• NU 170 Final Exam 09/20/2026
NU 170 Final Exam 3 Maternal-Child Nursing
(2026) PDF | Galen College of Nursing
(VERIFIED ANSWERS) |ALREADY GRADED A+/
COLLEGE OF NURSING
A mother who is HIV-positive delivers a full-term newborn and asks the nurse if her baby will become HIV-
infected. Which explanation should the nurse provide?
A.Most infants of HIV-positive women will continue to test positive for HIV antibodies.
B.Infants who have HIV-positive mothers carry the virus and will eventually develop the disease.
P 1
, • NU 170 Final Exam 09/20/2026
C.Medication taken during pregnancy to reduce the mother's viral load ensures that the infant is HIV-negative.
D.HIV infection is determined at 18 months of age, when maternal HIV antibodies are no longer present. -
Correct Answer :D.HIV infection is determined at 18 months of age, when maternal HIV antibodies are no longer
present.
Rationale: All newborns of HIV-positive mothers receive passive HIV antibodies from the mother, so the
evaluation of an infant for the HIV virus is determined at 18 months of age, when all the maternal antibodies are
no longer in the infant's blood. Passive HIV antibodies disappear in the infant within 18 months of age. Option B
is inaccurate. Although administration of HIV medication during pregnancy can significantly reduce the risk of
vertical transmission, treatment does not ensure that the virus will not become manifest in the infant.
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting motions and will
not grasp the nipple. Which intervention should the nurse implement?
A.Encourage frequent use of a pacifier so that the infant becomes accustomed to sucking.
B.Hold the infant's head firmly against the breast until he latches onto the nipple.
C.Encourage the mother to stop feeding for a few minutes and comfort the infant.
D.Provide formula for the infant until he becomes calm, and then offer the breast again. - Correct Answer
:C.Encourage the mother to stop feeding for a few minutes and comfort the infant.
Rationale: The infant is becoming frustrated and so is the mother; both need a time out. The mother should be
encouraged to comfort the infant and to relax herself. After such a time out, breastfeeding is often more
successful. Options A and D would cause nipple confusion. Option B would only cause the infant to be more
resistant, resulting in the mother and infant becoming more frustrated.
A client who delivered a healthy infant 5 days ago calls the clinic nurse and reports that her lochia is getting
lighter in color. Which action should the nurse take?
P 2
, • NU 170 Final Exam 09/20/2026
A.Instruct the client to go to the emergency room.
B.Recommend vaginal douching.
C.Explain this is a normal finding.
D.Determine if ovulation has occurred. - Correct Answer :C.Explain this is a normal finding.
Rationale:The client is describing lochia serosa, a normal change in the lochial flow. Options A, B, and D are not
recommended for this normal finding.
A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure. The home health
nurse has taught her how to take her own blood pressure and gave her parameters to judge a significant
increase in blood pressure. When the client calls the clinic complaining of indigestion, which instruction should
the nurse provide?
A.Lie on your left side and call 911 for emergency assistance.
B.Take an antacid and call back if the pain has not subsided.
C.Take your blood pressure now, and if it is seriously elevated, go to the hospital.
D.See your health care provider to obtain a prescription for a histamine blocking agent. - Correct Answer :C.Take
your blood pressure now, and if it is seriously elevated, go to the hospital.
Rationale: Checking the blood pressure for an elevation is the best instruction to give at this time. A blood
pressure exceeding 140/90 mm Hg is indicative of preeclampsia. Epigastric pain can be a sign of an impending
seizure (eclampsia), a life-threatening complication of gestational hypertension. Additional data are needed to
confirm an emergency situation as described in option A. Options B and D ignore the threat to client safety
posed by a significant increase in blood pressure.
P 3
, • NU 170 Final Exam 09/20/2026
The nurse is counseling a couple who has sought information about conceiving. The couple asks the nurse to
explain when ovulation usually occurs. Which statement by the nurse is correct?
A.Two weeks before menstruation
B.Immediately after menstruation
C.Immediately before menstruation
D.Three weeks before menstruation - Correct Answer :A.Two weeks before menstruation
Rationale:Ovulation occurs 14 days before the first day of the menstrual period. Although ovulation can occur in
the middle of the cycle or 2 weeks after menstruation, this is only true for a woman who has a perfect 28-day
cycle. For many women, the length of the menstrual cycle varies. Options B, C, and D are incorrect.
A client in active labor is becoming increasingly fearful because her contractions are occurring more often than
she had expected. Her partner is also becoming anxious. Which of the following should be the focus of the
nurse's response?
A.Telling the client and her partner that the labor process is often unpredictable
B.Informing the client that this means she will give birth sooner than expected
C.Asking the client and her partner if they would like the nurse to stay in the room
D.Affirming that the fetal heart rate is remaining within normal limits - Correct Answer :C.Asking the client and
her partner if they would like the nurse to stay in the room
Rationale: Offering to remain with the client and her partner offers support without providing false reassurance.
The length of labor is not always predictable, but options A and B do not offer the client the support that is
needed at this time. Option D may be reassuring regarding the fetal heart rate but does not provide the client
the emotional support she needs at this time during the labor process.
