RNSG 1517 A Maternity Exam | Complete Questions with Correct Answers and Detailed Rationales - Latest Update 2026

RNSG 1517 A MATERNITY EXAM | COMPLETE
QUESTIONS WITH CORRECT ANSWERS AND DETAILED
RATIONALES - LATEST UPDATE 2026




1.uAunurseuisuassessinguauclientuatu39uweeks'ugestationuwhoureportsuausuddenugushuofuclearufluidufr
omutheuvagina.uWhatuisutheunurse'supriorityuaction?



A.uPerformuaudigitaluvaginaluexamination.

B.uAssessutheufetaluhearturate.

C.uEncourageutheuclientutouambulate.

D.uAdministeruoxytocin.



CorrectuAnswer:uB.uAssessutheufetaluhearturate.



Rationale:



B:uCorrect.uAfteruruptureuofumembranes,utheupriorityuisuassessingutheufetaluhearturateubecauseuum
bilicalucorduprolapseucanuoccur,uleadingutoufetaluhypoxia.

A:uIncorrect.uAudigitaluexamuincreasesuinfectionuriskuandushouldubeuavoideduunlessunecessary.

C:uIncorrect.uAmbulationushoulduwaituuntilufetaluwell-beinguisuconfirmed.

D:uIncorrect.uOxytocinuisunotutheuimmediateupriority.

2.uWhichufindinguisutheuearliestusignuofufetaluhypoxiauduringulabor?



A.uFetalutachycardia

,B.uVariableudecelerations

C.uLateudecelerations

D.uBradycardia



CorrectuAnswer:uA.uFetalutachycardia



Rationale:



A:uCorrect.uPersistentufetalutachycardiauisuoftenuanuearlyusignuofufetalustressuoruhypoxia.

B:uUsuallyuindicatesucorducompression.

C:uIndicatesuuteroplacentaluinsufficiencyuanduisumoreuconcerning.

D:uAulateusignurequiringuimmediateuintervention.

3.uWhichuhormoneuisuprimarilyuresponsibleuforumaintainingupregnancyuduringutheufirstutrimester?



A.uOxytocin

B.uProgesterone

C.uProlactin

D.uEstrogen



CorrectuAnswer:uB.uProgesterone



Rationale:



Progesteroneumaintainsutheuuterineulining,udecreasesuuterineucontractions,uandusupportsuimplant
ation.

Oxytocinustimulatesulabor.

,Prolactinupromotesumilkuproduction.

Estrogenupromotesuuterineugrowthubutuisunotutheuprimaryuhormoneumaintainingupregnancy.

4.uAupostpartumuclientuhasuauboggyuuterusuanduheavyuvaginalubleeding.uWhatushouldutheunurseudo
ufirst?




A.uNotifyutheuprovider.

B.uMassageutheuuterineufundus.

C.uAdministerupainumedication.

D.uIncreaseuIVufluids.



CorrectuAnswer:uB.uMassageutheuuterineufundus.



Rationale:

Uterineuatonyuisutheumostucommonucauseuofupostpartumuhemorrhage.uFundalumassageupromotes
uuterineucontractionuanduisutheufirstuintervention.




5.uWhichunewbornufindingurequiresuimmediateuintervention?



A.uRespiratoryurateuofu42/min

B.uAcrocyanosis

C.uCentralucyanosis

D.uHearturateuofu140/min



CorrectuAnswer:uC.uCentralucyanosis



Rationale:

, Centralucyanosisuindicatesuinadequateuoxygenationuandurequiresuimmediateuevaluation.uTheuothe
rufindingsuareuexpecteduinuauhealthyunewborn.



6.uAuclientureceivingumagnesiumusulfateuforusevereupreeclampsiaudevelopsuabsentudeeputendonure
flexes.uWhatushouldutheunurseudo?



A.uIncreaseutheuinfusion.

B.uContinueumonitoring.

C.uStoputheuinfusionuandunotifyutheuprovider.

D.uEncourageuambulation.



CorrectuAnswer:uC.uStoputheuinfusionuandunotifyutheuprovider.



Rationale:

Absentureflexesuareuanuearlyusignuofumagnesiumutoxicity.uTheuinfusionushouldubeustopped,uanduthe
uproviderunotified.uCalciumugluconateuisutheuantidote.




7.uWhichufindinguisuexpecteduduringutheufirstustageuofulabor?



A.uDeliveryuofutheuplacenta

B.uCervicaludilationufromu0–10ucm

C.uBirthuofutheuinfant

D.uRepairuofuanuepisiotomy



CorrectuAnswer:uB.uCervicaludilationufromu0–10ucm



Rationale: