NUR 230 Maternal & Pediatric Nursing Exam 6 2026 |Galen College
1. According to Erikson’s stages of psychosocial development, which stage is a 2-
year-old child navigating?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B
Rationale: Toddlers aged 1 to 3 years are in the Autonomy vs. Shame and Doubt stage,
focusing on developing a sense of personal control over physical skills.
2. A nurse is caring for a patient receiving Magnesium Sulfate for preeclampsia.
Which medication should be readily available as an antidote?
A. Calcium Gluconate
B. Naloxone
C. Protamine Sulfate
D. Atropine
Answer: A
Rationale: Calcium gluconate is the specific antidote for magnesium sulfate toxicity, which
can cause respiratory depression and loss of deep tendon reflexes.
,3. A pregnant woman at 32 weeks gestation presents with painless, bright red
vaginal bleeding. Which condition should the nurse suspect?
A. Placenta Previa
B. Abruptio Placentae
C. Ectopic Pregnancy
D. Uterine Rupture
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the
second or third trimester.
4. Which clinical finding is most characteristic of Abruptio Placentae?
A. Severe abdominal pain and a board-like abdomen
B. Soft, non-tender uterus
C. Painless bleeding
D. Hyperactive bowel sounds
Answer: A
Rationale: Abruptio placentae involves the premature separation of the placenta, causing
painful, dark red bleeding and uterine rigidity (board-like abdomen).
5. A 3-year-old is brought to the ER with a ‘barking’ cough and inspiratory
stridor. What is the most likely diagnosis?
A. Asthma
B. Cystic Fibrosis
C. Bronchiolitis
D. Croup (Laryngotracheobronchitis)
Answer: D
Rationale: Croup is characterized by edema of the larynx and trachea, resulting in a
distinct barking cough and stridor.
, 6. Children with Cystic Fibrosis require the administration of pancreatic
enzymes. When should these be given?
A. Once daily in the morning
B. With every meal and snack
C. Only before bedtime
D. Immediately after vomiting
Answer: B
Rationale: Pancreatic enzymes must be taken with all meals and snacks to assist in the
digestion and absorption of fats and proteins.
7. A 6-week-old infant presents with projectile vomiting and a palpable olive-
shaped mass in the epigastrium. What is the suspected condition?
A. Intussusception
B. Pyloric Stenosis
C. Hirschsprung Disease
D. Gastroesophageal Reflux
Answer: B
Rationale: Pyloric stenosis causes narrowing of the pyloric sphincter, leading to projectile
vomiting and a characteristic olive-shaped mass.
8. Which type of stool is associated with Intussusception?
A. Ribbon-like stools
B. Steatorrhea (fatty stools)
C. Clay-colored stools
D. Currant jelly-like stools
Answer: D
Rationale: Intussusception causes intestinal obstruction and vascular compromise,
resulting in stools mixed with blood and mucus, often called currant jelly stools.
1. According to Erikson’s stages of psychosocial development, which stage is a 2-
year-old child navigating?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B
Rationale: Toddlers aged 1 to 3 years are in the Autonomy vs. Shame and Doubt stage,
focusing on developing a sense of personal control over physical skills.
2. A nurse is caring for a patient receiving Magnesium Sulfate for preeclampsia.
Which medication should be readily available as an antidote?
A. Calcium Gluconate
B. Naloxone
C. Protamine Sulfate
D. Atropine
Answer: A
Rationale: Calcium gluconate is the specific antidote for magnesium sulfate toxicity, which
can cause respiratory depression and loss of deep tendon reflexes.
,3. A pregnant woman at 32 weeks gestation presents with painless, bright red
vaginal bleeding. Which condition should the nurse suspect?
A. Placenta Previa
B. Abruptio Placentae
C. Ectopic Pregnancy
D. Uterine Rupture
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the
second or third trimester.
4. Which clinical finding is most characteristic of Abruptio Placentae?
A. Severe abdominal pain and a board-like abdomen
B. Soft, non-tender uterus
C. Painless bleeding
D. Hyperactive bowel sounds
Answer: A
Rationale: Abruptio placentae involves the premature separation of the placenta, causing
painful, dark red bleeding and uterine rigidity (board-like abdomen).
5. A 3-year-old is brought to the ER with a ‘barking’ cough and inspiratory
stridor. What is the most likely diagnosis?
A. Asthma
B. Cystic Fibrosis
C. Bronchiolitis
D. Croup (Laryngotracheobronchitis)
Answer: D
Rationale: Croup is characterized by edema of the larynx and trachea, resulting in a
distinct barking cough and stridor.
, 6. Children with Cystic Fibrosis require the administration of pancreatic
enzymes. When should these be given?
A. Once daily in the morning
B. With every meal and snack
C. Only before bedtime
D. Immediately after vomiting
Answer: B
Rationale: Pancreatic enzymes must be taken with all meals and snacks to assist in the
digestion and absorption of fats and proteins.
7. A 6-week-old infant presents with projectile vomiting and a palpable olive-
shaped mass in the epigastrium. What is the suspected condition?
A. Intussusception
B. Pyloric Stenosis
C. Hirschsprung Disease
D. Gastroesophageal Reflux
Answer: B
Rationale: Pyloric stenosis causes narrowing of the pyloric sphincter, leading to projectile
vomiting and a characteristic olive-shaped mass.
8. Which type of stool is associated with Intussusception?
A. Ribbon-like stools
B. Steatorrhea (fatty stools)
C. Clay-colored stools
D. Currant jelly-like stools
Answer: D
Rationale: Intussusception causes intestinal obstruction and vascular compromise,
resulting in stools mixed with blood and mucus, often called currant jelly stools.
