GALEN COLLEGE OF NURSING · SCHOOL OF NURSING
NUR 504 Exam 1
Practice Question Bank
Health Assessment — NCLEX-Style Practice Questions with Rationales
Topic Focus: Maternal-Child Health, Neonatal Care, Genetics & Newborn
Assessment
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Health Assessment 2
NUR 504 · Galen College of Nursing Page 1
,NUR 504 EXAM 1 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Health Assessment — Maternal-Child Health & Neonatal Care
1 The RN's role in labor and delivery includes which of the following responsibilities?
Select all that apply.
A Monitoring fetal status
B Monitoring maternal status
C Monitoring labor progression
D Administering medications (including antiemetics, antibiotics, IV fluids)
E Administering epidural anesthesia
Why A, B, C, and D are correct: The RN is responsible for monitoring fetal status, maternal
status, and labor progression, and administering most medications (antiemetics, antibiotics,
IV fluids).
E — Epidural anesthesia is administered by an anesthesiologist or CRNA, not the RN.
,2 Which of the following accurately describes the role of a Certified Nurse Midwife
(CNM)? Select all that apply.
A Has an RN degree plus a specialized graduate degree
B May have restrictions based on state practice acts
C Cannot perform cesarean sections
D Must practice with a physician as backup
E Can manage high-risk pregnancies without physician consultation
Why A, B, C, and D are correct: A CNM has an RN and graduate degree, may have state-
based restrictions, cannot perform C-sections, and must have a physician backup.
E — CNMs refer high-risk pregnancies to physicians.
3 A doula is best described as:
A A certified medical professional who delivers babies
B A support person knowledgeable in pregnancy and birth
C A nurse who provides care during labor and delivery
D A physician who specializes in high-risk pregnancies
Why B is correct: A doula is a support person who is knowledgeable in pregnancy and
birth and serves as an advocate for the patient.
A — Doulas are not certified medical professionals.
C — Doulas are not nurses.
D — This describes a maternal-fetal medicine specialist.
, 4 AWHONN and ACOG are professional organizations that:
A Conduct research and advocate for policies to improve maternal-child health
outcomes
B Provide direct patient care in hospitals
C License nurses and physicians
D Develop medications for obstetric patients
Why A is correct: AWHONN (nursing) and ACOG (physicians) conduct research, perform
literature reviews, and advocate for policies to improve health outcomes.
B — They do not provide direct patient care.
C — They do not license professionals.
D — They do not develop medications.
5 A Level 1 NICU can provide care for which of the following newborns?
A Full-term newborns (37 weeks or greater) who are well with no medical issues
B Premature infants born at 32 weeks
C Infants with complex medical illness
D Infants requiring surgical intervention
Why A is correct: Level 1 NICU provides care for full-term newborns (≥37 weeks) who are
well with no medical issues or complications.
B — Level 2 cares for babies 32 weeks or greater.
C — Level 3 or 4 cares for complex medical illness.
D — Level 4 is for surgical interventions.
NUR 504 Exam 1
Practice Question Bank
Health Assessment — NCLEX-Style Practice Questions with Rationales
Topic Focus: Maternal-Child Health, Neonatal Care, Genetics & Newborn
Assessment
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Health Assessment 2
NUR 504 · Galen College of Nursing Page 1
,NUR 504 EXAM 1 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Health Assessment — Maternal-Child Health & Neonatal Care
1 The RN's role in labor and delivery includes which of the following responsibilities?
Select all that apply.
A Monitoring fetal status
B Monitoring maternal status
C Monitoring labor progression
D Administering medications (including antiemetics, antibiotics, IV fluids)
E Administering epidural anesthesia
Why A, B, C, and D are correct: The RN is responsible for monitoring fetal status, maternal
status, and labor progression, and administering most medications (antiemetics, antibiotics,
IV fluids).
E — Epidural anesthesia is administered by an anesthesiologist or CRNA, not the RN.
,2 Which of the following accurately describes the role of a Certified Nurse Midwife
(CNM)? Select all that apply.
A Has an RN degree plus a specialized graduate degree
B May have restrictions based on state practice acts
C Cannot perform cesarean sections
D Must practice with a physician as backup
E Can manage high-risk pregnancies without physician consultation
Why A, B, C, and D are correct: A CNM has an RN and graduate degree, may have state-
based restrictions, cannot perform C-sections, and must have a physician backup.
E — CNMs refer high-risk pregnancies to physicians.
3 A doula is best described as:
A A certified medical professional who delivers babies
B A support person knowledgeable in pregnancy and birth
C A nurse who provides care during labor and delivery
D A physician who specializes in high-risk pregnancies
Why B is correct: A doula is a support person who is knowledgeable in pregnancy and
birth and serves as an advocate for the patient.
A — Doulas are not certified medical professionals.
C — Doulas are not nurses.
D — This describes a maternal-fetal medicine specialist.
, 4 AWHONN and ACOG are professional organizations that:
A Conduct research and advocate for policies to improve maternal-child health
outcomes
B Provide direct patient care in hospitals
C License nurses and physicians
D Develop medications for obstetric patients
Why A is correct: AWHONN (nursing) and ACOG (physicians) conduct research, perform
literature reviews, and advocate for policies to improve health outcomes.
B — They do not provide direct patient care.
C — They do not license professionals.
D — They do not develop medications.
5 A Level 1 NICU can provide care for which of the following newborns?
A Full-term newborns (37 weeks or greater) who are well with no medical issues
B Premature infants born at 32 weeks
C Infants with complex medical illness
D Infants requiring surgical intervention
Why A is correct: Level 1 NICU provides care for full-term newborns (≥37 weeks) who are
well with no medical issues or complications.
B — Level 2 cares for babies 32 weeks or greater.
C — Level 3 or 4 cares for complex medical illness.
D — Level 4 is for surgical interventions.
