NUR 231 Exam 3: Childbearing and Child Caring Family 20… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 231 Exam 3: Childbearing and Child Caring
Family 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 231 Exam 3: Childbearing and Child Caring Family 20… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a
nonstress test (NST). Which of the following is a characteristic of a reactive NST?
A. Fetal heart rate accelerations of 15 bpm for 15 seconds twice in 20 minutes
B. Fetal heart rate decelerations of 10 bpm for 10 seconds twice in 20 minutes
C. Presence of at least three fetal movements in a 30-minute window
D. Absence of late decelerations during a contraction cycle
Answer: A
Rationale: A reactive nonstress test is defined by at least two fetal heart rate accelerations of 15 beats per
minute (bpm) above the baseline, lasting for at least 15 seconds, within a 20-minute period. Exam questions
often test the ability to distinguish this concept from closely related distractors, making a clear rationale
essential for mastery.
2. Which of the following medications is the antidote for magnesium sulfate toxicity in a client
with preeclampsia?
A. Calcium gluconate
B. Naloxone
C. Terbutaline
D. Hydralazine
Answer: A
Rationale: Calcium gluconate is the specific antidote used to reverse respiratory depression or cardiac arrest
caused by magnesium sulfate toxicity. This is an important clinical concept because selecting the correct
answer (A) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
3. A nurse is assessing a newborn 1 hour after birth. Which of the following findings should the
nurse report to the provider?
A. Acrocyanosis of the hands and feet
B. Generalized petechiae over the trunk
C. Heart rate of 140 bpm while sleeping
D. Vernix caseosa in the skin folds
Answer: B
Rationale: Generalized petechiae can indicate a clotting factor deficiency or infection and should be reported.
Acrocyanosis and vernix caseosa are normal findings in a newborn. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 231 Exam 3: Childbearing and Child Caring Family 20… 2026 Update • Verified Answers
4. A nurse is providing discharge teaching to a mother of a 2-day-old newborn. Which
statement by the mother indicates an understanding of umbilical cord care?
A. I will apply alcohol to the cord at every diaper change.
B. I will keep the diaper folded below the cord stump.
C. I will give my baby a tub bath every other day until the cord falls off.
D. I will pull the cord off if it is still hanging by a thread after 10 days.
Answer: B
Rationale: Folding the diaper below the cord stump prevents contamination from urine and allows the cord to
dry through air exposure. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings supports
safe, evidence-based practice and improves patient outcomes.
5. A client in active labor has a fetal heart rate (FHR) monitor showing late decelerations. Which
of the following actions should the nurse take first?
A. Increase the IV fluid infusion rate.
B. Notify the primary healthcare provider.
C. Administer oxygen via non-rebreather mask.
D. Assist the client into a side-lying position.
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to improve placental
perfusion by positioning the client on their side. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
6. A nurse is assessing a child with suspected epiglottitis. Which of the following actions is
contraindicated?
A. Obtaining a throat culture
B. Administering humidified oxygen
C. Assessing the child’s respiratory rate
D. Encouraging the child to sit in an upright position
Answer: A
Rationale: In a child with suspected epiglottitis, inserting a tongue blade or swab for a throat culture can trigger
a complete airway obstruction. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 231 Exam 3: Childbearing and Child Caring
Family 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 231 Exam 3: Childbearing and Child Caring Family 20… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a
nonstress test (NST). Which of the following is a characteristic of a reactive NST?
A. Fetal heart rate accelerations of 15 bpm for 15 seconds twice in 20 minutes
B. Fetal heart rate decelerations of 10 bpm for 10 seconds twice in 20 minutes
C. Presence of at least three fetal movements in a 30-minute window
D. Absence of late decelerations during a contraction cycle
Answer: A
Rationale: A reactive nonstress test is defined by at least two fetal heart rate accelerations of 15 beats per
minute (bpm) above the baseline, lasting for at least 15 seconds, within a 20-minute period. Exam questions
often test the ability to distinguish this concept from closely related distractors, making a clear rationale
essential for mastery.
2. Which of the following medications is the antidote for magnesium sulfate toxicity in a client
with preeclampsia?
A. Calcium gluconate
B. Naloxone
C. Terbutaline
D. Hydralazine
Answer: A
Rationale: Calcium gluconate is the specific antidote used to reverse respiratory depression or cardiac arrest
caused by magnesium sulfate toxicity. This is an important clinical concept because selecting the correct
answer (A) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
3. A nurse is assessing a newborn 1 hour after birth. Which of the following findings should the
nurse report to the provider?
A. Acrocyanosis of the hands and feet
B. Generalized petechiae over the trunk
C. Heart rate of 140 bpm while sleeping
D. Vernix caseosa in the skin folds
Answer: B
Rationale: Generalized petechiae can indicate a clotting factor deficiency or infection and should be reported.
Acrocyanosis and vernix caseosa are normal findings in a newborn. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 231 Exam 3: Childbearing and Child Caring Family 20… 2026 Update • Verified Answers
4. A nurse is providing discharge teaching to a mother of a 2-day-old newborn. Which
statement by the mother indicates an understanding of umbilical cord care?
A. I will apply alcohol to the cord at every diaper change.
B. I will keep the diaper folded below the cord stump.
C. I will give my baby a tub bath every other day until the cord falls off.
D. I will pull the cord off if it is still hanging by a thread after 10 days.
Answer: B
Rationale: Folding the diaper below the cord stump prevents contamination from urine and allows the cord to
dry through air exposure. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings supports
safe, evidence-based practice and improves patient outcomes.
5. A client in active labor has a fetal heart rate (FHR) monitor showing late decelerations. Which
of the following actions should the nurse take first?
A. Increase the IV fluid infusion rate.
B. Notify the primary healthcare provider.
C. Administer oxygen via non-rebreather mask.
D. Assist the client into a side-lying position.
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to improve placental
perfusion by positioning the client on their side. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
6. A nurse is assessing a child with suspected epiglottitis. Which of the following actions is
contraindicated?
A. Obtaining a throat culture
B. Administering humidified oxygen
C. Assessing the child’s respiratory rate
D. Encouraging the child to sit in an upright position
Answer: A
Rationale: In a child with suspected epiglottitis, inserting a tongue blade or swab for a throat culture can trigger
a complete airway obstruction. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
