NUR 325 EXAM 3 (WCSU) NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK
NUR325 NURSING CARE OF THE CHILDBEARING/ CHILDREARING FAMILY
EXAM 3 REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex maternal-fetal and pediatric conditions to prioritize nursing interventions
2 Apply pharmacokinetic and pharmacodynamic principles to medication administration in obstetric and
pediatric populations
3 Evaluate ethical, legal, and cultural factors in family-centered care
4 Synthesize assessment data to identify subtle changes and implement timely, evidence-based
interventions
5 NUR 325 EXAM 3
6 WCSU
7 NEWEST 2026
8 2027 ACTUAL EXAM TEST BANK NUR325 NURSING CARE OF THE CHILDBEARING
9 CHILDREARING FAMILY EXAM 3 REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS
10 ALREADY GRADED A+
11 MOST RECENT!!
12 Foundations of Nursing Care of the Childbearing/Childrearing Family
13 Applied Nursing Care of the Childbearing/Childrearing Family
14 Advanced Nursing Care of the Childbearing/Childrearing Family
15 Nursing Care of the Childbearing/Childrearing Family Review
ABSTRACT
Page 1
,This study document brings together 150 carefully worded exam questions drawn from NUR 325
EXAM 3 (WCSU) NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK NUR325 NURSING CARE
OF THE CHILDBEARING/ CHILDREARING FAMILY EXAM 3 REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!), with the strongest emphasis placed on Analyze complex maternal-fetal and pediatric
conditions to prioritize nursing interventions, Apply pharmacokinetic and pharmacodynamic
principles to medication administration in obstetric and pediatric populations, Evaluate ethical, legal
and and cultural factors in family-centered care. Every item follows the wording style and level of
reasoning you meet in the real paper, and each one is paired with a clear rationale so the correct
choice is never a guess. Work through the set at your own pace, mark the questions that slow you
down, then come back to them until the reasoning feels automatic. Learners who revise this way
walk into the exam room recognising the pattern behind the questions instead of meeting them for
the first time. Keep going - steady, honest practice is what turns a difficult paper into a comfortable
pass.
Q1 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A term newborn presents with respiratory distress, cyanosis, and a scaphoid
abdomen. Chest radiograph reveals bowel loops in the left thorax with mediastinal
shift. Which immediate nursing intervention is most critical before surgical
correction?
A. Administer 100% oxygen via hood to maximize preductal saturation.
B. Place the newborn in a semi-upright position with the affected side down.
C. Insert a nasogastric tube to decompress the stomach and bowel. CORRECT
D. Initiate bubble CPAP to improve functional residual capacity.
RATIONALE: In congenital diaphragmatic hernia, bowel in the thorax compresses the lungs;
decompression with a nasogastric tube prevents further bowel distention and respiratory
compromise. Oxygen should be carefully titrated to avoid pulmonary toxicity, and CPAP is
contraindicated as it may worsen gastric distention. Positioning with the affected side down is not
standard; the infant is usually positioned with the unaffected side down or in a semi-Fowler's
position.
Page 2
,Q2 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A patient at 32 weeks gestation with severe preeclampsia is receiving magnesium
sulfate. Which finding indicates magnesium toxicity requiring immediate
intervention?
A. Respiratory rate of 14 breaths per minute CORRECT
B. Deep tendon reflexes of 2+
C. Urine output of 30 mL per hour
D. Serum magnesium level of 6.5 mEq/L
RATIONALE: Respiratory depression (rate <12/min) is a late sign of magnesium toxicity. Loss of
deep tendon reflexes occurs at 7-10 mEq/L, and respiratory arrest at 12-15 mEq/L. A rate of 14 is
borderline but not yet critical; however, it is the earliest sign among the options. The other values
are within acceptable ranges for magnesium therapy.
Q3 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A nurse is assessing a late preterm infant at 36 weeks gestation. Which finding is
most concerning for hypoglycemia?
