NUR231 Exam 3 V3 | NUR 231 Childbearing &
Child Caring Family Exam Q&A | Galen College
of Nursing
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This comprehensive exam-style resource is designed to prepare students for maternal-child
nursing assessments focused on newborn health management, pediatric nursing care, and
advanced family nursing interventions. The material emphasizes safe nursing interventions
and holistic family-centered care practices.
The questions are structured to closely mirror actual course exams while reinforcing analytical
reasoning, nursing prioritization, and patient care decision-making skills. Detailed expert
explanations support deeper understanding and successful exam performance.
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The Exam Covers:
• Neonatal nursing interventions
• Pediatric growth assessment
• Developmental screening concepts
• Family adaptation after childbirth
• Pediatric medication safety
• Newborn infection prevention
• Infant-parent attachment concepts
• Pediatric nursing care planning
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1. A nurse is assessing a newborn at 1 minute after birth. The heart rate is 110 bpm, the
infant has a vigorous cry, some flexion of extremities, and is pink with blue hands and feet.
What is the APGAR score?
A. 7
B. 9
,C. 8
D. 10
Correct Answer: C
Expert Explanation: The infant receives 2 points for heart rate (>100), 2 points for
respiratory effort (vigorous cry), 1 point for muscle tone (some flexion), 2 points for reflex
irritability (cry), and 1 point for color (acrocyanosis). Totaling these gives a score of 8.
APGAR scores are assessed at 1 and 5 minutes to determine neonatal transition.
2. A mother expresses concern that her 3-day-old newborn has lost 7% of its birth weight.
Which response by the nurse is most appropriate?
A. The baby will need to be admitted to the NICU for observation.
B. We need to supplement with formula immediately to prevent dehydration.
C. This indicates that your breastfeeding technique is incorrect.
D. This is a normal finding as newborns typically lose 5-10% of their birth weight.
Correct Answer: D
Expert Explanation: A weight loss of 5-10% during the first few days of life is considered
physiological and normal due to fluid shifts and low caloric intake. Most infants regain their
birth weight by 10 to 14 days of age. The nurse should reassure the mother while
continuing to monitor output and feeding frequency.
, 3. Which mechanism of heat loss is prevented by thoroughly drying a newborn immediately
after birth?
A. Evaporation
B. Convection
C. Conduction
D. Radiation
Correct Answer: A
Expert Explanation: Evaporation occurs when moisture on the skin is converted to vapor,
drawing heat away from the body. Drying the infant quickly removes the amniotic fluid and
prevents this type of heat loss. Other methods like using warm blankets prevent
conduction, while avoiding drafts prevents convection.
4. A nurse is providing discharge teaching to the parents of a newborn regarding car seat
safety. Which instruction should be included?
A. The car seat should be front-facing after the baby reaches 15 pounds.
B. Use a rear-facing car seat in the back seat until the age of 2 or according to
height/weight limits.
C. Place the car seat in the front passenger seat if there is an airbag.
D. The harness should be loose enough to fit two fingers between the strap and the chest.
Correct Answer: B
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This comprehensive exam-style resource is designed to prepare students for maternal-child
nursing assessments focused on newborn health management, pediatric nursing care, and
advanced family nursing interventions. The material emphasizes safe nursing interventions
and holistic family-centered care practices.
The questions are structured to closely mirror actual course exams while reinforcing analytical
reasoning, nursing prioritization, and patient care decision-making skills. Detailed expert
explanations support deeper understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Neonatal nursing interventions
• Pediatric growth assessment
• Developmental screening concepts
• Family adaptation after childbirth
• Pediatric medication safety
• Newborn infection prevention
• Infant-parent attachment concepts
• Pediatric nursing care planning
════════════════════════════════════
1. A nurse is assessing a newborn at 1 minute after birth. The heart rate is 110 bpm, the
infant has a vigorous cry, some flexion of extremities, and is pink with blue hands and feet.
What is the APGAR score?
A. 7
B. 9
,C. 8
D. 10
Correct Answer: C
Expert Explanation: The infant receives 2 points for heart rate (>100), 2 points for
respiratory effort (vigorous cry), 1 point for muscle tone (some flexion), 2 points for reflex
irritability (cry), and 1 point for color (acrocyanosis). Totaling these gives a score of 8.
APGAR scores are assessed at 1 and 5 minutes to determine neonatal transition.
2. A mother expresses concern that her 3-day-old newborn has lost 7% of its birth weight.
Which response by the nurse is most appropriate?
A. The baby will need to be admitted to the NICU for observation.
B. We need to supplement with formula immediately to prevent dehydration.
C. This indicates that your breastfeeding technique is incorrect.
D. This is a normal finding as newborns typically lose 5-10% of their birth weight.
Correct Answer: D
Expert Explanation: A weight loss of 5-10% during the first few days of life is considered
physiological and normal due to fluid shifts and low caloric intake. Most infants regain their
birth weight by 10 to 14 days of age. The nurse should reassure the mother while
continuing to monitor output and feeding frequency.
, 3. Which mechanism of heat loss is prevented by thoroughly drying a newborn immediately
after birth?
A. Evaporation
B. Convection
C. Conduction
D. Radiation
Correct Answer: A
Expert Explanation: Evaporation occurs when moisture on the skin is converted to vapor,
drawing heat away from the body. Drying the infant quickly removes the amniotic fluid and
prevents this type of heat loss. Other methods like using warm blankets prevent
conduction, while avoiding drafts prevents convection.
4. A nurse is providing discharge teaching to the parents of a newborn regarding car seat
safety. Which instruction should be included?
A. The car seat should be front-facing after the baby reaches 15 pounds.
B. Use a rear-facing car seat in the back seat until the age of 2 or according to
height/weight limits.
C. Place the car seat in the front passenger seat if there is an airbag.
D. The harness should be loose enough to fit two fingers between the strap and the chest.
Correct Answer: B
