NSG 1517 A MATERNITY EXAM STUDY GUIDE | TESTBANK |
R
PRACTICE QUESTIONS & ANSWERS | EXAM PREPARATION |
ADVANCED REVIEW | COMPREHENSIVE PRACTICE EXAM |
LATEST UPDATE 2026/2027
xaminer:
E
Institution-specific (RNSG 1517 is a nursing course; the official examining
organization is the college or nursing program administering the course.)
TABLE OF CONTENTS
1 . Foundations of Maternity Nursing
2. Reproductive Anatomy and Physiology
3. Prenatal Care and Assessment
4. Fetal Development
5. Maternal Nutrition
6. Antepartum Complications
7. Intrapartum Nursing Care
8. Fetal Monitoring and Interpretation
9. Pain Management During Labor
10.Obstetric Emergencies
11.Postpartum Nursing Care
12.Newborn Assessment and Care
13.High-Risk Pregnancy
14.Maternal Pharmacology
15.Neonatal Complications
16.Patient Education
17.Ethical and Legal Considerations
18.Family-Centered Care
19.Clinical Decision-Making
20.Comprehensive Practice Questions
ATERNITY NURSING || PRENATAL CARE || FETAL ASSESSMENT || LABOR
M
AND DELIVERY || POSTPARTUM CARE || NEWBORN CARE || OBSTETRIC
EMERGENCIES || FETAL HEART RATE MONITORING || HIGH-RISK
PREGNANCY || MATERNAL PHARMACOLOGY || LACTATION || PATIENT
EDUCATION || CLINICAL JUDGMENT || SAFETY || EVIDENCE-BASED
PRACTICE || EXAM PREPARATION || TESTBANK || ADVANCED REVIEW ||
CERTIFICATION EXAM || LATEST UPDATE 2026/2027
,QUESTION 1.
gravida 2 para 1 woman at 34 weeks' gestation presents with painless, bright
A
red vaginal bleeding. Her vital signs are stable, and the fetal heart rate tracing is
reassuring. Which nursing intervention is the priority?
. Prepare the client for a sterile vaginal examination.
A
B. Place the client on bed rest and notify the healthcare provider immediately.
C. Administer oxytocin to reduce bleeding.
D. Encourage the client to ambulate to assess tolerance.
orrect Answer: B. Place the client on bed rest and notify the
C
healthcare provider immediately.
xplanation: Painless bright red bleeding in the third trimester is
E
highly suggestive of placenta previa. A vaginal examination is
contraindicated until placental location has been confirmed because
it can provoke severe hemorrhage. Oxytocin is inappropriate in this
situation, and ambulation may worsen bleeding.
────────────────────────────────────────
QUESTION 2.
laboring patient demonstrates recurrent late decelerations with minimal
A
variability despite maternal repositioning. Which intervention should the nurse
perform next?
. Increase the oxytocin infusion.
A
B. Administer oxygen and discontinue the oxytocin infusion.
C. Encourage the patient to begin pushing.
D. Perform fundal pressure during contractions.
orrect Answer: B. Administer oxygen and discontinue the
C
oxytocin infusion.
xplanation: Recurrent late decelerations indicate uteroplacental
E
insufficiency. The priority is to improve fetal oxygenation by
discontinuing uterotonic agents, administering oxygen as prescribed,
and implementing intrauterine resuscitation measures. Increasing
, o xytocin or encouraging pushing would further compromise fetal
status.
────────────────────────────────────────
QUESTION 3.
postpartum client develops a boggy uterus with heavy lochia 20 minutes after
A
delivery. After calling for assistance, what should the nurse do first?
. Begin vigorous fundal massage.
A
B. Obtain a complete blood count.
C. Administer prophylactic antibiotics.
D. Assist the client to breastfeed before assessment.
Correct Answer: A. Begin vigorous fundal massage.
xplanation: A boggy uterus is most commonly caused by uterine
E
atony, the leading cause of postpartum hemorrhage. Immediate
fundal massage promotes uterine contraction and is the first nursing
intervention while additional treatments are being prepared.
