NUR 230 Maternal & Pediatric Nursing Final Exam Prep 2026 |Galen
College
1. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for an amniocentesis. For which of the following reasons should the
nurse prepare the client for an ultrasound prior to the procedure?
A. To estimate the fetal weight
B. To determine the fetal gender
C. To monitor fetal heart rate
D. To identify the location of the placenta and fetus
Answer: D
Rationale: An ultrasound is performed prior to an amniocentesis to locate the placenta
and the fetus to decrease the risk of injury during needle insertion.
2. A nurse is monitoring a client who is in the first stage of labor and has an
epidural block. The nurse notes the client’s blood pressure is 80/40 mmHg.
Which of the following actions should the nurse take first?
A. Increase the rate of IV fluid infusion
B. Administer oxygen via face mask
C. Place the client in a lateral position
D. Prepare to administer ephedrine
Answer: C
Rationale: Maternal hypotension is a common side effect of epidural anesthesia. The first
action should be to turn the client to a lateral position to increase venous return and
cardiac output.
,3. A nurse is teaching a parent of a 6-month-old infant about the introduction of
solid foods. Which of the following instructions should the nurse include?
A. Introduce new foods one at a time over 5 to 7 days
B. Mix fruit juice with cereal to increase vitamin C intake
C. Start with egg whites to provide high protein
D. Add honey to cereal to improve taste
Answer: A
Rationale: New foods should be introduced one at a time over a period of 5 to 7 days to
identify any potential food allergies or sensitivities.
4. A nurse is assessing a newborn who is 12 hours old. Which of the following
findings should the nurse report to the provider?
A. Acrocyanosis
B. Milia on the bridge of the nose
C. Erythema toxicum
D. Jaundice of the nose and forehead
Answer: D
Rationale: Jaundice occurring within the first 24 hours of life is pathological and should be
reported to the provider immediately.
5. A nurse is providing discharge teaching to a client who had a cesarean birth 3
days ago. Which of the following instructions should the nurse include?
A. Do not resume sexual intercourse until after your 6-week checkup
B. Avoid lifting anything heavier than your baby for 2 weeks
C. Shower every other day to protect the incision
D. You can begin doing sit-ups tomorrow
Answer: A
Rationale: Clients should generally wait until their 6-week postpartum checkup to resume
sexual intercourse to allow the cervix to close and the placental site to heal.
, 6. A nurse is caring for a 4-year-old child who has croup. Which of the following
clinical manifestations should the nurse expect?
A. Drooling and high fever
B. Wheezing and productive cough
C. Barking cough and stridor
D. Sore throat and difficulty swallowing
Answer: C
Rationale: Croup (laryngotracheobronchitis) is characterized by a distinctive ‘barking’
cough and inspiratory stridor due to upper airway inflammation.
7. A nurse is assessing a child who has nephrotic syndrome. Which of the
following findings should the nurse expect?
A. Hypernatremia
B. Gross hematuria
C. Proteinuria 4+
D. Decreased serum lipids
Answer: C
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and edema.
8. A nurse is caring for a client who is at 32 weeks of gestation and has preterm
labor. Which of the following medications should the nurse expect the provider
to prescribe to promote fetal lung maturity?
A. Nifedipine
B. Terbutaline
C. Indomethacin
D. Betamethasone
Answer: D
College
1. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for an amniocentesis. For which of the following reasons should the
nurse prepare the client for an ultrasound prior to the procedure?
A. To estimate the fetal weight
B. To determine the fetal gender
C. To monitor fetal heart rate
D. To identify the location of the placenta and fetus
Answer: D
Rationale: An ultrasound is performed prior to an amniocentesis to locate the placenta
and the fetus to decrease the risk of injury during needle insertion.
2. A nurse is monitoring a client who is in the first stage of labor and has an
epidural block. The nurse notes the client’s blood pressure is 80/40 mmHg.
Which of the following actions should the nurse take first?
A. Increase the rate of IV fluid infusion
B. Administer oxygen via face mask
C. Place the client in a lateral position
D. Prepare to administer ephedrine
Answer: C
Rationale: Maternal hypotension is a common side effect of epidural anesthesia. The first
action should be to turn the client to a lateral position to increase venous return and
cardiac output.
,3. A nurse is teaching a parent of a 6-month-old infant about the introduction of
solid foods. Which of the following instructions should the nurse include?
A. Introduce new foods one at a time over 5 to 7 days
B. Mix fruit juice with cereal to increase vitamin C intake
C. Start with egg whites to provide high protein
D. Add honey to cereal to improve taste
Answer: A
Rationale: New foods should be introduced one at a time over a period of 5 to 7 days to
identify any potential food allergies or sensitivities.
4. A nurse is assessing a newborn who is 12 hours old. Which of the following
findings should the nurse report to the provider?
A. Acrocyanosis
B. Milia on the bridge of the nose
C. Erythema toxicum
D. Jaundice of the nose and forehead
Answer: D
Rationale: Jaundice occurring within the first 24 hours of life is pathological and should be
reported to the provider immediately.
5. A nurse is providing discharge teaching to a client who had a cesarean birth 3
days ago. Which of the following instructions should the nurse include?
A. Do not resume sexual intercourse until after your 6-week checkup
B. Avoid lifting anything heavier than your baby for 2 weeks
C. Shower every other day to protect the incision
D. You can begin doing sit-ups tomorrow
Answer: A
Rationale: Clients should generally wait until their 6-week postpartum checkup to resume
sexual intercourse to allow the cervix to close and the placental site to heal.
, 6. A nurse is caring for a 4-year-old child who has croup. Which of the following
clinical manifestations should the nurse expect?
A. Drooling and high fever
B. Wheezing and productive cough
C. Barking cough and stridor
D. Sore throat and difficulty swallowing
Answer: C
Rationale: Croup (laryngotracheobronchitis) is characterized by a distinctive ‘barking’
cough and inspiratory stridor due to upper airway inflammation.
7. A nurse is assessing a child who has nephrotic syndrome. Which of the
following findings should the nurse expect?
A. Hypernatremia
B. Gross hematuria
C. Proteinuria 4+
D. Decreased serum lipids
Answer: C
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and edema.
8. A nurse is caring for a client who is at 32 weeks of gestation and has preterm
labor. Which of the following medications should the nurse expect the provider
to prescribe to promote fetal lung maturity?
A. Nifedipine
B. Terbutaline
C. Indomethacin
D. Betamethasone
Answer: D
