Page 1 of 36
NUR 230 EXAM 3 – GALEN OB-PEDS 2026 COMPLETE (110)
CURRENT TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
NUR
Prepare for the NUR 230 Exam 3 – Galen OB/Peds with this comprehensive practice
resource designed to strengthen your obstetric and pediatric nursing knowledge and
exam readiness. It features exam-style questions covering maternal health, pediatric
assessment, growth and development, common childhood conditions, nursing
interventions, medication considerations, family-centered care, and patient safety.
Use it to reinforce essential concepts, assess your understanding, and build
confidence before test day. An excellent study aid for Galen nursing students
preparing for the NUR 230 OB/Peds Exam 3.
MULTIPLE CHOICE.
NEWBORN NUTRITION & FEEDING (Questions 1–15)
Question 1: The geometric formula for the area of a triangle is:
A. (1/2)bh
B. πr²
C. 2πr
D. l × w
Correct answer: A. (1/2)bh
Rationale: The area of a triangle is calculated using (1/2) × base × height.
Question 2: A newborn is placed on formula. The nurse notes that the
newborn is spitting up frequently after feeding. Which instruction should the
nurse provide?
A. Feed the newborn a larger amount less frequently
B. Burp the newborn more frequently during and after feedings
C. Position the newborn flat immediately after feeding
D. Change the formula to a soy-based formula
Correct answer: B. Burp the newborn more frequently during and after
feedings
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Rationale: Frequent burping during and after feedings can reduce spitting up
by releasing swallowed air. The newborn should be positioned upright and
should not be placed flat immediately after feeding.
Question 3: The nurse is educating a new mother on formula preparation.
Which statement by the mother indicates a need for further teaching?
A. "I will mix the formula powder with the correct amount of water."
B. "I will refrigerate prepared formula and use it within 24 hours."
C. "I will warm the formula in the microwave for 30 seconds."
D. "I will wash my hands before preparing the formula."
Correct answer: C. "I will warm the formula in the microwave for 30
seconds."
Rationale: Microwaving formula can cause hot spots that could burn the
infant's mouth. Formula should be warmed by placing the bottle in warm
water; microwaving is not recommended .
Question 4: The nurse is assessing a newborn who is being breastfed. Which
finding indicates effective breastfeeding?
A. The newborn falls asleep after 5 minutes of feeding
B. The newborn's lips are pursed outward
C. The newborn has 6–8 wet diapers per day after day 5
D. The newborn cries between feedings
Correct answer: C. The newborn has 6–8 wet diapers per day after day 5
Rationale: Effective breastfeeding is indicated by the newborn's weight gain
and adequate urine output (6–8 wet diapers per day). The newborn should be
feeding actively and effectively .
Question 5: A breastfeeding mother reports sore nipples. Which intervention
is most helpful?
A. Apply lanolin cream and allow the nipples to air dry
B. Discontinue breastfeeding for 24 hours
C. Wear a tight bra to reduce friction
D. Offer formula supplements
Correct answer: A. Apply lanolin cream and allow the nipples to air dry
Rationale: Lanolin cream applied after feeding can soothe sore nipples.
, Page 3 of 36
Allowing the nipples to air dry helps prevent cracking and promotes healing.
Discontinuing breastfeeding and formula supplementation are not
recommended unless absolutely necessary .
Question 6: A newborn is being breastfed. The mother asks how to know if the
newborn is getting enough milk. Which response is most accurate?
A. "If the newborn is sleeping through the night, the newborn is getting
enough."
B. "The newborn should have at least 4 wet diapers per day."
C. "The newborn should have at least 6–8 wet diapers per day."
D. "The newborn should be gaining 1 pound per week."
Correct answer: C. "The newborn should have at least 6–8 wet diapers per
day."
Rationale: After the first week, a breastfed newborn should have at least 6–8
wet diapers per day, indicating adequate hydration. Bowel movements (at
least 3 stools/day) are also a sign of adequate intake.
Question 7: The nurse is educating a new mother on burping techniques.
Which technique is correct?
