NUR 230: Maternal & Pediatric Nursing Final Exam 2026 |Galen
College
1. A nurse is assessing a pregnant client at 34 weeks gestation who reports a
persistent headache and blurred vision. Which condition should the nurse
suspect?
A. Gestational diabetes
B. Hyperemesis gravidarum
C. Placenta previa
D. Preeclampsia
Answer: D
Rationale: Headaches and visual disturbances are classic central nervous system
symptoms of worsening preeclampsia due to vasospasm and cerebral edema.
2. At 1 minute after birth, a newborn has a heart rate of 110, a weak cry, some
flexion of the extremities, and is pink with blue hands and feet. What is the
Apgar score?
A. 5
B. 8
C. 7
D. 6
Answer: D
Rationale: Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (1 for
grimace/weak cry), Color (1 for acrocyanosis). Total = 6.
,3. Which clinical finding is most characteristic of Abruptio Placentae?
A. Painless, bright red vaginal bleeding
B. High fetal station
C. Soft, non-tender uterus
D. Board-like, rigid abdomen with severe pain
Answer: D
Rationale: Abruptio placentae involves the premature separation of the placenta, causing
dark red bleeding, uterine tenderness, and a rigid, board-like abdomen.
4. A nurse is monitoring a client receiving Magnesium Sulfate for preeclampsia.
Which finding should be reported to the provider immediately?
A. Urine output of 40 mL/hr
B. Deep tendon reflexes of 2+
C. Respiratory rate of 10/min
D. Feeling of warmth and flushing
Answer: C
Rationale: Magnesium sulfate toxicity is characterized by respiratory depression (less
than 12/min), loss of deep tendon reflexes, and decreased urine output.
5. An Rh-negative mother has just given birth to an Rh-positive infant. When
should Rho(D) immune globulin be administered?
A. Within 72 hours of birth
B. Within 24 hours of birth
C. Only if the infant shows signs of jaundice
D. At the 6-week postpartum checkup
Answer: A
Rationale: Rho(D) immune globulin must be given to the Rh-negative mother within 72
hours after birth to prevent sensitization to the Rh factor.
, 6. A postpartum nurse finds a client’s fundus to be boggy and displaced to the
right. What is the first action the nurse should take?
A. Administer oxytocin
B. Assist the client to void
C. Massage the fundus
D. Notify the physician
Answer: B
Rationale: A fundus displaced to the right is usually caused by a full bladder. Assisting the
client to void should be the priority to allow the uterus to contract.
7. A newborn is losing heat because they were placed on a cold metal scale. This
is an example of heat loss via:
A. Radiation
B. Conduction
C. Convection
D. Evaporation
Answer: B
Rationale: Conduction is the transfer of heat from one object to another through direct
contact.
8. A nurse is teaching a parent about the care of a newborn with phototherapy
for jaundice. Which instruction should be included?
A. Apply lotion to the skin to prevent drying
B. Dress the infant in a lightweight onesie
C. Keep the newborn’s eyes covered with a shield
D. Limit breastfeeding to twice a day
Answer: C
Rationale: Eye shields are essential to protect the newborn’s retinas from the high-
intensity light used in phototherapy.
College
1. A nurse is assessing a pregnant client at 34 weeks gestation who reports a
persistent headache and blurred vision. Which condition should the nurse
suspect?
A. Gestational diabetes
B. Hyperemesis gravidarum
C. Placenta previa
D. Preeclampsia
Answer: D
Rationale: Headaches and visual disturbances are classic central nervous system
symptoms of worsening preeclampsia due to vasospasm and cerebral edema.
2. At 1 minute after birth, a newborn has a heart rate of 110, a weak cry, some
flexion of the extremities, and is pink with blue hands and feet. What is the
Apgar score?
A. 5
B. 8
C. 7
D. 6
Answer: D
Rationale: Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (1 for
grimace/weak cry), Color (1 for acrocyanosis). Total = 6.
,3. Which clinical finding is most characteristic of Abruptio Placentae?
A. Painless, bright red vaginal bleeding
B. High fetal station
C. Soft, non-tender uterus
D. Board-like, rigid abdomen with severe pain
Answer: D
Rationale: Abruptio placentae involves the premature separation of the placenta, causing
dark red bleeding, uterine tenderness, and a rigid, board-like abdomen.
4. A nurse is monitoring a client receiving Magnesium Sulfate for preeclampsia.
Which finding should be reported to the provider immediately?
A. Urine output of 40 mL/hr
B. Deep tendon reflexes of 2+
C. Respiratory rate of 10/min
D. Feeling of warmth and flushing
Answer: C
Rationale: Magnesium sulfate toxicity is characterized by respiratory depression (less
than 12/min), loss of deep tendon reflexes, and decreased urine output.
5. An Rh-negative mother has just given birth to an Rh-positive infant. When
should Rho(D) immune globulin be administered?
A. Within 72 hours of birth
B. Within 24 hours of birth
C. Only if the infant shows signs of jaundice
D. At the 6-week postpartum checkup
Answer: A
Rationale: Rho(D) immune globulin must be given to the Rh-negative mother within 72
hours after birth to prevent sensitization to the Rh factor.
, 6. A postpartum nurse finds a client’s fundus to be boggy and displaced to the
right. What is the first action the nurse should take?
A. Administer oxytocin
B. Assist the client to void
C. Massage the fundus
D. Notify the physician
Answer: B
Rationale: A fundus displaced to the right is usually caused by a full bladder. Assisting the
client to void should be the priority to allow the uterus to contract.
7. A newborn is losing heat because they were placed on a cold metal scale. This
is an example of heat loss via:
A. Radiation
B. Conduction
C. Convection
D. Evaporation
Answer: B
Rationale: Conduction is the transfer of heat from one object to another through direct
contact.
8. A nurse is teaching a parent about the care of a newborn with phototherapy
for jaundice. Which instruction should be included?
A. Apply lotion to the skin to prevent drying
B. Dress the infant in a lightweight onesie
C. Keep the newborn’s eyes covered with a shield
D. Limit breastfeeding to twice a day
Answer: C
Rationale: Eye shields are essential to protect the newborn’s retinas from the high-
intensity light used in phototherapy.
