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NSG 3500 Exam 4 | Maternity Actual Questions and Correct Answers (Verified Answers) plus Rationale | Already Graded A+ | New Update 2026/2027 | Galen College of Nursing

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 11 pages. Originally published on StudyMerit.

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11
Academic year
2025/2026
Language
English

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NSG 3500 Exam 4 – Nursing Practice: Maternal Health (Galen College of Nursing) 2025–2026 | Verified Q&A Review with Clinical Focus 1. A nurse is caring for a client at 36 weeks gestation who reports severe right upper quadrant pain and visual disturbances. Which condition should the nurse suspect? A. Placenta previa B. Preeclampsia with severe features ✅ C. HELLP syndrome D. Ectopic pregnancy 🩺 Rationale: ● Correct: Preeclampsia with severe features presents with RUQ/epigastric pain due to liver involvement, visual changes, and hypertension. ● Color Code: ○ 🟩 Key symptom: RUQ pain + vision issues → liver involvement. ○ 🟥 Incorrect: Placenta previa = painless bleeding; HELLP = lab-confirmed (low platelets, hemolysis). 2. During labor, a fetal heart rate shows late decelerations. What is the nurse’s first action? A. Increase Pitocin B. Turn the client to her left side ✅ messages.downloaded_by lOMoARcPSD|6879242

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C. Apply scalp electrode D. Notify the provider immediately 🩺 Rationale: ● Correct: Repositioning improves uteroplacental blood flow. ● Follow-up: Stop oxytocin, administer O ₂ , increase IV fluids. ● 🟩 Late decels = placental insufficiency → priority is maternal repositioning. 3. A client in active labor requests an epidural. Which assessment must be verified before the procedure? A. Fetal heart rate baseline B. Maternal platelet count ✅ C. Cervical dilation D. Presence of contractions 🩺 Rationale: ● Correct: Epidurals are contraindicated if platelets <100,000 (risk for epidural hematoma). ● 🟩 Check coagulation status first. 4. A postpartum client complains of persistent perineal pain unrelieved by analgesics. The nurse notes firm uterus and no vaginal bleeding. Which finding is suspected? A. Uterine atony B. Vaginal hematoma ✅ C. Endometritis D. Lochia rubra 🩺 Rationale: ● Correct: Firm fundus + pain + minimal bleeding = hematoma. ● 🟥 Uterine atony → boggy uterus + heavy bleeding. messages.downloaded_by lOMoARcPSD|6879242

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5. A nurse provides discharge teaching for a client with gestational diabetes. Which statement indicates understanding? A. “I’ll stop glucose checks once the baby is born.” **B. “I should monitor for hypoglycemia in my newborn.” ✅ C. “I’ll double my insulin dose after delivery.” D. “I can stop following my diet plan postpartum.” 🩺 Rationale: ● Correct: Infants of diabetic mothers are at risk for hypoglycemia post-delivery. ● 🟩 Monitor neonatal blood glucose closely. 6. Which newborn assessment finding requires immediate intervention? A. Caput succedaneum B. Acrocyanosis C. Nasal flaring with grunting ✅ D. Overlapping sutures 🩺 Rationale: ● Correct: Grunting + nasal flaring = respiratory distress. ● 🟥 Caput/acrocyanosis are normal transient findings. 7. A nurse is assessing a postpartum woman 2 hours after delivery. The fundus is midline and boggy. What’s the nurse’s first action? A. Notify provider B. Administer oxytocin C. Massage the fundus ✅ D. Assess lochia 🩺 Rationale: ● Correct: Uterine massage stimulates contraction to prevent hemorrhage. ● 🟩 Fundus should be firm and midline. messages.downloaded_by lOMoARcPSD|6879242

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