P 4
NU 170 Final Exam 3 Maternal-Child Nursing
(2026) PDF | Galen College of Nursing
(VERIFIED ANSWERS) |ALREADY GRADED A+/
COLLEGE OF NURSING
A mother who is HIV-positive delivers a full-term newborn and asks the nurse if her baby will become HIV-
infected. Which explanation should the nurse provide?
A.Most infants of HIV-positive women will continue to test positive for HIV antibodies.
B.Infants who have HIV-positive mothers carry the virus and will eventually develop the disease.
P 1
, • NU 170 Final Exam 09/20/2026
C.Medication taken during pregnancy to reduce the mother's viral load ensures that the infant is HIV-negative.
D.HIV infection is determined at 18 months of age, when maternal HIV antibodies are no longer present. -
Correct Answer :D.HIV infection is determined at 18 months of age, when maternal HIV antibodies are no longer
present.
Rationale: All newborns of HIV-positive mothers receive passive HIV antibodies from the mother, so the
evaluation of an infant for the HIV virus is determined at 18 months of age, when all the maternal antibodies are
no longer in the infant's blood. Passive HIV antibodies disappear in the infant within 18 months of age. Option B
is inaccurate. Although administration of HIV medication during pregnancy can significantly reduce the risk of
vertical transmission, treatment does not ensure that the virus will not become manifest in the infant.
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting motions and will
not grasp the nipple. Which intervention should the nurse implement?
A.Encourage frequent use of a pacifier so that the infant becomes accustomed to sucking.
B.Hold the infant's head firmly against the breast until he latches onto the nipple.
C.Encourage the mother to stop feeding for a few minutes and comfort the infant.
D.Provide formula for the infant until he becomes calm, and then offer the breast again. - Correct Answer
:C.Encourage the mother to stop feeding for a few minutes and comfort the infant.
Rationale: The infant is becoming frustrated and so is the mother; both need a time out. The mother should be
encouraged to comfort the infant and to relax herself. After such a time out, breastfeeding is often more
successful. Options A and D would cause nipple confusion. Option B would only cause the infant to be more
resistant, resulting in the mother and infant becoming more frustrated.
A client who delivered a healthy infant 5 days ago calls the clinic nurse and reports that her lochia is getting
lighter in color. Which action should the nurse take?
P 2
, • NU 170 Final Exam 09/20/2026
A.Instruct the client to go to the emergency room.
B.Recommend vaginal douching.
C.Explain this is a normal finding.
D.Determine if ovulation has occurred. - Correct Answer :C.Explain this is a normal finding.
Rationale:The client is describing lochia serosa, a normal change in the lochial flow. Options A, B, and D are not
recommended for this normal finding.
A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure. The home health
nurse has taught her how to take her own blood pressure and gave her parameters to judge a significant
increase in blood pressure. When the client calls the clinic complaining of indigestion, which instruction should
the nurse provide?
A.Lie on your left side and call 911 for emergency assistance.
B.Take an antacid and call back if the pain has not subsided.
C.Take your blood pressure now, and if it is seriously elevated, go to the hospital.
D.See your health care provider to obtain a prescription for a histamine blocking agent. - Correct Answer :C.Take
your blood pressure now, and if it is seriously elevated, go to the hospital.
Rationale: Checking the blood pressure for an elevation is the best instruction to give at this time. A blood
pressure exceeding 140/90 mm Hg is indicative of preeclampsia. Epigastric pain can be a sign of an impending
seizure (eclampsia), a life-threatening complication of gestational hypertension. Additional data are needed to
confirm an emergency situation as described in option A. Options B and D ignore the threat to client safety
posed by a significant increase in blood pressure.
P 3
, • NU 170 Final Exam 09/20/2026
The nurse is counseling a couple who has sought information about conceiving. The couple asks the nurse to
explain when ovulation usually occurs. Which statement by the nurse is correct?
A.Two weeks before menstruation
B.Immediately after menstruation
C.Immediately before menstruation
D.Three weeks before menstruation - Correct Answer :A.Two weeks before menstruation
Rationale:Ovulation occurs 14 days before the first day of the menstrual period. Although ovulation can occur in
the middle of the cycle or 2 weeks after menstruation, this is only true for a woman who has a perfect 28-day
cycle. For many women, the length of the menstrual cycle varies. Options B, C, and D are incorrect.
A client in active labor is becoming increasingly fearful because her contractions are occurring more often than
she had expected. Her partner is also becoming anxious. Which of the following should be the focus of the
nurse's response?
A.Telling the client and her partner that the labor process is often unpredictable
B.Informing the client that this means she will give birth sooner than expected
C.Asking the client and her partner if they would like the nurse to stay in the room
D.Affirming that the fetal heart rate is remaining within normal limits - Correct Answer :C.Asking the client and
her partner if they would like the nurse to stay in the room
Rationale: Offering to remain with the client and her partner offers support without providing false reassurance.
The length of labor is not always predictable, but options A and B do not offer the client the support that is
needed at this time. Option D may be reassuring regarding the fetal heart rate but does not provide the client
the emotional support she needs at this time during the labor process.
P 4
