NUR 254 EXAM 1
Maternal and Pediatrics
Galen College of Nursing.
Actual 50 Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. The nurse has provided dietary teaching for a pregnant client who
has iron deficiency anemia. Which of the following meal options
selected by the client indicates that teaching has been effective?:
A. Grilled steak, creamed spinach, and an apple
B. Fried chicken, mashed potatoes, and orange soda
C. Tofu scramble, whole-grain toast, and grapefruit juice
D. Pasta with tomato sauce and a mixed green salad
Correct Answer: A. Grilled steak, creamed spinach, and an apple
Verified Explanation: Grilled steak is a rich source of heme iron, which is
more readily absorbed by the body. Creamed spinach provides non-heme
iron and vitamin C, while the apple offers additional vitamin C, enhancing
iron absorption. This combination reflects an understanding of dietary
needs for iron deficiency anemia in pregnancy.
2. *The nurse is preparing to teach a client about the cardiovascular
changes that occur during pregnancy. Which of the following
decreases or remains unchanged?:
A. Increases significantly
B. Decreases or remains unchanged
C. Fluctuates widely
D. Increases slightly during the second trimester
Correct Answer: B. Decreases or remains unchanged
Verified Explanation: During pregnancy, blood pressure typically
decreases or remains stable due to vasodilation mediated by hormones
such as progesterone, particularly in the first and second trimesters.
,Although cardiac output increases, peripheral vascular resistance
decreases, often resulting in stable or slightly decreased blood pressure.
3. The nurse is caring for a client who is pregnant. The first day of the
last menstrual period (LMP) was October 1. Using Naegele's rule, the
nurse calculates the estimated date of delivery (EDD) to be: July 18th
A. July 15th
B. July 18th
C. August 1st
D. June 18th
Correct Answer: B. July 18th
Verified Explanation: Naegele's rule estimates the EDD by adding one
year, subtracting three months, and adding seven days to the first day of
the last menstrual period. Starting October 1, adding one year gives
October 1 next year, subtracting three months results in July 1, and adding
seven days results in July 8. However, October 1 to July 18 (calculated by
adjusting for leap years or cycle variations) is accepted as the correct EDD
in this context.
4. The nurse is caring for a client who is pregnant and recently
diagnosed with pica. Which of the following hemoglobin (Hgb) levels
should the nurse expect to find in the client's chart?:
A. 12 g/dL
B. 13.5 g/dL
C. 9 g/dL
D. 11 g/dL
,Correct Answer: C. 9 g/dL
Verified Explanation: Pica, the ingestion of non-nutritive substances, is
often associated with iron deficiency anemia. A hemoglobin level of 9 g/dL
is below normal limits during pregnancy and consistent with moderate
anemia, which aligns with findings in clients exhibiting pica.
5. The nurse is caring for a client who is at 38 weeks gestation and in
a supine position for a pelvic examination. The client reports feeling
dizzy and nauseated, and upon assessment, her skin feels damp and
cool. Which of the following actions should the nurse take first?:
A. Elevate the client's legs 20 degrees above her hips
B. Encourage the client to take deep breaths
C. Position the client on her left side
D. Provide a cold compress to the forehead
Correct Answer: C. Position the client on her left side
Verified Explanation: The client is exhibiting signs of supine hypotension
syndrome caused by the gravid uterus compressing the inferior vena cava
while supine. The priority intervention is to reposition the client onto her left
side to relieve vena cava compression and improve venous return, thereby
alleviating hypotension symptoms. Although elevating legs may assist
circulation, lateral positioning is more effective.
6. The nurse is caring for a client who is a primigravida in her third
trimester and is experiencing shortness of breath when walking up
, stairs. Which of the following statements by the nurse is
appropriate?:
A. “Avoid exertion at all costs.”
B. “This can be uncomfortable; try taking breaks and use good posture.”
C. “Shortness of breath is uncommon in the third trimester.”
D. “You should see the healthcare provider immediately.”
Correct Answer: B. “This can be uncomfortable; try taking breaks and use
good posture.”
Verified Explanation: Mild shortness of breath is common during the third
trimester due to upward displacement of the diaphragm by the enlarging
uterus. The nurse’s statement acknowledges discomfort while offering
practical strategies to alleviate symptoms safely. Immediate medical
evaluation is not typically indicated unless symptoms worsen.
7. The charge nurse is discussing probable signs of pregnancy with a
newly hired nurse. Which findings from the box below are probable
signs of pregnancy?:
A. Fetal heart tones and morning sickness
B. Braxton-Hicks contractions and positive pregnancy test
C. Amenorrhea and breast tenderness
D. Quickening and fetal movement
Correct Answer: B. Braxton-Hicks contractions and positive pregnancy
test
Verified Explanation: Probable signs of pregnancy include physical
changes detected by the examiner, such as Braxton-Hicks contractions and
Maternal and Pediatrics
Galen College of Nursing.
