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Final Exam Test Bank & Exam Prep Guide |
Maternal and Pediatric Nursing | Galen College of
Nursing | Q & A | 2026/2027 Edition (PDF)
1. A nurse is assessing a client at 34 weeks of gestation who presents with painless, bright red
vaginal bleeding. Which condition should the nurse suspect?
A) Abruptio placentae
B) Preterm labor
C) Placenta previa
D) Uterine rupture
Correct Answer: C) Placenta previa
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding during the
second or third trimester. Abruptio placentae typically presents with painful bleeding and
abdominal rigidity. The nurse must avoid performing a vaginal exam until ultrasound confirms
the placental location. Monitoring fetal heart rates and maternal vital signs is the priority.
2. Which intervention is a priority for a toddler experiencing a "tet spell" due to Tetralogy of
Fallot?
A) Administer high-flow oxygen via mask
B) Prepare for immediate surgical intervention
,C) Administer intravenous morphine sulfate
D) Place the child in a knee-chest position
Correct Answer: D) Place the child in a knee-chest position
Rationale: Placing the toddler in the knee-chest position increases systemic vascular resistance,
which reduces the right-to-left shunt and improves pulmonary blood flow. This is the immediate
nursing action required before pharmacological interventions are initiated. Supplemental
oxygen can be provided after the position is secured.
3. A pregnant client is receiving magnesium sulfate for preeclampsia. Which assessment finding
indicates magnesium toxicity?
A) Hyperactive deep tendon reflexes
B) Respiratory rate of 10 breaths per minute
C) Increased urine output
D) Fetal tachycardia
Correct Answer: B) Respiratory rate of 10 breaths per minute
Rationale: A respiratory rate below 12 breaths per minute is a critical indicator of magnesium
sulfate toxicity. Other signs include loss of deep tendon reflexes and decreased urinary output.
If toxicity is suspected, the infusion should be discontinued immediately. Calcium gluconate is
the pharmacological antidote and must be readily available.
, 4. A nurse is caring for an infant with pyloric stenosis. Which clinical manifestation should the
nurse expect to find?
A) Currant jelly-like stools
B) Bile-stained emesis
C) Sausage-shaped mass in the right upper quadrant
D) Projectile vomiting after feedings
Correct Answer: D) Projectile vomiting after feedings
Rationale: Projectile vomiting after feeding is the classic sign of hypertrophic pyloric stenosis in
infants. The emesis is typically non-bilious because the obstruction is proximal to the bile duct.
An olive-shaped mass may also be palpable in the right upper quadrant. Currant jelly stools are
associated with intussusception.
5. What is the primary goal of care for a child hospitalized with sickle cell crisis?
A) Promoting vigorous exercise to improve circulation
B) Restricting fluid intake to prevent edema
C) Administering oral anticoagulants
D) Pain management and aggressive hydration
Correct Answer: D) Pain management and aggressive hydration
Rationale: Managing severe pain and providing intravenous hydration are the cornerstones of
sickle cell crisis treatment. Hydration helps reduce blood viscosity and prevents further sickling
of red blood cells. Oxygen therapy may also be used if the child is hypoxic.
Final Exam Test Bank & Exam Prep Guide |
Maternal and Pediatric Nursing | Galen College of
Nursing | Q & A | 2026/2027 Edition (PDF)
1. A nurse is assessing a client at 34 weeks of gestation who presents with painless, bright red
vaginal bleeding. Which condition should the nurse suspect?
A) Abruptio placentae
B) Preterm labor
C) Placenta previa
D) Uterine rupture
Correct Answer: C) Placenta previa
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding during the
second or third trimester. Abruptio placentae typically presents with painful bleeding and
abdominal rigidity. The nurse must avoid performing a vaginal exam until ultrasound confirms
the placental location. Monitoring fetal heart rates and maternal vital signs is the priority.
2. Which intervention is a priority for a toddler experiencing a "tet spell" due to Tetralogy of
Fallot?
A) Administer high-flow oxygen via mask
B) Prepare for immediate surgical intervention
,C) Administer intravenous morphine sulfate
D) Place the child in a knee-chest position
Correct Answer: D) Place the child in a knee-chest position
Rationale: Placing the toddler in the knee-chest position increases systemic vascular resistance,
which reduces the right-to-left shunt and improves pulmonary blood flow. This is the immediate
nursing action required before pharmacological interventions are initiated. Supplemental
oxygen can be provided after the position is secured.
3. A pregnant client is receiving magnesium sulfate for preeclampsia. Which assessment finding
indicates magnesium toxicity?
A) Hyperactive deep tendon reflexes
B) Respiratory rate of 10 breaths per minute
C) Increased urine output
D) Fetal tachycardia
Correct Answer: B) Respiratory rate of 10 breaths per minute
Rationale: A respiratory rate below 12 breaths per minute is a critical indicator of magnesium
sulfate toxicity. Other signs include loss of deep tendon reflexes and decreased urinary output.
If toxicity is suspected, the infusion should be discontinued immediately. Calcium gluconate is
the pharmacological antidote and must be readily available.
, 4. A nurse is caring for an infant with pyloric stenosis. Which clinical manifestation should the
nurse expect to find?
A) Currant jelly-like stools
B) Bile-stained emesis
C) Sausage-shaped mass in the right upper quadrant
D) Projectile vomiting after feedings
Correct Answer: D) Projectile vomiting after feedings
Rationale: Projectile vomiting after feeding is the classic sign of hypertrophic pyloric stenosis in
infants. The emesis is typically non-bilious because the obstruction is proximal to the bile duct.
An olive-shaped mass may also be palpable in the right upper quadrant. Currant jelly stools are
associated with intussusception.
5. What is the primary goal of care for a child hospitalized with sickle cell crisis?
A) Promoting vigorous exercise to improve circulation
B) Restricting fluid intake to prevent edema
C) Administering oral anticoagulants
D) Pain management and aggressive hydration
Correct Answer: D) Pain management and aggressive hydration
Rationale: Managing severe pain and providing intravenous hydration are the cornerstones of
sickle cell crisis treatment. Hydration helps reduce blood viscosity and prevents further sickling
of red blood cells. Oxygen therapy may also be used if the child is hypoxic.
