• NU 170 Final Exam 09/20/2026
NU 170 Final Exam 2 Maternal-Child Nursing
(2026) PDF | Galen College of Nursing
(VERIFIED ANSWERS) |ALREADY GRADED A+/
COLLEGE OF NURSING
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for
pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating
and states that because she has had nothing to eat, she is too weak to breastfeed her infant. Which nursing
diagnosis has the highest priority?
A.Altered nutrition, less than body requirements for lactation
B.Alteration in comfort related to nausea and abdominal distention
P 1
, • NU 170 Final Exam 09/20/2026
C.Impaired bowel motility related to pain medication and immobility
D.Fatigue related to cesarean delivery and physical care demands of infant –
Correct Answer :C.Impaired bowel motility related to pain medication and immobility
Rationale: Impaired bowel motility caused by surgical anesthesia, pain medication, and immobility is the priority
nursing diagnosis and addresses the potential problem of a paralytic ileus. Options A and B are both caused by
impaired bowel motility. Option D is not as important as impaired motility.
The nurse is counseling a client who wants to become pregnant. She tells the nurse that she has a 36-day
menstrual cycle and the first day of her last menstrual period was January 8. When will the client's next fertile
period occur?
A.January 14 to 15
B.January 22 to 23
C.January 29 to 30
D.February 6 to 7 - Correct Answer :C.January 29 to 30
Rationale: This client can expect her next period to begin 36 days from the first day of her last menstrual period.
Her next period would begin on February 12. Ovulation occurs 14 days before the first day of the menstrual
period. The client can expect ovulation to occur January 29 to 30. Options A, B, and D are incorrect.
In developing a teaching plan for expectant parents, the nurse decides to include information about when the
parents can expect the infant's fontanels to close. Which statement is accurate regarding the timing of closure
of an infant's fontanels that should be included in this teaching plan?
A.The anterior fontanel closes at 2 to 4 months and the posterior fontanel by the end of the first week.
P 2
, • NU 170 Final Exam 09/20/2026
B.The anterior fontanel closes at 5 to 7 months and the posterior fontanel by the end of the second week.
C.The anterior fontanel closes at 8 to 11 months and the posterior fontanel by the end of the first month.
D.The anterior fontanel closes at 12 to 18 months and the posterior fontanel by the end of the second month –
Correct Answer :D.The anterior fontanel closes at 12 to 18 months and the posterior fontanel by the end of the
second month
Rationale: In the normal infant, the anterior fontanel closes at 12 to 18 months of age and the posterior fontanel
closes by the end of the second month. These growth and development milestones are frequently included in
questions on the licensure examination. Options A, B, and C are incorrect.
A client who is 3 days postpartum and breastfeeding asks the nurse how to reduce breast engorgement. Which
instruction should the nurse provide?
A.Avoid using the breast pump.
B.Breastfeed the infant every 2 hours.
C.Reduce fluid intake for 24 hours.
D.Skip feedings to let the sore breasts rest. - Correct Answer :B.Breastfeed the infant every 2 hours.
Rationale: The mother should be instructed to attempt feeding her infant every 2 hours while massaging the
breasts as the infant is feeding. If the infant does not feed adequately and empty the breast, using a breast
pump helps extract the milk and relieve some of the discomfort. Dehydration irritates swollen breast tissue.
Skipping feedings may cause further engorgement and discomfort.
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming
for someone to help his wife. Which intervention has the highest priority?
P 3
, • NU 170 Final Exam 09/20/2026
A.Use thread to tie off the umbilical cord.
B.Provide privacy for the woman.
C.Reassure the husband and keep him calm.
D.Put the newborn to the breast immediately. - Correct Answer :D.Put the newborn to the breast immediately.
Rationale: Putting the newborn to the breast will help contract the uterus and prevent a postpartum
hemorrhage. This intervention has the highest priority. Option A is not necessary; the infant can be transported
attached to the placenta. Option B is an important psychosocial need but does not have the priority of option D.
Although the husband is an important part of family-centered care, he is not the most important concern at this
time.
The nurse calls a client who is 4 days postpartum to follow up about her transition with her newborn son at
home. The woman tells the nurse, "I don't know what is wrong. I love my son, but I feel so let down. I seem to
cry for no reason!" Which adjustment phase should the nurse determine the client is experiencing?
A.Taking-in phase
B.Postpartum blues
C.Attachment difficulty
D.Letting-go phase - Correct Answer :B.Postpartum blues
Rationale: During the postpartum period, when serum hormone levels fall, women are emotionally labile, often
crying easily for no apparent reason. This phase is commonly called postpartum blues, which peaks around the
fifth postpartum day. The taking-in phase is the period following birth when the mother focuses on her own
psychological needs; typically, this period lasts for 24 hours. Crying is not a maladaptive attachment response. It
indicates a normal physical and emotional response. The letting-go phase is when the mother sees the child as a
separate individual.