Laboratory testing and antibiotics do not address the immediate
cause of bleeding.
────────────────────────────────────────
QUESTION 4.
fetus at 30 weeks' gestation demonstrates recurrent variable decelerations
A
during labor. Which underlying mechanism most likely explains this pattern?
. Maternal hypotension after epidural placement
A
B. Uteroplacental insufficiency
C. Umbilical cord compression
D. Fetal sleep cycle
Correct Answer: C. Umbilical cord compression.
xplanation: Variable decelerations are abrupt decreases in fetal
E
heart rate caused by intermittent umbilical cord compression.
Maternal hypotension more commonly contributes to late
, d ecelerations through decreased uteroplacental perfusion. A fetal
sleep cycle does not produce repetitive variable decelerations.
────────────────────────────────────────
QUESTION 5.
nurse assesses a client with severe preeclampsia receiving magnesium sulfate.
A
Which assessment finding requires immediate intervention?
. Respiratory rate of 10 breaths/minute
A
B. Blood pressure of 156/98 mmHg
C. Deep tendon reflexes graded 2+
D. Urine output of 40 mL/hour
Correct Answer: A. Respiratory rate of 10 breaths/minute
xplanation: Respiratory depression is a serious sign of magnesium
E
toxicity and requires immediate action, including stopping the
infusion and preparing calcium gluconate if prescribed. Therapeutic
reflexes and adequate urine output suggest appropriate drug
metabolism, while elevated blood pressure alone is expected in severe
preeclampsia.
────────────────────────────────────────
QUESTION 6.
nurse teaches a primigravida about fetal movement counting. Which
A
statement by the client indicates correct understanding?
. "I should count fetal movements only after meals."
A
B. "I will notify my provider if I notice a significant decrease in fetal
movement."
C. "Fetal movement should stop during the last month of pregnancy."
D. "Ten movements over 24 hours is always reassuring."
orrect Answer: B. "I will notify my provider if I notice a
C
significant decrease in fetal movement."
xplanation: A noticeable reduction in fetal movement may indicate
E
fetal compromise and warrants prompt evaluation. Kick-count
R
PRACTICE QUESTIONS & ANSWERS | EXAM PREPARATION |
ADVANCED REVIEW | COMPREHENSIVE PRACTICE EXAM |
LATEST UPDATE 2026/2027
xaminer:
E
Institution-specific (RNSG 1517 is a nursing course; the official examining
organization is the college or nursing program administering the course.)
TABLE OF CONTENTS
1 . Foundations of Maternity Nursing
2. Reproductive Anatomy and Physiology
3. Prenatal Care and Assessment
4. Fetal Development
5. Maternal Nutrition
6. Antepartum Complications
7. Intrapartum Nursing Care
8. Fetal Monitoring and Interpretation
9. Pain Management During Labor
10.Obstetric Emergencies
11.Postpartum Nursing Care
12.Newborn Assessment and Care
13.High-Risk Pregnancy
14.Maternal Pharmacology
15.Neonatal Complications
16.Patient Education
17.Ethical and Legal Considerations
18.Family-Centered Care
19.Clinical Decision-Making
20.Comprehensive Practice Questions
ATERNITY NURSING || PRENATAL CARE || FETAL ASSESSMENT || LABOR
M
AND DELIVERY || POSTPARTUM CARE || NEWBORN CARE || OBSTETRIC
EMERGENCIES || FETAL HEART RATE MONITORING || HIGH-RISK
PREGNANCY || MATERNAL PHARMACOLOGY || LACTATION || PATIENT
EDUCATION || CLINICAL JUDGMENT || SAFETY || EVIDENCE-BASED
PRACTICE || EXAM PREPARATION || TESTBANK || ADVANCED REVIEW ||
CERTIFICATION EXAM || LATEST UPDATE 2026/2027
,QUESTION 1.
gravida 2 para 1 woman at 34 weeks' gestation presents with painless, bright
A
red vaginal bleeding. Her vital signs are stable, and the fetal heart rate tracing is
reassuring. Which nursing intervention is the priority?
. Prepare the client for a sterile vaginal examination.
