NUR231 Final Exam V2 | NUR 231 Childbearing
& Child Caring Family Exam Q&A | Galen
College of Nursing
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This study guide is intended to help students consolidate foundational and advanced concepts
related to maternal-child healthcare, pediatric nursing management, and evidence-based
family nursing interventions. The material reflects the style and complexity commonly
encountered in nursing final examinations.
This version contains realistic final exam-style questions covering maternal disorders, pediatric
care management, and family-centered nursing strategies. Detailed expert explanations are
included to support deeper understanding and comprehensive exam preparation.
════════════════════════════════════
The Exam Covers:
• High-risk pregnancy management
• Newborn stabilization techniques
• Pediatric nursing assessment
• Childhood illness management
• Family education and support
• Pediatric medication safety
• Ethical and legal maternal-child issues
• Therapeutic communication review
════════════════════════════════════
1. A nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which finding
should the nurse prioritize as a sign of toxicity?
A. Hyperactive deep tendon reflexes
B. Urine output of 40 mL per hour
,C. Increased fetal heart rate variability
D. Respiratory rate of 10 breaths per minute
Correct Answer: D
Expert Explanation: Magnesium sulfate is a central nervous system depressant used to
prevent seizures in preeclampsia. A respiratory rate below 12 breaths per minute indicates
respiratory depression, which is a key sign of toxicity. The nurse must also monitor for loss
of deep tendon reflexes and decreased urinary output to ensure patient safety.
2. A child is admitted with a diagnosis of acute epiglottitis. Which nursing action is
contraindicated for this patient?
A. Encouraging the child to sit in an upright position
B. Examining the throat with a tongue depressor
C. Administering humidified oxygen via mask
D. Preparing the child for lateral neck X-rays
Correct Answer: B
Expert Explanation: Examining the throat of a child with suspected epiglottitis can trigger
a sudden laryngospasm, leading to complete airway obstruction. This condition is a medical
emergency that requires keeping the child calm and avoiding any invasive procedures in
the oral cavity. Airway management and emergency equipment must be readily available at
the bedside at all times.
,3. A nurse is caring for a newborn with neonatal abstinence syndrome. Which intervention
should be included in the plan of care?
A. Provide frequent high-intensity stimulation to the infant
B. Place the infant in a brightly lit room to improve mood
C. Encourage the mother to avoid skin-to-skin contact
D. Swaddle the infant tightly and use a pacifier
Correct Answer: D
Expert Explanation: Newborns experiencing withdrawal benefit from a low-stimulation
environment to reduce irritability and tremors. Swaddling provides comfort and a sense of
security, while non-nutritive sucking with a pacifier helps satisfy the infant’s increased oral
needs. Nurses should minimize noise and light to prevent overstimulation during the
stabilization period.
4. A client at 32 weeks gestation reports painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Preterm labor
B. Abruptio placentae
C. Placenta previa
D. Uterine rupture
Correct Answer: C
, Expert Explanation: Painless bright red bleeding in the third trimester is the classic
clinical manifestation of placenta previa. This occurs when the placenta attaches to the
lower uterine segment, potentially covering the cervical os. In contrast, abruptio placentae
typically involves painful bleeding and uterine tenderness, which are not present in this
scenario.
5. A nurse is assessing a 4-year-old child. Which developmental milestone is expected for this
age group?
A. Tying shoelaces independently
B. Walking up and down stairs using alternating feet
C. Using a pair of scissors to cut out a circle
D. Printing their first and last name correctly
Correct Answer: B
Expert Explanation: By age 4, children have developed the gross motor coordination
necessary to walk up and down stairs using alternating feet. Tying shoelaces and printing
names are more advanced fine motor skills typically mastered around age 5 or 6.
Monitoring these milestones is essential for early identification of developmental delays in
pediatric patients.
6. Which medication is the treatment of choice for a child experiencing an acute asthma
exacerbation?
A. Salmeterol
& Child Caring Family Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This study guide is intended to help students consolidate foundational and advanced concepts
related to maternal-child healthcare, pediatric nursing management, and evidence-based
family nursing interventions. The material reflects the style and complexity commonly
encountered in nursing final examinations.
This version contains realistic final exam-style questions covering maternal disorders, pediatric
care management, and family-centered nursing strategies. Detailed expert explanations are
included to support deeper understanding and comprehensive exam preparation.
════════════════════════════════════
The Exam Covers:
• High-risk pregnancy management
• Newborn stabilization techniques
• Pediatric nursing assessment
• Childhood illness management
• Family education and support
• Pediatric medication safety
• Ethical and legal maternal-child issues
• Therapeutic communication review
════════════════════════════════════
1. A nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which finding
should the nurse prioritize as a sign of toxicity?
A. Hyperactive deep tendon reflexes
B. Urine output of 40 mL per hour
,C. Increased fetal heart rate variability
D. Respiratory rate of 10 breaths per minute
Correct Answer: D
Expert Explanation: Magnesium sulfate is a central nervous system depressant used to
prevent seizures in preeclampsia. A respiratory rate below 12 breaths per minute indicates
respiratory depression, which is a key sign of toxicity. The nurse must also monitor for loss
of deep tendon reflexes and decreased urinary output to ensure patient safety.
2. A child is admitted with a diagnosis of acute epiglottitis. Which nursing action is
contraindicated for this patient?
A. Encouraging the child to sit in an upright position
B. Examining the throat with a tongue depressor
C. Administering humidified oxygen via mask
D. Preparing the child for lateral neck X-rays
Correct Answer: B
Expert Explanation: Examining the throat of a child with suspected epiglottitis can trigger
a sudden laryngospasm, leading to complete airway obstruction. This condition is a medical
emergency that requires keeping the child calm and avoiding any invasive procedures in
the oral cavity. Airway management and emergency equipment must be readily available at
the bedside at all times.
,3. A nurse is caring for a newborn with neonatal abstinence syndrome. Which intervention
should be included in the plan of care?
A. Provide frequent high-intensity stimulation to the infant
B. Place the infant in a brightly lit room to improve mood
C. Encourage the mother to avoid skin-to-skin contact
D. Swaddle the infant tightly and use a pacifier
Correct Answer: D
Expert Explanation: Newborns experiencing withdrawal benefit from a low-stimulation
environment to reduce irritability and tremors. Swaddling provides comfort and a sense of
security, while non-nutritive sucking with a pacifier helps satisfy the infant’s increased oral
needs. Nurses should minimize noise and light to prevent overstimulation during the
stabilization period.
4. A client at 32 weeks gestation reports painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Preterm labor
B. Abruptio placentae
C. Placenta previa
D. Uterine rupture
Correct Answer: C
, Expert Explanation: Painless bright red bleeding in the third trimester is the classic
clinical manifestation of placenta previa. This occurs when the placenta attaches to the
lower uterine segment, potentially covering the cervical os. In contrast, abruptio placentae
typically involves painful bleeding and uterine tenderness, which are not present in this
scenario.
5. A nurse is assessing a 4-year-old child. Which developmental milestone is expected for this
age group?
A. Tying shoelaces independently
B. Walking up and down stairs using alternating feet
C. Using a pair of scissors to cut out a circle
D. Printing their first and last name correctly
Correct Answer: B
Expert Explanation: By age 4, children have developed the gross motor coordination
necessary to walk up and down stairs using alternating feet. Tying shoelaces and printing
names are more advanced fine motor skills typically mastered around age 5 or 6.
Monitoring these milestones is essential for early identification of developmental delays in
pediatric patients.
6. Which medication is the treatment of choice for a child experiencing an acute asthma
exacerbation?
A. Salmeterol
