NUR 231
Exam 2 Childbearing and Child Caring Family
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 231
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 231 Exam 2: Childbearing and Child Caring Family 2026/2027 UPDATE – Galen
1. A client at 34 weeks gestation presents with sudden, painless vaginal bleeding. Which
condition should the nurse suspect first?
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Cervical insufficiency
Answer: A
Rationale: Painless, bright red vaginal bleeding in the third trimester is the classic sign of
placenta previa. Abruptio placentae usually involves painful bleeding and uterine
tenderness.
2. A nurse is monitoring a patient on Magnesium Sulfate for preeclampsia. Which finding
requires immediate intervention?
A. Respiratory rate of 10 breaths/min
B. Blood pressure of 150/95 mmHg
C. Deep tendon reflexes of 2+
D. Urinary output of 40 mL/hr
, Answer: A
Rationale: A respiratory rate below 12 breaths/min is a sign of magnesium toxicity. The
nurse should stop the infusion and prepare calcium gluconate.
3. During the active phase of labor, the fetal heart rate monitor shows late decelerations.
What is the nurse’s priority action?
A. Increase the IV oxytocin rate
B. Perform a vaginal exam to check for cord prolapse
C. Turn the client to a side-lying position
D. Document the finding as a normal response to contractions
Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority is to
improve oxygenation by repositioning the mother, followed by O2 administration and IV
bolus.
4. A nurse is assessing a newborn 1 hour after birth. Which finding is considered a normal
variation?
A. Generalized petechiae
B. Nasal flaring and grunting
C. Epstein pearls on the palate
D. A single umbilical artery
Exam 2 Childbearing and Child Caring Family
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 231
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 231 Exam 2: Childbearing and Child Caring Family 2026/2027 UPDATE – Galen
1. A client at 34 weeks gestation presents with sudden, painless vaginal bleeding. Which
condition should the nurse suspect first?
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Cervical insufficiency
Answer: A
Rationale: Painless, bright red vaginal bleeding in the third trimester is the classic sign of
placenta previa. Abruptio placentae usually involves painful bleeding and uterine
tenderness.
2. A nurse is monitoring a patient on Magnesium Sulfate for preeclampsia. Which finding
requires immediate intervention?
A. Respiratory rate of 10 breaths/min
B. Blood pressure of 150/95 mmHg
C. Deep tendon reflexes of 2+
D. Urinary output of 40 mL/hr
, Answer: A
Rationale: A respiratory rate below 12 breaths/min is a sign of magnesium toxicity. The
nurse should stop the infusion and prepare calcium gluconate.
3. During the active phase of labor, the fetal heart rate monitor shows late decelerations.
What is the nurse’s priority action?
A. Increase the IV oxytocin rate
B. Perform a vaginal exam to check for cord prolapse
C. Turn the client to a side-lying position
D. Document the finding as a normal response to contractions
Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority is to
improve oxygenation by repositioning the mother, followed by O2 administration and IV
bolus.
4. A nurse is assessing a newborn 1 hour after birth. Which finding is considered a normal
variation?
A. Generalized petechiae
B. Nasal flaring and grunting
C. Epstein pearls on the palate
D. A single umbilical artery