A
B. Place the client on bed rest and notify the healthcare provider immediately.
C. Administer oxytocin to reduce bleeding.
D. Encourage the client to ambulate to assess tolerance.
orrect Answer: B. Place the client on bed rest and notify the
C
healthcare provider immediately.
xplanation: Painless bright red bleeding in the third trimester is
E
highly suggestive of placenta previa. A vaginal examination is
contraindicated until placental location has been confirmed because
it can provoke severe hemorrhage. Oxytocin is inappropriate in this
situation, and ambulation may worsen bleeding.
────────────────────────────────────────
QUESTION 2.
laboring patient demonstrates recurrent late decelerations with minimal
A
variability despite maternal repositioning. Which intervention should the nurse
perform next?
. Increase the oxytocin infusion.
A
B. Administer oxygen and discontinue the oxytocin infusion.
C. Encourage the patient to begin pushing.
D. Perform fundal pressure during contractions.
orrect Answer: B. Administer oxygen and discontinue the
C
oxytocin infusion.
xplanation: Recurrent late decelerations indicate uteroplacental
E
insufficiency. The priority is to improve fetal oxygenation by
discontinuing uterotonic agents, administering oxygen as prescribed,
and implementing intrauterine resuscitation measures. Increasing
, o xytocin or encouraging pushing would further compromise fetal
status.
────────────────────────────────────────
QUESTION 3.
postpartum client develops a boggy uterus with heavy lochia 20 minutes after
A
delivery. After calling for assistance, what should the nurse do first?
. Begin vigorous fundal massage.
A
B. Obtain a complete blood count.
C. Administer prophylactic antibiotics.
D. Assist the client to breastfeed before assessment.
Correct Answer: A. Begin vigorous fundal massage.
xplanation: A boggy uterus is most commonly caused by uterine
E
atony, the leading cause of postpartum hemorrhage. Immediate
fundal massage promotes uterine contraction and is the first nursing
intervention while additional treatments are being prepared.
Laboratory testing and antibiotics do not address the immediate
cause of bleeding.
────────────────────────────────────────
QUESTION 4.
fetus at 30 weeks' gestation demonstrates recurrent variable decelerations
A
during labor. Which underlying mechanism most likely explains this pattern?
. Maternal hypotension after epidural placement
A
B. Uteroplacental insufficiency
C. Umbilical cord compression
D. Fetal sleep cycle
Correct Answer: C. Umbilical cord compression.
xplanation: Variable decelerations are abrupt decreases in fetal
E
heart rate caused by intermittent umbilical cord compression.
Maternal hypotension more commonly contributes to late
, d ecelerations through decreased uteroplacental perfusion. A fetal
sleep cycle does not produce repetitive variable decelerations.
────────────────────────────────────────
QUESTION 5.
nurse assesses a client with severe preeclampsia receiving magnesium sulfate.
A
Which assessment finding requires immediate intervention?
. Respiratory rate of 10 breaths/minute
A
B. Blood pressure of 156/98 mmHg
C. Deep tendon reflexes graded 2+
D. Urine output of 40 mL/hour
Correct Answer: A. Respiratory rate of 10 breaths/minute
xplanation: Respiratory depression is a serious sign of magnesium
E
toxicity and requires immediate action, including stopping the
infusion and preparing calcium gluconate if prescribed. Therapeutic
reflexes and adequate urine output suggest appropriate drug
metabolism, while elevated blood pressure alone is expected in severe
preeclampsia.
────────────────────────────────────────
QUESTION 6.
nurse teaches a primigravida about fetal movement counting. Which
A
statement by the client indicates correct understanding?
. "I should count fetal movements only after meals."
A
B. "I will notify my provider if I notice a significant decrease in fetal
movement."
C. "Fetal movement should stop during the last month of pregnancy."
D. "Ten movements over 24 hours is always reassuring."
orrect Answer: B. "I will notify my provider if I notice a
C
significant decrease in fetal movement."
xplanation: A noticeable reduction in fetal movement may indicate
E
fetal compromise and warrants prompt evaluation. Kick-count