A. Temperature of 36.5°C (97.7°F)
B. Blood glucose of 45 mg/dL at 2 hours of life
C. Jitteriness and poor feeding CORRECT
D. Sleepiness but easily arousable
RATIONALE: Jitteriness and poor feeding are classic signs of hypoglycemia in neonates,
especially in late preterm infants who have limited glycogen stores. A glucose of 45 mg/dL is
borderline but not diagnostic; the threshold is often <40 mg/dL. Sleepiness can be normal in the
first hours, and a temperature of 36.5°C is within normal range.
Page 3
, Q4 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A postpartum patient with an epidural is experiencing pruritus and nausea. Which
medication should the nurse anticipate administering to manage these side
effects?
A. Naloxone CORRECT
B. Diphenhydramine
C. Ondansetron
D. Naltrexone
RATIONALE: Pruritus and nausea are common side effects of epidural opioids, often due to
mu-receptor activation. Naloxone, an opioid antagonist, can reverse these effects without
completely reversing analgesia when given in low doses. Diphenhydramine and ondansetron
treat symptoms but do not address the underlying opioid effect. Naltrexone is long-acting and not
used for acute management.
Q5 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A child with acute lymphoblastic leukemia is receiving high-dose methotrexate.
Which laboratory value requires immediate nursing action?
A. Serum creatinine 0.8 mg/dL
B. Methotrexate level 1.5 × 10 M at 48 hours CORRECT
C. Absolute neutrophil count 1,500/mm³
D. Urine pH 7.5
RATIONALE: Elevated methotrexate levels at 48 hours indicate delayed clearance, increasing
risk of nephrotoxicity and bone marrow suppression. The therapeutic goal is typically <1.0 × 10 M
at 48 hours. Normal creatinine, adequate urine pH, and ANC do not indicate toxicity. Immediate
intervention includes increased hydration and leucovorin rescue.
Page 4
NUR325 NURSING CARE OF THE CHILDBEARING/ CHILDREARING FAMILY
EXAM 3 REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex maternal-fetal and pediatric conditions to prioritize nursing interventions
2 Apply pharmacokinetic and pharmacodynamic principles to medication administration in obstetric and
pediatric populations
3 Evaluate ethical, legal, and cultural factors in family-centered care
4 Synthesize assessment data to identify subtle changes and implement timely, evidence-based
interventions
5 NUR 325 EXAM 3
6 WCSU
7 NEWEST 2026
8 2027 ACTUAL EXAM TEST BANK NUR325 NURSING CARE OF THE CHILDBEARING
9 CHILDREARING FAMILY EXAM 3 REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS
10 ALREADY GRADED A+
11 MOST RECENT!!
12 Foundations of Nursing Care of the Childbearing/Childrearing Family
13 Applied Nursing Care of the Childbearing/Childrearing Family
14 Advanced Nursing Care of the Childbearing/Childrearing Family
15 Nursing Care of the Childbearing/Childrearing Family Review
ABSTRACT
Page 1
,This study document brings together 150 carefully worded exam questions drawn from NUR 325
EXAM 3 (WCSU) NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK NUR325 NURSING CARE
OF THE CHILDBEARING/ CHILDREARING FAMILY EXAM 3 REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!), with the strongest emphasis placed on Analyze complex maternal-fetal and pediatric
conditions to prioritize nursing interventions, Apply pharmacokinetic and pharmacodynamic
principles to medication administration in obstetric and pediatric populations, Evaluate ethical, legal
and and cultural factors in family-centered care. Every item follows the wording style and level of
reasoning you meet in the real paper, and each one is paired with a clear rationale so the correct
choice is never a guess. Work through the set at your own pace, mark the questions that slow you
down, then come back to them until the reasoning feels automatic. Learners who revise this way
walk into the exam room recognising the pattern behind the questions instead of meeting them for
the first time. Keep going - steady, honest practice is what turns a difficult paper into a comfortable
pass.
