NURS230 MATERNAL CHILD EXAM 1
GALEN COLLEGE OF NURSING
NURS230 MATERNAL CHILD EXAM
PEDS EXAM COMPLETE VERIFIED
QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR
EXAM
A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure.
The home health nurse has taught her how to take her own blood pressure and gave her
parameters to judge a significant increase in blood pressure. When the client calls the clinic
complaining of indigestion, which instruction should the nurse provide?
A.Lie on your left side and call 911 for emergency assistance.
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 2
B.Take an antacid and call back if the pain has not subsided.
C.Take your blood pressure now, and if it is seriously elevated, go to the hospital.
D.See your health care provider to obtain a prescription for a histamine blocking agent.
C.Take your blood pressure now, and if it is seriously elevated, go to the hospital.
Rationale:
Checking the blood pressure for an elevation is the best instruction to give at this time. A
blood pressure exceeding 140/90 mm Hg is indicative of preeclampsia. Epigastric pain can be a
sign of an impending seizure (eclampsia), a life-threatening complication of gestational
hypertension. Additional data are needed to confirm an emergency situation as described in
option A. Options B and D ignore the threat to client safety posed by a significant increase in
blood pressure.
The nurse is counseling a couple who has sought information about conceiving. The couple
asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is
correct?
A.Two weeks before menstruation
B.Immediately after menstruation
C.Immediately before menstruation
D.Three weeks before menstruation
A.Two weeks before menstruation
Rationale:
Ovulation occurs 14 days before the first day of the menstrual period. Although ovulation can
occur in the middle of the cycle or 2 weeks after menstruation, this is only true for a woman
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 3
who has a perfect 28-day cycle. For many women, the length of the menstrual cycle varies.
Options B, C, and D are incorrect.
A client in active labor is becoming increasingly fearful because her contractions are occurring
more often than she had expected. Her partner is also becoming anxious. Which of the
following should be the focus of the nurse's response?
A.Telling the client and her partner that the labor process is often unpredictable
B.Informing the client that this means she will give birth sooner than expected
C.Asking the client and her partner if they would like the nurse to stay in the room
D.Affirming that the fetal heart rate is remaining within normal limits
C.Asking the client and her partner if they would like the nurse to stay in the room
Rationale:
Offering to remain with the client and her partner offers support without providing false
reassurance. The length of labor is not always predictable, but options A and B do not offer the
client the support that is needed at this time. Option D may be reassuring regarding the fetal
heart rate but does not provide the client the emotional support she needs at this time during
the labor process.
When assessing a client at 12 weeks of gestation, the nurse recommends that she and her
husband consider attending childbirth preparation classes. When is the best time for the couple
to attend these classes?
A.At 16 weeks of gestation
B.At 20 weeks of gestation
C.At 24 weeks of gestation
D.At 30 weeks of gestation
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 4
D.At 30 weeks of gestation
Rationale:
Learning is facilitated by an interested pupil. The couple is most interested in childbirth toward
the end of the pregnancy, when they are beginning to anticipate the onset of labor and the birth
of their child. Option D is closest to the time when parents would be ready for such classes.
Options A, B, and C are not the best times during a pregnancy for the couple to attend
childbirth education classes. At these times they will have other teaching needs. Early
pregnancy classes often include topics such as nutrition, physiologic changes, coping with
normal discomforts of pregnancy, fetal development, maternal and fetal risk factors, and
evolving roles of the mother and her significant others.
The nurse is evaluating a full-term multigravida who was induced 3 hours ago. The nurse
determines that the client is dilated 7 cm and is 100% effaced at 0 station, with intact
membranes. The monitor indicates that the FHR decelerates at the onset of several
contractions and returns to baseline before each contraction ends. Which action should the
nurse take?
A.Reapply the external transducer.
B.Insert the intrauterine pressure catheter.
C.Discontinue the oxytocin infusion.
D.Continue to monitor labor progress
D.Continue to monitor labor progress
Rationale:
The fetal heart rate indicates early decelerations, which are not an ominous sign, so the nurse
should continue to monitor the labor progress and document the findings in the client's record.
There is no reason to reapply the external transducer if the FHR tracings are being captured.
Options B and C are not indicated at this time.
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to
complain of tingling fingers and dizziness. Which action should the nurse take?
A.Administer oxygen by facemask.
