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NUR 254 Exam 2 Review 2026 | Verified Q&A | Graded A+

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Latest Update 2026/2027 exam prep featuring the NUR 254 Exam 2 Review with verified questions and answers. This comprehensive study guide is designed to help you review key nursing concepts, clinical assessment, patient care, disease processes, pharmacology, nursing interventions, and other high-yield topics while preparing confidently for Exam 2.

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NUR 254 Exam 2 Review 2026 | Verified Q&A | Graded A+
1. What is a normal respiratory rate for a newborn?

20-30bpm

10-20bpm

30-50bpm

30-60bpm

2. A Rh-negative mother gives birth to an Rh-positive baby. What immediate
action should be taken regarding Rhogam administration?

Administer Rhogam within 72 hours post-delivery.

Wait for 2 weeks before administering Rhogam.

Administer Rhogam at the next prenatal visit.

Administer Rhogam only if the mother shows symptoms of Rh
incompatibility.

3. Describe the significance of an APGAR score of less than 7 for a newborn.

A score less than 7 is irrelevant to newborn care.

A score less than 7 means the newborn is healthy.

A score less than 7 requires immediate surgery.

A score less than 7 indicates the need for further evaluation.

,4. You are preparing to score the one minute APGAR on a newborn infant and
understand that the assessments are ranked in order from the most important
to the least important. The first assessment you will make when obtaining the
APGAR is

Reflex response

Muscle tone

Heart rate

Respiratory Effort

5. The ________________, which is sometimes referred to as the "startle reflex," is the
characteristic reflex of newborns.

Sucking grasp

Rooting reflex

Moro reflex

Palmar grasp

6. What is the typical heart rate range for a newborn during the first period of
reactivity?

160-180 beats per minute

180-200 beats per minute

100-120 beats per minute

120-140 beats per minute

7. Describe the significance of the palmar grasp reflex in newborn
development.

, The palmar grasp reflex indicates normal neurological development
and the infant's ability to respond to stimuli.

The palmar grasp reflex is unrelated to neurological health.

The palmar grasp reflex shows that the infant is hungry.

The palmar grasp reflex is a sign of potential developmental delays.

8. If a new mother reports saturating a pad in 10 minutes and shows signs of
pooling blood, what should be the immediate course of action?

Immediate medical intervention to assess and manage potential
postpartum hemorrhage.

Suggest increasing fluid intake and applying a warm compress.

Advise the mother to rest and monitor her symptoms for 24 hours.

Schedule a follow-up appointment in a week to check on her
condition.

9. In a scenario where a new mother presents with increased emotional distress
and physical discomfort, how would the BUBBLE-HE assessment guide your
approach to her care?

The BUBBLE-HE assessment would prompt a thorough evaluation of
her emotional status and physical symptoms to provide appropriate
support and interventions.

The BUBBLE-HE assessment would suggest immediate discharge
without further evaluation.

The BUBBLE-HE assessment would focus solely on her physical
symptoms, ignoring emotional aspects.

The BUBBLE-HE assessment would recommend medication without
assessing her emotional state.

, 10. Which of the following describes the impact of postpartum depression?

The children of mothers with postpartum depression are at lower risk
of depression themselves.

Even if the depression is untreated, there is little long-term impact of
postpartum depression.

Mothers with postpartum depression are less responsive to their
infants.

The children of mothers with postpartum depression will grow up to
be very sensitive and gentle.

11. Describe the significance of uterine atony in the context of postpartum care.

Uterine atony only affects the newborn's health.

Uterine atony can lead to postpartum hemorrhage, which is a
serious complication requiring immediate intervention.

Uterine atony is unrelated to maternal health after childbirth.

Uterine atony is a normal condition that resolves without treatment.

12. Which is true regarding fetal alcohol syndrome?

Both physical and mental impairments are characteristics of FAS.

The effects of FAS are usually reversed by the time the child is 5 years
old.

About 1 in every 50 live births is affected by FAS.

Affected babies are generally born past their due date.

13. Describe the significance of recognizing heavy bleeding in postpartum care.

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