• 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
Which findings are of most concern to the nurse when caring for a woman in the first trimester of pregnancy?
(Select all that apply.)
A.Cramping with bright red spotting
B.Extreme tenderness of the breast
P 1
, • NU 170 Final Exam 09/20/2026
C.Lack of tenderness of the breast
D.Increased amounts of discharge
E.Increased right-side flank pain - Correct Answer :A.Cramping with bright red spotting
C.Lack of tenderness of the breast
E.Increased right-side flank pain
Rationale: Options A and C are signs of a possible miscarriage. Cramping with bright red bleeding is a sign that
the client's menstrual cycle is about to begin. A decrease of tenderness in the breast is a sign that hormone
levels have declined and that a miscarriage is imminent. Option E could be a sign of an ectopic pregnancy, which
could be fatal if not discovered in time before rupture. Options B and D are normal signs during the first trimester
of a pregnancy.
On admission to the prenatal clinic, a client tells the nurse that her last menstrual period began on February 15
and that previously her periods were regular (28-day cycle). Her pregnancy test is positive. What is this client's
expected date of birth (EDB)?
A.November 22
B.November 8
C.December 22
D.October 22 - Correct Answer :A.November 22
Rationale: Option A correctly applies the Nägele rule for estimating the due date by counting back 3 months
from the first day of the last menstrual period (January, December, November) and adding 7 days (15 + 7 = 22).
Options B, C, and D are not calculated correctly.
A newborn infant, diagnosed with developmental dysplasia of the hip (DDH), is being prepared for discharge.
Which nursing intervention should be included in this infant's discharge teaching plan?
P 2
, • NU 170 Final Exam 09/20/2026
A.Observe the parents applying a Pavlik harness.
B.Provide a referral for an orthopedic surgeon.
C.Schedule a physical therapy follow-up home visit.
D.Teach the parents to check for hip joint mobility. - Correct Answer :A.Observe the parents applying a Pavlik
harness.
Rationale: It is important that the hips of infants with hip dysplasia are maintained in an abducted position, which
can be accomplished by using the Pavlik harness; this keeps the hips and knees flexed, the hips abducted, and
the femoral head in the acetabulum. Early treatment often negates the need for surgery, and option B is not
indicated until approximately 6 months of age. Option C is not indicated for hip dysplasia. It is best for the
pediatrician to monitor hip joint mobility, and teaching the parents to perform this technique is likely to increase
their anxiety.
Which findings are most critical for the nurse to report to the primary health care provider when caring for the
client during the last trimester of her pregnancy? (Select all that apply.)
A.Increased heartburn that is not relieved with doses of antacids
B.Increase of the fetal heart rate from 126 to 156 beats/min from the last visit
C.Shoes and rings that are too tight because of peripheral edema in extremities
D.Decrease in ability for the client to sleep for more than 2 hours at a time
E.Chronic headache that has been lingering for a week behind the client's eyes - Correct Answer :A.Increased
heartburn that is not relieved with doses of antacids
E.Chronic headache that has been lingering for a week behind the client's eyes
P 3
, • NU 170 Final Exam 09/20/2026
Rationale: Options A and E are possible signs of preeclampsia or eclampsia but can also be normal signs of
pregnancy. These signs should be reported to the health care provider for further evaluation for the safety of the
client and the fetus. Options B, C, and D are all normal signs during the last trimester of pregnancy.
Client teaching is an important part of the perinatal nurse's role. Which factor has the greatest influence on
successful teaching of the pregnant client?
A.The client's investment in what is being taught
B.The couple's highest levels of education
C.The order in which the information is presented
D.The extent to which the pregnancy was planned - Correct Answer :A.The client's investment in what is being
taught
Rationale: When teaching any client, readiness to learn is related to how much the client has invested in what is
being taught or how important the materials are to the client's particular life. For example, the client with severe
morning sickness in the first trimester may not be ready to learn about labor and delivery but is probably very
ready to learn about ways to relieve morning sickness. Options B and C are factors that may influence learning
but are not as influential as option A. Even if a pregnancy is planned and very desirable, the client must be ready
to learn the content presented.
When preparing a class on newborn care for expectant parents, which is correct for the nurse to teach
concerning the newborn infant born at term gestation?
A.Milia are red marks made by forceps and will disappear within 7 to 10 days.
B.Meconium is the first stool and is usually yellow gold in color.
C.Vernix is a white cheesy substance, predominantly located in the skin folds.
