NUR 418 / NUR 415 Exam 1 V3 | NUR 418 /
NUR 415 Nursing Care of the Childbearing
& Childrearing Family | Actual Q&A with
Rationale (NUR418/NUR415 Exam 1) |
Concordia
1. A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following findings should the nurse expect?
A. The infant can sit unsupported.
B. The infant can roll from back to front.
C. The infant uses a neat pincer grasp.
D. The infant can walk while holding onto furniture.
Correct Answer: B
Explanation; By 6 months of age, an infant should be able to roll from their back to their
front and vice-versa. Sitting unsupported typically occurs around 8 months, while a neat
pincer grasp is expected at 11 to 12 months. Walking with support or ‘cruising’ is a
milestone usually achieved between 9 and 11 months.
2. A nurse is assessing a client who is at 32 weeks of gestation and reports a sudden onset of
painless, bright red vaginal bleeding. Which of the following conditions should the nurse
suspect?
A. Abruptio placentae
,B. Ectopic pregnancy
C. Placenta previa
D. Preterm labor
Correct Answer: C
Explanation; Placenta previa is characterized by painless, bright red vaginal bleeding
during the second or third trimester as the placenta covers the cervical os. In contrast,
abruptio placentae typically involves painful, dark red bleeding and uterine tenderness.
Ectopic pregnancy usually presents in the first trimester, and preterm labor presents with
regular contractions and cervical changes.
3. A nurse is teaching the parent of a toddler about safety and injury prevention. Which of
the following statements by the parent indicates an understanding of the teaching?
A. I will place my child in a forward-facing car seat until they are 4 years old.
B. I will keep the water heater temperature set at 130 degrees Fahrenheit.
C. I will leave my child alone in the bathtub for only a few minutes.
D. I will cut my child’s food into small, bite-sized pieces.
Correct Answer: D
Explanation; Toddlers are at high risk for choking, so cutting food into small, bite-sized
pieces is a crucial safety measure. The water heater should be set at 120 degrees
Fahrenheit or lower to prevent scald burns. Children should remain in rear-facing car seats
,until they reach the maximum height or weight allowed by the seat manufacturer, and they
must never be left unattended in a bathtub.
4. A nurse is caring for a client who is in the first stage of labor and has an umbilical cord
prolapse. Which of the following actions should the nurse take first?
A. Administer oxygen via a nonrebreather mask.
B. Call for assistance and notify the provider.
C. Apply pressure to the fetal presenting part with a sterile gloved hand.
D. Place the client in a Trendelenburg or knee-chest position.
Correct Answer: C
Explanation; While all the actions listed are necessary, the priority is to relieve pressure
on the umbilical cord to maintain fetal oxygenation. The nurse should immediately insert a
sterile gloved hand into the vagina and apply upward pressure on the presenting part. Once
this is done, other staff can help with positioning and oxygen administration.
5. A nurse is calculating a client’s GTPAL. The client is currently pregnant, has a 5-year-old
child born at 38 weeks, a 3-year-old child born at 35 weeks, and had one miscarriage at 10
weeks. Which of the following is the correct GTPAL?
A. G4, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L2
, D. G3, T1, P1, A1, L2
Correct Answer: A
Explanation; G (Gravida) is 4 (current pregnancy, 38-weeker, 35-weeker, miscarriage). T
(Term) is 1 (38-weeker). P (Preterm) is 1 (35-weeker). A (Abortion/Miscarriage) is 1. L
(Living) is 2. This mnemonic helps track obstetric history accurately during prenatal
assessments.
6. A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory
findings should the nurse report to the provider?
A. Respiratory rate of 48 breaths per minute
B. Crackles upon auscultation
C. Nasal flaring
D. Diaphragmatic breathing
Correct Answer: C
Explanation; Nasal flaring is a sign of respiratory distress in a newborn and requires
immediate intervention. A respiratory rate of 30-60 is normal, and diaphragmatic
breathing is expected. Some crackles may be heard shortly after birth as fluid is cleared, but
nasal flaring, grunting, and retractions are always abnormal.
7. A nurse is planning care for a child who has Tetralogy of Fallot. Which of the following
defects should the nurse expect to find? (Select all that apply.)
