NUR231 Exam 4 V3 | NUR 231 Childbearing &
Child Caring Family Exam Q&A | Galen College
of Nursing
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This comprehensive exam-style preparation material is designed to support students preparing
for advanced maternal-child nursing assessments involving specialized pediatric populations,
family healthcare systems, and complex child nursing interventions. The content focuses on
integrating maternal-child nursing knowledge into real-world clinical decision-making scenarios.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning, prioritization, and safe pediatric nursing interventions. Detailed expert
explanations are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Pediatric chronic illness management
• Developmental disabilities in children
• Family-centered pediatric advocacy
• Community pediatric resources
• Interdisciplinary pediatric collaboration
• Childhood nutrition and wellness
• Pediatric nursing ethics
• Comprehensive maternal-child nursing review
════════════════════════════════════
1. A nurse is caring for a 10-year-old child with cystic fibrosis. Which of the following
interventions should be prioritized to facilitate respiratory clearance?
A. Administering bronchodilators after chest physiotherapy (CPT).
B. Encouraging the child to sit still for 30 minutes after treatments.
,C. Restricting fluid intake to prevent pulmonary edema.
D. Performing chest physiotherapy (CPT) twice a day, ideally before meals.
Correct Answer: D
Expert Explanation: Chest physiotherapy is essential for mobilizing thick secretions in
patients with cystic fibrosis. Performing it before meals prevents vomiting and aspiration
during the vigorous procedure. Consistent CPT helps maintain lung function and reduces
the frequency of pulmonary infections.
2. When planning care for a child with Autism Spectrum Disorder (ASD), which nursing
intervention is most appropriate to minimize anxiety during a hospital stay?
A. Providing a variety of new toys and activities to keep the child engaged.
B. Maintaining a consistent daily routine and using a private room when possible.
C. Ensuring the child’s room is near the busy nurses’ station for frequent monitoring.
D. Communicating primarily with complex medical terminology to appear professional.
Correct Answer: B
Expert Explanation: Children with ASD rely heavily on routine and predictable
environments to feel safe. Minimizing sensory overload and maintaining a familiar
schedule helps reduce stress and behavioral outbursts. A private room provides a
controlled environment that limits unpredictable stimuli.
,3. A 6-year-old child is diagnosed with Type 1 Diabetes Mellitus. Which developmental
consideration is most important when teaching the child about insulin injections?
A. The child should be responsible for calculating all carbohydrate ratios independently.
B. The child is likely to view the injections as a form of punishment.
C. The child can begin to assist by choosing the injection site.
D. The child will have no interest in participating in their own care.
Correct Answer: C
Expert Explanation: School-age children are in the industry vs. inferiority stage and
benefit from participating in their care to gain a sense of accomplishment. Choosing an
injection site allows the child to exercise autonomy while the caregiver maintains safety.
Providing simple choices fosters cooperation and reduces the child’s fear of medical
procedures.
4. Which ethical principle is most directly involved when a nurse obtains a 14-year-old’s
‘assent’ for a medical procedure?
A. Respect for Autonomy
B. Justice
C. Beneficence
D. Non-maleficence
Correct Answer: A
, Expert Explanation: Assent refers to the child’s voluntary agreement to participate in
research or treatment, reflecting their growing autonomy. While parents provide legal
consent, involving the adolescent respects their right to be informed and heard. This
practice strengthens the therapeutic relationship and promotes ethical care delivery.
5. A nurse is assessing a family whose child has a severe developmental disability. Which
statement by the parents indicates the need for more support regarding family-centered
care?
A. ‘We have stopped seeing our friends because we can’t leave our child with anyone.’
B. ‘We make sure to schedule one-on-one time with our other children.’
C. ‘We feel comfortable asking the doctor questions about the treatment plan.’
D. ‘We are looking for a local support group for parents of children with similar needs.’
Correct Answer: A
Expert Explanation: Isolation is a significant risk for families caring for children with
chronic or complex needs. Social withdrawal can lead to caregiver burnout and family
strain. Nurses should identify these cues to refer families to community resources and
respite care services.
6. In the context of pediatric nutrition, which food choice is most appropriate for a toddler to
prevent choking?