A. Place the newborn flat on the back
B. Hold the newborn upright against the shoulder and gently pat the back
C. Bounce the newborn to release air
D. Place the newborn in the car seat after feeding
Correct answer: B. Hold the newborn upright against the shoulder and
gently pat the back
Rationale: Burping can be done by holding the newborn upright against the
shoulder or with the newborn sitting on the lap, leaning slightly forward.
Gentle patting or rubbing the back helps release swallowed air .
Question 8: The nurse is assessing a newborn for signs of dehydration. Which
finding is concerning?
A. Sunken fontanel
B. Dry skin
C. Decreased urine output
D. All of the above
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Correct answer: D. All of the above
Rationale: Signs of dehydration in a newborn include sunken fontanel, dry
skin, decreased urine output (<6 wet diapers per day), and lethargy.
Question 9: Which nutritional intervention is indicated for a newborn with a
cleft lip and palate?
A. A specialized bottle with a squeeze mechanism
B. A soft, flexible nipple
C. No special interventions are needed
D. A cup-feeding method only
Correct answer: A. A specialized bottle with a squeeze mechanism
Rationale: Newborns with a cleft lip and palate may require a specialized
feeding device such as a Haberman feeder or a bottle with a squeeze
mechanism to assist with feeding .
Question 10: A newborn is receiving formula supplementation. Which
statement by the mother indicates understanding?
A. "I will mix the formula with half water and half formula."
B. "I will offer the formula after breastfeeding."
C. "I will use a large nipple hole to speed up feeding."
D. "I will warm the formula in the microwave for 15 seconds."
Correct answer: B. "I will offer the formula after breastfeeding."
Rationale: Formula supplementation should be offered after breastfeeding,
not before, to ensure the newborn receives the benefits of breast milk first.
Formula should be mixed according to manufacturer's instructions, and
microwaving is not recommended .
Question 11: The mother is concerned about breastfeeding while taking
medication. Which instruction should the nurse provide?
A. "You should stop breastfeeding while taking medication."
B. "You should pump and discard breast milk while taking medication."
C. "You should check with the provider about the medication's safety during
breastfeeding."
D. "You should take the medication and continue breastfeeding; all
medications are safe."
NUR 230 EXAM 3 – GALEN OB-PEDS 2026 COMPLETE (110)
CURRENT TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
NUR
Prepare for the NUR 230 Exam 3 – Galen OB/Peds with this comprehensive practice
resource designed to strengthen your obstetric and pediatric nursing knowledge and
exam readiness. It features exam-style questions covering maternal health, pediatric
assessment, growth and development, common childhood conditions, nursing
interventions, medication considerations, family-centered care, and patient safety.
Use it to reinforce essential concepts, assess your understanding, and build
confidence before test day. An excellent study aid for Galen nursing students
preparing for the NUR 230 OB/Peds Exam 3.
MULTIPLE CHOICE.
NEWBORN NUTRITION & FEEDING (Questions 1–15)
Question 1: The geometric formula for the area of a triangle is:
A. (1/2)bh
B. πr²
C. 2πr
D. l × w
Correct answer: A. (1/2)bh
Rationale: The area of a triangle is calculated using (1/2) × base × height.
Question 2: A newborn is placed on formula. The nurse notes that the
newborn is spitting up frequently after feeding. Which instruction should the
nurse provide?
A. Feed the newborn a larger amount less frequently
B. Burp the newborn more frequently during and after feedings
C. Position the newborn flat immediately after feeding
D. Change the formula to a soy-based formula
Correct answer: B. Burp the newborn more frequently during and after
feedings
, Page 2 of 36
Rationale: Frequent burping during and after feedings can reduce spitting up
by releasing swallowed air. The newborn should be positioned upright and
should not be placed flat immediately after feeding.
Question 3: The nurse is educating a new mother on formula preparation.
Which statement by the mother indicates a need for further teaching?
A. "I will mix the formula powder with the correct amount of water."
B. "I will refrigerate prepared formula and use it within 24 hours."
C. "I will warm the formula in the microwave for 30 seconds."
D. "I will wash my hands before preparing the formula."
Correct answer: C. "I will warm the formula in the microwave for 30
seconds."
Rationale: Microwaving formula can cause hot spots that could burn the
infant's mouth. Formula should be warmed by placing the bottle in warm
water; microwaving is not recommended .
