, breast tenderness, and urinary
frequency are common early pregnancy changes, while severe pain, heavy bleeding,
and fever warrant prompt evaluation. Option A incorrectly interprets common
symptoms as evidence of pregnancy failure. Option B can contribute to dehydration
and does not address the cause of urinary frequency. Option D is inappropriate
because medication safety should be assessed with the prenatal provider or pharmacist.
, Q2: A client at 10 weeks of gestation tells the nurse that she takes a daily
multivitamin but is unsure whether it contains enough folic acid. Which
recommendation is most appropriate for a client at average risk of a neural tube defect?
A) Take folic acid only after fetal movement begins.
B) Avoid folic acid because it interferes with iron absorption.
C) Take a high-dose supplement without discussing it with the provider.
D) Verify that the supplement provides approximately 400–800 micrograms of folic
acid daily.
Rationale: Option D is correct because 400–800 micrograms daily is a common
preconception and early-pregnancy recommendation for people at average risk,
although individualized recommendations may differ. Option A is incorrect because
neural tube development occurs early in pregnancy. Option B is incorrect because
folic acid is important for fetal neural tube development. Option C is unsafe because
high-dose supplementation may be indicated for selected high-risk clients but should
be prescribed or recommended by a qualified clinician.
Q3: A client who is 11 weeks pregnant reports taking isotretinoin for acne until
discovering the pregnancy. What is the nurse’s priority action?
A) Reassure the client that first-trimester medications cannot affect fetal development.
B) Tell the client to wait until the anatomy ultrasound before reporting the exposure.
C) Recommend doubling the folic acid dose to reverse possible effects.
D) Promptly notify the prenatal provider and facilitate urgent counseling about the
exposure.
Rationale: Option D is correct because isotretinoin is strongly teratogenic, and
exposure during pregnancy requires prompt specialist assessment and counseling.
Option A is incorrect because some medications can cause serious fetal harm. Option
B delays important evaluation. Option C is incorrect because folic acid does not
reverse isotretinoin-associated fetal risks.
Q4: A pregnant client at 8 weeks of gestation reports a previous pregnancy affected
by a neural tube defect. Which action should the nurse anticipate?
A) Advising the client that no additional preventive measures are possible.
B) Referring the client promptly for individualized preconception-risk counseling and
high-dose folic acid guidance.
C) Recommending that folic acid be discontinued during pregnancy.
D) Delaying any discussion until the third trimester.
