NSG 432 Exam 2 Nursing Care of the Childbearing Family
2026/2027 | Comprehensive Study Guide | Q&A
Introduction
NSG 432 Exam 2 covers areas such as pregnancy complications, labor, postpartum
care, and newborn assessment.
### 1. A newborn has a heart rate of 140 beats/min and a respiratory rate of 44
breaths/min. How should the nurse interpret these findings?
A. Both findings indicate respiratory distress
B. The heart rate is abnormally low
C. Both findings are within expected newborn ranges
D. The respiratory rate is dangerously elevated
**Answer: C. Both findings are within expected newborn ranges**
**Rationale:** A normal newborn heart rate is generally about 110–160 beats/min,
and respirations are approximately 30–60 breaths/min.
---
### 2. The nurse observes bluish discoloration of a newborn's hands and feet shortly
after birth. Which finding is most likely?
,A. Central cyanosis
B. Acrocyanosis
C. Respiratory failure
D. Severe anemia
**Answer: B. Acrocyanosis**
**Rationale:** Acrocyanosis, or bluish extremities, can be a normal transitional
finding shortly after birth.
---
### 3. Which newborn finding requires the nurse's **priority** intervention?
A. Respiratory rate of 42/min
B. Acrocyanosis of the hands
C. Nasal flaring and grunting
D. Flexed extremities
**Answer: C. Nasal flaring and grunting**
**Rationale:** Nasal flaring and grunting are signs of respiratory distress and require
,prompt assessment and intervention.
---
### 4. What is the primary purpose of the Apgar assessment?
A. To determine gestational age
B. To assess adaptation to extrauterine life
C. To determine the newborn's birth weight
D. To diagnose congenital abnormalities
**Answer: B. To assess adaptation to extrauterine life**
**Rationale:** Apgar evaluates Appearance, Pulse, Grimace, Activity, and
Respirations shortly after birth.
---
### 5. Which Apgar components are assessed by the nurse? **Select all that apply.**
A. Respiratory effort
B. Muscle tone
C. Blood glucose
, D. Heart rate
E. Reflex irritability
**Answer: A, B, D, E**
**Rationale:** Apgar assesses appearance/color, pulse, grimace/reflex irritability,
activity/muscle tone, and respirations.
---
### 6. A postpartum nurse assesses a client's uterus and finds it boggy. What should
the nurse do first?
A. Notify the healthcare provider immediately
B. Encourage the client to ambulate
C. Massage the fundus
D. Apply an ice pack to the abdomen
**Answer: C. Massage the fundus**
**Rationale:** A boggy uterus indicates poor uterine tone and can contribute to
postpartum hemorrhage. Fundal massage is an immediate nursing intervention.
---
2026/2027 | Comprehensive Study Guide | Q&A
Introduction
NSG 432 Exam 2 covers areas such as pregnancy complications, labor, postpartum
care, and newborn assessment.
### 1. A newborn has a heart rate of 140 beats/min and a respiratory rate of 44
breaths/min. How should the nurse interpret these findings?
A. Both findings indicate respiratory distress
B. The heart rate is abnormally low
C. Both findings are within expected newborn ranges
D. The respiratory rate is dangerously elevated
**Answer: C. Both findings are within expected newborn ranges**
**Rationale:** A normal newborn heart rate is generally about 110–160 beats/min,
and respirations are approximately 30–60 breaths/min.
---
### 2. The nurse observes bluish discoloration of a newborn's hands and feet shortly
after birth. Which finding is most likely?
,A. Central cyanosis
B. Acrocyanosis
C. Respiratory failure
D. Severe anemia
**Answer: B. Acrocyanosis**
**Rationale:** Acrocyanosis, or bluish extremities, can be a normal transitional
finding shortly after birth.
---
### 3. Which newborn finding requires the nurse's **priority** intervention?
A. Respiratory rate of 42/min
B. Acrocyanosis of the hands
C. Nasal flaring and grunting
D. Flexed extremities
**Answer: C. Nasal flaring and grunting**
**Rationale:** Nasal flaring and grunting are signs of respiratory distress and require
,prompt assessment and intervention.
---
### 4. What is the primary purpose of the Apgar assessment?
A. To determine gestational age
B. To assess adaptation to extrauterine life
C. To determine the newborn's birth weight
D. To diagnose congenital abnormalities
**Answer: B. To assess adaptation to extrauterine life**
**Rationale:** Apgar evaluates Appearance, Pulse, Grimace, Activity, and
Respirations shortly after birth.
---
### 5. Which Apgar components are assessed by the nurse? **Select all that apply.**
A. Respiratory effort
B. Muscle tone
C. Blood glucose
, D. Heart rate
E. Reflex irritability
**Answer: A, B, D, E**
**Rationale:** Apgar assesses appearance/color, pulse, grimace/reflex irritability,
activity/muscle tone, and respirations.
---
### 6. A postpartum nurse assesses a client's uterus and finds it boggy. What should
the nurse do first?
A. Notify the healthcare provider immediately
B. Encourage the client to ambulate
C. Massage the fundus
D. Apply an ice pack to the abdomen
**Answer: C. Massage the fundus**
**Rationale:** A boggy uterus indicates poor uterine tone and can contribute to
postpartum hemorrhage. Fundal massage is an immediate nursing intervention.
---
