NUR 231
Exam 2 Childbearing & Child Caring Family
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 231
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
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,NUR 231 Exam 2 | Childbearing & Child Caring Family 2026/2027 UPDATE – Galen
1. A client in labor is diagnosed with placental abruption. Which clinical finding should the
nurse prioritize as the most significant indicator of this condition?
A. Painless, bright red vaginal bleeding
B. Intermittent contractions with lower back pain
C. Uterine tenderness and a board-like abdomen
D. Early decelerations on the fetal monitor
Answer: C
Rationale: Placental abruption is characterized by painful vaginal bleeding (or concealed
bleeding) and uterine rigidity/tenderness. Painless bleeding is indicative of placenta
previa.
2. A nurse is caring for a client receiving Magnesium Sulfate for preeclampsia. Which
assessment finding requires immediate notification of the provider?
A. Presence of 2+ deep tendon reflexes
B. Respiratory rate of 14 breaths per minute
C. Blood pressure of 150/95 mmHg
D. Urine output of 20 mL/hr over the last 2 hours
, Answer: D
Rationale: Urine output less than 30 mL/hr is a sign of renal failure or magnesium toxicity,
as magnesium is excreted via the kidneys. 2+ reflexes and RR of 14 are normal/acceptable.
3. Which of the following fetal heart rate patterns would the nurse interpret as a result of
uteroplacental insufficiency?
A. Variable decelerations
B. Early decelerations
C. Accelerations
D. Late decelerations
Answer: D
Rationale: Late decelerations are caused by uteroplacental insufficiency and are
considered non-reassuring, requiring immediate intervention.
4. A postpartum nurse is assessing a client 4 hours after delivery. The fundus is firm but
shifted to the right of the midline. What is the priority nursing action?
A. Assist the client to the bathroom to void
B. Administer oxytocin as ordered
C. Perform vigorous fundal massage
D. Notify the provider of a potential hematoma
Answer: A
Exam 2 Childbearing & Child Caring Family
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 231
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 231 Exam 2 | Childbearing & Child Caring Family 2026/2027 UPDATE – Galen
1. A client in labor is diagnosed with placental abruption. Which clinical finding should the
nurse prioritize as the most significant indicator of this condition?
A. Painless, bright red vaginal bleeding
B. Intermittent contractions with lower back pain
C. Uterine tenderness and a board-like abdomen
D. Early decelerations on the fetal monitor
Answer: C
Rationale: Placental abruption is characterized by painful vaginal bleeding (or concealed
bleeding) and uterine rigidity/tenderness. Painless bleeding is indicative of placenta
previa.
2. A nurse is caring for a client receiving Magnesium Sulfate for preeclampsia. Which
assessment finding requires immediate notification of the provider?
A. Presence of 2+ deep tendon reflexes
B. Respiratory rate of 14 breaths per minute
C. Blood pressure of 150/95 mmHg
D. Urine output of 20 mL/hr over the last 2 hours
, Answer: D
Rationale: Urine output less than 30 mL/hr is a sign of renal failure or magnesium toxicity,
as magnesium is excreted via the kidneys. 2+ reflexes and RR of 14 are normal/acceptable.
3. Which of the following fetal heart rate patterns would the nurse interpret as a result of
uteroplacental insufficiency?
A. Variable decelerations
B. Early decelerations
C. Accelerations
D. Late decelerations
Answer: D
Rationale: Late decelerations are caused by uteroplacental insufficiency and are
considered non-reassuring, requiring immediate intervention.
4. A postpartum nurse is assessing a client 4 hours after delivery. The fundus is firm but
shifted to the right of the midline. What is the priority nursing action?
A. Assist the client to the bathroom to void
B. Administer oxytocin as ordered
C. Perform vigorous fundal massage
D. Notify the provider of a potential hematoma
Answer: A
