• NU 170 Final Exam 09/20/2026
NU 170 Final Exam 1 Maternal-Child Nursing
(2026) PDF | Galen College of Nursing
(VERIFIED ANSWERS) |ALREADY GRADED A+/
COLLEGE OF NURSING
Which statement made by the client indicates that the mother understands the limitations of breastfeeding her
newborn?
A."Breastfeeding my infant consistently every 3 to 4 hours stops ovulation and my period."
B."Breastfeeding my baby immediately after drinking alcohol is safer than waiting for the alcohol to clear my
breast milk."
P 1
, • NU 170 Final Exam 09/20/2026
C."I can start smoking cigarettes while breastfeeding because it will not affect my breast milk."
D."When I take a warm shower after I breastfeed, it relieves the pain from being engorged between
breastfeedings. - Correct Answer :A."Breastfeeding my infant consistently every 3 to 4 hours stops ovulation
and my period."
Rationale: Continuous breastfeeding on a 3- to 4-hour schedule during the day will cause a release of prolactin,
which will suppress ovulation and menses, but is not completely effective as a birth control method. Option B is
incorrect because alcohol can immediately enter the breast milk. Nicotine is transferred to the infant in breast
milk. Taking a warm shower will stimulate the production of milk, which will be more painful after breastfeedings.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure
has a funny-looking head." Which response by the nurse is best?
A."This is not an unusually shaped head, especially for a first baby."
B."It may look odd, but newborn babies are often born with heads like that."
C."That is normal. The head will return to a round shape within 7 to 10 days."
D."Your pelvis was too small, so the head had to adjust to the birth canal." - Correct Answer :C."That is normal.
The head will return to a round shape within 7 to 10 days."
Rationale: Option C reassures the mother that this is normal in the newborn and provides correct information
regarding the return to a normal shape. Although option A is correct, it implies that the client should not worry.
Any implied or spoken "don't worry" is usually the wrong answer. Option B is condescending and dismissing; the
mother is seeking reassurance and information. Option D is a negative statement and implies that molding is the
mother's fault.
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops
from 120/80 to 90/60 mm Hg. Which action should the nurse take immediately?
A.Notify the health care provider or anesthesiologist.
P 2
, • NU 170 Final Exam 09/20/2026
B.Continue to assess the blood pressure every 5 minutes.
C.Place the client in a lateral position.
D.Turn off the continuous epidural. - Correct Answer :C.Place the client in a lateral position.
Rationale: The nurse should immediately turn the client to a lateral position or place a pillow or wedge under one
hip to deflect the uterus. Other immediate interventions include increasing the rate of the main line IV infusion
and administering oxygen by facemask. If the blood pressure remains low after these interventions or decreases
further, the anesthesiologist or health care provider should be notified immediately. To continue to monitor
blood pressure without taking further action could constitute malpractice. Option D may also be warranted, but
such action is based on hospital protocol.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include
in the teaching plan?
A.Avoid alcohol because it is excreted in breast milk.
B.Eat a high-roughage diet to help prevent constipation.
C.Increase caloric intake by approximately 500 cal/day.
D.Increase fluid intake to at least 3 quarts each day. - Correct Answer :A.Avoid alcohol because it is excreted in
breast milk.
Rationale: Alcohol should be avoided while breastfeeding because it is excreted in breast milk and may cause a
variety of problems, including slower growth and cognitive impairment for the infant. Options B, C, and D should
also be included in diet teaching for a breastfeeding mother; however, because these do not involve safety of
the infant, they do not have the same degree of importance as option A.
A client at 28 weeks of gestation calls the antepartal clinic and states that she has just experienced a small
amount of vaginal bleeding, which she describes as bright red. The bleeding has subsided. She further states
P 3
, • NU 170 Final Exam 09/20/2026
that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse
provide?
A.Come to the clinic today for an ultrasound.
B.Go immediately to the emergency department.
C.Lie on your left side for about 1 hour and see if the bleeding stops.
D.Take a urine specimen to the laboratory to see if you have a urinary tract infection (UTI). - Correct Answer
:A.Come to the clinic today for an ultrasound.
Rationale:Third-trimester painless bleeding is characteristic of a placenta previa. Bright red bleeding may be
intermittent, occur in gushes, or be continuous. Rarely is the first incident life threatening or cause for
hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound. Bleeding that has a sudden onset and
is accompanied by intense uterine pain indicates abruptio placenta, which is life threatening to the mother and
fetus. If those symptoms were described, option B would be appropriate. Option C does not address the cause
of the symptoms. The client is not describing symptoms of a UTI.
A 41-week multigravida is receiving oxytocin (Pitocin) to augment labor. Contractions are firm and occurring
every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction and
returns to baseline after the contraction. Which action should the nurse implement?
A.Place a wedge under the client's left side.
B.Determine cervical dilation and effacement.
C.Administer 10 L of oxygen via facemask.
D.Increase the rate of the oxytocin (Pitocin) infusion. - Correct Answer :B.Determine cervical dilation and
effacement.
