NUR 230 – EXAM 2 – 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
*- Prenatal Care and Assessment*
*- Labor and Delivery Management*
*- Postpartum Care and Complications*
*- Newborn Assessment and Care*
*- High-Risk Pregnancy Conditions*
*- Pediatric Nursing Fundamentals*
*- Family-Centered Care Principles*
*- Pharmacology in Childbearing Families*
Introduction
This comprehensive practice assessment is designed to evaluate nursing students' knowledge and clinical
decision-making skills in childbearing and child-caring family nursing. The exam covers essential
competencies including prenatal care, labor management, postpartum assessment, newborn care, and
pediatric nursing fundamentals. Through multiple-choice and scenario-based questions, this assessment tests
both theoretical understanding and practical application of nursing principles. Emphasis is placed on real-
world clinical decision-making, patient safety, evidence-based practice, and family-centered care approaches.
Students will demonstrate their ability to prioritize care, recognize complications, and provide appropriate
interventions for childbearing families and pediatric patients across diverse clinical situations.
,SECTION ONE: QUESTIONS 1–100
Question 1
A pregnant client at 28 weeks gestation presents with sudden onset of bright red vaginal bleeding. The client
reports no abdominal pain. What is the most likely diagnosis?
A. Placental abruption
B. Placenta previa
C. Vasa previa
D. Uterine rupture
🟢 B. Placenta previa
🔴 RATIONALE: Painless bright red vaginal bleeding in the second or third trimester is the classic presentation
of placenta previa. Placental abruption typically presents with painful bleeding, uterine tenderness, and
abdominal pain. Vasa previa is rare and presents with fetal bleeding. Uterine rupture presents with severe pain
and fetal distress.
Question 2
Which finding in a newborn at 2 hours of life requires immediate nursing intervention?
A. Acrocyanosis
B. Respiratory rate of 30 breaths/minute
C. Temperature of 97.2°F (36.2°C)
D. Scleral icterus
🟢 C. Temperature of 97.2°F (36.2°C)
,🔴 RATIONALE: A newborn temperature of 97.2°F indicates hypothermia, which requires immediate warming
intervention to prevent cold stress and hypoglycemia. Acrocyanosis is normal in the first 24-48 hours. A
respiratory rate of 30-60 breaths/minute is normal. Scleral icterus at 2 hours may indicate pathological
jaundice but is less immediately urgent than hypothermia.
Question 3
A client in active labor receives epidural anesthesia. Which assessment finding is the priority for the nurse to
report immediately?
A. Blood pressure of 88/52 mmHg
B. Pain level of 3/10
C. Urine output of 20 mL in 2 hours
D. Temperature of 99.1°F
🟢 A. Blood pressure of 88/52 mmHg
🔴 RATIONALE: Hypotension is a common and serious side effect of epidural anesthesia due to sympathetic
blockade. A blood pressure of 88/52 mmHg requires immediate intervention with IV fluids, positioning, and
possibly vasopressors to maintain uteroplacental perfusion. The other findings are less urgent.
Question 4
Which intervention is most appropriate for preventing mother-to-child transmission of HIV during labor?
, A. Administer intrapartum antiretroviral therapy
B. Perform episiotomy to reduce labor time
C. Encourage pushing during second stage
D. Use fetal scalp electrodes for monitoring
🟢 A. Administer intrapartum antiretroviral therapy
🔴 RATIONALE: Intrapartum antiretroviral therapy significantly reduces the risk of HIV transmission to the
newborn. Episiotomy, prolonged pushing, and fetal scalp electrodes may increase transmission risk by
increasing fetal exposure to maternal blood and fluids.
Question 5
A postpartum client 12 hours after delivery has a firm midline fundus and heavy lochia rubra. What is the
appropriate nursing action?
A. Administer oxytocin immediately
B. Document findings as normal
C. Perform uterine massage
D. Notify the provider immediately
🟢 B. Document findings as normal
🔴 RATIONALE: A firm midline fundus with heavy lochia rubra at 12 hours postpartum is normal. Lochia
rubra should be heavy for the first 3 days. Uterine massage is only needed if the uterus is boggy. Oxytocin and
provider notification are not necessary for normal findings.
