NSG 3500: Maternal–Newborn Nursing NCLEX-Style Practice
Questions
Galen College of Nursing, the NSG 3500 course—titled
Nursing Practice: Maternal Health—Exam 1,2 3 & 4
Competency Performance Exam (CPE)
Description: Focuses on holistic nursing care of women and
their families during the childbearing years, including
antepartum, intrapartum, postpartum periods, and care of the
newborn.
Assessments:
Exam 1: Female reproductive system, prenatal care.
Exam 2: Labor and delivery processes, pain management.
Exam 3: Postpartum care, newborn assessment.
Exam 4: High-risk pregnancies, neonatal complications.
CPEs: Clinical evaluations in maternal health settings.
Question 1:
,A pregnant client at 12 weeks gestation reports experiencing
nausea and vomiting. Which recommendation should the nurse
provide to alleviate these symptoms?
A. Eat three large meals per day
B. Drink a glass of water with meals
C. Consume dry crackers before getting out of bed
D. Avoid all dairy products
Correct Answer: C. Consume dry crackers before getting out of
bed
Rationale: Eating dry crackers before rising can help alleviate
morning sickness by stabilizing blood sugar levels.
Incorrect Options:
A: Large meals can exacerbate nausea.
B: Drinking fluids with meals may increase gastric
distension.
D: Dairy products are not typically associated with
increased nausea.
Reference: Pillitteri, A. (2014). Maternal & Child Health Nursing.
Question 2:
During a prenatal visit, a client asks about the purpose of the
glucose challenge test. The nurse explains that this test screens
for:
,A. Anemia
B. Gestational diabetes
C. Preeclampsia
D. Urinary tract infections
Correct Answer: B. Gestational diabetes
Rationale: The glucose challenge test assesses the body's ability
to process glucose, screening for gestational diabetes.
Incorrect Options:
A: Anemia is assessed via hemoglobin and hematocrit
levels.
C: Preeclampsia is monitored through blood pressure and
proteinuria.
D: Urinary tract infections are detected through urinalysis.
Reference: Lowdermilk, D. L., Perry, S. E., & Cashion, K. (2016).
Maternity Nursing.
Question 3:
A nurse is teaching a group of pregnant clients about signs of
preterm labor. Which statement indicates a need for further
teaching?
A. "Regular contractions before 37 weeks can be a sign."
B. "A sudden gush of fluid may indicate my water broke."
, C. "Backache that doesn't go away could be a warning sign."
D. "It's normal to have bleeding in the second trimester."
Correct Answer: D. "It's normal to have bleeding in the second
trimester."
Rationale: Bleeding in the second trimester is not normal and
may indicate complications such as placenta previa or
abruption.Course Hero
Incorrect Options:
A: Regular contractions before 37 weeks can signify
preterm labor.
B: A sudden gush of fluid may indicate rupture of
membranes.
C: Persistent backache can be a sign of preterm labor.
Reference: American College of Obstetricians and Gynecologists
(ACOG) Guidelines.
Question 4:
A client in labor is experiencing variable decelerations on the
fetal monitor. The nurse's first action should be to:
A. Administer oxygen via face mask
B. Reposition the client
C. Increase the IV fluid rate
D. Prepare for an emergency cesarean section
Questions
Galen College of Nursing, the NSG 3500 course—titled
Nursing Practice: Maternal Health—Exam 1,2 3 & 4
Competency Performance Exam (CPE)
Description: Focuses on holistic nursing care of women and
their families during the childbearing years, including
antepartum, intrapartum, postpartum periods, and care of the
newborn.
Assessments:
Exam 1: Female reproductive system, prenatal care.
Exam 2: Labor and delivery processes, pain management.
Exam 3: Postpartum care, newborn assessment.
Exam 4: High-risk pregnancies, neonatal complications.
CPEs: Clinical evaluations in maternal health settings.
Question 1:
,A pregnant client at 12 weeks gestation reports experiencing
nausea and vomiting. Which recommendation should the nurse
provide to alleviate these symptoms?
A. Eat three large meals per day
B. Drink a glass of water with meals
C. Consume dry crackers before getting out of bed
D. Avoid all dairy products
Correct Answer: C. Consume dry crackers before getting out of
bed
Rationale: Eating dry crackers before rising can help alleviate
morning sickness by stabilizing blood sugar levels.
Incorrect Options:
A: Large meals can exacerbate nausea.
B: Drinking fluids with meals may increase gastric
distension.
D: Dairy products are not typically associated with
increased nausea.
Reference: Pillitteri, A. (2014). Maternal & Child Health Nursing.
Question 2:
During a prenatal visit, a client asks about the purpose of the
glucose challenge test. The nurse explains that this test screens
for:
,A. Anemia
B. Gestational diabetes
C. Preeclampsia
D. Urinary tract infections
Correct Answer: B. Gestational diabetes
Rationale: The glucose challenge test assesses the body's ability
to process glucose, screening for gestational diabetes.
Incorrect Options:
A: Anemia is assessed via hemoglobin and hematocrit
levels.
C: Preeclampsia is monitored through blood pressure and
proteinuria.
D: Urinary tract infections are detected through urinalysis.
Reference: Lowdermilk, D. L., Perry, S. E., & Cashion, K. (2016).
Maternity Nursing.
Question 3:
A nurse is teaching a group of pregnant clients about signs of
preterm labor. Which statement indicates a need for further
teaching?
A. "Regular contractions before 37 weeks can be a sign."
B. "A sudden gush of fluid may indicate my water broke."
, C. "Backache that doesn't go away could be a warning sign."
D. "It's normal to have bleeding in the second trimester."
Correct Answer: D. "It's normal to have bleeding in the second
trimester."
Rationale: Bleeding in the second trimester is not normal and
may indicate complications such as placenta previa or
abruption.Course Hero
Incorrect Options:
A: Regular contractions before 37 weeks can signify
preterm labor.
B: A sudden gush of fluid may indicate rupture of
membranes.
C: Persistent backache can be a sign of preterm labor.
Reference: American College of Obstetricians and Gynecologists
(ACOG) Guidelines.
Question 4:
A client in labor is experiencing variable decelerations on the
fetal monitor. The nurse's first action should be to:
A. Administer oxygen via face mask
B. Reposition the client
C. Increase the IV fluid rate
D. Prepare for an emergency cesarean section
