NSG 3500 Exam 2 (2025/2026 Edition) – Nursing Practice:
Maternal Health | Galen College | Actual Exam Review
This updated 2025/2026 NSG 3500 Exam 2 review focuses on the core principles of
Maternal Health Nursing at Galen College. It includes 50 verified and practice-based
questions designed to strengthen understanding of pregnancy, labor and delivery, postpartum
care, and newborn adaptation. All content is aligned with the latest evidence-based nursing
standards and NCLEX-RN competencies.
Key Focus Areas:
Prenatal care, fetal monitoring, stages of labor, pain management, postpartum complications,
maternal assessment, and patient safety interventions.
Answer Format
All correct answers are highlighted in bold and green, with concise rationales provided to
reinforce clinical reasoning and exam readiness for the 2025/2026 Maternal Health
module.
Questions 1–50
Prenatal Care and Assessment (15 Questions)
1. A pregnant patient at 12 weeks gestation reports mild spotting. What is the
priority nursing action?
a) Encourage bedrest without assessment
b) Assess the amount and notify the provider
c) Administer pain medication
d) Ignore the spotting
Answer: b) Assess the amount and notify the provider
Rationale: Spotting in early pregnancy may indicate a miscarriage or ectopic pregnancy,
requiring assessment and provider notification to ensure timely intervention.
2. A patient at 20 weeks gestation has a fundal height of 18 cm. What is the priority
nursing action?
a) Ignore the measurement
b) Document and notify the provider
c) Restrict fluids
d) Encourage ambulation
Answer: b) Document and notify the provider
Rationale: A fundal height less than expected may indicate intrauterine growth restriction,
requiring provider evaluation for further assessment.
, 3. A pregnant patient has a blood pressure of 140/90 mmHg at 28 weeks. What is
the priority nursing action?
a) Ignore the blood pressure
b) Assess for preeclampsia symptoms and notify the provider
c) Administer diuretics
d) Encourage a high-sodium diet
Answer: b) Assess for preeclampsia symptoms and notify the provider
Rationale: Elevated blood pressure may indicate preeclampsia, requiring assessment for
symptoms like headache, edema, or proteinuria.
4. A patient at 16 weeks gestation reports no fetal movement. What is the priority
nursing response?
a) Reassure the patient that this is normal
b) Assess fetal heart tones
c) Administer oxygen
d) Restrict fluids
Answer: a) Reassure the patient that this is normal
Rationale: Fetal movement is typically felt between 18–25 weeks; absence at 16 weeks is normal
but requires reassurance to alleviate anxiety.
5. A pregnant patient is Rh-negative. What is the priority nursing intervention?
a) Ignore Rh status
b) Administer RhoGAM at 28 weeks
c) Restrict prenatal visits
d) Administer iron supplements
Answer: b) Administer RhoGAM at 28 weeks
Rationale: RhoGAM prevents Rh isoimmunization in Rh-negative mothers, typically
administered at 28 weeks to protect against sensitization.
6. A patient at 24 weeks gestation has a 15% increase in weight gain. What is the
priority nursing action?
a) Encourage a low-calorie diet
b) Assess for edema and notify the provider
c) Ignore the weight gain
d) Restrict fluids
Answer: b) Assess for edema and notify the provider
Rationale: Excessive weight gain may indicate fluid retention or preeclampsia, requiring
assessment and provider consultation.
7. A pregnant patient reports nausea and vomiting at 10 weeks gestation. What is
the priority nursing intervention?
a) Restrict all oral intake
b) Provide dietary education and antiemetics as prescribed
c) Administer IV fluids immediately
d) Ignore the symptoms
Answer: b) Provide dietary education and antiemetics as prescribed
Maternal Health | Galen College | Actual Exam Review
This updated 2025/2026 NSG 3500 Exam 2 review focuses on the core principles of
Maternal Health Nursing at Galen College. It includes 50 verified and practice-based
questions designed to strengthen understanding of pregnancy, labor and delivery, postpartum
care, and newborn adaptation. All content is aligned with the latest evidence-based nursing
standards and NCLEX-RN competencies.
Key Focus Areas:
Prenatal care, fetal monitoring, stages of labor, pain management, postpartum complications,
maternal assessment, and patient safety interventions.
Answer Format
All correct answers are highlighted in bold and green, with concise rationales provided to
reinforce clinical reasoning and exam readiness for the 2025/2026 Maternal Health
module.
Questions 1–50
Prenatal Care and Assessment (15 Questions)
1. A pregnant patient at 12 weeks gestation reports mild spotting. What is the
priority nursing action?
a) Encourage bedrest without assessment
b) Assess the amount and notify the provider
c) Administer pain medication
d) Ignore the spotting
Answer: b) Assess the amount and notify the provider
Rationale: Spotting in early pregnancy may indicate a miscarriage or ectopic pregnancy,
requiring assessment and provider notification to ensure timely intervention.
2. A patient at 20 weeks gestation has a fundal height of 18 cm. What is the priority
nursing action?
a) Ignore the measurement
b) Document and notify the provider
c) Restrict fluids
d) Encourage ambulation
Answer: b) Document and notify the provider
Rationale: A fundal height less than expected may indicate intrauterine growth restriction,
requiring provider evaluation for further assessment.
, 3. A pregnant patient has a blood pressure of 140/90 mmHg at 28 weeks. What is
the priority nursing action?
a) Ignore the blood pressure
b) Assess for preeclampsia symptoms and notify the provider
c) Administer diuretics
d) Encourage a high-sodium diet
Answer: b) Assess for preeclampsia symptoms and notify the provider
Rationale: Elevated blood pressure may indicate preeclampsia, requiring assessment for
symptoms like headache, edema, or proteinuria.
4. A patient at 16 weeks gestation reports no fetal movement. What is the priority
nursing response?
a) Reassure the patient that this is normal
b) Assess fetal heart tones
c) Administer oxygen
d) Restrict fluids
Answer: a) Reassure the patient that this is normal
Rationale: Fetal movement is typically felt between 18–25 weeks; absence at 16 weeks is normal
but requires reassurance to alleviate anxiety.
5. A pregnant patient is Rh-negative. What is the priority nursing intervention?
a) Ignore Rh status
b) Administer RhoGAM at 28 weeks
c) Restrict prenatal visits
d) Administer iron supplements
Answer: b) Administer RhoGAM at 28 weeks
Rationale: RhoGAM prevents Rh isoimmunization in Rh-negative mothers, typically
administered at 28 weeks to protect against sensitization.
6. A patient at 24 weeks gestation has a 15% increase in weight gain. What is the
priority nursing action?
a) Encourage a low-calorie diet
b) Assess for edema and notify the provider
c) Ignore the weight gain
d) Restrict fluids
Answer: b) Assess for edema and notify the provider
Rationale: Excessive weight gain may indicate fluid retention or preeclampsia, requiring
assessment and provider consultation.
7. A pregnant patient reports nausea and vomiting at 10 weeks gestation. What is
the priority nursing intervention?
a) Restrict all oral intake
b) Provide dietary education and antiemetics as prescribed
c) Administer IV fluids immediately
d) Ignore the symptoms
Answer: b) Provide dietary education and antiemetics as prescribed
