NUR 231
Final Exam
Childbearing and Child Caring Family Comprehensive Stud
Final Exam • Comprehensive Study Guide
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 Final Exam: Childbearing and Child Caring Family Comprehensive Study Guide
2026/2027 UPDATE – Galen
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.
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.
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.
4. A 4-year-old child is admitted with suspected epiglottitis. Which nursing intervention is
contraindicated?
A. Applying a pulse oximeter
B. Allowing the child to sit in a tripod position
C. Obtaining a throat culture
Final Exam
Childbearing and Child Caring Family Comprehensive Stud
Final Exam • Comprehensive Study Guide
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 Final Exam: Childbearing and Child Caring Family Comprehensive Study Guide
2026/2027 UPDATE – Galen
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.
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.
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.
4. A 4-year-old child is admitted with suspected epiglottitis. Which nursing intervention is
contraindicated?
A. Applying a pulse oximeter
B. Allowing the child to sit in a tripod position
C. Obtaining a throat culture
