NUR231 Final Exam V1 | NUR 231
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a
biophysical profile (BPP). The nurse should understand that this test assesses which of the
following parameters?
A. Fetal weight, gestational age, and placental position
B. Fetal heart rate, breathing movements, body movements, muscle tone, and amniotic
fluid volume
C. Maternal glucose levels and fetal lung maturity
D. Fetal heart rate reactivity and crown-rump length
Answer: B
Rationale: A biophysical profile is a non-invasive tool that uses ultrasound and a non-
stress test to evaluate fetal well-being. It measures five variables including fetal breathing,
movements, tone, amniotic fluid volume, and heart rate reactivity. A low score indicates
potential fetal distress and the need for immediate intervention or delivery.
2. A nurse is assessing a newborn 1 hour after birth. Which of the following findings should
the nurse report to the provider?
A. Generalized petechiae over the chest and abdomen
,B. Molding of the head with overlapping sutures
C. Acrocyanosis of the hands and feet
D. Small white cysts on the gums (Epstein’s pearls)
Answer: A
Rationale: Generalized petechiae can indicate a clotting factor deficiency or infection and
must be reported immediately. Acrocyanosis and molding are common, normal findings in
a newborn shortly after birth. Epstein’s pearls are also benign findings that usually
disappear within a few weeks.
3. Which of the following nursing interventions is a priority for a client receiving magnesium
sulfate for preeclampsia?
A. Encouraging increased fluid intake to 3 liters per day
B. Monitoring deep tendon reflexes every hour
C. Performing vaginal exams every 2 hours
D. Assessing for pedal edema
Answer: B
Rationale: Magnesium sulfate is a CNS depressant used to prevent seizures in
preeclampsia, but it carries a high risk for toxicity. Monitoring deep tendon reflexes (DTRs)
is critical because the loss of DTRs is one of the earliest signs of magnesium toxicity. The
, nurse must also monitor respiratory rate and urinary output to ensure the drug is being
excreted properly.
4. A nurse is teaching the mother of a 2-year-old child about appropriate toys. Which toy
should the nurse recommend?
A. A puzzle with 50 small pieces
B. A rocking horse or large push toy
C. A plastic stethoscope and doctor kit
D. A set of finger paints
Answer: B
Rationale: Toddlers are developing gross motor skills and enjoy activities that involve
movement and autonomy. Large push toys or rocking horses are developmentally
appropriate for a 2-year-old. Small puzzle pieces represent a choking hazard, while
complex imaginative play or organized finger painting are better suited for slightly older
children.
5. A postpartum nurse is assessing a client 4 hours after a vaginal delivery. The nurse notes
the fundus is firm, shifted to the right, and two finger-breadths above the umbilicus. Which
action should the nurse take?
A. Massage the fundus immediately
B. Notify the provider of a potential hemorrhage
C. Assist the client to the bathroom to void
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for a
biophysical profile (BPP). The nurse should understand that this test assesses which of the
following parameters?
A. Fetal weight, gestational age, and placental position
B. Fetal heart rate, breathing movements, body movements, muscle tone, and amniotic
fluid volume
C. Maternal glucose levels and fetal lung maturity
D. Fetal heart rate reactivity and crown-rump length
Answer: B
Rationale: A biophysical profile is a non-invasive tool that uses ultrasound and a non-
stress test to evaluate fetal well-being. It measures five variables including fetal breathing,
movements, tone, amniotic fluid volume, and heart rate reactivity. A low score indicates
potential fetal distress and the need for immediate intervention or delivery.
2. A nurse is assessing a newborn 1 hour after birth. Which of the following findings should
the nurse report to the provider?
A. Generalized petechiae over the chest and abdomen
,B. Molding of the head with overlapping sutures
C. Acrocyanosis of the hands and feet
D. Small white cysts on the gums (Epstein’s pearls)
Answer: A
Rationale: Generalized petechiae can indicate a clotting factor deficiency or infection and
must be reported immediately. Acrocyanosis and molding are common, normal findings in
a newborn shortly after birth. Epstein’s pearls are also benign findings that usually
disappear within a few weeks.
3. Which of the following nursing interventions is a priority for a client receiving magnesium
sulfate for preeclampsia?
A. Encouraging increased fluid intake to 3 liters per day
B. Monitoring deep tendon reflexes every hour
C. Performing vaginal exams every 2 hours
D. Assessing for pedal edema
Answer: B
Rationale: Magnesium sulfate is a CNS depressant used to prevent seizures in
preeclampsia, but it carries a high risk for toxicity. Monitoring deep tendon reflexes (DTRs)
is critical because the loss of DTRs is one of the earliest signs of magnesium toxicity. The
, nurse must also monitor respiratory rate and urinary output to ensure the drug is being
excreted properly.
4. A nurse is teaching the mother of a 2-year-old child about appropriate toys. Which toy
should the nurse recommend?
A. A puzzle with 50 small pieces
B. A rocking horse or large push toy
C. A plastic stethoscope and doctor kit
D. A set of finger paints
Answer: B
Rationale: Toddlers are developing gross motor skills and enjoy activities that involve
movement and autonomy. Large push toys or rocking horses are developmentally
appropriate for a 2-year-old. Small puzzle pieces represent a choking hazard, while
complex imaginative play or organized finger painting are better suited for slightly older
children.
5. A postpartum nurse is assessing a client 4 hours after a vaginal delivery. The nurse notes
the fundus is firm, shifted to the right, and two finger-breadths above the umbilicus. Which
action should the nurse take?
A. Massage the fundus immediately
B. Notify the provider of a potential hemorrhage
C. Assist the client to the bathroom to void
