NUR231 Exam 2 V2 | NUR 231 Childbearing &
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This study guide is intended to help students strengthen their understanding of labor
complications, delivery procedures, and newborn nursing care management. The content
reflects practical maternal-child nursing concepts commonly tested in nursing examinations.
The questions are designed to simulate actual exam conditions while reinforcing nursing
prioritization, maternal assessment, and newborn intervention skills. Detailed expert
explanations are included to support concept mastery and exam preparedness.
════════════════════════════════════
The Exam Covers:
• Labor induction and augmentation
• Obstetric emergencies
• Fetal distress management
• Postpartum hemorrhage interventions
• Newborn safety and identification
• APGAR scoring interpretation
• Breastfeeding support techniques
• Therapeutic communication during labor
════════════════════════════════════
1. A nurse is caring for a client receiving oxytocin for labor induction. Which finding would
require the nurse to immediately discontinue the infusion?
A. Uterine contractions occurring every 2 to 3 minutes
B. A fetal heart rate of 140 to 150 beats per minute
C. Uterine resting tone of 15 mmHg between contractions
,D. Contractions lasting 90 to 120 seconds each
Correct Answer: D
Expert Explanation: Contractions lasting longer than 90 seconds are a sign of uterine
tachysystole which can lead to reduced placental blood flow. Prolonged contractions do not
allow for adequate recovery time between sessions and may result in fetal hypoxia.
Immediate discontinuation of oxytocin is necessary to protect the fetus and prevent uterine
rupture.
2. When assessing a newborn using the APGAR scale at 1 minute, the nurse notes a heart rate
of 110 bpm, a weak cry, some flexion of extremities, a grimace when suctioned, and a blue
body. What is the assigned APGAR score?
A. 4
B. 6
C. 5
D. 7
Correct Answer: C
Expert Explanation: The score is calculated as follows: Heart rate >100 is 2 points, weak
cry is 1 point, some flexion is 1 point, grimace is 1 point, and blue body is 0 points. Adding
these together results in a total score of 5 for this newborn. An APGAR score of 5 indicates
that the infant is experiencing moderate distress and requires intervention.
, 3. A client is experiencing shoulder dystocia during delivery. Which nursing intervention is the
priority?
A. Apply fundal pressure to help the baby move down
B. Perform the McRoberts maneuver by flexing the mother’s thighs
C. Administer a bolus of IV fluids immediately
D. Prepare for an emergency vacuum-assisted delivery
Correct Answer: B
Expert Explanation: The McRoberts maneuver involves hyperflexing the mother’s legs to
the abdomen to widen the pelvic outlet. Fundal pressure is strictly contraindicated as it can
further impact the shoulder behind the symphysis pubis. This maneuver is the first-line
nursing action to resolve shoulder dystocia before more invasive measures are used.
4. Which assessment finding in a client receiving magnesium sulfate for preeclampsia
indicates toxicity?
A. Deep tendon reflexes of 2+
B. Urine output of 40 mL per hour
C. Blood pressure of 140/90 mmHg
D. Respiratory rate of 10 breaths per minute
Correct Answer: D
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This study guide is intended to help students strengthen their understanding of labor
complications, delivery procedures, and newborn nursing care management. The content
reflects practical maternal-child nursing concepts commonly tested in nursing examinations.
The questions are designed to simulate actual exam conditions while reinforcing nursing
prioritization, maternal assessment, and newborn intervention skills. Detailed expert
explanations are included to support concept mastery and exam preparedness.
════════════════════════════════════
The Exam Covers:
• Labor induction and augmentation
• Obstetric emergencies
• Fetal distress management
• Postpartum hemorrhage interventions
• Newborn safety and identification
• APGAR scoring interpretation
• Breastfeeding support techniques
• Therapeutic communication during labor
════════════════════════════════════
1. A nurse is caring for a client receiving oxytocin for labor induction. Which finding would
require the nurse to immediately discontinue the infusion?
A. Uterine contractions occurring every 2 to 3 minutes
B. A fetal heart rate of 140 to 150 beats per minute
C. Uterine resting tone of 15 mmHg between contractions
,D. Contractions lasting 90 to 120 seconds each
Correct Answer: D
Expert Explanation: Contractions lasting longer than 90 seconds are a sign of uterine
tachysystole which can lead to reduced placental blood flow. Prolonged contractions do not
allow for adequate recovery time between sessions and may result in fetal hypoxia.
Immediate discontinuation of oxytocin is necessary to protect the fetus and prevent uterine
rupture.
2. When assessing a newborn using the APGAR scale at 1 minute, the nurse notes a heart rate
of 110 bpm, a weak cry, some flexion of extremities, a grimace when suctioned, and a blue
body. What is the assigned APGAR score?
A. 4
B. 6
C. 5
D. 7
Correct Answer: C
Expert Explanation: The score is calculated as follows: Heart rate >100 is 2 points, weak
cry is 1 point, some flexion is 1 point, grimace is 1 point, and blue body is 0 points. Adding
these together results in a total score of 5 for this newborn. An APGAR score of 5 indicates
that the infant is experiencing moderate distress and requires intervention.
, 3. A client is experiencing shoulder dystocia during delivery. Which nursing intervention is the
priority?
A. Apply fundal pressure to help the baby move down
B. Perform the McRoberts maneuver by flexing the mother’s thighs
C. Administer a bolus of IV fluids immediately
D. Prepare for an emergency vacuum-assisted delivery
Correct Answer: B
Expert Explanation: The McRoberts maneuver involves hyperflexing the mother’s legs to
the abdomen to widen the pelvic outlet. Fundal pressure is strictly contraindicated as it can
further impact the shoulder behind the symphysis pubis. This maneuver is the first-line
nursing action to resolve shoulder dystocia before more invasive measures are used.
4. Which assessment finding in a client receiving magnesium sulfate for preeclampsia
indicates toxicity?
A. Deep tendon reflexes of 2+
B. Urine output of 40 mL per hour
C. Blood pressure of 140/90 mmHg
D. Respiratory rate of 10 breaths per minute
Correct Answer: D