OF NURSING QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
*- Prenatal Care and Assessment*
*- Labor and Delivery Management*
*- Postpartum Care and Complications*
*- Newborn Assessment and Care*
*- High-Risk Pregnancy Conditions*
*- Pediatric Nursing Fundamentals*
*- Family-Centered Care Principles*
*- Pharmacology in Childbearing Families*
Introduction
This comprehensive practice assessment is designed to evaluate nursing students' knowledge and clinical
decision-making skills in childbearing and child-caring family nursing. The exam covers essential
competencies including prenatal care, labor management, postpartum assessment, newborn care, and
pediatric nursing fundamentals. Through multiple-choice and scenario-based questions, this assessment tests
both theoretical understanding and practical application of nursing principles. Emphasis is placed on real-
world clinical decision-making, patient safety, evidence-based practice, and family-centered care approaches.
Students will demonstrate their ability to prioritize care, recognize complications, and provide appropriate
interventions for childbearing families and pediatric patients across diverse clinical situations.
,SECTION ONE: QUESTIONS 1–100
Question 1
A pregnant client at 28 weeks gestation presents with sudden onset of bright red vaginal bleeding. The client
reports no abdominal pain. What is the most likely diagnosis?
A. Placental abruption
B. Placenta previa
C. Vasa previa
D. Uterine rupture
🟢 B. Placenta previa
🔴 RATIONALE: Painless bright red vaginal bleeding in the second or third trimester is the classic presentation
of placenta previa. Placental abruption typically presents with painful bleeding, uterine tenderness, and
abdominal pain. Vasa previa is rare and presents with fetal bleeding. Uterine rupture presents with severe pain
and fetal distress.
Question 2
Which finding in a newborn at 2 hours of life requires immediate nursing intervention?
A. Acrocyanosis
B. Respiratory rate of 30 breaths/minute
C. Temperature of 97.2°F (36.2°C)
D. Scleral icterus
🟢 C. Temperature of 97.2°F (36.2°C)
,🔴 RATIONALE: A newborn temperature of 97.2°F indicates hypothermia, which requires immediate warming
intervention to prevent cold stress and hypoglycemia. Acrocyanosis is normal in the first 24-48 hours. A
respiratory rate of 30-60 breaths/minute is normal. Scleral icterus at 2 hours may indicate pathological
jaundice but is less immediately urgent than hypothermia.
Question 3
A client in active labor receives epidural anesthesia. Which assessment finding is the priority for the nurse to
report immediately?
A. Blood pressure of 88/52 mmHg
B. Pain level of 3/10
C. Urine output of 20 mL in 2 hours
D. Temperature of 99.1°F
🟢 A. Blood pressure of 88/52 mmHg
🔴 RATIONALE: Hypotension is a common and serious side effect of epidural anesthesia due to sympathetic
blockade. A blood pressure of 88/52 mmHg requires immediate intervention with IV fluids, positioning, and
possibly vasopressors to maintain uteroplacental perfusion. The other findings are less urgent.
Question 4
Which intervention is most appropriate for preventing mother-to-child transmission of HIV during labor?
, A. Administer intrapartum antiretroviral therapy
B. Perform episiotomy to reduce labor time
C. Encourage pushing during second stage
D. Use fetal scalp electrodes for monitoring
🟢 A. Administer intrapartum antiretroviral therapy
🔴 RATIONALE: Intrapartum antiretroviral therapy significantly reduces the risk of HIV transmission to the
newborn. Episiotomy, prolonged pushing, and fetal scalp electrodes may increase transmission risk by
increasing fetal exposure to maternal blood and fluids.
Question 5
A postpartum client 12 hours after delivery has a firm midline fundus and heavy lochia rubra. What is the
appropriate nursing action?
A. Administer oxytocin immediately
B. Document findings as normal
C. Perform uterine massage
D. Notify the provider immediately
🟢 B. Document findings as normal
🔴 RATIONALE: A firm midline fundus with heavy lochia rubra at 12 hours postpartum is normal. Lochia
rubra should be heavy for the first 3 days. Uterine massage is only needed if the uterus is boggy. Oxytocin and
provider notification are not necessary for normal findings.
