Examl 3:l NU170/l NUl 170l (Latestl 2025/l
2026l Update)l Maternal-Childl Nursingl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
Q:l Explainl nursingl care,l patientl teaching,l andl treatmentl forl urinaryl tractl infection.
Whatl wouldl youl teachl al pregnancyl personl tol dol tol preventl againstl al UTI?
Answer:
Nursingl care:l wearl cottonl underwear
Wipel frontl tol back
Drinkl plentyl ofl fluidsl tol alsol preventl dehydrationl andl decreasel riskl ofl infection
Emptyl bladderl regularly/Pressurel onl pubicl tol ensurel emptyl ofl bladder
Ifl someonel callsl withl thesel s/sl havel theml comel in
Ifl someonel callsl withl onel ofl thesel dangerl signs,l infection,l Highl BP,l bleedingl whatl
wouldl youl telll them?
Youl wantl theml tol comel in,l canl leadl tol complicationsl withl pregnancy.
Q:l Explainl thel signs/symptoms,l nursingl care,l andl treatmentl forl hyperemesisl
gravidarum.
Answer:
Persistentl N/V,l notl goingl awayl withl OTCl medsl orl keepl anythingl down
Cause:l stress,l electrolytel imbalancel notl causedl byl HCG.l Differentl froml morningl
sickness,l morningl sicknessl isl causedl byl HCG.
Nursingl care:l Admitl theml andl IVl fluids,l Rehydrate-preventl severel dehydration
Q:l S/Sl ofl Hypovolemicl shock:l (bloodl isl notl wherel it'sl supposedl tol be)
Answer:
,-FHRl changesl (increased/decreased/lessl 110-160
-*Risingl weak/threadyl fastl pulsel Tachycardia
-RRl Tachypnea/airl hunger
-*Lowl BPl (hypotension)
-Decreased/absentl urinary
-Palel skin
-Coldl clammyl skin
-Faintness
-Thirst
Q:l Placental previa-placental developsl inl lowerl partl ofl uterus
Answer:
S/S:l *painlessl vaginall bleedingl brightl red
Abdomenl willl bel relaxed
Ifl notl showingl signsl ofl fetall distress,l putl onl Bedl rest,l nol vaginall examsl keepl babyl inl
uterol untill 36l weeks
Pelvicl rest,l nol intercourse
Plannedl cesarean,l Deliverl nol laterl thanl 36wksl whenl lungsl arel developed
Nursingl care:l Ifl presentl w/brightl redl bleedingl withl s/sxl yourl stepsl wouldl putl onl O2,l
monitorl bleeding,l baby/moml monitored.
Q:l Abruptiol placentae-medicall emergency*-l al prematurel separationl ofl al placental froml
uterinel walll thatl isl normallyl implanted
Answer:
Causes:l Trauma,l chronicl vascoconstriction,l unmanagedl chronicl HTN,l GH,l preeclampsia,l
eclampsia-goall isl tol managel thel symptemsl untill fulll term
S/S:l *painful,l darkl redl bleedingl associatedl w/fetall distressl orl bleeding
Uterusl isl tenderl andl usuallyl firml (boardl likel abdomen)l bloodl leaksl intol itsl musclel
fibers
Treatment:l Immediatel cesareanl delivery
Q:l Whatl isl somel teachingl thatl youl wouldl givel forl Hypertension?
,Answer:
Activityl restrictionl isl thel biggestl thing.
