Course, 2026 – Complete Exam Review Study Guide with Verified
Solutions
Introduction
This document contains a comprehensive review guide for the NU
170 Exam 4, featuring complete review questions with verified
answers and detailed solutions. It covers maternal-newborn
nursing, postpartum care, newborn assessment, neonatal disorders,
congenital conditions, pediatric nursing, contraception, postpartum
complications, nursing interventions, patient safety, and essential
nursing concepts, along with clinical decision-making and NCLEX-
style review questions. The question-and-answer format makes it
an excellent resource for reinforcing key nursing concepts,
preparing for Exam 4, and reviewing high-yield maternal, newborn,
and pediatric nursing content.
Exam Questions and Answers
Children with PKU must avoid? --- correct precise answer ---- the
sweetener aspartame- NutraSweet, because it is converted to
phenylalanine in the body
,PKU Treatment and diet --- correct precise answer ---Meat
restriction, child will require synthetic food to provide protein.
Child will have special formulas (Lofenalac & Phenex-1)
Maple Suryp Urine Disease --- correct precise answer ---Blocked
degradation of branched amino acids: Isoleucine, leucine and
Valine
-Due to decrease in a-ketoacide dehydrogenase
Findings: severe CNS defects, MR, urine smells like syrup or burnt
sugar and death
"I Love Vermont maple syrup from branching maple trees"
Galactosemia --- correct precise answer ---an inborn error of
metabolism that makes infants unable to process galactose,
resulting in a variety of physical problems in addition to
intellectual disabilities; dietary intervention reduces potential for
problems ( these babies cannot breastfeed, soy formula is needed)
Down syndrome characteristics --- correct precise answer ---flat
nose bridge
slanted almond shaped eyes
shortened neck
protruding tongue
short thick fingers
Wide space between big toe & second toe
Loose joints
,What is down syndrome? --- correct precise answer ---chromosomal
abnormality, trisomy 21 is the most common (there are three
number 21 chromosomes instead of two)
Pathological Jaundice of the Newborn --- correct precise answer ---
occurs 24 hours after birth, abnormal, caused by ABO or Rh
incompatibility
intracranial hemorrhage --- correct precise answer ---bleeding from
ruptured vessels within the skull (most common type of birth
injury)
s/s of intercranial pressure --- correct precise answer ---headache,
vomiting c no nausea, altered LOC, back pain, pupils blown,
projectile vomiting, visual disturbances nausea, papilledema, optic
atrophy, Lethargy, anxiety
meconium aspiration syndrome --- correct precise answer ---
abnormal inhalation of meconium produced by a fetus or newborn
neonatal abstinence syndrome --- correct precise answer ---drug
withdrawal that occurs in newborn infants whose mothers were
frequent drug users during pregnancy
The nurse is caring for a client who is 4 hours postpartum and has
discomfort in the perineal
area. Which of the following comfort measures should the nurse
offer? --- correct precise answer ---Provide a chemical ice pack.
, The nurse is contributing to the plan of care for a newborn's initial
bath. Which of the following interventions should the nurse include
in the plan? --- correct precise answer ---Bathe the head and scalp
last to prevent heat loss
The nurse is caring for a newborn. Which of the following findings
is a priority for the nurse to follow up? --- correct precise answer ---
Blood pressure of 55/40 mm Hg and a pulse of 95.
The nurse is caring for a 15-year-old client. The client is uninvolved
with her newborn and watches television. Which of the following
interventions is best to help facilitate mother-infant
attachment for this client? --- correct precise answer ---Assist the
client with washing the newborn
The nurse is caring for a female client at an outpatient clinic who is
seeking contraception and requests "the pill.
" Vital signs (VS) are within normal limits. Which of the following
questions is most important for the nurse to ask during data
collection? --- correct precise answer ---"How often do you use
nicotine?
The nurse working in an outpatient clinic is asked by a young
couple,
"Which method of contraception is the best one to use?" Which of
the following responses by the nurse is most helpful to the couple?