Question 4: The nurse is assessing a newborn who is being breastfed. Which
finding indicates effective breastfeeding?
A. The newborn falls asleep after 5 minutes of feeding
B. The newborn's lips are pursed outward
C. The newborn has 6–8 wet diapers per day after day 5
D. The newborn cries between feedings
Correct answer: C. The newborn has 6–8 wet diapers per day after day 5
Rationale: Effective breastfeeding is indicated by the newborn's weight gain
and adequate urine output (6–8 wet diapers per day). The newborn should be
feeding actively and effectively .
Question 5: A breastfeeding mother reports sore nipples. Which intervention
is most helpful?
A. Apply lanolin cream and allow the nipples to air dry
B. Discontinue breastfeeding for 24 hours
C. Wear a tight bra to reduce friction
D. Offer formula supplements
Correct answer: A. Apply lanolin cream and allow the nipples to air dry
Rationale: Lanolin cream applied after feeding can soothe sore nipples.
, Page 3 of 36
Allowing the nipples to air dry helps prevent cracking and promotes healing.
Discontinuing breastfeeding and formula supplementation are not
recommended unless absolutely necessary .
Question 6: A newborn is being breastfed. The mother asks how to know if the
newborn is getting enough milk. Which response is most accurate?
A. "If the newborn is sleeping through the night, the newborn is getting
enough."
B. "The newborn should have at least 4 wet diapers per day."
C. "The newborn should have at least 6–8 wet diapers per day."
D. "The newborn should be gaining 1 pound per week."
Correct answer: C. "The newborn should have at least 6–8 wet diapers per
day."
Rationale: After the first week, a breastfed newborn should have at least 6–8
wet diapers per day, indicating adequate hydration. Bowel movements (at
least 3 stools/day) are also a sign of adequate intake.
Question 7: The nurse is educating a new mother on burping techniques.
Which technique is correct?
A. Place the newborn flat on the back
B. Hold the newborn upright against the shoulder and gently pat the back
C. Bounce the newborn to release air
D. Place the newborn in the car seat after feeding
Correct answer: B. Hold the newborn upright against the shoulder and
gently pat the back
Rationale: Burping can be done by holding the newborn upright against the
shoulder or with the newborn sitting on the lap, leaning slightly forward.
Gentle patting or rubbing the back helps release swallowed air .
Question 8: The nurse is assessing a newborn for signs of dehydration. Which
finding is concerning?
A. Sunken fontanel
B. Dry skin
C. Decreased urine output
D. All of the above
, Page 4 of 36
Correct answer: D. All of the above
Rationale: Signs of dehydration in a newborn include sunken fontanel, dry
skin, decreased urine output (<6 wet diapers per day), and lethargy.
Question 9: Which nutritional intervention is indicated for a newborn with a
cleft lip and palate?
A. A specialized bottle with a squeeze mechanism
B. A soft, flexible nipple
C. No special interventions are needed
D. A cup-feeding method only
Correct answer: A. A specialized bottle with a squeeze mechanism
Rationale: Newborns with a cleft lip and palate may require a specialized
feeding device such as a Haberman feeder or a bottle with a squeeze
mechanism to assist with feeding .
Question 10: A newborn is receiving formula supplementation. Which
statement by the mother indicates understanding?
A. "I will mix the formula with half water and half formula."
B. "I will offer the formula after breastfeeding."
C. "I will use a large nipple hole to speed up feeding."
D. "I will warm the formula in the microwave for 15 seconds."
Correct answer: B. "I will offer the formula after breastfeeding."
Rationale: Formula supplementation should be offered after breastfeeding,
not before, to ensure the newborn receives the benefits of breast milk first.
Formula should be mixed according to manufacturer's instructions, and
microwaving is not recommended .
Question 11: The mother is concerned about breastfeeding while taking
medication. Which instruction should the nurse provide?
A. "You should stop breastfeeding while taking medication."
B. "You should pump and discard breast milk while taking medication."
C. "You should check with the provider about the medication's safety during
breastfeeding."
D. "You should take the medication and continue breastfeeding; all
medications are safe."
