EXAM OVERVIEW
| Category | Details |
|---|---|
| Exam Title | NUR 418 / NUR 415 Exam 4 — Nursing Care of the Childbearing & Childrearing
Family |
| Total Questions | 300 Multiple-Choice Questions |
| Question Types | Multiple Choice (A, B, C, D) with Select All That Apply (SATA) variations |
| Answer Format | Correct answer immediately following each question with detailed rationale
|
| Primary Focus | Maternal-newborn nursing, intrapartum care, postpartum care, newborn
assessment, pediatric nursing, family-centered care, high-risk pregnancy, and childrearing |
| Target Audience | Concordia University nursing students — NUR 418 / NUR 415 |
| Academic Year | 2026 |
| Verified | Yes — all answers verified with expert rationales |
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TABLE OF CONTENTS
| Section | Topic | Questions |
|---|---|---|
| 1 | Family-Centered Care & Cultural Competence | Q1–Q30 |
| 2 | Antepartum Care — Normal Pregnancy | Q31–Q70 |
| 3 | Intrapartum Care — Labor & Delivery | Q71–Q110 |
,| 4 | Postpartum Care — Maternal Recovery | Q111–Q145 |
| 5 | Newborn Assessment & Care | Q146–Q185 |
| 6 | High-Risk Pregnancy & Complications | Q186–Q220 |
| 7 | Newborn Complications & Neonatal Concerns | Q221–Q255 |
| 8 | Childrearing & Pediatric Nursing | Q256–Q285 |
| 9 | Comprehensive Review & Key Concepts | Q286–Q300 |
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SECTION 1: FAMILY-CENTERED CARE & CULTURAL COMPETENCE
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Q1. What is the defining characteristic of family-centered care in maternity nursing?
A) The healthcare team makes all decisions independently
B) The family participates in the planning, delivery, and evaluation of care
C) The nurse provides care without family input
D) The physician directs all aspects of care
Answer: B
Rationale: Family-centered care is a model of care based on collaboration between the
healthcare team and the family. The family participates in the planning, delivery, and evaluation
of care, recognizing that the family is the constant in the patient's life.
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,Q2. Which action by a nurse best indicates progress toward cultural sensitivity?
A) Demonstrating good knowledge of different cultural health beliefs
B) Effectively responding to the needs of people of different cultures
C) Reading about different cultures
D) Attending a cultural diversity seminar
Answer: B
Rationale: Cultural sensitivity goes beyond knowledge to active, effective response to the needs
of people from diverse cultural backgrounds. While knowledge is important, the ability to
effectively respond demonstrates true cultural competence in practice.
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Q3. A nurse is caring for a Chinese patient diagnosed with cancer who refuses analgesia despite
reporting pain. Which cultural consideration should the nurse prioritize?
A) The patient is being non-compliant
B) The patient may have cultural beliefs about pain expression and medication use
C) The patient does not understand the medication
D) The patient is afraid of addiction
Answer: B
Rationale: Cultural beliefs significantly influence pain expression and acceptance of analgesia.
Some cultures view pain as something to be endured, or may have beliefs about medication
that affect acceptance. The nurse should explore the patient's cultural beliefs and preferences
rather than assuming non-compliance.
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Q4. According to family-centered care principles, the nurse should recognize that:
A) The family is a visitor in the healthcare setting
B) The family is the constant in the patient's life
C) Healthcare providers know what is best for the family
D) Family input is optional
Answer: B
Rationale: A core concept of family-centered care is that the family is the constant in the
patient's life. Healthcare providers come and go, but the family remains. This recognition guides
collaborative care planning.
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Q5. Which of the following is a core concept of family-centered care?
A) Collaboration of the healthcare team and family
B) Independent decision-making by providers
C) Limited family visitation
D) Standardized care for all families
Answer: A
Rationale: Family-centered care is built on collaboration between the healthcare team and the
family. This partnership ensures that care is tailored to the family's unique needs, values, and
preferences.