NUR 230 MATERNAL & PEDIATRIC NURSING
(OB/PEDS) EXAM BUNDLE EXAMS 1-4
COMPLETE REVIEW
TOTAL QUESTIONS: 206
QUESTION TYPE: MULTIPLE CHOICE (A, B, C, D)
FORMAT: QUESTION + ANSWER + EXPLANATION
BASED ON GALEN COLLEGE NUR 230 2026 CURRICULUM
EXAM 1: MATERNAL-NEWBORN FOUNDATIONS &
ANTEPARTUM CARE
Q1. A nurse is assessing a newborn 1 minute after birth. The
newborn has a heart rate of 110, a weak cry, some flexion of the
extremities, grimacing when stimulated, and a pink body with blue
extremities. What is the Apgar score?
A) 5
B) 7
1
,C) 6
D) 8
Answer: C
Explanation: Heart rate >100 (2), weak cry (1), some flexion (1),
grimace (1), acrocyanosis (1). Total = 6 [citation:6].
Q2. A client at 32 weeks gestation is receiving magnesium sulfate
for preeclampsia. Which finding is the priority to report?
A) Serum magnesium level of 6 mEq/L
B) Absent deep tendon reflexes
C) Feeling of warmth and flushing
D) Blood pressure 150/95 mmHg
Answer: B
Explanation: Absent deep tendon reflexes is a sign of magnesium
toxicity and requires immediate intervention [citation:6].
Q3. A breastfeeding client is day 4 post Cesarean delivery. Current
VS are temp 99.8°F, RR 20, HR 88, and BP 118/60. What is the
priority in this scenario?
A) Massage the fundus
B) Notify the physician
2
,C) Reassess the client's temp in 30 minutes
D) Assess the client's breasts for engorgement
Answer: D
Explanation: On postpartum day 4, breast engorgement is a common
cause of low-grade fever. The nurse should assess the breasts first
[citation:2][citation:4].
Q4. A client is at 34 weeks gestation with ruptured membranes
(PROM). What is the greatest risk to the client and fetus?
A) Infection (Chorioamnionitis)
B) Placenta accreta
C) Fetal macrosomia
D) Gestational diabetes
Answer: A
Explanation: Once membranes rupture, the protective barrier is
gone, significantly increasing the risk of ascending infection to the
uterus and fetus [citation:1].
Q5. A nurse is evaluating a fetal heart rate tracing and notes variable
decelerations. What is the likely cause?
A) Uteroplacental insufficiency
B) Fetal head compression
3
, C) Umbilical cord compression
D) Maternal hypotension
Answer: C
Explanation: Variable decelerations are caused by cord compression.
Late decelerations are caused by uteroplacental insufficiency
[citation:1].
Q6. What is the antidote for Magnesium Sulfate toxicity?
A) Calcium gluconate
B) Vitamin K
C) Protamine sulfate
D) Naloxone
Answer: A
Explanation: Calcium gluconate is the specific antagonist for
magnesium and should be kept at the bedside whenever magnesium
sulfate is infused [citation:1].
Q7. A nurse is assessing a client who is 10 weeks gestation. Which
of the following would be an expected physiologic finding?
A) Increased cardiac output
B) Decreased progesterone levels
4
(OB/PEDS) EXAM BUNDLE EXAMS 1-4
COMPLETE REVIEW
TOTAL QUESTIONS: 206
QUESTION TYPE: MULTIPLE CHOICE (A, B, C, D)
FORMAT: QUESTION + ANSWER + EXPLANATION
BASED ON GALEN COLLEGE NUR 230 2026 CURRICULUM
EXAM 1: MATERNAL-NEWBORN FOUNDATIONS &
ANTEPARTUM CARE
Q1. A nurse is assessing a newborn 1 minute after birth. The
newborn has a heart rate of 110, a weak cry, some flexion of the
extremities, grimacing when stimulated, and a pink body with blue
extremities. What is the Apgar score?
A) 5
B) 7
1
,C) 6
D) 8
Answer: C
Explanation: Heart rate >100 (2), weak cry (1), some flexion (1),
grimace (1), acrocyanosis (1). Total = 6 [citation:6].
Q2. A client at 32 weeks gestation is receiving magnesium sulfate
for preeclampsia. Which finding is the priority to report?
A) Serum magnesium level of 6 mEq/L
B) Absent deep tendon reflexes
C) Feeling of warmth and flushing
D) Blood pressure 150/95 mmHg
Answer: B
Explanation: Absent deep tendon reflexes is a sign of magnesium
toxicity and requires immediate intervention [citation:6].
Q3. A breastfeeding client is day 4 post Cesarean delivery. Current
VS are temp 99.8°F, RR 20, HR 88, and BP 118/60. What is the
priority in this scenario?
A) Massage the fundus
B) Notify the physician
2
,C) Reassess the client's temp in 30 minutes
D) Assess the client's breasts for engorgement
Answer: D
Explanation: On postpartum day 4, breast engorgement is a common
cause of low-grade fever. The nurse should assess the breasts first
[citation:2][citation:4].
Q4. A client is at 34 weeks gestation with ruptured membranes
(PROM). What is the greatest risk to the client and fetus?
A) Infection (Chorioamnionitis)
B) Placenta accreta
C) Fetal macrosomia
D) Gestational diabetes
Answer: A
Explanation: Once membranes rupture, the protective barrier is
gone, significantly increasing the risk of ascending infection to the
uterus and fetus [citation:1].
Q5. A nurse is evaluating a fetal heart rate tracing and notes variable
decelerations. What is the likely cause?
A) Uteroplacental insufficiency
B) Fetal head compression
3
, C) Umbilical cord compression
D) Maternal hypotension
Answer: C
Explanation: Variable decelerations are caused by cord compression.
Late decelerations are caused by uteroplacental insufficiency
[citation:1].
Q6. What is the antidote for Magnesium Sulfate toxicity?
A) Calcium gluconate
B) Vitamin K
C) Protamine sulfate
D) Naloxone
Answer: A
Explanation: Calcium gluconate is the specific antagonist for
magnesium and should be kept at the bedside whenever magnesium
sulfate is infused [citation:1].
Q7. A nurse is assessing a client who is 10 weeks gestation. Which
of the following would be an expected physiologic finding?
A) Increased cardiac output
B) Decreased progesterone levels
4