Q:l gestationall hypertensionl Presentsl afterl 20wksl ofl gestationl andl stabilizel afterl 6-
12wksl birthl orl gol awayl atl thel conclusionl ofl thel pregnancy
Answer:
Highl BPl w/outl proteinuria
Q:l Preeclampsia-
Answer:
Mild-maintainl BPl WNL,l ifl managementl isn'tl working,l givel magnesium
Severe-*Proteinurial 1+l orl greater,l givel magnesium
Q:l eclampsia
Answer:
Highl BP,l Mayl havel proteinurial HELLPl syndrome-Hemolysisl (RBC),l Elevatedl Liverl
enzymesl (astl andl altl willl bel high),l Lowl Platelets
Priority:l Oxygenl andl suctionl atl bedside,l padl sidel rails
Q:l Explainl nursingl carel forl al patientl onl magnesiuml sulfatel therapy.l 1.7-2.5l
therapeuticl level
Answer:
Mayl cause:l reportl *respiratoryl depressionl RRl belowl 12l 🡨signl ofl toxicity
, Lossl ofl deepl tendonl Reflexes
Watchl forl s/sxl ofl toxicity
Q:l Explainl nursingl carel andl treatmentl forl Rhl incompatibility.l Whenl motherl isl Rh-l
andl fetusl isl Rh+
Answer:
RhoGAMl isl givenl atl 28l wksl gestationl andl 72hrsl afterl birthl ofl Rh+l infantl orl abortion
Alsol whenl proceduresl thatl mayl causel bloodl tol crossl likel amniocentesis
-RhoGAMl isl alsol givenl afterl amniocentesis,l womanl whol experiencel bleedingl duringl
pregnancy
Q:l GESTATIONALl DIABETESl MELLITUS
Glucosel intolerancel withl onsetl duringl pregnancy,l glucosel usuallyl returnsl tol normall byl
6l wksl postpartum
Answer:
Riskl factor
Riskl factorsl placentall hormonesl thatl increasel resistancel ofl cellsl tol insulin
Q:l Hepatitisl B:l transmittedl byl blood,l saliva,l vaginall secretions,l semen,l breastl milkl
canl alsol crossl placenta
Answer:
-l Hepatitisl Bl immunel globulinl firstl vaccinel givenl atl birth,l 1-2l mol oldl andl HBVl againl
atl 6-18mol old
Preventl exposurel atl birthl /l canl passl throughl thel placentall barrier
Moml can'tl passl antibodiesl tol fetus
2026l Update)l Maternal-Childl Nursingl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
Q:l Explainl nursingl care,l patientl teaching,l andl treatmentl forl urinaryl tractl infection.
Whatl wouldl youl teachl al pregnancyl personl tol dol tol preventl againstl al UTI?
Answer:
Nursingl care:l wearl cottonl underwear
Wipel frontl tol back
Drinkl plentyl ofl fluidsl tol alsol preventl dehydrationl andl decreasel riskl ofl infection
Emptyl bladderl regularly/Pressurel onl pubicl tol ensurel emptyl ofl bladder
Ifl someonel callsl withl thesel s/sl havel theml comel in
Ifl someonel callsl withl onel ofl thesel dangerl signs,l infection,l Highl BP,l bleedingl whatl
wouldl youl telll them?
Youl wantl theml tol comel in,l canl leadl tol complicationsl withl pregnancy.
Q:l Explainl thel signs/symptoms,l nursingl care,l andl treatmentl forl hyperemesisl
gravidarum.
Answer:
Persistentl N/V,l notl goingl awayl withl OTCl medsl orl keepl anythingl down
Cause:l stress,l electrolytel imbalancel notl causedl byl HCG.l Differentl froml morningl
sickness,l morningl sicknessl isl causedl byl HCG.
Nursingl care:l Admitl theml andl IVl fluids,l Rehydrate-preventl severel dehydration
Q:l S/Sl ofl Hypovolemicl shock:l (bloodl isl notl wherel it'sl supposedl tol be)
Answer:
,-FHRl changesl (increased/decreased/lessl 110-160
-*Risingl weak/threadyl fastl pulsel Tachycardia
-RRl Tachypnea/airl hunger
-*Lowl BPl (hypotension)
-Decreased/absentl urinary
-Palel skin
-Coldl clammyl skin
-Faintness
-Thirst
Q:l Placental previa-placental developsl inl lowerl partl ofl uterus
Answer:
S/S:l *painlessl vaginall bleedingl brightl red
Abdomenl willl bel relaxed
Ifl notl showingl signsl ofl fetall distress,l putl onl Bedl rest,l nol vaginall examsl keepl babyl inl
uterol untill 36l weeks
Pelvicl rest,l nol intercourse
Plannedl cesarean,l Deliverl nol laterl thanl 36wksl whenl lungsl arel developed
Nursingl care:l Ifl presentl w/brightl redl bleedingl withl s/sxl yourl stepsl wouldl putl onl O2,l
monitorl bleeding,l baby/moml monitored.
