NUR231 Exam 2 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 related to childbirth complications, newborn stabilization, and evidence-
based labor nursing interventions. The material emphasizes safe nursing interventions and
patient-centered maternal-newborn care practices.
The questions are structured to closely mirror actual course exams while reinforcing
prioritization, clinical reasoning, and maternal-child nursing management strategies. Detailed
expert explanations support understanding and successful exam performance.
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The Exam Covers:
• Obstetric complication management
• Cesarean birth nursing care
• Fetal heart rate interpretation
• Pain relief during labor
• Newborn thermoregulation
• Neonatal assessment techniques
• Maternal recovery after delivery
• Family bonding and attachment
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1. A nurse is caring for a client who is in active labor and has a late deceleration on the fetal
heart rate monitor. Which of the following actions should the nurse take first?
A. Increase the rate of the IV fluid infusion
B. Notify the provider of the monitor pattern
,C. Administer oxygen via a nonrebreather mask
D. Assist the client into a side-lying position
Correct Answer: D
Expert Explanation: Late decelerations are indicative of uteroplacental insufficiency. The
nurse’s first priority is to improve oxygenation and blood flow to the placenta. Moving the
client to a side-lying position relieves pressure on the vena cava and improves placental
perfusion immediately.
2. A nurse is assessing a newborn 1 hour after birth. Which of the following findings should
the nurse report to the provider?
A. Acrocyanosis of the hands and feet
B. Heart rate of 140 beats per minute
C. Generalized petechiae on the trunk
D. Milia on the bridge of the nose
Correct Answer: C
Expert Explanation: Generalized petechiae can indicate a clotting factor deficiency or
infection and require medical evaluation. Acrocyanosis is a normal finding in the first 24 to
48 hours of life. Milia are small white sebaceous glands that are common and benign in
newborns.
, 3. A nurse is monitoring a client who is receiving magnesium sulfate for preeclampsia. Which
of the following findings is the priority to report?
A. Deep tendon reflexes of 1+
B. Urinary output of 40 mL per hour
C. Respiratory rate of 10 breaths per minute
D. Feeling of warmth and flushing
Correct Answer: C
Expert Explanation: Magnesium sulfate toxicity causes central nervous system
depression. A respiratory rate below 12 breaths per minute is a critical sign of toxicity that
requires stopping the infusion. Feeling warm or flushed is a common side effect, not a sign
of toxicity.
4. A nurse is caring for a newborn who was born to a mother with gestational diabetes.
Which of the following is the priority assessment?
A. Monitoring for hypoglycemia
B. Assessment for birth trauma
C. Observing for signs of jaundice
D. Measuring head circumference
Correct Answer: A
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 related to childbirth complications, newborn stabilization, and evidence-
based labor nursing interventions. The material emphasizes safe nursing interventions and
patient-centered maternal-newborn care practices.
The questions are structured to closely mirror actual course exams while reinforcing
prioritization, clinical reasoning, and maternal-child nursing management strategies. Detailed
expert explanations support understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Obstetric complication management
• Cesarean birth nursing care
• Fetal heart rate interpretation
• Pain relief during labor
• Newborn thermoregulation
• Neonatal assessment techniques
• Maternal recovery after delivery
• Family bonding and attachment
════════════════════════════════════
1. A nurse is caring for a client who is in active labor and has a late deceleration on the fetal
heart rate monitor. Which of the following actions should the nurse take first?
A. Increase the rate of the IV fluid infusion
B. Notify the provider of the monitor pattern
,C. Administer oxygen via a nonrebreather mask
D. Assist the client into a side-lying position
Correct Answer: D
Expert Explanation: Late decelerations are indicative of uteroplacental insufficiency. The
nurse’s first priority is to improve oxygenation and blood flow to the placenta. Moving the
client to a side-lying position relieves pressure on the vena cava and improves placental
perfusion immediately.
2. A nurse is assessing a newborn 1 hour after birth. Which of the following findings should
the nurse report to the provider?
A. Acrocyanosis of the hands and feet
B. Heart rate of 140 beats per minute
C. Generalized petechiae on the trunk
D. Milia on the bridge of the nose
Correct Answer: C
Expert Explanation: Generalized petechiae can indicate a clotting factor deficiency or
infection and require medical evaluation. Acrocyanosis is a normal finding in the first 24 to
48 hours of life. Milia are small white sebaceous glands that are common and benign in
newborns.
, 3. A nurse is monitoring a client who is receiving magnesium sulfate for preeclampsia. Which
of the following findings is the priority to report?
A. Deep tendon reflexes of 1+
B. Urinary output of 40 mL per hour
C. Respiratory rate of 10 breaths per minute
D. Feeling of warmth and flushing
Correct Answer: C
Expert Explanation: Magnesium sulfate toxicity causes central nervous system
depression. A respiratory rate below 12 breaths per minute is a critical sign of toxicity that
requires stopping the infusion. Feeling warm or flushed is a common side effect, not a sign
of toxicity.
4. A nurse is caring for a newborn who was born to a mother with gestational diabetes.
Which of the following is the priority assessment?
A. Monitoring for hypoglycemia
B. Assessment for birth trauma
C. Observing for signs of jaundice
D. Measuring head circumference
Correct Answer: A