P 4
NU 170 Final Exam 2 Maternal-Child Nursing
(2026) PDF | Galen College of Nursing
(VERIFIED ANSWERS) |ALREADY GRADED A+/
COLLEGE OF NURSING
Which findings are of most concern to the nurse when caring for a woman in the first trimester of pregnancy?
(Select all that apply.)
A.Cramping with bright red spotting
B.Extreme tenderness of the breast
P 1
, • NU 170 Final Exam 09/20/2026
C.Lack of tenderness of the breast
D.Increased amounts of discharge
E.Increased right-side flank pain - Correct Answer :A.Cramping with bright red spotting
C.Lack of tenderness of the breast
E.Increased right-side flank pain
Rationale: Options A and C are signs of a possible miscarriage. Cramping with bright red bleeding is a sign that
the client's menstrual cycle is about to begin. A decrease of tenderness in the breast is a sign that hormone
levels have declined and that a miscarriage is imminent. Option E could be a sign of an ectopic pregnancy, which
could be fatal if not discovered in time before rupture. Options B and D are normal signs during the first trimester
of a pregnancy.
On admission to the prenatal clinic, a client tells the nurse that her last menstrual period began on February 15
and that previously her periods were regular (28-day cycle). Her pregnancy test is positive. What is this client's
expected date of birth (EDB)?
A.November 22
B.November 8
C.December 22
D.October 22 - Correct Answer :A.November 22
Rationale: Option A correctly applies the Nägele rule for estimating the due date by counting back 3 months
from the first day of the last menstrual period (January, December, November) and adding 7 days (15 + 7 = 22).
Options B, C, and D are not calculated correctly.
A newborn infant, diagnosed with developmental dysplasia of the hip (DDH), is being prepared for discharge.
Which nursing intervention should be included in this infant's discharge teaching plan?
P 2
, • NU 170 Final Exam 09/20/2026
A.Observe the parents applying a Pavlik harness.
B.Provide a referral for an orthopedic surgeon.
C.Schedule a physical therapy follow-up home visit.
D.Teach the parents to check for hip joint mobility. - Correct Answer :A.Observe the parents applying a Pavlik
harness.
Rationale: It is important that the hips of infants with hip dysplasia are maintained in an abducted position, which
can be accomplished by using the Pavlik harness; this keeps the hips and knees flexed, the hips abducted, and
the femoral head in the acetabulum. Early treatment often negates the need for surgery, and option B is not
indicated until approximately 6 months of age. Option C is not indicated for hip dysplasia. It is best for the
pediatrician to monitor hip joint mobility, and teaching the parents to perform this technique is likely to increase
their anxiety.
Which findings are most critical for the nurse to report to the primary health care provider when caring for the
client during the last trimester of her pregnancy? (Select all that apply.)
A.Increased heartburn that is not relieved with doses of antacids
B.Increase of the fetal heart rate from 126 to 156 beats/min from the last visit
C.Shoes and rings that are too tight because of peripheral edema in extremities
D.Decrease in ability for the client to sleep for more than 2 hours at a time
E.Chronic headache that has been lingering for a week behind the client's eyes - Correct Answer :A.Increased
heartburn that is not relieved with doses of antacids
E.Chronic headache that has been lingering for a week behind the client's eyes
P 3
, • NU 170 Final Exam 09/20/2026
Rationale: Options A and E are possible signs of preeclampsia or eclampsia but can also be normal signs of
pregnancy. These signs should be reported to the health care provider for further evaluation for the safety of the
client and the fetus. Options B, C, and D are all normal signs during the last trimester of pregnancy.
Client teaching is an important part of the perinatal nurse's role. Which factor has the greatest influence on
successful teaching of the pregnant client?
A.The client's investment in what is being taught
B.The couple's highest levels of education
C.The order in which the information is presented
D.The extent to which the pregnancy was planned - Correct Answer :A.The client's investment in what is being
taught
Rationale: When teaching any client, readiness to learn is related to how much the client has invested in what is
being taught or how important the materials are to the client's particular life. For example, the client with severe
morning sickness in the first trimester may not be ready to learn about labor and delivery but is probably very
ready to learn about ways to relieve morning sickness. Options B and C are factors that may influence learning
but are not as influential as option A. Even if a pregnancy is planned and very desirable, the client must be ready
to learn the content presented.
When preparing a class on newborn care for expectant parents, which is correct for the nurse to teach
concerning the newborn infant born at term gestation?
A.Milia are red marks made by forceps and will disappear within 7 to 10 days.
B.Meconium is the first stool and is usually yellow gold in color.
C.Vernix is a white cheesy substance, predominantly located in the skin folds.
P 4
