NR 327 Maternal-Child Nursing Week 6 Study Guide 2026
|Chamberlain College
1. A nurse is monitoring a client with preeclampsia who is receiving magnesium
sulfate. Which finding should the nurse report to the provider immediately?
A. Urinary output of 40 mL/hr
B. Deep tendon reflexes of 2+
C. Respiratory rate of 10/min
D. Blood pressure of 150/95 mmHg
Answer: C
Rationale: A respiratory rate below 12/min is a sign of magnesium toxicity. Standard
monitoring includes assessing reflexes, urine output, and respiratory status.
2. Which medication is the antidote for magnesium sulfate toxicity?
A. Naloxone
B. Terbutaline
C. Calcium gluconate
D. Hydralazine
Answer: C
Rationale: Calcium gluconate is the specific antagonist for magnesium sulfate and should
be kept at the bedside during infusion.
,3. A client at 32 weeks gestation is diagnosed with preterm labor. Which
medication should the nurse anticipate administering to promote fetal lung
maturity?
A. Betamethasone
B. Indomethacin
C. Magnesium sulfate
D. Nifedipine
Answer: A
Rationale: Betamethasone is a corticosteroid given to the mother to stimulate fetal
surfactant production, reducing the risk of respiratory distress syndrome.
4. The nurse is caring for a client with HELLP syndrome. What does the ‘EL’ in
HELLP stand for?
A. Elevated Lactate
B. Elevated Lipids
C. Elevated Liver enzymes
D. Endothelial Lesions
Answer: C
Rationale: HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelets.
5. A client with gestational diabetes is undergoing a nonstress test (NST). What
defines a ‘reactive’ result?
A. The absence of decelerations over a 40-minute period
B. One acceleration of 10 bpm lasting 10 seconds
C. A baseline heart rate of 110-160 bpm without variability
D. Two or more accelerations of at least 15 bpm for 15 seconds within 20 minutes
Answer: D
Rationale: A reactive NST requires at least two accelerations meeting the 15x15 criteria
(for 32+ weeks) within a 20-minute window.
, 6. Which clinical finding is the classic sign of placenta previa?
A. Painless, bright red vaginal bleeding
B. Rigid, board-like abdomen
C. Painful vaginal bleeding
D. Severe lower back pain
Answer: A
Rationale: Placenta previa typically presents with painless bright red bleeding, whereas
abruptio placentae is characterized by painful dark red bleeding and abdominal rigidity.
7. What is the primary risk for an infant born to a mother with gestational
diabetes?
A. Hyperglycemia
B. Hypercalcemia
C. Hypoglycemia
D. Anemia
Answer: C
Rationale: After birth, the neonate no longer receives high levels of maternal glucose but
still has high insulin levels, leading to rapid drop in blood sugar.
8. A nurse is assessing a client with abruptio placentae. Which of the following is
a potential complication?
A. Disseminated Intravascular Coagulation (DIC)
B. Hyperthyroidism
C. Placenta accreta
D. Polyhydramnios
Answer: A
Rationale: Abruptio placentae releases large amounts of tissue thromboplastin into the
circulation, which can trigger DIC.
|Chamberlain College
1. A nurse is monitoring a client with preeclampsia who is receiving magnesium
sulfate. Which finding should the nurse report to the provider immediately?
A. Urinary output of 40 mL/hr
B. Deep tendon reflexes of 2+
C. Respiratory rate of 10/min
D. Blood pressure of 150/95 mmHg
Answer: C
Rationale: A respiratory rate below 12/min is a sign of magnesium toxicity. Standard
monitoring includes assessing reflexes, urine output, and respiratory status.
2. Which medication is the antidote for magnesium sulfate toxicity?
A. Naloxone
B. Terbutaline
C. Calcium gluconate
D. Hydralazine
Answer: C
Rationale: Calcium gluconate is the specific antagonist for magnesium sulfate and should
be kept at the bedside during infusion.
,3. A client at 32 weeks gestation is diagnosed with preterm labor. Which
medication should the nurse anticipate administering to promote fetal lung
maturity?
A. Betamethasone
B. Indomethacin
C. Magnesium sulfate
D. Nifedipine
Answer: A
Rationale: Betamethasone is a corticosteroid given to the mother to stimulate fetal
surfactant production, reducing the risk of respiratory distress syndrome.
4. The nurse is caring for a client with HELLP syndrome. What does the ‘EL’ in
HELLP stand for?
A. Elevated Lactate
B. Elevated Lipids
C. Elevated Liver enzymes
D. Endothelial Lesions
Answer: C
Rationale: HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelets.
5. A client with gestational diabetes is undergoing a nonstress test (NST). What
defines a ‘reactive’ result?
A. The absence of decelerations over a 40-minute period
B. One acceleration of 10 bpm lasting 10 seconds
C. A baseline heart rate of 110-160 bpm without variability
D. Two or more accelerations of at least 15 bpm for 15 seconds within 20 minutes
Answer: D
Rationale: A reactive NST requires at least two accelerations meeting the 15x15 criteria
(for 32+ weeks) within a 20-minute window.
, 6. Which clinical finding is the classic sign of placenta previa?
A. Painless, bright red vaginal bleeding
B. Rigid, board-like abdomen
C. Painful vaginal bleeding
D. Severe lower back pain
Answer: A
Rationale: Placenta previa typically presents with painless bright red bleeding, whereas
abruptio placentae is characterized by painful dark red bleeding and abdominal rigidity.
7. What is the primary risk for an infant born to a mother with gestational
diabetes?
A. Hyperglycemia
B. Hypercalcemia
C. Hypoglycemia
D. Anemia
Answer: C
Rationale: After birth, the neonate no longer receives high levels of maternal glucose but
still has high insulin levels, leading to rapid drop in blood sugar.
8. A nurse is assessing a client with abruptio placentae. Which of the following is
a potential complication?
A. Disseminated Intravascular Coagulation (DIC)
B. Hyperthyroidism
C. Placenta accreta
D. Polyhydramnios
Answer: A
Rationale: Abruptio placentae releases large amounts of tissue thromboplastin into the
circulation, which can trigger DIC.
