Written by students who passed Immediately available after payment Read online or as PDF Wrong document? Swap it for free 4.6 TrustPilot
logo-home
Document preview thumbnail
Preview 3 out of 20 pages
Exam (elaborations)

NUR230/ NUR 230 Exam 2: (Latest 2026/ 2027 Update) Childbearing Child Caring Family Nursing: OB/Mother-Baby Review| Test Bank| Grade A| 100% Correct (Verified Solutions) – Galen

Document preview thumbnail
Preview 3 out of 20 pages

INSTANT PDF DOWNLOAD — This official test bank for NUR 230 Exam 2 at Galen College of Nursing covers Childbearing Child Caring Family Nursing (OB/Mother-Baby) for the 2026/2027 academic year second examination. It contains verified questions and answers with detailed rationales in multiple-choice, select-all-that-apply (SATA), ordered response, and clinical scenario formats aligned with nursing program standards. INTRAPARTUM CARE (LABOR AND DELIVERY) Stages and Phases of Labor Stage 1: Cervical Dilation (Onset of True Labor to Full Dilation at 10 cm) – Subdivided into three phases: Latent Phase (0-6 cm) – Cervical dilation 0-6 cm, effacement 0-40% (primip) or 0-80% (multip). Contractions: mild to moderate intensity, frequency q5-30 minutes (irregular initially, becoming more regular), duration 15-45 seconds. Duration: nulliparous average 6-12 hours (up to 20 hours may be normal), multiparous average 4-8 hours (up to 14 hours may be normal). Nursing interventions: encourage rest and relaxation (save energy for active labor), upright positions and ambulation if no contraindications (promotes descent, improves contractions, increases comfort), comfort measures (back rub, breathing techniques, position changes, warm shower/bath if membranes intact and not contraindicated), hydration and light snacks (clear liquids, broth, juice, popsicles, hard candy) if not at risk for aspiration and anesthesia not imminent (depends on facility policy), encourage voiding q2h (full bladder impedes descent, can cause uterine atony, postpartum hemorrhage). Encourage partner/support person involvement (coach breathing, comfort measures, advocate). Provide education on labor process, what to expect, when to return to hospital (if early labor admitted, latent phase may be slow; discuss options). Active Phase (6-8 cm) – Cervical dilation 6-8 cm, effacement 40-80% (primip) or 80% complete (multip). Contractions: moderate to strong intensity, frequency q3-5 minutes, duration 45-60 seconds. Duration: nulliparous average 2-4 hours, multiparous average 1-3 hours. Nursing interventions: provide continuous labor support (one-to-one nurse or doula support reduces cesarean delivery, operative vaginal delivery, use of analgesia/anesthesia, shorter labor, higher satisfaction scores – ACOG recommendation), encourage position changes (upright positions, side-lying, hands-knees, squatting, pelvic rocking – gravity aids descent, improves pelvic outlet diameters, reduces back pain), encourage voiding q1-2 hours, pain management options (non-pharmacologic: hydrotherapy, massage, counterpressure, sterile water papules for back labor, TENS unit, aromatherapy, relaxation, breathing techniques, positioning; pharmacologic: IV opioids (fentanyl, morphine, meperidine (Demerol) – less commonly used now due to neuroactive metabolite normeperidine (can cause seizures, CNS excitation, accumulates with repeated doses, crosses placenta rapidly, may cause neonatal respiratory depression, sedation (avoid within 2-4 hours of delivery), monitor maternal respiratory rate (12 → hold dose, may need reversal with naloxone if severe), epidural analgesia (most effective pain relief, does not increase cesarean delivery rate, may increase operative vaginal delivery rate, increases duration of second stage, can cause maternal hypotension (preload with IV fluids, position lateral, monitor BP frequently, treat hypotension with fluids, ephedrine, phenylephrine), fever (38°C or higher, associated with increased neonatal sepsis evaluation, but may not represent true infection – monitor fetal HR, maternal WBC, consider antibiotics), urinary retention, pruritus (opioids in epidural – treat with diphenhydramine, nalbuphine), headache (post-dural puncture headache – risk factors: young age, female, lower BMI, larger gauge needle, traumatic insertion, multiple attempts; treatment: epidural blood patch, caffeine, hydration, bedrest), respiratory depression (rare with low-dose epidural, monitor). FHR monitoring: continuous electronic fetal monitoring (EFM) or intermittent auscultation (depending on risk status, facility policy). Encourage support person to assist with comfort measures, advocate for patient. Monitor for signs of transition (increased anxiety, irritability, restlessness, feeling of loss of control, nausea/vomiting, increased rectal pressure, shaking legs, increased bloody show, irritability with touch). Transition Phase (8-10 cm) – Cervical dilation 8-10 cm, effacement complete (100%). Cont

Content preview

1|Page




NUR 230 Exam 2 Childbearing and
Pediatric Nursing 2026/2027 Study
Questions with Verified Answers and
Detailed Rationales Grade A - Galen

1. What is the nursing profession?

Correct Answer: Nursing is a scholarly profession with a foundation

based on the art of caring and the scientific evidence that guides

practice. This concept of professionalism guides nurses in everyday

practice.

Rationale:

1. Nursing combines the art of caring with scientific evidence.

2. Professionalism is essential for quality patient care.

3. The foundation of nursing guides daily practice decisions.



2. What is nursing professionalism?

Correct Answer: Actions, behaviors, and attitudes of an individual that

are reflective of the core values, ethical principles, and regulatory

guidelines of the profession.

,2|Page


Rationale:

1. Professionalism is demonstrated through actions, behaviors, and attitudes.

2. It reflects core values and ethical principles.

3. Regulatory guidelines define professional conduct.



3. What is unprofessionalism in nursing?

Correct Answer: Conduct that does not adhere to the standards of

practice or the code of ethics. "Conduct unbecoming of a nurse" –

dishonor, disgrace, or harm the standing or reputation of the profession

in the eyes of the public.

Rationale:

1. Unprofessionalism violates standards of practice or code of ethics.

2. It harms the reputation of the nursing profession.

3. It can result in disciplinary action.



4. What is professional identity in nursing?

Correct Answer: A nurse's sense of self as influenced by the values,

beliefs, and attributes associated with the nursing discipline – self-

image, self-concept, personal view an individual has of themselves in

their professional role.

, 3|Page


Rationale:

1. Professional identity is how nurses see themselves in their role.

2. It is shaped by values, beliefs, and attributes of the profession.

3. Self-image and self-concept are key components.



5. What is accountability in nursing?

Correct Answer: A legal obligation with a moral and ethical commitment

to do the right thing, every time, and in every situation. Taking

ownership of decisions and actions, and further, being responsible and

answerable for actions and the consequences of those actions.

Rationale:

1. Accountability is a legal and ethical obligation.

2. Nurses must take ownership of their decisions and actions.

3. They are answerable for the consequences of their actions.



6. What is responsibility in nursing?

Correct Answer: An obligation to perform work, duties, or tasks using

sound professional judgment. Means being reliable, dependable, and

persistent in following through with commitments.

Document information

Uploaded on
May 1, 2026
Number of pages
20
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers
$12.49

Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
DoctorKen
3.8
(162)
Sold
892
Followers
120
Items
6627
Last sold
1 hour ago




Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Working on your references?

Frequently asked questions