NURS230 MATERNAL CHILD EXAM 1
GALEN COLLEGE OF NURSING
NURS230 MATERNAL CHILD EXAM
PEDS EXAM 1 COMPLETE VERIFIED
QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR
EXAM
Which complaint made by a client at 35 weeks of gestation requires additional assessment?
A. Abdominal pain
B. Ankle edema in the afternoon
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 2
C. Shortness of breath when climbing stairs
D. Backache with prolonged standing
A. Abdominal pain
Rationale:
Abdominal pain may indicate preterm labor or serious placental abnormalities.
Which client at term should go to the hospital or birth center the soonest after labor begins?
A. Gravida 2, para 1 whose first labor lasted 16 hours
B. Gravida 2, para 1 who lives 10 minutes away
C. Gravida 1, para 0 who lives 40 minutes away
D. Gravida 3, para 2 whose longest previous labor was 4 hours
D. Gravida 3, para 2 whose longest previous labor was 4 hours
Rationale: Multiparous women usually have shorter labors than do nulliparous women. The woman
described is multiparous with a history of rapid labors, increasing the likelihood that her infant might be
born in uncontrolled circumstances.
The nurse is teaching a 25 year old pregnant woman about nutrition and weight gain. Which of the
following statements demonstrates the woman understands the teaching?
A. "I should maintain a weight gain of one pound per month so that by gestation week 40, I would have
gained 40 pounds (18 kg), which is the minimum healthy weight gain I need for my baby."
B. "Even though I'm obese, I should not be concerned because obesity is not associated with pregnancy
loss."
C. "The normal weight gain for pregnancy is 25-35 (11.5-16 kg) pounds for a woman with a normal
BMI."
D. "A weight gain of 2.2 pounds (1 kg) per month is a healthy weight gain for the baby and for me."
C. "The normal weight gain for pregnancy is 25-35 (11.5-16 kg) pounds for a woman with a normal
BMI."
Rationale: Total weight gain throughout pregnancy should be about 11.5 to 16kg (25-35lb) for women
with a normal BMI.
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 3
A G1P0 patient, 40 weeks pregnant, is laboring in bed, flat on her back, in the supine position. She
becomes pale, her skin becomes clammy, and she states she feels dizzy. What is the first action by the
nurse?
A. Administer 250 ml Lactated Ringer's IV fluid bolus.
B. Turn the patient to her side.
C. Notify her medical provider.
D.Apply oxygen 10 liters by simple face mask.
B. Turn the patient to her side.
Rationale: The patient is experiencing supine hypotensive syndrome. She is experiencing low blood
pressure due to the pressure of the gravid uterus on the vena cava and decreasing the blood return to
the heart. Turning the patient to the side resolves the problem.
A client is admitted to the birthing suite in early active labor. Which nursing action takes priority
during the admission process?
A. Determining when the last meal was eaten
B. Ascertaining whether the membranes have ruptured
C. Auscultating the fetal heart
D. Obtaining an obstetric history
C. Auscultating the fetal heart
Rationale: Determining fetal well-being takes priority over all other measures. If the fetal heart rate is
absent or persistently decelerating, immediate intervention is required. Although obtaining an obstetric
history, determining when the client had her last meal, and ascertaining whether the membranes have
ruptured are all important, the determination of fetal well-being takes priority.
The client has just received and epidural and is concerned about having a bowel movement while
pushing and delivering her baby. Which of the following statements by the nurse is appropriate?
A. "Don't worry, we can get you to the bathroom and you can have a bowel movement before delivery."
B. "You are at risk for falling if you try to get out of bed. I will assist you in keeping clean while you are
pushing."
C. "This happens with most deliveries. You shouldn't worry about having a bowel movement."
D. "When you visited the bathroom before your epidural was placed, that was your opportunity to have
a bowel movement."
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 4
B. "You are at risk for falling if you try to get out of bed. I will assist you in keeping clean while you are
pushing."
Rationale: Because the patient has regional anesthesia, she is a fall risk, and should not ambulate until
after the anesthesia has worn off. The nurse can assist with perineal care during the second stage of
labor.
A woman has come to the clinic for preconception counseling because she wants to start trying to get
pregnant at 3 months. She asks the nurse: "One of my friends told me I need to take folic acid. Why do I
have to do that?" The nurse's best response is:
A. "Folic acid is not needed in pregnancy. You do not need to take it."
B. "Folic acid is in enriched breads and cereals. You do not need any extra in pregnancy."
C. "Folic acid is used to treat certain types of anemia."
D. "Folic acid prevents neural tube defects like spina bifida."
D. "Folic acid prevents neural tube defects like spina bifida."
Rationale: Folic acid is to be taken before and during the first trimester of pregnancy to prevent neural
tube defects. She will need to use the folic acid supplement to achieve enough amounts to prevent the
defects.
A woman is 3 months pregnant. At her prenatal visit, she tells the nurse that she doesn't know what is
happening; one minute she's happy that she is pregnant, and the next minute she cries for no reason.
Which response by the nurse is most appropriate? A. "Perhaps you really don't want to be pregnant."
B. "Don't worry about it; you'll feel better in a month or so."
C. "Hormonal changes during pregnancy commonly result in mood swings."
D. "Have you talked to your partner about how you feel?"
B. "Hormonal changes during pregnancy commonly result in mood swings."
Rationale:
"Hormonal changes during pregnancy commonly result in mood swings" is an accurate statement
and the most appropriate response by the nurse.
A client in labor and delivery has just received a dose of ephedrine. Which of the following signs will the
nurse should the nurse expect to see?
