Western Governors University
CCN: NURS 3120
Course Number: D447
Course Title: Women's and Children's Nursing
Exam: Final Assessment
Date:2026
A 28-year-old gravida 2 para 1 woman at 34 weeks’ gestation
presents with severe headache, blurred vision, epigastric pain,
and blood pressure of 170/110 mmHg. Urinalysis reveals
proteinuria. Which nursing intervention is the priority?
A. Encourage ambulation to improve circulation
B. Prepare for magnesium sulfate administration and seizure
precautions
C. Restrict fluid intake completely
D. Place the patient in Trendelenburg position
Correct Answer: B
Rationale: The patient has severe preeclampsia. Magnesium
sulfate prevents eclamptic seizures, and seizure precautions are
essential.
---
True or False: Magnesium sulfate toxicity may present with
absent deep tendon reflexes and respiratory depression.
,Correct Answer: True
Rationale: Loss of reflexes and respiratory depression are early
signs of magnesium toxicity requiring immediate intervention.
---
Fill in the blank: The presence of painless vaginal bleeding
during the third trimester is characteristic of placenta
__________.
Correct Answer: previa
Rationale: Placenta previa occurs when the placenta implants
over or near the cervical os, causing painless bleeding.
---
A laboring patient experiences sudden severe abdominal pain,
cessation of contractions, and fetal bradycardia. Which obstetric
emergency should the nurse suspect?
A. Placenta previa
B. Uterine rupture
C. Hyperemesis gravidarum
D. Hydatidiform mole
Correct Answer: B
Rationale: Uterine rupture presents with severe pain, fetal
distress, and cessation of contractions and is life-threatening.
---
,A postpartum patient develops excessive vaginal bleeding and a
boggy uterus. Which nursing action is priority?
A. Begin fundal massage
B. Encourage ambulation
C. Insert an indwelling catheter immediately
D. Place the patient flat without assessment
Correct Answer: A
Rationale: Uterine atony is the leading cause of postpartum
hemorrhage, and fundal massage promotes uterine contraction.
---
True or False: Oxytocin is commonly administered postpartum to
promote uterine contraction and reduce hemorrhage risk.
Correct Answer: True
Rationale: Oxytocin stimulates uterine contractions and
minimizes postpartum bleeding.
---
A newborn exhibits tachypnea, nasal flaring, grunting, and chest
retractions shortly after birth. Which condition should the nurse
suspect?
A. Neonatal sepsis
B. Respiratory distress syndrome
C. Physiologic jaundice
D. Hydrocephalus
, Correct Answer: B
Rationale: Respiratory distress syndrome results from surfactant
deficiency and is common in premature infants.
---
Fill in the blank: The neonatal condition caused by elevated
unconjugated bilirubin levels leading to yellow discoloration of
the skin is called neonatal __________.
Correct Answer: jaundice
Rationale: Hyperbilirubinemia causes jaundice and may lead to
kernicterus if severe.
---
A nurse is assessing fetal well-being during labor. Which fetal
heart rate finding requires immediate intervention?
A. Baseline heart rate of 140 bpm
B. Moderate variability
C. Late decelerations
D. Accelerations with fetal movement
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental
insufficiency and fetal hypoxia.
---
A pregnant patient at 30 weeks reports sudden gush of clear
vaginal fluid. Nitrazine testing is positive. Which complication is
CCN: NURS 3120
Course Number: D447
Course Title: Women's and Children's Nursing
Exam: Final Assessment
Date:2026
A 28-year-old gravida 2 para 1 woman at 34 weeks’ gestation
presents with severe headache, blurred vision, epigastric pain,
and blood pressure of 170/110 mmHg. Urinalysis reveals
proteinuria. Which nursing intervention is the priority?
A. Encourage ambulation to improve circulation
B. Prepare for magnesium sulfate administration and seizure
precautions
C. Restrict fluid intake completely
D. Place the patient in Trendelenburg position
Correct Answer: B
Rationale: The patient has severe preeclampsia. Magnesium
sulfate prevents eclamptic seizures, and seizure precautions are
essential.
---
True or False: Magnesium sulfate toxicity may present with
absent deep tendon reflexes and respiratory depression.
,Correct Answer: True
Rationale: Loss of reflexes and respiratory depression are early
signs of magnesium toxicity requiring immediate intervention.
---
Fill in the blank: The presence of painless vaginal bleeding
during the third trimester is characteristic of placenta
__________.
Correct Answer: previa
Rationale: Placenta previa occurs when the placenta implants
over or near the cervical os, causing painless bleeding.
---
A laboring patient experiences sudden severe abdominal pain,
cessation of contractions, and fetal bradycardia. Which obstetric
emergency should the nurse suspect?
A. Placenta previa
B. Uterine rupture
C. Hyperemesis gravidarum
D. Hydatidiform mole
Correct Answer: B
Rationale: Uterine rupture presents with severe pain, fetal
distress, and cessation of contractions and is life-threatening.
---
,A postpartum patient develops excessive vaginal bleeding and a
boggy uterus. Which nursing action is priority?
A. Begin fundal massage
B. Encourage ambulation
C. Insert an indwelling catheter immediately
D. Place the patient flat without assessment
Correct Answer: A
Rationale: Uterine atony is the leading cause of postpartum
hemorrhage, and fundal massage promotes uterine contraction.
---
True or False: Oxytocin is commonly administered postpartum to
promote uterine contraction and reduce hemorrhage risk.
Correct Answer: True
Rationale: Oxytocin stimulates uterine contractions and
minimizes postpartum bleeding.
---
A newborn exhibits tachypnea, nasal flaring, grunting, and chest
retractions shortly after birth. Which condition should the nurse
suspect?
A. Neonatal sepsis
B. Respiratory distress syndrome
C. Physiologic jaundice
D. Hydrocephalus
, Correct Answer: B
Rationale: Respiratory distress syndrome results from surfactant
deficiency and is common in premature infants.
---
Fill in the blank: The neonatal condition caused by elevated
unconjugated bilirubin levels leading to yellow discoloration of
the skin is called neonatal __________.
Correct Answer: jaundice
Rationale: Hyperbilirubinemia causes jaundice and may lead to
kernicterus if severe.
---
A nurse is assessing fetal well-being during labor. Which fetal
heart rate finding requires immediate intervention?
A. Baseline heart rate of 140 bpm
B. Moderate variability
C. Late decelerations
D. Accelerations with fetal movement
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental
insufficiency and fetal hypoxia.
---
A pregnant patient at 30 weeks reports sudden gush of clear
vaginal fluid. Nitrazine testing is positive. Which complication is