March 4, 2026
GALEN COLLEGE OF NURSING
NURS230 MATERNAL CHILD EXAM
PEDS EXAM COMPLETE VERIFIED
QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR
EXAM
A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure.
The home health nurse has taught her how to take her own blood pressure and gave her
parameters to judge a significant increase in blood pressure. When the client calls the clinic
complaining of indigestion, which instruction should the nurse provide?
A.Lie on your left side and call 911 for emergency assistance.
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 2
B.Take an antacid and call back if the pain has not subsided.
C.Take your blood pressure now, and if it is seriously elevated, go to the hospital.
D.See your health care provider to obtain a prescription for a histamine blocking agent.
C.Take your blood pressure now, and if it is seriously elevated, go to the hospital.
Rationale:
Checking the blood pressure for an elevation is the best instruction to give at this time. A
blood pressure exceeding 140/90 mm Hg is indicative of preeclampsia. Epigastric pain can be a
sign of an impending seizure (eclampsia), a life-threatening complication of gestational
hypertension. Additional data are needed to confirm an emergency situation as described in
option A. Options B and D ignore the threat to client safety posed by a significant increase in
blood pressure.
The nurse is counseling a couple who has sought information about conceiving. The couple
asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is
correct?
A.Two weeks before menstruation
B.Immediately after menstruation
C.Immediately before menstruation
D.Three weeks before menstruation
A.Two weeks before menstruation
Rationale:
Ovulation occurs 14 days before the first day of the menstrual period. Although ovulation can
occur in the middle of the cycle or 2 weeks after menstruation, this is only true for a woman
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 3
who has a perfect 28-day cycle. For many women, the length of the menstrual cycle varies.
Options B, C, and D are incorrect.
A client in active labor is becoming increasingly fearful because her contractions are occurring
more often than she had expected. Her partner is also becoming anxious. Which of the
following should be the focus of the nurse's response?
A.Telling the client and her partner that the labor process is often unpredictable
B.Informing the client that this means she will give birth sooner than expected
C.Asking the client and her partner if they would like the nurse to stay in the room
D.Affirming that the fetal heart rate is remaining within normal limits
C.Asking the client and her partner if they would like the nurse to stay in the room
Rationale:
Offering to remain with the client and her partner offers support without providing false
reassurance. The length of labor is not always predictable, but options A and B do not offer the
client the support that is needed at this time. Option D may be reassuring regarding the fetal
heart rate but does not provide the client the emotional support she needs at this time during
the labor process.
When assessing a client at 12 weeks of gestation, the nurse recommends that she and her
husband consider attending childbirth preparation classes. When is the best time for the couple
to attend these classes?
A.At 16 weeks of gestation
B.At 20 weeks of gestation
C.At 24 weeks of gestation
D.At 30 weeks of gestation
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 4
D.At 30 weeks of gestation
Rationale:
Learning is facilitated by an interested pupil. The couple is most interested in childbirth toward
the end of the pregnancy, when they are beginning to anticipate the onset of labor and the birth
of their child. Option D is closest to the time when parents would be ready for such classes.
Options A, B, and C are not the best times during a pregnancy for the couple to attend
childbirth education classes. At these times they will have other teaching needs. Early
pregnancy classes often include topics such as nutrition, physiologic changes, coping with
normal discomforts of pregnancy, fetal development, maternal and fetal risk factors, and
evolving roles of the mother and her significant others.
The nurse is evaluating a full-term multigravida who was induced 3 hours ago. The nurse
determines that the client is dilated 7 cm and is 100% effaced at 0 station, with intact
membranes. The monitor indicates that the FHR decelerates at the onset of several
contractions and returns to baseline before each contraction ends. Which action should the
nurse take?
A.Reapply the external transducer.
B.Insert the intrauterine pressure catheter.
C.Discontinue the oxytocin infusion.
D.Continue to monitor labor progress
D.Continue to monitor labor progress
Rationale:
The fetal heart rate indicates early decelerations, which are not an ominous sign, so the nurse
should continue to monitor the labor progress and document the findings in the client's record.
There is no reason to reapply the external transducer if the FHR tracings are being captured.
Options B and C are not indicated at this time.
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to
complain of tingling fingers and dizziness. Which action should the nurse take?
A.Administer oxygen by facemask.
March 4, 2026
