NSG 3500 EXAM 4 – NURSING PRACTICE
MATERNAL HEALTH (GALEN COLLEGE OF
NURSING) 2026–2027 VERIFIED Q&A
, NSG 3500 Exam 4 – Nursing Practice:
Maternal Health (Galen College of
Nursing) 2026–2027 | 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 ✅
MATERNAL HEALTH (GALEN COLLEGE OF
NURSING) 2026–2027 VERIFIED Q&A
, NSG 3500 Exam 4 – Nursing Practice:
Maternal Health (Galen College of
Nursing) 2026–2027 | 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 ✅
