NUR 230 MATERNAL EXAM 3 NEWEST 2026-2027
WITH COMPLETE QUESTIONS AND CORRECT
ANSWERS |BRAND NEW VERSION!
1. A priority nursing assessment for a woman with
preeclampsia is:
A. Deep tendon reflexes
B. Fundal height
C. Fetal lie
D. Cervical dilation
Answer: A
Rationale: Hyperreflexia indicates CNS irritability and risk for
eclampsia.
2. Which medication is commonly used to prevent seizures in
severe preeclampsia?
A. Oxytocin
B. Magnesium sulfate
C. Terbutaline
D. Betamethasone
Answer: B
Rationale: Magnesium sulfate depresses the CNS and prevents
seizures.
,3. A therapeutic magnesium sulfate level is:
A. 1–2 mEq/L
B. 2–4 mEq/L
C. 4–7 mEq/L
D. 8–10 mEq/L
Answer: C
Rationale: The therapeutic range for seizure prevention is 4–7
mEq/L.
4. Which finding indicates magnesium toxicity?
A. Urine output 40 mL/hr
B. Respiratory rate 10/min
C. Patellar reflex +2
D. BP 140/90
Answer: B
Rationale: Respiratory depression is an early sign of magnesium
toxicity.
5. The antidote for magnesium sulfate toxicity is:
A. Naloxone
B. Calcium gluconate
C. Vitamin K
D. Protamine sulfate
,Answer: B
Rationale: Calcium gluconate reverses magnesium toxicity.
6. A client with placenta previa will most likely present with:
A. Painful bleeding
B. Bright red painless bleeding
C. Dark bleeding with clots
D. Severe abdominal pain
Answer: B
Rationale: Placenta previa classically causes painless bright red
bleeding.
7. The priority action for suspected placental abruption is:
A. Perform vaginal exam
B. Monitor fetal status
C. Encourage ambulation
D. Give oral fluids
Answer: B
Rationale: Abruption threatens fetal oxygenation; fetal
monitoring is priority.
8. Which condition is associated with painful vaginal bleeding?
, A. Placenta previa
B. Placental abruption
C. Cervical insufficiency
D. Hydatidiform mole
Answer: B
Rationale: Placental abruption typically causes painful bleeding
and uterine tenderness.
9. A client at 28 weeks has regular contractions. First nursing
action:
A. Encourage walking
B. Assess contraction pattern
C. Prepare for delivery
D. Give oxytocin
Answer: B
Rationale: Assessment comes before interventions.
10. Betamethasone is given in preterm labor to:
A. Stop contractions
B. Mature fetal lungs
C. Prevent infection
D. Increase amniotic fluid
Answer: B
Rationale: Corticosteroids accelerate fetal lung maturity.
WITH COMPLETE QUESTIONS AND CORRECT
ANSWERS |BRAND NEW VERSION!
1. A priority nursing assessment for a woman with
preeclampsia is:
A. Deep tendon reflexes
B. Fundal height
C. Fetal lie
D. Cervical dilation
Answer: A
Rationale: Hyperreflexia indicates CNS irritability and risk for
eclampsia.
2. Which medication is commonly used to prevent seizures in
severe preeclampsia?
A. Oxytocin
B. Magnesium sulfate
C. Terbutaline
D. Betamethasone
Answer: B
Rationale: Magnesium sulfate depresses the CNS and prevents
seizures.
,3. A therapeutic magnesium sulfate level is:
A. 1–2 mEq/L
B. 2–4 mEq/L
C. 4–7 mEq/L
D. 8–10 mEq/L
Answer: C
Rationale: The therapeutic range for seizure prevention is 4–7
mEq/L.
4. Which finding indicates magnesium toxicity?
A. Urine output 40 mL/hr
B. Respiratory rate 10/min
C. Patellar reflex +2
D. BP 140/90
Answer: B
Rationale: Respiratory depression is an early sign of magnesium
toxicity.
5. The antidote for magnesium sulfate toxicity is:
A. Naloxone
B. Calcium gluconate
C. Vitamin K
D. Protamine sulfate
,Answer: B
Rationale: Calcium gluconate reverses magnesium toxicity.
6. A client with placenta previa will most likely present with:
A. Painful bleeding
B. Bright red painless bleeding
C. Dark bleeding with clots
D. Severe abdominal pain
Answer: B
Rationale: Placenta previa classically causes painless bright red
bleeding.
7. The priority action for suspected placental abruption is:
A. Perform vaginal exam
B. Monitor fetal status
C. Encourage ambulation
D. Give oral fluids
Answer: B
Rationale: Abruption threatens fetal oxygenation; fetal
monitoring is priority.
8. Which condition is associated with painful vaginal bleeding?
, A. Placenta previa
B. Placental abruption
C. Cervical insufficiency
D. Hydatidiform mole
Answer: B
Rationale: Placental abruption typically causes painful bleeding
and uterine tenderness.
9. A client at 28 weeks has regular contractions. First nursing
action:
A. Encourage walking
B. Assess contraction pattern
C. Prepare for delivery
D. Give oxytocin
Answer: B
Rationale: Assessment comes before interventions.
10. Betamethasone is given in preterm labor to:
A. Stop contractions
B. Mature fetal lungs
C. Prevent infection
D. Increase amniotic fluid
Answer: B
Rationale: Corticosteroids accelerate fetal lung maturity.
