NUR254 | NUR254 Concepts of Nursing; The
Childbearing and Child Caring Families Exam 1
Version 3 Questions with Correct Answers and
Expert Explanation for Each Question | Galen
1. A nurse is calculating the estimated date of birth (EDB) for a client whose last
menstrual period began on May 10th. Using Naegele’s rule, which date should the
nurse document?
A. February 17th
B. February 10th
C. February 3rd
D. January 17th
Correct Answer: A
Expert Explanation: Naegele’s rule is a standard method used to predict the
estimated date of delivery. To calculate this, the nurse subtracts three months and
adds seven days to the first day of the last menstrual period. In this specific scenario,
moving back three months from May brings us to February. Adding seven days to
the 10th results in February 17th. This tool helps nurses establish a baseline for
monitoring fetal development throughout the pregnancy.
,2. Which developmental milestone should the nurse expect a healthy 12-month-old
infant to have achieved?
A. Tripling their birth weight
B. Walking independently
C. Speaking 50 words
D. Closing of the anterior fontanelle
Correct Answer: A
Expert Explanation: Infant growth is characterized by significant physical changes
during the first year of life. By the age of twelve months, an infant typically triples
their birth weight. While some infants may walk at one year, it is not a universal
milestone for every child at this exact age. The anterior fontanelle usually remains
open until 12 to 18 months of age. Monitoring these benchmarks allows the nurse to
assess nutritional status and overall health.
3. A nurse is teaching a pregnant client about nutrition. Which supplement is most
critical to prevent neural tube defects?
A. Vitamin C
B. Calcium
C. Iron
,D. Folic acid
Correct Answer: D
Expert Explanation: Folic acid is a vital B vitamin that supports the rapid cell
division occurring during early pregnancy. Adequate intake is proven to
significantly reduce the risk of neural tube defects like spina bifida. Nurses should
encourage women of childbearing age to consume 400 to 800 mcg daily. This
teaching is a priority during the first trimester when the spinal cord is forming.
Preventive education is a cornerstone of prenatal nursing care to ensure positive
neonatal outcomes.
4. According to Erikson, which psychosocial stage is the priority for an infant from
birth to 1 year?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Trust vs. Mistrust
Correct Answer: D
Expert Explanation: Erik Erikson’s theory focuses on the psychosocial
development of individuals across the lifespan. For infants, the primary task is
developing a sense of trust in their caregivers. Consistent care and meeting the
, infant’s basic needs for food and comfort are essential for this stage. If needs are not
met, the infant may develop a pervasive sense of mistrust. Nursing care should
emphasize bonding and responsive parenting to support this foundational
development.
5. When assessing a 2-month-old infant, the nurse notes the posterior fontanelle is
closed. What is the correct nursing action?
A. Assess for signs of increased intracranial pressure
B. Notify the provider of premature closure
C. Measure the head circumference immediately
D. Document the finding as normal
Correct Answer: D
Expert Explanation: Physical assessment of the infant includes palpating the
fontanelles to check for hydration and growth. The posterior fontanelle is small and
triangular, typically closing by 6 to 8 weeks of age. Since the infant in the question is
2 months old, this finding is completely expected. The anterior fontanelle is much
larger and takes longer to close. Documentation is the appropriate action when
physiological findings fall within normal limits.
Childbearing and Child Caring Families Exam 1
Version 3 Questions with Correct Answers and
Expert Explanation for Each Question | Galen
1. A nurse is calculating the estimated date of birth (EDB) for a client whose last
menstrual period began on May 10th. Using Naegele’s rule, which date should the
nurse document?
A. February 17th
B. February 10th
C. February 3rd
D. January 17th
Correct Answer: A
Expert Explanation: Naegele’s rule is a standard method used to predict the
estimated date of delivery. To calculate this, the nurse subtracts three months and
adds seven days to the first day of the last menstrual period. In this specific scenario,
moving back three months from May brings us to February. Adding seven days to
the 10th results in February 17th. This tool helps nurses establish a baseline for
monitoring fetal development throughout the pregnancy.
,2. Which developmental milestone should the nurse expect a healthy 12-month-old
infant to have achieved?
A. Tripling their birth weight
B. Walking independently
C. Speaking 50 words
D. Closing of the anterior fontanelle
Correct Answer: A
Expert Explanation: Infant growth is characterized by significant physical changes
during the first year of life. By the age of twelve months, an infant typically triples
their birth weight. While some infants may walk at one year, it is not a universal
milestone for every child at this exact age. The anterior fontanelle usually remains
open until 12 to 18 months of age. Monitoring these benchmarks allows the nurse to
assess nutritional status and overall health.
3. A nurse is teaching a pregnant client about nutrition. Which supplement is most
critical to prevent neural tube defects?
A. Vitamin C
B. Calcium
C. Iron
,D. Folic acid
Correct Answer: D
Expert Explanation: Folic acid is a vital B vitamin that supports the rapid cell
division occurring during early pregnancy. Adequate intake is proven to
significantly reduce the risk of neural tube defects like spina bifida. Nurses should
encourage women of childbearing age to consume 400 to 800 mcg daily. This
teaching is a priority during the first trimester when the spinal cord is forming.
Preventive education is a cornerstone of prenatal nursing care to ensure positive
neonatal outcomes.
4. According to Erikson, which psychosocial stage is the priority for an infant from
birth to 1 year?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Trust vs. Mistrust
Correct Answer: D
Expert Explanation: Erik Erikson’s theory focuses on the psychosocial
development of individuals across the lifespan. For infants, the primary task is
developing a sense of trust in their caregivers. Consistent care and meeting the
, infant’s basic needs for food and comfort are essential for this stage. If needs are not
met, the infant may develop a pervasive sense of mistrust. Nursing care should
emphasize bonding and responsive parenting to support this foundational
development.
5. When assessing a 2-month-old infant, the nurse notes the posterior fontanelle is
closed. What is the correct nursing action?
A. Assess for signs of increased intracranial pressure
B. Notify the provider of premature closure
C. Measure the head circumference immediately
D. Document the finding as normal
Correct Answer: D
Expert Explanation: Physical assessment of the infant includes palpating the
fontanelles to check for hydration and growth. The posterior fontanelle is small and
triangular, typically closing by 6 to 8 weeks of age. Since the infant in the question is
2 months old, this finding is completely expected. The anterior fontanelle is much
larger and takes longer to close. Documentation is the appropriate action when
physiological findings fall within normal limits.