P 4
NU 170 Final Exam 2 Maternal-Child Nursing
(2026) PDF | Galen College of Nursing
(VERIFIED ANSWERS) |ALREADY GRADED A+/
COLLEGE OF NURSING
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for
pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating
and states that because she has had nothing to eat, she is too weak to breastfeed her infant. Which nursing
diagnosis has the highest priority?
A.Altered nutrition, less than body requirements for lactation
B.Alteration in comfort related to nausea and abdominal distention
P 1
, • NU 170 Final Exam 09/20/2026
C.Impaired bowel motility related to pain medication and immobility
D.Fatigue related to cesarean delivery and physical care demands of infant –
Correct Answer :C.Impaired bowel motility related to pain medication and immobility
Rationale: Impaired bowel motility caused by surgical anesthesia, pain medication, and immobility is the priority
nursing diagnosis and addresses the potential problem of a paralytic ileus. Options A and B are both caused by
impaired bowel motility. Option D is not as important as impaired motility.
The nurse is counseling a client who wants to become pregnant. She tells the nurse that she has a 36-day
menstrual cycle and the first day of her last menstrual period was January 8. When will the client's next fertile
period occur?
A.January 14 to 15
B.January 22 to 23
C.January 29 to 30
D.February 6 to 7 - Correct Answer :C.January 29 to 30
Rationale: This client can expect her next period to begin 36 days from the first day of her last menstrual period.
Her next period would begin on February 12. Ovulation occurs 14 days before the first day of the menstrual
period. The client can expect ovulation to occur January 29 to 30. Options A, B, and D are incorrect.
In developing a teaching plan for expectant parents, the nurse decides to include information about when the
parents can expect the infant's fontanels to close. Which statement is accurate regarding the timing of closure
of an infant's fontanels that should be included in this teaching plan?
A.The anterior fontanel closes at 2 to 4 months and the posterior fontanel by the end of the first week.
P 2
, • NU 170 Final Exam 09/20/2026
B.The anterior fontanel closes at 5 to 7 months and the posterior fontanel by the end of the second week.
C.The anterior fontanel closes at 8 to 11 months and the posterior fontanel by the end of the first month.
D.The anterior fontanel closes at 12 to 18 months and the posterior fontanel by the end of the second month –
Correct Answer :D.The anterior fontanel closes at 12 to 18 months and the posterior fontanel by the end of the
second month
Rationale: In the normal infant, the anterior fontanel closes at 12 to 18 months of age and the posterior fontanel
closes by the end of the second month. These growth and development milestones are frequently included in
questions on the licensure examination. Options A, B, and C are incorrect.
A client who is 3 days postpartum and breastfeeding asks the nurse how to reduce breast engorgement. Which
instruction should the nurse provide?
A.Avoid using the breast pump.
B.Breastfeed the infant every 2 hours.
C.Reduce fluid intake for 24 hours.
D.Skip feedings to let the sore breasts rest. - Correct Answer :B.Breastfeed the infant every 2 hours.
Rationale: The mother should be instructed to attempt feeding her infant every 2 hours while massaging the
breasts as the infant is feeding. If the infant does not feed adequately and empty the breast, using a breast
pump helps extract the milk and relieve some of the discomfort. Dehydration irritates swollen breast tissue.
Skipping feedings may cause further engorgement and discomfort.
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming
for someone to help his wife. Which intervention has the highest priority?
P 3
, • NU 170 Final Exam 09/20/2026
A.Use thread to tie off the umbilical cord.
B.Provide privacy for the woman.
C.Reassure the husband and keep him calm.
D.Put the newborn to the breast immediately. - Correct Answer :D.Put the newborn to the breast immediately.
Rationale: Putting the newborn to the breast will help contract the uterus and prevent a postpartum
hemorrhage. This intervention has the highest priority. Option A is not necessary; the infant can be transported
attached to the placenta. Option B is an important psychosocial need but does not have the priority of option D.
Although the husband is an important part of family-centered care, he is not the most important concern at this
time.
The nurse calls a client who is 4 days postpartum to follow up about her transition with her newborn son at
home. The woman tells the nurse, "I don't know what is wrong. I love my son, but I feel so let down. I seem to
cry for no reason!" Which adjustment phase should the nurse determine the client is experiencing?
A.Taking-in phase
B.Postpartum blues
C.Attachment difficulty
D.Letting-go phase - Correct Answer :B.Postpartum blues
Rationale: During the postpartum period, when serum hormone levels fall, women are emotionally labile, often
crying easily for no apparent reason. This phase is commonly called postpartum blues, which peaks around the
fifth postpartum day. The taking-in phase is the period following birth when the mother focuses on her own
psychological needs; typically, this period lasts for 24 hours. Crying is not a maladaptive attachment response. It
indicates a normal physical and emotional response. The letting-go phase is when the mother sees the child as a
separate individual.
P 4