P 4
NU 170 Final Exam 1 Maternal-Child Nursing
(2026) PDF | Galen College of Nursing
(VERIFIED ANSWERS) |ALREADY GRADED A+/
COLLEGE OF NURSING
Which statement made by the client indicates that the mother understands the limitations of breastfeeding her
newborn?
A."Breastfeeding my infant consistently every 3 to 4 hours stops ovulation and my period."
B."Breastfeeding my baby immediately after drinking alcohol is safer than waiting for the alcohol to clear my
breast milk."
P 1
, • NU 170 Final Exam 09/20/2026
C."I can start smoking cigarettes while breastfeeding because it will not affect my breast milk."
D."When I take a warm shower after I breastfeed, it relieves the pain from being engorged between
breastfeedings. - Correct Answer :A."Breastfeeding my infant consistently every 3 to 4 hours stops ovulation
and my period."
Rationale: Continuous breastfeeding on a 3- to 4-hour schedule during the day will cause a release of prolactin,
which will suppress ovulation and menses, but is not completely effective as a birth control method. Option B is
incorrect because alcohol can immediately enter the breast milk. Nicotine is transferred to the infant in breast
milk. Taking a warm shower will stimulate the production of milk, which will be more painful after breastfeedings.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure
has a funny-looking head." Which response by the nurse is best?
A."This is not an unusually shaped head, especially for a first baby."
B."It may look odd, but newborn babies are often born with heads like that."
C."That is normal. The head will return to a round shape within 7 to 10 days."
D."Your pelvis was too small, so the head had to adjust to the birth canal." - Correct Answer :C."That is normal.
The head will return to a round shape within 7 to 10 days."
Rationale: Option C reassures the mother that this is normal in the newborn and provides correct information
regarding the return to a normal shape. Although option A is correct, it implies that the client should not worry.
Any implied or spoken "don't worry" is usually the wrong answer. Option B is condescending and dismissing; the
mother is seeking reassurance and information. Option D is a negative statement and implies that molding is the
mother's fault.
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops
from 120/80 to 90/60 mm Hg. Which action should the nurse take immediately?
A.Notify the health care provider or anesthesiologist.
P 2
, • NU 170 Final Exam 09/20/2026
B.Continue to assess the blood pressure every 5 minutes.
C.Place the client in a lateral position.
D.Turn off the continuous epidural. - Correct Answer :C.Place the client in a lateral position.
Rationale: The nurse should immediately turn the client to a lateral position or place a pillow or wedge under one
hip to deflect the uterus. Other immediate interventions include increasing the rate of the main line IV infusion
and administering oxygen by facemask. If the blood pressure remains low after these interventions or decreases
further, the anesthesiologist or health care provider should be notified immediately. To continue to monitor
blood pressure without taking further action could constitute malpractice. Option D may also be warranted, but
such action is based on hospital protocol.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include
in the teaching plan?
A.Avoid alcohol because it is excreted in breast milk.
B.Eat a high-roughage diet to help prevent constipation.
C.Increase caloric intake by approximately 500 cal/day.
D.Increase fluid intake to at least 3 quarts each day. - Correct Answer :A.Avoid alcohol because it is excreted in
breast milk.
Rationale: Alcohol should be avoided while breastfeeding because it is excreted in breast milk and may cause a
variety of problems, including slower growth and cognitive impairment for the infant. Options B, C, and D should
also be included in diet teaching for a breastfeeding mother; however, because these do not involve safety of
the infant, they do not have the same degree of importance as option A.
A client at 28 weeks of gestation calls the antepartal clinic and states that she has just experienced a small
amount of vaginal bleeding, which she describes as bright red. The bleeding has subsided. She further states
P 3
, • NU 170 Final Exam 09/20/2026
that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse
provide?
A.Come to the clinic today for an ultrasound.
B.Go immediately to the emergency department.
C.Lie on your left side for about 1 hour and see if the bleeding stops.
D.Take a urine specimen to the laboratory to see if you have a urinary tract infection (UTI). - Correct Answer
:A.Come to the clinic today for an ultrasound.
Rationale:Third-trimester painless bleeding is characteristic of a placenta previa. Bright red bleeding may be
intermittent, occur in gushes, or be continuous. Rarely is the first incident life threatening or cause for
hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound. Bleeding that has a sudden onset and
is accompanied by intense uterine pain indicates abruptio placenta, which is life threatening to the mother and
fetus. If those symptoms were described, option B would be appropriate. Option C does not address the cause
of the symptoms. The client is not describing symptoms of a UTI.
A 41-week multigravida is receiving oxytocin (Pitocin) to augment labor. Contractions are firm and occurring
every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction and
returns to baseline after the contraction. Which action should the nurse implement?
A.Place a wedge under the client's left side.
B.Determine cervical dilation and effacement.
C.Administer 10 L of oxygen via facemask.
D.Increase the rate of the oxytocin (Pitocin) infusion. - Correct Answer :B.Determine cervical dilation and
effacement.
P 4
