NUR231 Exam 2 V3 | NUR 231
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. A nurse is monitoring a client in active labor and notes a fetal heart rate (FHR) pattern of
late decelerations. Which nursing action is the highest priority?
A. Increase the rate of the oxytocin infusion.
B. Assist the client into a side-lying position.
C. Perform a vaginal examination to check for cord prolapse.
D. Document the finding as a normal response to contractions.
Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority is to
improve oxygenation to the fetus, starting with maternal position change to the side to
relieve pressure on the vena cava.
2. Which of the following describes the ‘VEAL CHOP’ mnemonic for interpreting FHR patterns,
specifically for Variable decelerations?
A. Head compression
B. Placental abruption
C. Other (placental) insufficiency
,D. Cord compression
Answer: D
Rationale: In the VEAL CHOP mnemonic, Variable decelerations (V) correspond to Cord
compression (C). Interventions include repositioning the mother.
3. A newborn is placed on a cold metal scale for a weight check without a protective cover.
Which mechanism of heat loss is occurring?
A. Evaporation
B. Convection
C. Radiation
D. Conduction
Answer: D
Rationale: Conduction is the transfer of heat from the body surface to cooler surfaces in
direct contact. Placing a newborn on a cold scale is a classic example.
4. During the first hour postpartum, the nurse assesses the client’s fundus and finds it to be
boggy and shifted to the right. What is the priority nursing action?
A. Massage the fundus until firm.
B. Notify the healthcare provider immediately.
C. Administer oxytocin per standing orders.
D. Encourage the client to void.
, Answer: D
Rationale: A fundus shifted to the right and boggy usually indicates a full bladder, which
prevents the uterus from contracting. The priority is to empty the bladder.
5. A client at 34 weeks’ gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Uterine rupture
C. Preterm labor
D. Placenta previa
Answer: D
Rationale: Placenta previa is characterized by painless, bright red bleeding in the third
trimester. Abruptio placentae usually involves painful, dark red bleeding.
6. What is the primary purpose of administering Magnesium Sulfate to a client with
preeclampsia?
A. To prevent seizures.
B. To increase urine output.
C. To lower blood pressure.
D. To induce labor.
Answer: A
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. A nurse is monitoring a client in active labor and notes a fetal heart rate (FHR) pattern of
late decelerations. Which nursing action is the highest priority?
A. Increase the rate of the oxytocin infusion.
B. Assist the client into a side-lying position.
C. Perform a vaginal examination to check for cord prolapse.
D. Document the finding as a normal response to contractions.
Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority is to
improve oxygenation to the fetus, starting with maternal position change to the side to
relieve pressure on the vena cava.
2. Which of the following describes the ‘VEAL CHOP’ mnemonic for interpreting FHR patterns,
specifically for Variable decelerations?
A. Head compression
B. Placental abruption
C. Other (placental) insufficiency
,D. Cord compression
Answer: D
Rationale: In the VEAL CHOP mnemonic, Variable decelerations (V) correspond to Cord
compression (C). Interventions include repositioning the mother.
3. A newborn is placed on a cold metal scale for a weight check without a protective cover.
Which mechanism of heat loss is occurring?
A. Evaporation
B. Convection
C. Radiation
D. Conduction
Answer: D
Rationale: Conduction is the transfer of heat from the body surface to cooler surfaces in
direct contact. Placing a newborn on a cold scale is a classic example.
4. During the first hour postpartum, the nurse assesses the client’s fundus and finds it to be
boggy and shifted to the right. What is the priority nursing action?
A. Massage the fundus until firm.
B. Notify the healthcare provider immediately.
C. Administer oxytocin per standing orders.
D. Encourage the client to void.
, Answer: D
Rationale: A fundus shifted to the right and boggy usually indicates a full bladder, which
prevents the uterus from contracting. The priority is to empty the bladder.
5. A client at 34 weeks’ gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Uterine rupture
C. Preterm labor
D. Placenta previa
Answer: D
Rationale: Placenta previa is characterized by painless, bright red bleeding in the third
trimester. Abruptio placentae usually involves painful, dark red bleeding.
6. What is the primary purpose of administering Magnesium Sulfate to a client with
preeclampsia?
A. To prevent seizures.
B. To increase urine output.
C. To lower blood pressure.
D. To induce labor.
Answer: A
