lOMoARcPSD|6879242
NSG 3500 Exam 4 – Nursing Practice: Maternal Health (Galen College of Nursing) 2025–2026 | 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
✅
messages.downloaded_by