NUR 230 Exam 2 – Galen OB/Peds Practice Quiz 2026 UPDAT… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 230 Exam 2 – Galen OB/Peds Practice Quiz
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 230 Exam 2 – Galen OB/Peds Practice Quiz 2026 UPDAT… 2026 Update • Verified Answers
Questions & Verified Answers
1. A pregnant client’s last menstrual period began on October 10th. Using Naegele’s rule, what
is the estimated date of delivery (EDD)?
A. July 10th
B. June 17th
C. January 17th
D. ?
Answer: D
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the last menstrual period
and adding 7 days and 1 year. 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.
2. A nurse is reviewing the GTPAL of a client who is currently pregnant, has a 5-year-old born at
38 weeks, and had a miscarriage at 10 weeks. What is the correct documentation?
A. G3 T1 P0 A1 L1
B. G2 T1 P0 A1 L1
C. G3 T0 P1 A1 L1
D. G2 T1 P1 A0 L1
Answer: A
Rationale: G (Gravida) is 3 (current, 5-year-old, miscarriage). T (Term) is 1 (38 weeks). P (Preterm) is 0. A
(Abortion/Miscarriage) is 1. L (Living) is 1. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (A) requires understanding both the pathophysiology and the practical nursing
implications.
3. During a contraction stress test, the nurse observes late decelerations with more than 50% of
the contractions. How should this be interpreted?
A. Positive (Abnormal)
B. Negative (Normal)
C. Equivocal
D. Unsatisfactory
Answer: A
Rationale: A positive CST indicates late decelerations occur with 50% or more of contractions, suggesting
uteroplacental insufficiency. 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.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 230 Exam 2 – Galen OB/Peds Practice Quiz 2026 UPDAT… 2026 Update • Verified Answers
4. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Preeclampsia
C. Placenta previa
D. Ectopic pregnancy
Answer: C
Rationale: Painless, bright red bleeding in the third trimester is a classic sign of placenta previa. Abruptio
placentae usually involves painful, dark red bleeding. 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.
5. What is the primary goal of administering Magnesium Sulfate to a client with preeclampsia?
A. To lower blood pressure
B. To prevent seizures
C. To increase urine output
D. To induce labor
Answer: B
Rationale: Magnesium Sulfate is used in preeclampsia primarily as a CNS depressant to prevent eclampsia
(seizures). Applying this knowledge in clinical settings supports safe, evidence-based practice and improves
patient outcomes. This is an important clinical concept because selecting the correct answer (B) requires
understanding both the pathophysiology and the practical nursing implications.
6. A nurse notes a repetitive pattern of variable decelerations on the fetal heart rate monitor.
What is the priority nursing action?
A. Administer oxygen via face mask
B. Change the maternal position
C. Increase the IV fluid rate
D. Prepare for immediate Cesarean section
Answer: B
Rationale: Variable decelerations are typically caused by cord compression. Changing the mother’s position is
the first step to relieve pressure on the cord. 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.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 230 Exam 2 – Galen OB/Peds Practice Quiz
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 230 Exam 2 – Galen OB/Peds Practice Quiz 2026 UPDAT… 2026 Update • Verified Answers
Questions & Verified Answers
1. A pregnant client’s last menstrual period began on October 10th. Using Naegele’s rule, what
is the estimated date of delivery (EDD)?
A. July 10th
B. June 17th
C. January 17th
D. ?
Answer: D
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the last menstrual period
and adding 7 days and 1 year. 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.
2. A nurse is reviewing the GTPAL of a client who is currently pregnant, has a 5-year-old born at
38 weeks, and had a miscarriage at 10 weeks. What is the correct documentation?
A. G3 T1 P0 A1 L1
B. G2 T1 P0 A1 L1
C. G3 T0 P1 A1 L1
D. G2 T1 P1 A0 L1
Answer: A
Rationale: G (Gravida) is 3 (current, 5-year-old, miscarriage). T (Term) is 1 (38 weeks). P (Preterm) is 0. A
(Abortion/Miscarriage) is 1. L (Living) is 1. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (A) requires understanding both the pathophysiology and the practical nursing
implications.
3. During a contraction stress test, the nurse observes late decelerations with more than 50% of
the contractions. How should this be interpreted?
A. Positive (Abnormal)
B. Negative (Normal)
C. Equivocal
D. Unsatisfactory
Answer: A
Rationale: A positive CST indicates late decelerations occur with 50% or more of contractions, suggesting
uteroplacental insufficiency. 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.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 230 Exam 2 – Galen OB/Peds Practice Quiz 2026 UPDAT… 2026 Update • Verified Answers
4. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Preeclampsia
C. Placenta previa
D. Ectopic pregnancy
Answer: C
Rationale: Painless, bright red bleeding in the third trimester is a classic sign of placenta previa. Abruptio
placentae usually involves painful, dark red bleeding. 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.
5. What is the primary goal of administering Magnesium Sulfate to a client with preeclampsia?
A. To lower blood pressure
B. To prevent seizures
C. To increase urine output
D. To induce labor
Answer: B
Rationale: Magnesium Sulfate is used in preeclampsia primarily as a CNS depressant to prevent eclampsia
(seizures). Applying this knowledge in clinical settings supports safe, evidence-based practice and improves
patient outcomes. This is an important clinical concept because selecting the correct answer (B) requires
understanding both the pathophysiology and the practical nursing implications.
6. A nurse notes a repetitive pattern of variable decelerations on the fetal heart rate monitor.
What is the priority nursing action?
A. Administer oxygen via face mask
B. Change the maternal position
C. Increase the IV fluid rate
D. Prepare for immediate Cesarean section
Answer: B
Rationale: Variable decelerations are typically caused by cord compression. Changing the mother’s position is
the first step to relieve pressure on the cord. 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.
Exam (Elaborations) • Actual Questions & Rationales Page 3
