NUR 230
NUR 230 Final Exam Study Questions with
Correct Verified Solutions Graded A+ 2025
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the
thorax, back, and abdomen. What action should the nurse implement?
Notify the healthcare provider.
Move the newborn to an isolation nursery.
Document the finding in the infant's record.
Obtain a culture of the vesicles
Document the finding in the infant's record.
Erythema toxicum (or erythema neonatorum) is a newborn rash that is commonly
referred to as "flea bites," but is a normal finding that is documented in the infant's
record, and requires no further action.
The nurse is assessing a client who is having a non-stress test (NST) at 41-weeks
gestation. The nurse determines that the client is not having contractions, the fetal
heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring.
What action should the nurse take?
Check the client for urinary bladder distention.
Notify the healthcare provider of the nonreactive results.
Have the mother stimulate the fetus to move.
Ask the client if she has felt any fetal movement.
Ask the client if she has felt any fetal movement
The client should be asked if she has felt the fetus move. An NST is used to
determine fetal well-being, and is often implemented when postmaturity is
suspected. A "reactive" NST occurs if the FHR accelerates 15 bpm for 15 seconds
in response to the fetus' own movement, and is "nonreactive" if no FHR
acceleration occurs in response to fetal movement.
NUR 230
,NR 566
A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
Patellar reflex 4+.
Blood pressure 158/80.
Four-hour urine output 240 ml.
Respiration 12/minute.
Patellar reflex 4+.
A 4+ reflex in a client with pregnancy-induced hypertension indicates
hyperreflexia, which is an indication of an impending seizure.
The nurse is calculating the estimated date of confinement (EDC) using Ngele's
rule for a client whose last menstrual period started on December 1. Which date is
most accurate?
August 1.
August 10.
September 3.
September 8.
September 8.
Calculation of a client's EDC provides baseline data to monitor fetal gestation.N
gele's rule uses the formula: subtract 3 months and add 7 days to the first day of the
last normal menstrual period, so December 1 minus 3 months + 7 days is
September 8.
When preparing a class on newborn care for expectant parents, what content
should the nurse teach concerning the newborn infant born at term gestation?
Milia are red marks made by forceps and will disappear within 7 to 10 days.
Meconium is the first stool and is usually yellow gold in color.
Vernix is a white, cheesy substance, predominantly located in the skin folds.
Pseudostrabismus found in newborns is treated by minor surgery.
Vernix is a white, cheesy substance, predominantly located in the skin folds.
NR 566
,NR 566
The vernix is found in the folds of the skin, is a characteristic of term infants.
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class?
Begin as soon as your baby is born to establish a four-hour feeding schedule.
Resting helps with milk production. Ask that your baby be fed at night in the
nursery.
Feed your baby every 2 to 3 hours or on demand, whichever comes first.
Do not allow your baby to nurse any longer than the prescribed number of minutes.
Feed your baby every 2 to 3 hours or on demand, whichever comes first.
Breastfeeding infants should be kept in the room with the mother and fed every 2
to 3 hours or on demand--whichever comes first.
A client in active labor complains of cramps in her leg. What intervention should
the nurse implement?
Ask if she takes a daily calcium tablet.
Extend the leg and dorsiflex the foot.
Lower the leg off the side of the bed.
Elevate the leg above the heart.
Extend the leg and dorsiflex the foot.
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the
client is capable) (B), and putting the heel of the foot on the floor is the best means
of relieving leg cramps. (A) is not related to leg cramps caused by reduced
circulation to the foot. (C) is not likely to be helpful. (D) is used to promote venous
return, but is not indicated for leg cramps.
NR 566
, NR 566
A couple has been trying to conceive for nine months without success. Which
information obtained from the clients is most likely to have an impact on the
couple's ability to conceive a child?
Exercise regimen of both partners includes running four miles each morning.
History of having sexual intercourse 2 to 3 times per week.
The woman's menstrual period occurs every 35 days.
They use lubricants with each sexual encounter to decrease friction.
They use lubricants with each sexual encounter to decrease friction.
The use of lubricants has the potential to affect fertility because some lubricants
interfere with sperm motility.
A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The
client asks the nurse, "Why must I stay in bed all the time?" Which response is best
for the nurse to provide this client?
"Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue."
"We want your baby to be healthy, and this is the only way we can make sure that
will happen."
"I know you're upset. Would you like to talk about some things you could do while
in bed?"
"Labor is difficult and you need to use this time to rest before you have to assume
all child-caring duties."
"Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue."
The healthcare provider prescribed activity restriction and complete bedrest to this
client in order to help preserve cardiac reserves.
