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NUR 254 Exam 4 – Maternal & Pediatric Nursing | Study Review Guide | 2025 | Galen College

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This study guide supports learners preparing for NUR 254 Exam 4 in Maternal and Pediatric Nursing at Galen College. Updated for 2025, it includes topic summaries, review questions, and concept explanations to help students strengthen their understanding of maternal–child health, apply critical thinking, and prepare confidently for course assessments. The material is designed for study and reinforcement—not as a substitute for coursework or official exams.

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Uploaded on
July 26, 2025
Number of pages
21
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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NUR 254 Exams 1 | | 2025 Complete
Maternal & Pediatric Nursing. Galen
College



**1. Placenta Previa** ANS Implantation of the placenta over the

cervical opening or in the lower region of the uterus. Painless, bright red

bleeding. No vaginal exams.

**2. Folic Acid Anemia** ANS Dark green leafy veggies, black-eyed

peas, fortified cereals, rice, pasta, asparagus, Brussels sprouts.

**3. Nonstress Test (NST)** ANS Evaluation of fetal response (fetal

heart rate) to natural contractile uterine activity. Increase in fetal

activity. Increase FHR by 15 bpm for 15 seconds in 20-minute period

twice.

**4. Maternal Nutritional Anemia** ANS Increase fatigue, dizziness.

Pale skin. Cool hands or feet. Increased restless leg. Tachycardia,

palpitations, tachypnea.

1

,**5. Pregnancy over 35 years old** ANS Preexisting conditions. Lower

birth weight, chromosomal abnormalities, preterm labor, gestational

diabetes, preeclampsia, vaginal bleeding.

**6. Biophysical Profile** ANS A test that assesses five variables: fetal

breathing, fetal movement, fetal tone, amniotic fluid volume, and fetal

reaction. 8-10: normal. 4-6: suspect chronic asphyxia. 0-2: strongly

suspect chronic asphyxia. Anything <4: delivery.

**7. Hormones of Pregnancy** ANS Progesterone and estrogen.

Relaxin.

**8. Glucose Tolerance Test** ANS 1 hr if >130-140 retest. 3 hr if

>140 diagnosis GDM.

**9. Second Trimester** ANS Increase maternal blood volume 40-50%.

Increase maternal RBC 20-30%. 1500 ml. Normal pregnancy hematocrit

33-46%. Hemoglobin 10.5-11.

**10. Amniotic Fluid Embolism** ANS An extremely rare, life-

threatening condition where amniotic fluid and fetal cells enter the

pregnant woman’s pulmonary and circulatory system through the
2

, placenta via the umbilical veins, causing an exaggerated allergic

response from the woman’s body. High mortality rate for maternal &

neonate.

**11. Musculoskeletal Changes** ANS Lordosis. Diastasis recti

abdominis.

**12. Ectopic Pregnancy** ANS Implantation of the fertilized egg

outside the uterus, 95% in fallopian tube. Avoid analgesic stronger than

acetaminophen to prevent possible masking of tubal rupture.

**13. Preterm Labor & Birth** ANS Labor/birth occurring between 20

& 37 completed weeks of gestation. Low birth weight 2500g or less.

**14. Fundal Height** ANS Measurement begins at 18-30 weeks.

**15. Iron Deficiency Anemia** ANS Take on empty stomach. Vitamin

C encourages absorption. Diet: meats, legumes, chicken, green leafy

veggies, dried fruits.

**16. Oxytocin** ANS Stimulates uterine contractions. High alert:

1ml/hr.


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