NUR231 Final Exam V1 | NUR 231 Childbearing
& Child Caring Family Exam Q&A | Galen
College of Nursing
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This final exam preparation resource is designed to provide a comprehensive review of
maternal-child nursing concepts, family healthcare management, and evidence-based
nursing interventions covered throughout the course. The material integrates major maternal-
child nursing concepts into a realistic exam-style format.
The questions included in this version are structured to closely mirror actual final exam
assessments and strengthen maternal-child nursing reasoning and patient-centered intervention
skills. Detailed expert explanations are included to improve concept integration and exam
readiness.
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The Exam Covers:
• Prenatal and postpartum nursing care
• Labor and delivery management
• Newborn nursing assessment
• Pediatric growth and development
• Pediatric disorders and interventions
• Family-centered nursing care
• Patient safety and ethical issues
• Comprehensive maternal-child nursing review
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1. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period began on May 10th. Using Naegele’s rule, what is the correct EDD?
A. January 17th
B. February 3rd
,C. February 17th
D. March 10th
Correct Answer: C
Expert Explanation: To use Naegele’s rule, subtract 3 months from the first day of the last
menstrual period and add 7 days and 1 year. May 10 minus 3 months is February 10, plus 7
days is February 17. This calculation provides a standardized method for estimating the
due date based on a 28-day cycle.
2. A client in the first stage of labor has an external fetal monitor showing late decelerations.
Which action should the nurse take first?
A. Turn the client to a side-lying position
B. Administer oxygen via face mask at 8-10 L/min
C. Increase the rate of the intravenous infusion
D. Notify the primary healthcare provider
Correct Answer: A
Expert Explanation: The first action for late decelerations is to improve placental
perfusion by turning the client to a side-lying position to relieve pressure on the vena cava.
Late decelerations indicate uteroplacental insufficiency. Subsequent steps include oxygen,
fluids, and notification.
, 3. Which of the following is considered a positive sign of pregnancy?
A. Positive serum pregnancy test
B. Fetal heart tones heard by Doppler
C. Amenorrhea
D. Chadwick’s sign
Correct Answer: B
Expert Explanation: Positive signs of pregnancy are those attributed only to the presence
of a fetus, such as fetal heart tones, ultrasound visualization, or palpation of fetal movement
by a clinician. Pregnancy tests and Chadwick’s sign are probable signs, while amenorrhea is
a presumptive sign.
4. A nurse is assessing a client who is 2 hours postpartum. The nurse notes the fundus is
boggy and displaced to the right. What is the priority nursing intervention?
A. Massage the fundus until firm
B. Administer oxytocin as ordered
C. Assist the client to the bathroom to void
D. Call for immediate assistance
Correct Answer: C
Expert Explanation: A fundus that is displaced to the right and boggy typically indicates a
full bladder, which prevents the uterus from contracting effectively. Assisting the client to
& Child Caring Family Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This final exam preparation resource is designed to provide a comprehensive review of
maternal-child nursing concepts, family healthcare management, and evidence-based
nursing interventions covered throughout the course. The material integrates major maternal-
child nursing concepts into a realistic exam-style format.
The questions included in this version are structured to closely mirror actual final exam
assessments and strengthen maternal-child nursing reasoning and patient-centered intervention
skills. Detailed expert explanations are included to improve concept integration and exam
readiness.
════════════════════════════════════
The Exam Covers:
• Prenatal and postpartum nursing care
• Labor and delivery management
• Newborn nursing assessment
• Pediatric growth and development
• Pediatric disorders and interventions
• Family-centered nursing care
• Patient safety and ethical issues
• Comprehensive maternal-child nursing review
════════════════════════════════════
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period began on May 10th. Using Naegele’s rule, what is the correct EDD?
A. January 17th
B. February 3rd
,C. February 17th
D. March 10th
Correct Answer: C
Expert Explanation: To use Naegele’s rule, subtract 3 months from the first day of the last
menstrual period and add 7 days and 1 year. May 10 minus 3 months is February 10, plus 7
days is February 17. This calculation provides a standardized method for estimating the
due date based on a 28-day cycle.
2. A client in the first stage of labor has an external fetal monitor showing late decelerations.
Which action should the nurse take first?
A. Turn the client to a side-lying position
B. Administer oxygen via face mask at 8-10 L/min
C. Increase the rate of the intravenous infusion
D. Notify the primary healthcare provider
Correct Answer: A
Expert Explanation: The first action for late decelerations is to improve placental
perfusion by turning the client to a side-lying position to relieve pressure on the vena cava.
Late decelerations indicate uteroplacental insufficiency. Subsequent steps include oxygen,
fluids, and notification.
, 3. Which of the following is considered a positive sign of pregnancy?
A. Positive serum pregnancy test
B. Fetal heart tones heard by Doppler
C. Amenorrhea
D. Chadwick’s sign
Correct Answer: B
Expert Explanation: Positive signs of pregnancy are those attributed only to the presence
of a fetus, such as fetal heart tones, ultrasound visualization, or palpation of fetal movement
by a clinician. Pregnancy tests and Chadwick’s sign are probable signs, while amenorrhea is
a presumptive sign.
4. A nurse is assessing a client who is 2 hours postpartum. The nurse notes the fundus is
boggy and displaced to the right. What is the priority nursing intervention?
A. Massage the fundus until firm
B. Administer oxytocin as ordered
C. Assist the client to the bathroom to void
D. Call for immediate assistance
Correct Answer: C
Expert Explanation: A fundus that is displaced to the right and boggy typically indicates a
full bladder, which prevents the uterus from contracting effectively. Assisting the client to
