NU 170
EXAM 3
Tested Questions with Rationales
Maternal-Child Nursing
Galen College of Nursing
This Document Description:
This document contains a collection of 50 tested
and verified questions with accurate answers from
Exam 3 of NU 170 at the Galen College of Nursing.
It covers core topics assessed in the course and
reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,### 1. The nurse preceptor and newly hired nurse are
discussing possible maternal complications following the
delivery of a newborn with fetal macrosomia. Which of the
following complications is appropriate for the newly hired
nurse to identify as a priority?
A. Uterine atony
B. Postpartum depression
C. Preeclampsia
D. Urinary tract infection
Correct Answer: A. Uterine atony
Rationale:
Fetal macrosomia significantly increases the risk for uterine atony
—a failure of the uterus to contract effectively after delivery—
leading to postpartum hemorrhage, which is a leading cause of
maternal morbidity and mortality. Identifying and prioritizing
uterine atony is essential in the immediate postpartum period to
prevent hemorrhage. Other options, while possible complications,
are less immediate threats after fetal macrosomia delivery.
---
### 2. The nurse is reinforcing teaching with a client who
is in active labor and is experiencing significant back pain
with each contraction about how to relieve the back pain.
Which of the following client statements indicates that
further teaching is necessary?
A. "I will use counter-pressure on my back during contractions."
B. "I will lie down in a flat reclining chair."
C. "I will try warm compresses on my lower back."
D. "I will change positions frequently to find comfort."
,Correct Answer: B. "I will lie down in a flat reclining chair."
Rationale:
Lying flat in a reclining chair is generally not recommended during
labor because it can decrease pelvic dimensions, worsening back
pain and potentially hindering labor progress. Effective back pain
relief includes counter-pressure, position changes, and warm
compresses. Therefore, this statement indicates
misunderstanding and the need for further teaching.
---
### 3. The nurse manager and the newly hired nurse are
reviewing the newborn Apgar score. Which of the
following assessment categories identified by the newly
hired nurse indicates the need for additional teaching?
A. Heart rate
B. Respiration
C. Temperature
D. Muscle tone
Correct Answer: C. Temperature
Rationale:
The Apgar score includes five criteria: heart rate, respiratory
effort, muscle tone, reflex irritability, and color. Temperature is not
part of the Apgar score assessment. Misidentifying temperature
as a component indicates a need for additional teaching on
neonatal assessment.
---
, ### 4. The nurse is caring for a client who is in labor and
has had spontaneous rupture of membranes with a large
amount of clear fluid noted. Which of the following
observations by the nurse indicates head compression?
A. Early decelerations
B. Late decelerations
C. Variable decelerations
D. Tachycardia
Correct Answer: A. Early decelerations
Rationale:
Early decelerations are caused by fetal head compression during
contractions and typically mirror contractions in timing without
indicating fetal distress. Late decelerations reflect uteroplacental
insufficiency, and variable decelerations are usually due to cord
compression.
---
### 5. The charge nurse in the maternity unit is
observing the unlicensed assistive personnel (UAP)
provide care to clients. Which of the following
observations by the charge nurse requires immediate
intervention?
A. Assisting the client with ambulation
B. Measuring the client’s vital signs
C. Instructing the client on how to use an incentive spirometer
D. Assisting the client with personal hygiene
Correct Answer: C. Instructing the client on how to use an
incentive spirometer
EXAM 3
Tested Questions with Rationales
Maternal-Child Nursing
Galen College of Nursing
This Document Description:
This document contains a collection of 50 tested
and verified questions with accurate answers from
Exam 3 of NU 170 at the Galen College of Nursing.
It covers core topics assessed in the course and
reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,### 1. The nurse preceptor and newly hired nurse are
discussing possible maternal complications following the
delivery of a newborn with fetal macrosomia. Which of the
following complications is appropriate for the newly hired
nurse to identify as a priority?
A. Uterine atony
B. Postpartum depression
C. Preeclampsia
D. Urinary tract infection
Correct Answer: A. Uterine atony
Rationale:
Fetal macrosomia significantly increases the risk for uterine atony
—a failure of the uterus to contract effectively after delivery—
leading to postpartum hemorrhage, which is a leading cause of
maternal morbidity and mortality. Identifying and prioritizing
uterine atony is essential in the immediate postpartum period to
prevent hemorrhage. Other options, while possible complications,
are less immediate threats after fetal macrosomia delivery.
---
### 2. The nurse is reinforcing teaching with a client who
is in active labor and is experiencing significant back pain
with each contraction about how to relieve the back pain.
Which of the following client statements indicates that
further teaching is necessary?
A. "I will use counter-pressure on my back during contractions."
B. "I will lie down in a flat reclining chair."
C. "I will try warm compresses on my lower back."
D. "I will change positions frequently to find comfort."
,Correct Answer: B. "I will lie down in a flat reclining chair."
Rationale:
Lying flat in a reclining chair is generally not recommended during
labor because it can decrease pelvic dimensions, worsening back
pain and potentially hindering labor progress. Effective back pain
relief includes counter-pressure, position changes, and warm
compresses. Therefore, this statement indicates
misunderstanding and the need for further teaching.
---
### 3. The nurse manager and the newly hired nurse are
reviewing the newborn Apgar score. Which of the
following assessment categories identified by the newly
hired nurse indicates the need for additional teaching?
A. Heart rate
B. Respiration
C. Temperature
D. Muscle tone
Correct Answer: C. Temperature
Rationale:
The Apgar score includes five criteria: heart rate, respiratory
effort, muscle tone, reflex irritability, and color. Temperature is not
part of the Apgar score assessment. Misidentifying temperature
as a component indicates a need for additional teaching on
neonatal assessment.
---
, ### 4. The nurse is caring for a client who is in labor and
has had spontaneous rupture of membranes with a large
amount of clear fluid noted. Which of the following
observations by the nurse indicates head compression?
A. Early decelerations
B. Late decelerations
C. Variable decelerations
D. Tachycardia
Correct Answer: A. Early decelerations
Rationale:
Early decelerations are caused by fetal head compression during
contractions and typically mirror contractions in timing without
indicating fetal distress. Late decelerations reflect uteroplacental
insufficiency, and variable decelerations are usually due to cord
compression.
---
### 5. The charge nurse in the maternity unit is
observing the unlicensed assistive personnel (UAP)
provide care to clients. Which of the following
observations by the charge nurse requires immediate
intervention?
A. Assisting the client with ambulation
B. Measuring the client’s vital signs
C. Instructing the client on how to use an incentive spirometer
D. Assisting the client with personal hygiene
Correct Answer: C. Instructing the client on how to use an
incentive spirometer
