NU 170
FINAL EXAM
Tested Questions with Rationales
Maternal-Child Nursing
Galen College of Nursing
This Document Description:
This document contains a collection of 50 tested
and verified questions with accurate answers from
Final Exam of NU 170 at the Galen College of
Nursing. It covers core topics assessed in the
course and reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,### 1. The nurse is caring for a client who is 4 hours
postpartum and has discomfort in the perineal area.
Which of the following comfort measures should the nurse
offer?
A. Provide a chemical ice pack
B. Apply warm compresses
C. Encourage sitz baths immediately
D. Use a heating pad on the abdomen
Correct Answer: A. Provide a chemical ice pack
Rationale: Perineal edema and discomfort are common in the
early postpartum period. Applying a chemical ice pack or cold
compress helps reduce swelling and numb the area, providing
pain relief during the initial 24 hours postpartum. Warm
compresses and sitz baths are more appropriate after 24 hours to
promote circulation and healing.
---
### 2. The nurse is contributing to the plan of care for a
newborn's initial bath. Which of the following
interventions should the nurse include in the plan?
A. Bathe the head and scalp first to remove vernix promptly
B. Bathe the head and scalp last to prevent heat loss
C. Use only cold water for the bath to stimulate newborn alertness
D. Bath the newborn completely before drying
Correct Answer: B. Bathe the head and scalp last to prevent
heat loss
Rationale: Newborns lose heat rapidly through their heads.
Bathing the head and scalp last minimizes heat loss and helps
maintain body temperature during the bath. The bath should
,include warm water, and the newborn should be dried quickly
after the bath.
---
### 3. The nurse is caring for a newborn. Which of the
following findings is a priority for the nurse to follow up?
A. Blood pressure of 80/50 mm Hg and a pulse of 140
B. Blood pressure of 70/45 mm Hg and a pulse of 120
C. Blood pressure of 55/40 mm Hg and a pulse of 95
D. Blood pressure of 90/60 mm Hg and a pulse of 135
Correct Answer: C. Blood pressure of 55/40 mm Hg and a pulse
of 95
Rationale: A blood pressure of 55/40 mm Hg is low for a newborn
and may indicate cardiovascular compromise. Additionally, a
pulse of 95 is on the low side for a newborn (normal range 120-
160 bpm). This combination warrants immediate assessment for
shock, hypovolemia, or cardiac issues.
---
### 4. The nurse is caring for a 15-year-old client who is
uninvolved with her newborn and watches television.
Which of the following interventions is best to help
facilitate mother-infant attachment for this client?
A. Encourage the client to hold the newborn during feeding
B. Assist the client with washing the newborn
C. Provide education about infant cues
D. Arrange for social support counseling
Correct Answer: B. Assist the client with washing the newborn
, Rationale: Helping the adolescent mother physically care for her
newborn facilitates early bonding through tactile involvement and
nurturance. This hands-on approach can promote maternal
attachment by increasing comfort and confidence in caring for the
infant.
---
### 5. The nurse is caring for a female client at an
outpatient clinic who requests "the pill" for contraception.
Vital signs are within normal limits. Which of the following
questions is most important for the nurse to ask during
data collection?
A. "Do you have a history of blood clots?"
B. "How often do you use nicotine?"
C. "Are you currently breastfeeding?"
D. "Do you have frequent headaches?"
Correct Answer: B. "How often do you use nicotine?"
Rationale: Nicotine use significantly increases the risk of
thromboembolism with combined oral contraceptives, especially
in women over 35. Screening for tobacco use is critical in
prescribing oral contraceptives safely.
---
### 6. The nurse working in an outpatient clinic is asked
by a young couple, "Which method of contraception is the
best one to use?" Which of the following responses by the
nurse is most helpful?
A. "The one that has the highest efficacy."
B. "The best method is the one that you both agree upon and will
use consistently."
FINAL EXAM
Tested Questions with Rationales
Maternal-Child Nursing
Galen College of Nursing
This Document Description:
This document contains a collection of 50 tested
and verified questions with accurate answers from
Final Exam of NU 170 at the Galen College of
Nursing. It covers core topics assessed in the
course and reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,### 1. The nurse is caring for a client who is 4 hours
postpartum and has discomfort in the perineal area.
Which of the following comfort measures should the nurse
offer?
A. Provide a chemical ice pack
B. Apply warm compresses
C. Encourage sitz baths immediately
D. Use a heating pad on the abdomen
Correct Answer: A. Provide a chemical ice pack
Rationale: Perineal edema and discomfort are common in the
early postpartum period. Applying a chemical ice pack or cold
compress helps reduce swelling and numb the area, providing
pain relief during the initial 24 hours postpartum. Warm
compresses and sitz baths are more appropriate after 24 hours to
promote circulation and healing.
---
### 2. The nurse is contributing to the plan of care for a
newborn's initial bath. Which of the following
interventions should the nurse include in the plan?
A. Bathe the head and scalp first to remove vernix promptly
B. Bathe the head and scalp last to prevent heat loss
C. Use only cold water for the bath to stimulate newborn alertness
D. Bath the newborn completely before drying
Correct Answer: B. Bathe the head and scalp last to prevent
heat loss
Rationale: Newborns lose heat rapidly through their heads.
Bathing the head and scalp last minimizes heat loss and helps
maintain body temperature during the bath. The bath should
,include warm water, and the newborn should be dried quickly
after the bath.
---
### 3. The nurse is caring for a newborn. Which of the
following findings is a priority for the nurse to follow up?
A. Blood pressure of 80/50 mm Hg and a pulse of 140
B. Blood pressure of 70/45 mm Hg and a pulse of 120
C. Blood pressure of 55/40 mm Hg and a pulse of 95
D. Blood pressure of 90/60 mm Hg and a pulse of 135
Correct Answer: C. Blood pressure of 55/40 mm Hg and a pulse
of 95
Rationale: A blood pressure of 55/40 mm Hg is low for a newborn
and may indicate cardiovascular compromise. Additionally, a
pulse of 95 is on the low side for a newborn (normal range 120-
160 bpm). This combination warrants immediate assessment for
shock, hypovolemia, or cardiac issues.
---
### 4. The nurse is caring for a 15-year-old client who is
uninvolved with her newborn and watches television.
Which of the following interventions is best to help
facilitate mother-infant attachment for this client?
A. Encourage the client to hold the newborn during feeding
B. Assist the client with washing the newborn
C. Provide education about infant cues
D. Arrange for social support counseling
Correct Answer: B. Assist the client with washing the newborn
, Rationale: Helping the adolescent mother physically care for her
newborn facilitates early bonding through tactile involvement and
nurturance. This hands-on approach can promote maternal
attachment by increasing comfort and confidence in caring for the
infant.
---
### 5. The nurse is caring for a female client at an
outpatient clinic who requests "the pill" for contraception.
Vital signs are within normal limits. Which of the following
questions is most important for the nurse to ask during
data collection?
A. "Do you have a history of blood clots?"
B. "How often do you use nicotine?"
C. "Are you currently breastfeeding?"
D. "Do you have frequent headaches?"
Correct Answer: B. "How often do you use nicotine?"
Rationale: Nicotine use significantly increases the risk of
thromboembolism with combined oral contraceptives, especially
in women over 35. Screening for tobacco use is critical in
prescribing oral contraceptives safely.
---
### 6. The nurse working in an outpatient clinic is asked
by a young couple, "Which method of contraception is the
best one to use?" Which of the following responses by the
nurse is most helpful?
A. "The one that has the highest efficacy."
B. "The best method is the one that you both agree upon and will
use consistently."