Q1 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A term newborn presents with respiratory distress, cyanosis, and a scaphoid
abdomen. Chest radiograph reveals bowel loops in the left thorax with mediastinal
shift. Which immediate nursing intervention is most critical before surgical
correction?
A. Administer 100% oxygen via hood to maximize preductal saturation.
B. Place the newborn in a semi-upright position with the affected side down.
C. Insert a nasogastric tube to decompress the stomach and bowel. CORRECT
D. Initiate bubble CPAP to improve functional residual capacity.
RATIONALE: In congenital diaphragmatic hernia, bowel in the thorax compresses the lungs;
decompression with a nasogastric tube prevents further bowel distention and respiratory
compromise. Oxygen should be carefully titrated to avoid pulmonary toxicity, and CPAP is
contraindicated as it may worsen gastric distention. Positioning with the affected side down is not
standard; the infant is usually positioned with the unaffected side down or in a semi-Fowler's
position.
Page 2
,Q2 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A patient at 32 weeks gestation with severe preeclampsia is receiving magnesium
sulfate. Which finding indicates magnesium toxicity requiring immediate
intervention?
A. Respiratory rate of 14 breaths per minute CORRECT
B. Deep tendon reflexes of 2+
C. Urine output of 30 mL per hour
D. Serum magnesium level of 6.5 mEq/L
RATIONALE: Respiratory depression (rate <12/min) is a late sign of magnesium toxicity. Loss of
deep tendon reflexes occurs at 7-10 mEq/L, and respiratory arrest at 12-15 mEq/L. A rate of 14 is
borderline but not yet critical; however, it is the earliest sign among the options. The other values
are within acceptable ranges for magnesium therapy.
Q3 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A nurse is assessing a late preterm infant at 36 weeks gestation. Which finding is
most concerning for hypoglycemia?
A. Temperature of 36.5°C (97.7°F)
B. Blood glucose of 45 mg/dL at 2 hours of life
C. Jitteriness and poor feeding CORRECT
D. Sleepiness but easily arousable
RATIONALE: Jitteriness and poor feeding are classic signs of hypoglycemia in neonates,
especially in late preterm infants who have limited glycogen stores. A glucose of 45 mg/dL is
borderline but not diagnostic; the threshold is often <40 mg/dL. Sleepiness can be normal in the
first hours, and a temperature of 36.5°C is within normal range.
Page 3
, Q4 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A postpartum patient with an epidural is experiencing pruritus and nausea. Which
medication should the nurse anticipate administering to manage these side
effects?
A. Naloxone CORRECT
B. Diphenhydramine
C. Ondansetron
D. Naltrexone
RATIONALE: Pruritus and nausea are common side effects of epidural opioids, often due to
mu-receptor activation. Naloxone, an opioid antagonist, can reverse these effects without
completely reversing analgesia when given in low doses. Diphenhydramine and ondansetron
treat symptoms but do not address the underlying opioid effect. Naltrexone is long-acting and not
used for acute management.
Q5 ANALYZE COMPLEX MATERNAL-FETAL AND PEDIATRIC CONDITIONS TO PRIORITIZE
NURSING INTERVENTIONS
A child with acute lymphoblastic leukemia is receiving high-dose methotrexate.
Which laboratory value requires immediate nursing action?
A. Serum creatinine 0.8 mg/dL
B. Methotrexate level 1.5 × 10 M at 48 hours CORRECT
C. Absolute neutrophil count 1,500/mm³
D. Urine pH 7.5
RATIONALE: Elevated methotrexate levels at 48 hours indicate delayed clearance, increasing
risk of nephrotoxicity and bone marrow suppression. The therapeutic goal is typically <1.0 × 10 M
at 48 hours. Normal creatinine, adequate urine pH, and ANC do not indicate toxicity. Immediate
intervention includes increased hydration and leucovorin rescue.
Page 4