Q:l Abruptiol placentae-medicall emergency*-l al prematurel separationl ofl al placental froml
uterinel walll thatl isl normallyl implanted
Answer:
Causes:l Trauma,l chronicl vascoconstriction,l unmanagedl chronicl HTN,l GH,l preeclampsia,l
eclampsia-goall isl tol managel thel symptemsl untill fulll term
S/S:l *painful,l darkl redl bleedingl associatedl w/fetall distressl orl bleeding
Uterusl isl tenderl andl usuallyl firml (boardl likel abdomen)l bloodl leaksl intol itsl musclel
fibers
Treatment:l Immediatel cesareanl delivery
Q:l Whatl isl somel teachingl thatl youl wouldl givel forl Hypertension?
,Answer:
Activityl restrictionl isl thel biggestl thing.
Q:l gestationall hypertensionl Presentsl afterl 20wksl ofl gestationl andl stabilizel afterl 6-
12wksl birthl orl gol awayl atl thel conclusionl ofl thel pregnancy
Answer:
Highl BPl w/outl proteinuria
Q:l Preeclampsia-
Answer:
Mild-maintainl BPl WNL,l ifl managementl isn'tl working,l givel magnesium
Severe-*Proteinurial 1+l orl greater,l givel magnesium
Q:l eclampsia
Answer:
Highl BP,l Mayl havel proteinurial HELLPl syndrome-Hemolysisl (RBC),l Elevatedl Liverl
enzymesl (astl andl altl willl bel high),l Lowl Platelets
Priority:l Oxygenl andl suctionl atl bedside,l padl sidel rails
Q:l Explainl nursingl carel forl al patientl onl magnesiuml sulfatel therapy.l 1.7-2.5l
therapeuticl level
Answer:
Mayl cause:l reportl *respiratoryl depressionl RRl belowl 12l 🡨signl ofl toxicity
, Lossl ofl deepl tendonl Reflexes
Watchl forl s/sxl ofl toxicity
Q:l Explainl nursingl carel andl treatmentl forl Rhl incompatibility.l Whenl motherl isl Rh-l
andl fetusl isl Rh+
Answer:
RhoGAMl isl givenl atl 28l wksl gestationl andl 72hrsl afterl birthl ofl Rh+l infantl orl abortion
Alsol whenl proceduresl thatl mayl causel bloodl tol crossl likel amniocentesis
-RhoGAMl isl alsol givenl afterl amniocentesis,l womanl whol experiencel bleedingl duringl
pregnancy
Q:l GESTATIONALl DIABETESl MELLITUS
Glucosel intolerancel withl onsetl duringl pregnancy,l glucosel usuallyl returnsl tol normall byl
6l wksl postpartum
Answer:
Riskl factor
Riskl factorsl placentall hormonesl thatl increasel resistancel ofl cellsl tol insulin
Q:l Hepatitisl B:l transmittedl byl blood,l saliva,l vaginall secretions,l semen,l breastl milkl
canl alsol crossl placenta
Answer:
-l Hepatitisl Bl immunel globulinl firstl vaccinel givenl atl birth,l 1-2l mol oldl andl HBVl againl
atl 6-18mol old
Preventl exposurel atl birthl /l canl passl throughl thel placentall barrier
Moml can'tl passl antibodiesl tol fetus
