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NUR230/ NUR 230 Final Exam: (Latest 2026/ 2027 Update) Childbearing and Pediatric Nursing: OB/Mother-Baby & Peds Comprehensive Review| Study Questions| Grade A| 100% Correct (Verified Solutions) – Galen

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INSTANT PDF DOWNLOAD — This comprehensive final exam study resource for NUR 230 at Galen College of Nursing covers Childbearing and Pediatric Nursing for the 2026/2027 academic year final examination. It features verified questions and answers with detailed rationales in multiple-choice, select-all-that-apply (SATA), ordered response, and clinical scenario formats aligned with nursing program standards. FINAL EXAM COMPREHENSIVE REVIEW – PEDIATRIC NURSING PEDIATRIC DEVELOPMENTAL MILESTONES Infancy (Birth to 12 Months) Newborn (Birth to 1 Month) – Gross motor: flexed posture, head lag, turns head side to side when prone. Primitive reflexes: Moro (startle), rooting, sucking, palmar grasp, plantar grasp, Babinski (toes fan), stepping, tonic neck (fencing). Fine motor: hands fisted, grasp reflex, tracks objects to midline. Social/cognitive: cries to communicate, comforts with touch, beginning eye contact. 1-3 Months – Gross motor: raises head and chest when prone (45-90 degrees), head control improving, bears weight on forearms. Fine motor: holds rattle briefly, hands more open, tracks past midline, brings hands to mouth. Social/cognitive: social smile (2-3 months), coos, recognizes familiar faces, turns head to sound. 4-6 Months – Gross motor: rolls front to back (4-5 months), back to front (5-6 months), sits with support (5 months), sits alone briefly (6 months – tripod position), bears weight on legs when held standing. Fine motor: grasps objects voluntarily (4 months), palmar grasp, transfers hand to hand (6 months), reaches with one hand, brings objects to mouth. Social/cognitive: babbles (consonant-vowel combinations), laughs, recognizes strangers (stranger anxiety emerging 6 months), responds to name (5-6 months). 7-9 Months – Gross motor: sits alone steadily (7-8 months), crawls (7-10 months), pulls to stand (8-9 months), cruises along furniture (9 months). Fine motor: pincer grasp emerging (8-9 months), bangs objects, rakes objects, finger feeds. Social/cognitive: stranger anxiety peaks (8-9 months), separation anxiety (9-12 months), object permanence develops (Piaget – understands object exists when out of sight), plays pat-a-cake, waves bye-bye. 10-12 Months – Gross motor: stands alone briefly (10-11 months), walks with help (11 months), stands alone well (11-12 months), may take first independent steps (12 months). Fine motor: mature pincer grasp (10-12 months), puts objects into container, imitates scribbling, gives toy on request. Social/cognitive: says "mama/dada" specifically (10-12 months), understands simple commands ("no"), plays peek-a-boo, separation anxiety peaks. Toddlerhood (1-3 Years) 13-18 Months – Gross motor: walks alone (13-15 months), runs stiffly (15-18 months), climbs stairs with help, pulls/pushes toys. Fine motor: builds tower of 2-3 blocks, scribbles spontaneously, uses spoon with spilling, drinks from cup. Language: 4-10 words by 15 months, 10-25 words by 18 months, points to body parts. Social/cognitive: parallel play (plays alongside not with others), imitates adults, temper tantrums emerging. 19-24 Months (2 Years) – Gross motor: runs well, kicks ball, climbs stairs with alternating feet (2-3 steps), jumps in place. Fine motor: builds tower of 6-7 blocks, turns pages one at a time, draws vertical/circular strokes, removes shoes and clothing. Language: 100-300 words, 2-3 word phrases, follows 2-step commands. Social/cognitive: parallel play continues, says "no", ritualism, toilet training readiness (stays dry 2+ hours, expresses need, pulls pants up/down). Preschool (3-5 Years) 3 Years – Gross motor: hops on one foot (1-2 hops), walks up stairs alternating feet, pedals tricycle, catches ball. Fine motor: copies circle and cross, draws person with 2-4 body parts, cuts with scissors, buttons large buttons. Language: 900-1,000 words, 4-5 word sentences, knows colors, asks "why" questions. Social/cognitive: cooperative play begins, imaginary friends common, magical thinking, fears (dark, monsters). Erikson: initiative vs guilt. 4 Years – Gross motor: hops on one foot (5+ hops), walks down stairs alternating feet, throws ball overhand, rides tricycle skillfully. Fine motor: copies square, draws person with 3-6 body parts, dresses independently. Language: 1,500-2,000 words, 4-5 word sentences, knows colors, counts to 5-10. Social/cognitive: cooperative play more advanced, imaginary play elaborate, tests limits, Erikson: initiative vs guilt. 5 Years – Gross motor: skips, jumps rope, walks backward, balances on one foot (5-10 seconds), rides bicycle with training wheels. Fine motor: prints first name, copies triangle, draws person with 6+

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NUR 230 Final Childbearing and
Pediatric Nursing 2026/2027 Study
Questions with Verified Answers and
Detailed Rationales Grade A - Galen



1. What does the nursing process (ADPIE) stand for?

Correct Answer: Assessment, Diagnosis, Planning, Implementation,

Evaluation.

Rationale:

1. The nursing process is a systematic framework for patient care.

2. It is cyclical and dynamic, not linear.

3. It is a problem-solving approach that is patient-centered and outcome-

oriented.



2. What is subjective data?

Correct Answer: Health history; what the patient says about himself or

herself.

,2|Page


Rationale:

1. Subjective data is information reported by the patient.

2. It cannot be observed or measured by the nurse.

3. Examples include pain, nausea, dizziness, and anxiety.



3. What is objective data?

Correct Answer: What you observe; physical exam: inspection,

percussion, palpation, auscultation.

Rationale:

1. Objective data is observable and measurable.

2. It is collected through physical examination and vital signs.

3. Examples include blood pressure, temperature, wound appearance, and

edema.



4. How does a nurse decide what health-promotion activities are

necessary for a particular client?

Correct Answer: Nurses collaborate with clients to identify areas in

which clients are willing to make changes.

Rationale:

1. Health promotion is most effective when the client is motivated.

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2. Collaboration respects client autonomy and preferences.

3. Identify areas where the client is willing to change.



5. A nursing instructor is discussing the purposes of health assessment.

What is one purpose of health assessment?

Correct Answer: To establish a database against which subsequent

assessments can be measured.

Rationale:

1. A baseline database is established on admission.

2. Subsequent assessments are compared to baseline.

3. Changes indicate improvement or deterioration.



6. A nurse provides care for a client with an elevated temperature. The

client is given the prescribed medication and the nurse checks the

client's temperature at repeated intervals. What step of the nursing

process is the nurse using to determine if the client has achieved the

outcome criteria of the treatment?

Correct Answer: Evaluation.

Rationale:

1. Evaluation measures progress toward goals.

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