A. Whole grapes
B. Popcorn
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This comprehensive exam-style preparation material is designed to support students preparing
for advanced maternal-child nursing assessments involving specialized pediatric populations,
family healthcare systems, and complex child nursing interventions. The content focuses on
integrating maternal-child nursing knowledge into real-world clinical decision-making scenarios.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning, prioritization, and safe pediatric nursing interventions. Detailed expert
explanations are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Pediatric chronic illness management
• Developmental disabilities in children
• Family-centered pediatric advocacy
• Community pediatric resources
• Interdisciplinary pediatric collaboration
• Childhood nutrition and wellness
• Pediatric nursing ethics
• Comprehensive maternal-child nursing review
════════════════════════════════════
1. A nurse is caring for a 10-year-old child with cystic fibrosis. Which of the following
interventions should be prioritized to facilitate respiratory clearance?
A. Administering bronchodilators after chest physiotherapy (CPT).
B. Encouraging the child to sit still for 30 minutes after treatments.
,C. Restricting fluid intake to prevent pulmonary edema.
D. Performing chest physiotherapy (CPT) twice a day, ideally before meals.
Correct Answer: D
Expert Explanation: Chest physiotherapy is essential for mobilizing thick secretions in
patients with cystic fibrosis. Performing it before meals prevents vomiting and aspiration
during the vigorous procedure. Consistent CPT helps maintain lung function and reduces
the frequency of pulmonary infections.
2. When planning care for a child with Autism Spectrum Disorder (ASD), which nursing
intervention is most appropriate to minimize anxiety during a hospital stay?
A. Providing a variety of new toys and activities to keep the child engaged.
B. Maintaining a consistent daily routine and using a private room when possible.
C. Ensuring the child’s room is near the busy nurses’ station for frequent monitoring.
D. Communicating primarily with complex medical terminology to appear professional.
Correct Answer: B
Expert Explanation: Children with ASD rely heavily on routine and predictable
environments to feel safe. Minimizing sensory overload and maintaining a familiar
schedule helps reduce stress and behavioral outbursts. A private room provides a
controlled environment that limits unpredictable stimuli.
,3. A 6-year-old child is diagnosed with Type 1 Diabetes Mellitus. Which developmental
consideration is most important when teaching the child about insulin injections?
A. The child should be responsible for calculating all carbohydrate ratios independently.
B. The child is likely to view the injections as a form of punishment.
C. The child can begin to assist by choosing the injection site.
D. The child will have no interest in participating in their own care.
Correct Answer: C
Expert Explanation: School-age children are in the industry vs. inferiority stage and
benefit from participating in their care to gain a sense of accomplishment. Choosing an
injection site allows the child to exercise autonomy while the caregiver maintains safety.
Providing simple choices fosters cooperation and reduces the child’s fear of medical
procedures.
4. Which ethical principle is most directly involved when a nurse obtains a 14-year-old’s
‘assent’ for a medical procedure?
A. Respect for Autonomy
B. Justice
C. Beneficence
D. Non-maleficence
Correct Answer: A
, Expert Explanation: Assent refers to the child’s voluntary agreement to participate in
research or treatment, reflecting their growing autonomy. While parents provide legal
consent, involving the adolescent respects their right to be informed and heard. This
practice strengthens the therapeutic relationship and promotes ethical care delivery.
5. A nurse is assessing a family whose child has a severe developmental disability. Which
statement by the parents indicates the need for more support regarding family-centered
care?
A. ‘We have stopped seeing our friends because we can’t leave our child with anyone.’
B. ‘We make sure to schedule one-on-one time with our other children.’
C. ‘We feel comfortable asking the doctor questions about the treatment plan.’
D. ‘We are looking for a local support group for parents of children with similar needs.’
Correct Answer: A
Expert Explanation: Isolation is a significant risk for families caring for children with
chronic or complex needs. Social withdrawal can lead to caregiver burnout and family
strain. Nurses should identify these cues to refer families to community resources and
respite care services.
6. In the context of pediatric nutrition, which food choice is most appropriate for a toddler to
prevent choking?
A. Whole grapes
B. Popcorn
