NUR 230 Exam 3 – Galen OB/Peds (2026) Comprehensive Pra… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 230 Exam 3 – Galen OB/Peds (2026)
Comprehensive Practice UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 230 Exam 3 – Galen OB/Peds (2026) Comprehensive Pra… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is assessing a pregnant client at 34 weeks gestation who presents with sudden,
painless vaginal bleeding. Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. Spontaneous abortion
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the second or third
trimester. Abruptio placentae usually involves painful bleeding. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
2. Which fetal heart rate pattern is most indicative of uteroplacental insufficiency?
A. Late decelerations
B. Variable decelerations
C. Early decelerations
D. Accelerations
Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency and are a non- reassuring sign that
requires immediate intervention. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (A) requires understanding both the pathophysiology and the practical nursing implications.
3. A client is receiving magnesium sulfate for preeclampsia. Which finding should the nurse
report to the provider immediately?
A. Fetal heart rate of 140 bpm
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL per hour
D. Respiratory rate of 10 breaths per minute
Answer: D
Rationale: Magnesium toxicity can cause respiratory depression. A rate below 12 is a critical sign of toxicity.
This is an important clinical concept because selecting the correct answer (D) requires understanding both the
pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to prioritize
care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 230 Exam 3 – Galen OB/Peds (2026) Comprehensive Pra… 2026 Update • Verified Answers
4. At 1 minute after birth, a newborn has a heart rate of 110, a weak cry, some flexion of
extremities, grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate (2), Cry (1), Muscle tone (1), Reflex (1), Color (1) = 6. Exam questions often test the
ability to distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Applying this knowledge in clinical settings supports safe, evidence-based practice and improves patient
outcomes.
5. According to Piaget, which stage of cognitive development is a 4-year-old child typically in?
A. Sensorimotor
B. Concrete operational
C. Preoperational
D. Formal operational
Answer: C
Rationale: The preoperational stage occurs from ages 2 to 7 and is characterized by symbolic thinking and
egocentrism. Applying this knowledge in clinical settings supports safe, evidence-based practice and improves
patient outcomes. This is an important clinical concept because selecting the correct answer (C) requires
understanding both the pathophysiology and the practical nursing implications.
6. A nurse is caring for a 6-month-old infant. Which developmental milestone should the nurse
expect the infant to have achieved?
A. Rolling from back to abdomen
B. Walking while holding onto furniture
C. Sitting steadily without support
D. Speaking three-word sentences
Answer: A
Rationale: Infants typically roll from back to abdomen by 5 to 6 months of age. Exam questions often test the
ability to distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Applying this knowledge in clinical settings supports safe, evidence-based practice and improves patient
outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 230 Exam 3 – Galen OB/Peds (2026)
Comprehensive Practice UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 230 Exam 3 – Galen OB/Peds (2026) Comprehensive Pra… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is assessing a pregnant client at 34 weeks gestation who presents with sudden,
painless vaginal bleeding. Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. Spontaneous abortion
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the second or third
trimester. Abruptio placentae usually involves painful bleeding. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
2. Which fetal heart rate pattern is most indicative of uteroplacental insufficiency?
A. Late decelerations
B. Variable decelerations
C. Early decelerations
D. Accelerations
Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency and are a non- reassuring sign that
requires immediate intervention. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (A) requires understanding both the pathophysiology and the practical nursing implications.
3. A client is receiving magnesium sulfate for preeclampsia. Which finding should the nurse
report to the provider immediately?
A. Fetal heart rate of 140 bpm
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL per hour
D. Respiratory rate of 10 breaths per minute
Answer: D
Rationale: Magnesium toxicity can cause respiratory depression. A rate below 12 is a critical sign of toxicity.
This is an important clinical concept because selecting the correct answer (D) requires understanding both the
pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to prioritize
care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 230 Exam 3 – Galen OB/Peds (2026) Comprehensive Pra… 2026 Update • Verified Answers
4. At 1 minute after birth, a newborn has a heart rate of 110, a weak cry, some flexion of
extremities, grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate (2), Cry (1), Muscle tone (1), Reflex (1), Color (1) = 6. Exam questions often test the
ability to distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Applying this knowledge in clinical settings supports safe, evidence-based practice and improves patient
outcomes.
5. According to Piaget, which stage of cognitive development is a 4-year-old child typically in?
A. Sensorimotor
B. Concrete operational
C. Preoperational
D. Formal operational
Answer: C
Rationale: The preoperational stage occurs from ages 2 to 7 and is characterized by symbolic thinking and
egocentrism. Applying this knowledge in clinical settings supports safe, evidence-based practice and improves
patient outcomes. This is an important clinical concept because selecting the correct answer (C) requires
understanding both the pathophysiology and the practical nursing implications.
6. A nurse is caring for a 6-month-old infant. Which developmental milestone should the nurse
expect the infant to have achieved?
A. Rolling from back to abdomen
B. Walking while holding onto furniture
C. Sitting steadily without support
D. Speaking three-word sentences
Answer: A
Rationale: Infants typically roll from back to abdomen by 5 to 6 months of age. Exam questions often test the
ability to distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Applying this knowledge in clinical settings supports safe, evidence-based practice and improves patient
outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 3