A. Ventricular septal defect
NUR 415 Nursing Care of the Childbearing
& Childrearing Family | Actual Q&A with
Rationale (NUR418/NUR415 Exam 1) |
Concordia
1. A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following findings should the nurse expect?
A. The infant can sit unsupported.
B. The infant can roll from back to front.
C. The infant uses a neat pincer grasp.
D. The infant can walk while holding onto furniture.
Correct Answer: B
Explanation; By 6 months of age, an infant should be able to roll from their back to their
front and vice-versa. Sitting unsupported typically occurs around 8 months, while a neat
pincer grasp is expected at 11 to 12 months. Walking with support or ‘cruising’ is a
milestone usually achieved between 9 and 11 months.
2. A nurse is assessing a client who is at 32 weeks of gestation and reports a sudden onset of
painless, bright red vaginal bleeding. Which of the following conditions should the nurse
suspect?
A. Abruptio placentae
,B. Ectopic pregnancy
C. Placenta previa
D. Preterm labor
Correct Answer: C
Explanation; Placenta previa is characterized by painless, bright red vaginal bleeding
during the second or third trimester as the placenta covers the cervical os. In contrast,
abruptio placentae typically involves painful, dark red bleeding and uterine tenderness.
Ectopic pregnancy usually presents in the first trimester, and preterm labor presents with
regular contractions and cervical changes.
3. A nurse is teaching the parent of a toddler about safety and injury prevention. Which of
the following statements by the parent indicates an understanding of the teaching?
A. I will place my child in a forward-facing car seat until they are 4 years old.
B. I will keep the water heater temperature set at 130 degrees Fahrenheit.
C. I will leave my child alone in the bathtub for only a few minutes.
D. I will cut my child’s food into small, bite-sized pieces.
Correct Answer: D
Explanation; Toddlers are at high risk for choking, so cutting food into small, bite-sized
pieces is a crucial safety measure. The water heater should be set at 120 degrees
Fahrenheit or lower to prevent scald burns. Children should remain in rear-facing car seats
,until they reach the maximum height or weight allowed by the seat manufacturer, and they
must never be left unattended in a bathtub.
4. A nurse is caring for a client who is in the first stage of labor and has an umbilical cord
prolapse. Which of the following actions should the nurse take first?
A. Administer oxygen via a nonrebreather mask.
B. Call for assistance and notify the provider.
C. Apply pressure to the fetal presenting part with a sterile gloved hand.
D. Place the client in a Trendelenburg or knee-chest position.
Correct Answer: C
Explanation; While all the actions listed are necessary, the priority is to relieve pressure
on the umbilical cord to maintain fetal oxygenation. The nurse should immediately insert a
sterile gloved hand into the vagina and apply upward pressure on the presenting part. Once
this is done, other staff can help with positioning and oxygen administration.
5. A nurse is calculating a client’s GTPAL. The client is currently pregnant, has a 5-year-old
child born at 38 weeks, a 3-year-old child born at 35 weeks, and had one miscarriage at 10
weeks. Which of the following is the correct GTPAL?
A. G4, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L2
, D. G3, T1, P1, A1, L2
Correct Answer: A
Explanation; G (Gravida) is 4 (current pregnancy, 38-weeker, 35-weeker, miscarriage). T
(Term) is 1 (38-weeker). P (Preterm) is 1 (35-weeker). A (Abortion/Miscarriage) is 1. L
(Living) is 2. This mnemonic helps track obstetric history accurately during prenatal
assessments.
6. A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory
findings should the nurse report to the provider?
A. Respiratory rate of 48 breaths per minute
B. Crackles upon auscultation
C. Nasal flaring
D. Diaphragmatic breathing
Correct Answer: C
Explanation; Nasal flaring is a sign of respiratory distress in a newborn and requires
immediate intervention. A respiratory rate of 30-60 is normal, and diaphragmatic
breathing is expected. Some crackles may be heard shortly after birth as fluid is cleared, but
nasal flaring, grunting, and retractions are always abnormal.
7. A nurse is planning care for a child who has Tetralogy of Fallot. Which of the following
defects should the nurse expect to find? (Select all that apply.)
A. Ventricular septal defect