NR 566
NUR 230 Final Exam Study Questions with
Correct Verified Solutions Graded A+ 2025
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the
thorax, back, and abdomen. What action should the nurse implement?
Notify the healthcare provider.
Move the newborn to an isolation nursery.
Document the finding in the infant's record.
Obtain a culture of the vesicles
Document the finding in the infant's record.
Erythema toxicum (or erythema neonatorum) is a newborn rash that is commonly
referred to as "flea bites," but is a normal finding that is documented in the infant's
record, and requires no further action.
The nurse is assessing a client who is having a non-stress test (NST) at 41-weeks
gestation. The nurse determines that the client is not having contractions, the fetal
heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring.
What action should the nurse take?
Check the client for urinary bladder distention.
Notify the healthcare provider of the nonreactive results.
Have the mother stimulate the fetus to move.
Ask the client if she has felt any fetal movement.
Ask the client if she has felt any fetal movement
The client should be asked if she has felt the fetus move. An NST is used to
determine fetal well-being, and is often implemented when postmaturity is
suspected. A "reactive" NST occurs if the FHR accelerates 15 bpm for 15 seconds
in response to the fetus' own movement, and is "nonreactive" if no FHR
acceleration occurs in response to fetal movement.
NUR 230
,NR 566
A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
Patellar reflex 4+.
Blood pressure 158/80.
Four-hour urine output 240 ml.
Respiration 12/minute.
Patellar reflex 4+.
A 4+ reflex in a client with pregnancy-induced hypertension indicates
hyperreflexia, which is an indication of an impending seizure.
The nurse is calculating the estimated date of confinement (EDC) using Ngele's
rule for a client whose last menstrual period started on December 1. Which date is
most accurate?
August 1.
August 10.
September 3.
September 8.
September 8.
Calculation of a client's EDC provides baseline data to monitor fetal gestation.N
gele's rule uses the formula: subtract 3 months and add 7 days to the first day of the
last normal menstrual period, so December 1 minus 3 months + 7 days is
September 8.
When preparing a class on newborn care for expectant parents, what content
should the nurse teach concerning the newborn infant born at term gestation?
Milia are red marks made by forceps and will disappear within 7 to 10 days.
Meconium is the first stool and is usually yellow gold in color.
Vernix is a white, cheesy substance, predominantly located in the skin folds.
Pseudostrabismus found in newborns is treated by minor surgery.
Vernix is a white, cheesy substance, predominantly located in the skin folds.
NR 566
,NR 566
The vernix is found in the folds of the skin, is a characteristic of term infants.
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class?
Begin as soon as your baby is born to establish a four-hour feeding schedule.
Resting helps with milk production. Ask that your baby be fed at night in the
nursery.
Feed your baby every 2 to 3 hours or on demand, whichever comes first.
Do not allow your baby to nurse any longer than the prescribed number of minutes.
Feed your baby every 2 to 3 hours or on demand, whichever comes first.
Breastfeeding infants should be kept in the room with the mother and fed every 2
to 3 hours or on demand--whichever comes first.
A client in active labor complains of cramps in her leg. What intervention should
the nurse implement?
Ask if she takes a daily calcium tablet.
Extend the leg and dorsiflex the foot.
Lower the leg off the side of the bed.
Elevate the leg above the heart.
Extend the leg and dorsiflex the foot.
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the
client is capable) (B), and putting the heel of the foot on the floor is the best means
of relieving leg cramps. (A) is not related to leg cramps caused by reduced
circulation to the foot. (C) is not likely to be helpful. (D) is used to promote venous
return, but is not indicated for leg cramps.
NR 566
, NR 566
A couple has been trying to conceive for nine months without success. Which
information obtained from the clients is most likely to have an impact on the
couple's ability to conceive a child?
Exercise regimen of both partners includes running four miles each morning.
History of having sexual intercourse 2 to 3 times per week.
The woman's menstrual period occurs every 35 days.
They use lubricants with each sexual encounter to decrease friction.
They use lubricants with each sexual encounter to decrease friction.
The use of lubricants has the potential to affect fertility because some lubricants
interfere with sperm motility.
A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The
client asks the nurse, "Why must I stay in bed all the time?" Which response is best
for the nurse to provide this client?
"Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue."
"We want your baby to be healthy, and this is the only way we can make sure that
will happen."
"I know you're upset. Would you like to talk about some things you could do while
in bed?"
"Labor is difficult and you need to use this time to rest before you have to assume
all child-caring duties."
"Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue."
The healthcare provider prescribed activity restriction and complete bedrest to this
client in order to help preserve cardiac reserves.
NR 566
