NUR 418 EXAM 3 (CONCORDIA) NEWEST 2026
ACTUAL EXAM TEST BANK| NUR 418 NURSING CARE
OF THE CHILDBEARING FAMILY EXAM 3 REVIEW WITH
400 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
1. A nurse is caring for a client with preterm premature
rupture of membranes (PPROM) at 32 weeks. Which
assessment finding requires immediate intervention?
A. Maternal temperature 38.2°C (100.8°F)
B. Fetal heart rate 155 bpm with moderate variability
C. White blood cell count 12,000/mm³
D. Amniotic fluid with a clear, light yellow color
Answer: A (Maternal fever suggests chorioamnionitis, requiring
antibiotics and possible delivery.)
2. A patient with active herpes simplex virus (HSV) lesions at
term is admitted in labor. Which action is most appropriate?
A. Plan for vaginal delivery with antivirals
B. Perform artificial rupture of membranes
1
,C. Prepare for cesarean section
D. Apply acyclovir cream to lesions hourly
Answer: C (Cesarean delivery prevents neonatal HSV exposure;
vaginal birth risks neonatal infection.)
3. A nurse notes variable decelerations on the fetal monitor.
Which intervention is priority?
A. Increase IV oxytocin
B. Reposition the mother to lateral
C. Prepare for immediate vacuum delivery
D. Administer terbutaline
Answer: B (Variable decels often due to cord compression;
repositioning relieves pressure.)
4. A macrosomic infant is suspected. Which maternal
condition is most associated?
A. Gestational hypertension
B. Pregestational diabetes
C. Anemia
D. Hyperemesis gravidarum
Answer: B (Maternal hyperglycemia leads to fetal
hyperinsulinemia and macrosomia.)
2
,5. After an eclamptic seizure, which maternal assessment is
priority?
A. Deep tendon reflexes
B. Urine output
C. Fetal heart rate
D. Oxygen saturation
Answer: D (Airway/oxygenation first; then fetal status and
reflexes.)
6. A nurse administers magnesium sulfate for severe
preeclampsia. Which finding indicates toxicity?
A. Respiratory rate 14/min
B. Patellar reflex 2+
C. Urine output 35 mL/hour
D. Absent patellar reflex
Answer: D (Loss of DTRs is early toxicity; respiratory depression
follows.)
7. Which medication is first-line for postpartum hemorrhage
due to uterine atony?
A. Methylergonovine
B. Carboprost
3
, C. Misoprostol
D. Oxytocin
Answer: D (Oxytocin is first-line; others are adjuncts if bleeding
continues.)
8. A laboring patient with prolapsed cord is in a knee-chest
position. What is the priority nursing action?
A. Immediately push the presenting part upward
B. Administer oxygen at 2L nasal cannula
C. Prepare for emergency cesarean
D. Increase IV fluids to 200 mL/hour
Answer: C (Relieve pressure on cord and prepare for rapid
delivery.)
9. What is the earliest sign of uterine rupture in a patient with
a prior C-section?
A. Severe vaginal bleeding
B. Sudden fetal bradycardia
C. Maternal hypotension
D. Loss of contractions
Answer: B (Fetal distress often precedes maternal signs in
uterine rupture.)
4
ACTUAL EXAM TEST BANK| NUR 418 NURSING CARE
OF THE CHILDBEARING FAMILY EXAM 3 REVIEW WITH
400 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
1. A nurse is caring for a client with preterm premature
rupture of membranes (PPROM) at 32 weeks. Which
assessment finding requires immediate intervention?
A. Maternal temperature 38.2°C (100.8°F)
B. Fetal heart rate 155 bpm with moderate variability
C. White blood cell count 12,000/mm³
D. Amniotic fluid with a clear, light yellow color
Answer: A (Maternal fever suggests chorioamnionitis, requiring
antibiotics and possible delivery.)
2. A patient with active herpes simplex virus (HSV) lesions at
term is admitted in labor. Which action is most appropriate?
A. Plan for vaginal delivery with antivirals
B. Perform artificial rupture of membranes
1
,C. Prepare for cesarean section
D. Apply acyclovir cream to lesions hourly
Answer: C (Cesarean delivery prevents neonatal HSV exposure;
vaginal birth risks neonatal infection.)
3. A nurse notes variable decelerations on the fetal monitor.
Which intervention is priority?
A. Increase IV oxytocin
B. Reposition the mother to lateral
C. Prepare for immediate vacuum delivery
D. Administer terbutaline
Answer: B (Variable decels often due to cord compression;
repositioning relieves pressure.)
4. A macrosomic infant is suspected. Which maternal
condition is most associated?
A. Gestational hypertension
B. Pregestational diabetes
C. Anemia
D. Hyperemesis gravidarum
Answer: B (Maternal hyperglycemia leads to fetal
hyperinsulinemia and macrosomia.)
2
,5. After an eclamptic seizure, which maternal assessment is
priority?
A. Deep tendon reflexes
B. Urine output
C. Fetal heart rate
D. Oxygen saturation
Answer: D (Airway/oxygenation first; then fetal status and
reflexes.)
6. A nurse administers magnesium sulfate for severe
preeclampsia. Which finding indicates toxicity?
A. Respiratory rate 14/min
B. Patellar reflex 2+
C. Urine output 35 mL/hour
D. Absent patellar reflex
Answer: D (Loss of DTRs is early toxicity; respiratory depression
follows.)
7. Which medication is first-line for postpartum hemorrhage
due to uterine atony?
A. Methylergonovine
B. Carboprost
3
, C. Misoprostol
D. Oxytocin
Answer: D (Oxytocin is first-line; others are adjuncts if bleeding
continues.)
8. A laboring patient with prolapsed cord is in a knee-chest
position. What is the priority nursing action?
A. Immediately push the presenting part upward
B. Administer oxygen at 2L nasal cannula
C. Prepare for emergency cesarean
D. Increase IV fluids to 200 mL/hour
Answer: C (Relieve pressure on cord and prepare for rapid
delivery.)
9. What is the earliest sign of uterine rupture in a patient with
a prior C-section?
A. Severe vaginal bleeding
B. Sudden fetal bradycardia
C. Maternal hypotension
D. Loss of contractions
Answer: B (Fetal distress often precedes maternal signs in
uterine rupture.)
4