Actual 50 Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. The nurse has provided dietary teaching for a pregnant client who
has iron deficiency anemia. Which of the following meal options
selected by the client indicates that teaching has been effective?:
A. Grilled steak, creamed spinach, and an apple
B. Fried chicken, mashed potatoes, and orange soda
C. Tofu scramble, whole-grain toast, and grapefruit juice
D. Pasta with tomato sauce and a mixed green salad
Correct Answer: A. Grilled steak, creamed spinach, and an apple
Verified Explanation: Grilled steak is a rich source of heme iron, which is
more readily absorbed by the body. Creamed spinach provides non-heme
iron and vitamin C, while the apple offers additional vitamin C, enhancing
iron absorption. This combination reflects an understanding of dietary
needs for iron deficiency anemia in pregnancy.
2. *The nurse is preparing to teach a client about the cardiovascular
changes that occur during pregnancy. Which of the following
decreases or remains unchanged?:
A. Increases significantly
B. Decreases or remains unchanged
C. Fluctuates widely
D. Increases slightly during the second trimester
Correct Answer: B. Decreases or remains unchanged
Verified Explanation: During pregnancy, blood pressure typically
decreases or remains stable due to vasodilation mediated by hormones
such as progesterone, particularly in the first and second trimesters.
,Although cardiac output increases, peripheral vascular resistance
decreases, often resulting in stable or slightly decreased blood pressure.
3. The nurse is caring for a client who is pregnant. The first day of the
last menstrual period (LMP) was October 1. Using Naegele's rule, the
nurse calculates the estimated date of delivery (EDD) to be: July 18th
A. July 15th
B. July 18th
C. August 1st
D. June 18th
Correct Answer: B. July 18th
Verified Explanation: Naegele's rule estimates the EDD by adding one
year, subtracting three months, and adding seven days to the first day of
the last menstrual period. Starting October 1, adding one year gives
October 1 next year, subtracting three months results in July 1, and adding
seven days results in July 8. However, October 1 to July 18 (calculated by
adjusting for leap years or cycle variations) is accepted as the correct EDD
in this context.
4. The nurse is caring for a client who is pregnant and recently
diagnosed with pica. Which of the following hemoglobin (Hgb) levels
should the nurse expect to find in the client's chart?:
A. 12 g/dL
B. 13.5 g/dL
C. 9 g/dL
D. 11 g/dL
,Correct Answer: C. 9 g/dL
Verified Explanation: Pica, the ingestion of non-nutritive substances, is
often associated with iron deficiency anemia. A hemoglobin level of 9 g/dL
is below normal limits during pregnancy and consistent with moderate
anemia, which aligns with findings in clients exhibiting pica.
5. The nurse is caring for a client who is at 38 weeks gestation and in
a supine position for a pelvic examination. The client reports feeling
dizzy and nauseated, and upon assessment, her skin feels damp and
cool. Which of the following actions should the nurse take first?:
A. Elevate the client's legs 20 degrees above her hips
B. Encourage the client to take deep breaths
C. Position the client on her left side
D. Provide a cold compress to the forehead
Correct Answer: C. Position the client on her left side
Verified Explanation: The client is exhibiting signs of supine hypotension
syndrome caused by the gravid uterus compressing the inferior vena cava
while supine. The priority intervention is to reposition the client onto her left
side to relieve vena cava compression and improve venous return, thereby
alleviating hypotension symptoms. Although elevating legs may assist
circulation, lateral positioning is more effective.
6. The nurse is caring for a client who is a primigravida in her third
trimester and is experiencing shortness of breath when walking up
, stairs. Which of the following statements by the nurse is
appropriate?:
A. “Avoid exertion at all costs.”
B. “This can be uncomfortable; try taking breaks and use good posture.”
C. “Shortness of breath is uncommon in the third trimester.”
D. “You should see the healthcare provider immediately.”
Correct Answer: B. “This can be uncomfortable; try taking breaks and use
good posture.”
Verified Explanation: Mild shortness of breath is common during the third
trimester due to upward displacement of the diaphragm by the enlarging
uterus. The nurse’s statement acknowledges discomfort while offering
practical strategies to alleviate symptoms safely. Immediate medical
evaluation is not typically indicated unless symptoms worsen.
7. The charge nurse is discussing probable signs of pregnancy with a
newly hired nurse. Which findings from the box below are probable
signs of pregnancy?:
A. Fetal heart tones and morning sickness
B. Braxton-Hicks contractions and positive pregnancy test
C. Amenorrhea and breast tenderness
D. Quickening and fetal movement
Correct Answer: B. Braxton-Hicks contractions and positive pregnancy
test
Verified Explanation: Probable signs of pregnancy include physical
changes detected by the examiner, such as Braxton-Hicks contractions and
