NUR 230 – EXAM 1 – CHILDBEARING/CHILD CARING FAMILY NURSING – GALEN COLLEGE
OF NURSING QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
*- Perinatal Nursing and Physiological Changes in Pregnancy*
*- Fetal Development and Genetics*
*- Antenatal Assessment and Health Promotion*
*- Labor and Delivery Nursing Care*
*- Postpartum Nursing and Family Adaptation*
*- High-Risk Pregnancy and Complications*
*- Newborn Assessment and Transitional Care*
*- Pediatric Family-Centered Care*
*- Ethical and Legal Issues in Maternal-Child Nursing*
*- Pharmacology in Childbearing and Pediatric Populations*
Introduction
This comprehensive assessment evaluates essential knowledge and clinical decision-making skills required for
nursing practice in childbearing and child-caring family contexts. The exam is designed to measure mastery
of foundational theoretical concepts, applied professional knowledge, regulatory compliance, ethical
standards, and real-world clinical scenarios. Candidates will encounter multiple-choice questions and
scenario-based items that emphasize critical thinking, prioritization, and evidence-based decision-making in
maternal-child health settings. Successful performance demonstrates readiness for clinical practice and
NCLEX-RN preparation in perinatal and pediatric nursing.
─────────────────────────────────────────────────────────────
,SECTION ONE: QUESTIONS 1–100
─────────────────────────────────────────────────────────────
Question 1
A nurse is teaching a pregnant client about nutritional needs. Which nutrient is most critical to prevent neural
tube defects when taken before conception and during early pregnancy?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin D
🟢 C. Folic acid
🔴 RATIONALE: Folic acid supplementation before conception and during early pregnancy significantly
reduces the incidence of neural tube defects such as spina bifida and anencephaly. The neural tube closes within
the first 28 days of gestation, often before a woman knows she is pregnant.
Question 2
During a prenatal visit at 12 weeks gestation, a client asks when fetal heart tones can first be heard with a
Doppler device. What is the nurse's best response?
,A. 8 to 10 weeks
B. 10 to 12 weeks
C. 14 to 16 weeks
D. 18 to 20 weeks
🟢 B. 10 to 12 weeks
🔴 RATIONALE: Fetal heart tones can typically be detected with a Doppler ultrasound between 10 to 12 weeks
of gestation. Earlier detection (8-10 weeks) may be possible with transvaginal ultrasound but not with handheld
Doppler.
Question 3
A nurse is assessing a client in labor who has a frank breech presentation. Which finding is most consistent with
this fetal position?
A. Baby's head is the presenting part
B. Baby's buttocks are the presenting part with legs extended upward
C. Baby's feet are the presenting part
D. Baby is positioned horizontally across the uterus
🟢 B. Baby's buttocks are the presenting part with legs extended upward
🔴 RATIONALE: In a frank breech presentation, the baby's buttocks are the presenting part with the head
facing the top of the uterus and both legs folded up over the body (pike position). This is the most common type
of breech presentation.
, Question 4
Which finding during a prenatal assessment at 28 weeks gestation requires immediate notification of the
healthcare provider?
A. Fetal heart rate of 140 beats per minute
B. Fundal height measuring 2 cm less than gestational age
C. Reporting of decreased fetal movement
D. Mild ankle edema after standing
🟢 C. Reporting of decreased fetal movement
🔴 RATIONALE: Decreased fetal movement may indicate fetal compromise or distress and requires immediate
assessment. Normal fetal heart rate is 110-160 bpm, mild edema is common in pregnancy, and fundal height
variation of up to 3 cm can be normal.
Question 5
A client at 36 weeks gestation reports experiencing regular contractions every 10 minutes. Which question
should the nurse ask first to determine if true labor has begun?
A. "Are you experiencing any vaginal bleeding?"
B. "Do the contractions decrease when you walk or change position?"
C. "What is your estimated due date?"
D. "Have you noticed any fluid leaking from your vagina?"
OF NURSING QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
*- Perinatal Nursing and Physiological Changes in Pregnancy*
*- Fetal Development and Genetics*
*- Antenatal Assessment and Health Promotion*
*- Labor and Delivery Nursing Care*
*- Postpartum Nursing and Family Adaptation*
*- High-Risk Pregnancy and Complications*
*- Newborn Assessment and Transitional Care*
*- Pediatric Family-Centered Care*
*- Ethical and Legal Issues in Maternal-Child Nursing*
*- Pharmacology in Childbearing and Pediatric Populations*
Introduction
This comprehensive assessment evaluates essential knowledge and clinical decision-making skills required for
nursing practice in childbearing and child-caring family contexts. The exam is designed to measure mastery
of foundational theoretical concepts, applied professional knowledge, regulatory compliance, ethical
standards, and real-world clinical scenarios. Candidates will encounter multiple-choice questions and
scenario-based items that emphasize critical thinking, prioritization, and evidence-based decision-making in
maternal-child health settings. Successful performance demonstrates readiness for clinical practice and
NCLEX-RN preparation in perinatal and pediatric nursing.
─────────────────────────────────────────────────────────────
,SECTION ONE: QUESTIONS 1–100
─────────────────────────────────────────────────────────────
Question 1
A nurse is teaching a pregnant client about nutritional needs. Which nutrient is most critical to prevent neural
tube defects when taken before conception and during early pregnancy?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin D
🟢 C. Folic acid
🔴 RATIONALE: Folic acid supplementation before conception and during early pregnancy significantly
reduces the incidence of neural tube defects such as spina bifida and anencephaly. The neural tube closes within
the first 28 days of gestation, often before a woman knows she is pregnant.
Question 2
During a prenatal visit at 12 weeks gestation, a client asks when fetal heart tones can first be heard with a
Doppler device. What is the nurse's best response?
,A. 8 to 10 weeks
B. 10 to 12 weeks
C. 14 to 16 weeks
D. 18 to 20 weeks
🟢 B. 10 to 12 weeks
🔴 RATIONALE: Fetal heart tones can typically be detected with a Doppler ultrasound between 10 to 12 weeks
of gestation. Earlier detection (8-10 weeks) may be possible with transvaginal ultrasound but not with handheld
Doppler.
Question 3
A nurse is assessing a client in labor who has a frank breech presentation. Which finding is most consistent with
this fetal position?
A. Baby's head is the presenting part
B. Baby's buttocks are the presenting part with legs extended upward
C. Baby's feet are the presenting part
D. Baby is positioned horizontally across the uterus
🟢 B. Baby's buttocks are the presenting part with legs extended upward
🔴 RATIONALE: In a frank breech presentation, the baby's buttocks are the presenting part with the head
facing the top of the uterus and both legs folded up over the body (pike position). This is the most common type
of breech presentation.
, Question 4
Which finding during a prenatal assessment at 28 weeks gestation requires immediate notification of the
healthcare provider?
A. Fetal heart rate of 140 beats per minute
B. Fundal height measuring 2 cm less than gestational age
C. Reporting of decreased fetal movement
D. Mild ankle edema after standing
🟢 C. Reporting of decreased fetal movement
🔴 RATIONALE: Decreased fetal movement may indicate fetal compromise or distress and requires immediate
assessment. Normal fetal heart rate is 110-160 bpm, mild edema is common in pregnancy, and fundal height
variation of up to 3 cm can be normal.
Question 5
A client at 36 weeks gestation reports experiencing regular contractions every 10 minutes. Which question
should the nurse ask first to determine if true labor has begun?
A. "Are you experiencing any vaginal bleeding?"
B. "Do the contractions decrease when you walk or change position?"
C. "What is your estimated due date?"
D. "Have you noticed any fluid leaking from your vagina?"
