NUR 230 Maternal & Pediatric Nursing Exam 6 2026 |Galen College
1. A nurse is caring for a client who is at 36 weeks of gestation and has painless,
bright red vaginal bleeding. Which of the following conditions should the nurse
suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Uterine rupture
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding during
the second or third trimester. Abruptio placentae usually involves painful bleeding and
abdominal rigidity.
2. A nurse is monitoring a client who is receiving magnesium sulfate for
preeclampsia. Which of the following findings is a priority to report to the
provider?
A. Respiratory rate of 10/min
B. Generalized pruritus
C. Urinary output of 40 mL/hr
D. Deep tendon reflexes of 2+
Answer: A
Rationale: A respiratory rate of less than 12/min is a sign of magnesium toxicity and
requires immediate intervention, including stopping the infusion and potentially
administering calcium gluconate.
,3. A nurse is assessing a newborn 1 minute after birth and observes: HR
110/min, slow/irregular respiration, some flexion of extremities, grimace in
response to suctioning, and a pink body with blue extremities. What is the
APGAR score?
A. 6
B. 5
C. 7
D. 8
Answer: A
Rationale: HR > 100 (2), Slow/irregular resp (1), Some flexion (1), Grimace (1), Pink
body/blue extremes (1). Total = 6.
4. A nurse is providing teaching to a parent of a child with cystic fibrosis. Which
of the following instructions should be included regarding pancreatic enzymes?
A. Administer enzymes with every meal and snack
B. Give enzymes once daily in the morning
C. Administer enzymes 2 hours after meals
D. Skip enzymes if the child is having a high-fat meal
Answer: A
Rationale: Pancreatic enzymes must be taken with all meals and snacks to assist in the
digestion and absorption of nutrients, as the pancreatic duct is blocked by thick mucus in
CF.
, 5. A nurse is caring for a child who has tetralogy of Fallot and is experiencing a
hypercyanotic (‘tet’) spell. Which of the following actions should the nurse take
first?
A. Administer 100% oxygen via face mask
B. Administer morphine sulfate intravenous
C. Start an intravenous line for fluid resuscitation
D. Place the child in the knee-chest position
Answer: D
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves oxygenation during a tet spell.
6. Which of the following findings should the nurse identify as a sign of true
labor?
A. Contractions that subside with walking
B. Pain felt primarily in the upper abdomen
C. Contractions that are irregular in frequency
D. Cervical changes such as effacement and dilation
Answer: D
Rationale: True labor is defined by progressive cervical changes (effacement and dilation)
regardless of the contraction pattern.
7. A nurse is assessing a 6-month-old infant. Which of the following
developmental milestones should the nurse expect the infant to have achieved?
A. Walking with assistance
B. Turning from back to stomach
C. Sitting steadily without support
D. Using a pincer grasp
Answer: B
1. A nurse is caring for a client who is at 36 weeks of gestation and has painless,
bright red vaginal bleeding. Which of the following conditions should the nurse
suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Uterine rupture
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding during
the second or third trimester. Abruptio placentae usually involves painful bleeding and
abdominal rigidity.
2. A nurse is monitoring a client who is receiving magnesium sulfate for
preeclampsia. Which of the following findings is a priority to report to the
provider?
A. Respiratory rate of 10/min
B. Generalized pruritus
C. Urinary output of 40 mL/hr
D. Deep tendon reflexes of 2+
Answer: A
Rationale: A respiratory rate of less than 12/min is a sign of magnesium toxicity and
requires immediate intervention, including stopping the infusion and potentially
administering calcium gluconate.
,3. A nurse is assessing a newborn 1 minute after birth and observes: HR
110/min, slow/irregular respiration, some flexion of extremities, grimace in
response to suctioning, and a pink body with blue extremities. What is the
APGAR score?
A. 6
B. 5
C. 7
D. 8
Answer: A
Rationale: HR > 100 (2), Slow/irregular resp (1), Some flexion (1), Grimace (1), Pink
body/blue extremes (1). Total = 6.
4. A nurse is providing teaching to a parent of a child with cystic fibrosis. Which
of the following instructions should be included regarding pancreatic enzymes?
A. Administer enzymes with every meal and snack
B. Give enzymes once daily in the morning
C. Administer enzymes 2 hours after meals
D. Skip enzymes if the child is having a high-fat meal
Answer: A
Rationale: Pancreatic enzymes must be taken with all meals and snacks to assist in the
digestion and absorption of nutrients, as the pancreatic duct is blocked by thick mucus in
CF.
, 5. A nurse is caring for a child who has tetralogy of Fallot and is experiencing a
hypercyanotic (‘tet’) spell. Which of the following actions should the nurse take
first?
A. Administer 100% oxygen via face mask
B. Administer morphine sulfate intravenous
C. Start an intravenous line for fluid resuscitation
D. Place the child in the knee-chest position
Answer: D
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves oxygenation during a tet spell.
6. Which of the following findings should the nurse identify as a sign of true
labor?
A. Contractions that subside with walking
B. Pain felt primarily in the upper abdomen
C. Contractions that are irregular in frequency
D. Cervical changes such as effacement and dilation
Answer: D
Rationale: True labor is defined by progressive cervical changes (effacement and dilation)
regardless of the contraction pattern.
7. A nurse is assessing a 6-month-old infant. Which of the following
developmental milestones should the nurse expect the infant to have achieved?
A. Walking with assistance
B. Turning from back to stomach
C. Sitting steadily without support
D. Using a pincer grasp
Answer: B
