NUR 231 Final Exam: Childbearing and Child Caring Famil... Professional Study Guide
NUR 231 Final Exam: Childbearing and Child Caring
Family Comprehensive Study Guide
Comprehensive Study Guide
50 Practice Questions with Detailed Rationales
Update
Galen College of Nursing
High-Yield Practice for Exam Success
Questions include correct answers and clear clinical rationales
to strengthen understanding and retention.
Ideal for exam preparation and NCLEX-style practice
2026/2027 Update • For Educational Use Page 1
,NUR 231 Final Exam: Childbearing and Child Caring Famil... Professional Study Guide
How to Use This Study Guide
This guide contains 50 practice questions with answers and rationales. Attempt each question before revealing the
answer. Review rationales carefully to reinforce key concepts and priority nursing actions.
• Work through questions under timed conditions when possible.
• Focus extra review on topics you miss.
• Use rationales to create personal summary notes or flashcards.
Good luck with your studies!
2026/2027 Update • For Educational Use Page 2
, NUR 231 Final Exam: Childbearing and Child Caring Famil... Professional Study Guide
Practice Questions
Question 1
A patient at 32 weeks gestation is receiving Magnesium Sulfate for preeclampsia. Which finding should the nurse
prioritize as a sign of toxicity?
A. Blood pressure of 150/96 mmHg
B. Absence of deep tendon reflexes
C. Urinary output of 40 mL per hour
D. Respiratory rate of 14 breaths per minute
Answer: B
Rationale:
Loss of deep tendon reflexes is an early and sensitive sign of magnesium toxicity. Respiratory depression usually occurs at
higher serum levels, and 14 breaths/min is within the acceptable range during therapy.
Question 2
A nurse is monitoring a laboring patient’s electronic fetal monitor. A pattern shows a gradual decrease in fetal
heart rate (FHR) beginning after the peak of the contraction and returning to baseline after the contraction ends.
Which action is the priority?
A. Perform a vaginal exam to check for cord prolapse
B. Increase the IV oxytocin infusion rate
C. Place the patient in a lateral position and apply oxygen
D. Document the finding as a normal early deceleration
Answer: C
Rationale:
Late decelerations indicate uteroplacental insufficiency. Priority nursing actions include lateral positioning, oxygen
administration, and discontinuing oxytocin to improve fetal oxygenation.
Question 3
Which developmental milestone should the nurse expect a 6-month-old infant to have achieved?
A. Walking while holding onto furniture
B. Using a pincer grasp to pick up small objects
C. Sitting steadily without support
D. Rolling from back to abdomen
Answer: D
Rationale:
Rolling from back to abdomen usually occurs by 6 months. Sitting steadily without support is expected by 8 months, and the
pincer grasp by 9 months.
2026/2027 Update • For Educational Use Page 3
NUR 231 Final Exam: Childbearing and Child Caring
Family Comprehensive Study Guide
Comprehensive Study Guide
50 Practice Questions with Detailed Rationales
Update
Galen College of Nursing
High-Yield Practice for Exam Success
Questions include correct answers and clear clinical rationales
to strengthen understanding and retention.
Ideal for exam preparation and NCLEX-style practice
2026/2027 Update • For Educational Use Page 1
,NUR 231 Final Exam: Childbearing and Child Caring Famil... Professional Study Guide
How to Use This Study Guide
This guide contains 50 practice questions with answers and rationales. Attempt each question before revealing the
answer. Review rationales carefully to reinforce key concepts and priority nursing actions.
• Work through questions under timed conditions when possible.
• Focus extra review on topics you miss.
• Use rationales to create personal summary notes or flashcards.
Good luck with your studies!
2026/2027 Update • For Educational Use Page 2
, NUR 231 Final Exam: Childbearing and Child Caring Famil... Professional Study Guide
Practice Questions
Question 1
A patient at 32 weeks gestation is receiving Magnesium Sulfate for preeclampsia. Which finding should the nurse
prioritize as a sign of toxicity?
A. Blood pressure of 150/96 mmHg
B. Absence of deep tendon reflexes
C. Urinary output of 40 mL per hour
D. Respiratory rate of 14 breaths per minute
Answer: B
Rationale:
Loss of deep tendon reflexes is an early and sensitive sign of magnesium toxicity. Respiratory depression usually occurs at
higher serum levels, and 14 breaths/min is within the acceptable range during therapy.
Question 2
A nurse is monitoring a laboring patient’s electronic fetal monitor. A pattern shows a gradual decrease in fetal
heart rate (FHR) beginning after the peak of the contraction and returning to baseline after the contraction ends.
Which action is the priority?
A. Perform a vaginal exam to check for cord prolapse
B. Increase the IV oxytocin infusion rate
C. Place the patient in a lateral position and apply oxygen
D. Document the finding as a normal early deceleration
Answer: C
Rationale:
Late decelerations indicate uteroplacental insufficiency. Priority nursing actions include lateral positioning, oxygen
administration, and discontinuing oxytocin to improve fetal oxygenation.
Question 3
Which developmental milestone should the nurse expect a 6-month-old infant to have achieved?
A. Walking while holding onto furniture
B. Using a pincer grasp to pick up small objects
C. Sitting steadily without support
D. Rolling from back to abdomen
Answer: D
Rationale:
Rolling from back to abdomen usually occurs by 6 months. Sitting steadily without support is expected by 8 months, and the
pincer grasp by 9 months.
2026/2027 Update • For Educational Use Page 3