A. A decrease in blood pressure.
B. A decrease in respiratory rate.
March 4, 2026
GALEN COLLEGE OF NURSING
NURS230 MATERNAL CHILD EXAM
PEDS EXAM 1 COMPLETE VERIFIED
QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR
EXAM
Which complaint made by a client at 35 weeks of gestation requires additional assessment?
A. Abdominal pain
B. Ankle edema in the afternoon
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 2
C. Shortness of breath when climbing stairs
D. Backache with prolonged standing
A. Abdominal pain
Rationale:
Abdominal pain may indicate preterm labor or serious placental abnormalities.
Which client at term should go to the hospital or birth center the soonest after labor begins?
A. Gravida 2, para 1 whose first labor lasted 16 hours
B. Gravida 2, para 1 who lives 10 minutes away
C. Gravida 1, para 0 who lives 40 minutes away
D. Gravida 3, para 2 whose longest previous labor was 4 hours
D. Gravida 3, para 2 whose longest previous labor was 4 hours
Rationale: Multiparous women usually have shorter labors than do nulliparous women. The woman
described is multiparous with a history of rapid labors, increasing the likelihood that her infant might be
born in uncontrolled circumstances.
The nurse is teaching a 25 year old pregnant woman about nutrition and weight gain. Which of the
following statements demonstrates the woman understands the teaching?
A. "I should maintain a weight gain of one pound per month so that by gestation week 40, I would have
gained 40 pounds (18 kg), which is the minimum healthy weight gain I need for my baby."
B. "Even though I'm obese, I should not be concerned because obesity is not associated with pregnancy
loss."
C. "The normal weight gain for pregnancy is 25-35 (11.5-16 kg) pounds for a woman with a normal
BMI."
D. "A weight gain of 2.2 pounds (1 kg) per month is a healthy weight gain for the baby and for me."
C. "The normal weight gain for pregnancy is 25-35 (11.5-16 kg) pounds for a woman with a normal
BMI."
Rationale: Total weight gain throughout pregnancy should be about 11.5 to 16kg (25-35lb) for women
with a normal BMI.
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 3
A G1P0 patient, 40 weeks pregnant, is laboring in bed, flat on her back, in the supine position. She
becomes pale, her skin becomes clammy, and she states she feels dizzy. What is the first action by the
nurse?
A. Administer 250 ml Lactated Ringer's IV fluid bolus.
B. Turn the patient to her side.
C. Notify her medical provider.
D.Apply oxygen 10 liters by simple face mask.
B. Turn the patient to her side.
Rationale: The patient is experiencing supine hypotensive syndrome. She is experiencing low blood
pressure due to the pressure of the gravid uterus on the vena cava and decreasing the blood return to
the heart. Turning the patient to the side resolves the problem.
A client is admitted to the birthing suite in early active labor. Which nursing action takes priority
during the admission process?
A. Determining when the last meal was eaten
B. Ascertaining whether the membranes have ruptured
C. Auscultating the fetal heart
D. Obtaining an obstetric history
C. Auscultating the fetal heart
Rationale: Determining fetal well-being takes priority over all other measures. If the fetal heart rate is
absent or persistently decelerating, immediate intervention is required. Although obtaining an obstetric
history, determining when the client had her last meal, and ascertaining whether the membranes have
ruptured are all important, the determination of fetal well-being takes priority.
The client has just received and epidural and is concerned about having a bowel movement while
pushing and delivering her baby. Which of the following statements by the nurse is appropriate?
A. "Don't worry, we can get you to the bathroom and you can have a bowel movement before delivery."
B. "You are at risk for falling if you try to get out of bed. I will assist you in keeping clean while you are
pushing."
C. "This happens with most deliveries. You shouldn't worry about having a bowel movement."
D. "When you visited the bathroom before your epidural was placed, that was your opportunity to have
a bowel movement."
March 4, 2026
, NURS230 MATERNAL CHILD EXAM 4
B. "You are at risk for falling if you try to get out of bed. I will assist you in keeping clean while you are
pushing."
Rationale: Because the patient has regional anesthesia, she is a fall risk, and should not ambulate until
after the anesthesia has worn off. The nurse can assist with perineal care during the second stage of
labor.
A woman has come to the clinic for preconception counseling because she wants to start trying to get
pregnant at 3 months. She asks the nurse: "One of my friends told me I need to take folic acid. Why do I
have to do that?" The nurse's best response is:
A. "Folic acid is not needed in pregnancy. You do not need to take it."
B. "Folic acid is in enriched breads and cereals. You do not need any extra in pregnancy."
C. "Folic acid is used to treat certain types of anemia."
D. "Folic acid prevents neural tube defects like spina bifida."
D. "Folic acid prevents neural tube defects like spina bifida."
Rationale: Folic acid is to be taken before and during the first trimester of pregnancy to prevent neural
tube defects. She will need to use the folic acid supplement to achieve enough amounts to prevent the
defects.
A woman is 3 months pregnant. At her prenatal visit, she tells the nurse that she doesn't know what is
happening; one minute she's happy that she is pregnant, and the next minute she cries for no reason.
Which response by the nurse is most appropriate? A. "Perhaps you really don't want to be pregnant."
B. "Don't worry about it; you'll feel better in a month or so."
C. "Hormonal changes during pregnancy commonly result in mood swings."
D. "Have you talked to your partner about how you feel?"
B. "Hormonal changes during pregnancy commonly result in mood swings."
Rationale:
"Hormonal changes during pregnancy commonly result in mood swings" is an accurate statement
and the most appropriate response by the nurse.
A client in labor and delivery has just received a dose of ephedrine. Which of the following signs will the
nurse should the nurse expect to see?
A. A decrease in blood pressure.
B. A decrease in respiratory rate.
March 4, 2026
