NU 170 Final Exam 3 Maternal-Child Nursing
(2026) PDF | Galen College of Nursing
(VERIFIED ANSWERS) |ALREADY GRADED A+/
COLLEGE OF NURSING
When assessing a client at 12 weeks of gestation, the nurse recommends that she and her husband consider
attending childbirth preparation classes. When is the best time for the couple to attend these classes?
A.At 16 weeks of gestation
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B.At 20 weeks of gestation
C.At 24 weeks of gestation
D.At 30 weeks of gestation - Correct Answer :D.At 30 weeks of gestation
Rationale: Learning is facilitated by an interested pupil. The couple is most interested in childbirth toward the
end of the pregnancy, when they are beginning to anticipate the onset of labor and the birth of their child.
Option D is closest to the time when parents would be ready for such classes. Options A, B, and C are not the
best times during a pregnancy for the couple to attend childbirth education classes. At these times they will have
other teaching needs. Early pregnancy classes often include topics such as nutrition, physiologic changes, coping
with normal discomforts of pregnancy, fetal development, maternal and fetal risk factors, and evolving roles of
the mother and her significant others.
The nurse is evaluating a full-term multigravida who was induced 3 hours ago. The nurse determines that the
client is dilated 7 cm and is 100% effaced at 0 station, with intact membranes. The monitor indicates that the FHR
decelerates at the onset of several contractions and returns to baseline before each contraction ends. Which
action should the nurse take?
A.Reapply the external transducer.
B.Insert the intrauterine pressure catheter.
C.Discontinue the oxytocin infusion.
D.Continue to monitor labor progress - Correct Answer :D.Continue to monitor labor progress
Rationale: The fetal heart rate indicates early decelerations, which are not an ominous sign, so the nurse should
continue to monitor the labor progress and document the findings in the client's record. There is no reason to
reapply the external transducer if the FHR tracings are being captured. Options B and C are not indicated at this
time.
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of tingling
fingers and dizziness. Which action should the nurse take?
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A.Administer oxygen by facemask.
B.Notify the health care provider of the client's symptoms.
C.Have the client breathe into her cupped hands.
D.Check the client's blood pressure and fetal heart rate. - Correct Answer :C.Have the client breathe into her
cupped hands.
Rationale:
Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon dioxide).
Hyperventilation is treated by retaining carbon dioxide. This can be facilitated by breathing into a paper bag or
cupped hands. Option A is inappropriate because the carbon dioxide level is low, not the oxygen level. Options B
and D are not specific for this situation.
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
A.She eagerly reaches for the infant, undresses the infant, and examines the infant completely.
B.Her arms and hands receive the infant and she then traces the infant's profile with her fingertips.
C.Her arms and hands receive the infant and she then cuddles the infant to her own body.
D.She eagerly reaches for the infant and then holds the infant close to her own body. - Correct Answer :B.Her
arms and hands receive the infant and she then traces the infant's profile with her fingertips.
Rationale:Attachment and bonding theory indicates that most mothers will demonstrate behaviors described in
option B during the first visit with the newborn, which may be at delivery or later. After the first visit, the mother
may exhibit different touching behaviors such as eagerly reaching for the infant and cuddling the infant close to
her
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A 25-year-old client has a positive pregnancy test. One year ago she had a spontaneous abortion at 3 months of
gestation. Which is the correct description of this client that should be documented in the medical record?
A.Gravida 1, para 0
B.Gravida 1, para 1
C.Gravida 2, para 0
D.Gravida 2, para 1 - Correct Answer :C.Gravida 2, para 0
Rationale: This is the client's second pregnancy or second gravid event, so option C is correct. The spontaneous
abortion (miscarriage) occurred at 3 months of gestation (12 weeks), so she is a para 0. Parity cannot be
increased unless delivery occurs at 20 weeks of gestation or beyond. Option A does not take into account the
current pregnancy, nor does option B, which also counts the miscarriage as a "para," an incorrect recording.
Although option D is correct concerning gravidity, para 1 is incorrect.
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I would like
to try with this baby." Which intervention should the nurse implement first?
A.Assess the husband's feelings about his wife's decision to breastfeed their baby.
B.Ask the woman to describe why she was unsuccessful with breastfeeding her last child.
C.Encourage the woman to develop a positive attitude about breastfeeding to help ensure success.
D.Provide assistance to the mother to begin breastfeeding as soon as possible after delivery. - Correct Answer
:D.Provide assistance to the mother to begin breastfeeding as soon as possible after delivery.
Rationale: Infants respond to breastfeeding best when feeding is initiated in the active phase soon after delivery.
Options A and B might provide interesting data, but gathering this information is not as important as providing
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