NUR 254 COMPLETE EXAM BUNDLE
EXAMS 1, 2, 3 & 4 | MATERNAL AND PEDIATRIC NURSING
GALEN COLLEGE OF NURSING | 2026/2027 ACADEMIC YEAR
Complete 4-Exam Bundle with 200 Verified Questions (50 Questions Per
Exam)
A+ Graded Practice Test | Actual Galen College Exam Format
Instructions: This complete bundle contains all four NUR 254 exams for the 2026/2027
academic year. Each exam contains exactly 50 questions with verified correct answers
and expert explanations. Choose the best answer for each question. For select-all-that-
apply questions, all correct options must be selected. Record your answers on the
provided answer sheet. There is no penalty for guessing.
====================================================
===========================
NUR 254 EXAM 1
MATERNAL AND PEDIATRIC NURSING
GALEN COLLEGE OF NURSING | 2026/2027
====================================================
===========================
Exam Information:
• Time Allowed: 75 minutes
• Number of Items: 50
• Points per Item: 2
• Total Possible Points: 100
,FUNDAMENTALS OF MATERNAL NURSING & PRENATAL
CARE
1. The nurse has provided dietary teaching for a pregnant client who has iron deficiency
anemia. Which of the following meal options selected by the client indicates that
teaching has been effective?
A. Fried chicken, mashed potatoes, and orange soda
B. Tofu scramble, whole-grain toast, and grapefruit juice
C. Grilled steak, creamed spinach, and an apple
D. Pasta with tomato sauce and a mixed green salad
Correct Answer: C. [CORRECT]
Verified Explanation: Grilled steak is a rich source of heme iron (most bioavailable
form), while creamed spinach provides non-heme iron plus some vitamin C. The apple
offers additional vitamin C, which enhances non-heme iron absorption. This
combination demonstrates understanding of iron-rich food choices and absorption
enhancers for treating iron deficiency anemia in pregnancy.
Distractor Analysis:
• A: Fried chicken provides some iron but is high in unhealthy fats; orange soda offers
no nutritional value
• B: Tofu contains non-heme iron but lacks the high-quality heme iron found in meat
• D: Pasta with tomato sauce is low in bioavailable iron despite some vitamin C from
tomatoes
Galen Tip: Remember "MEAT-C" for iron absorption: Meat (heme iron), Eat with
Ascorbic acid (vitamin C), Take between meals for better absorption.
2. The nurse is caring for a pregnant client who is recently diagnosed with pica. Which of
the following hemoglobin (Hgb) levels should the nurse expect to find in the client's
chart?
A. 12 g/dL
B. 13.5 g/dL
,C. 9 g/dL
D. 11 g/dL
Correct Answer: C. [CORRECT]
Verified Explanation: Pica (ingestion of non-nutritive substances such as ice, clay,
starch) is strongly associated with iron deficiency anemia. A hemoglobin level of 9
g/dL indicates moderate anemia (normal pregnancy Hgb: 11-14 g/dL). This finding is
consistent with the pathophysiology of pica, which often represents the body's attempt
to obtain missing minerals.
Distractor Analysis:
• A & D: These are within or near normal range for pregnancy
• B: This is actually above normal pregnancy values and would not be associated with
pica
Galen Tip: Pica + Low Hgb = Check for iron deficiency first. The most common form is
pagophagia (eating ice).
3. The nurse is caring for a client who is at 38 weeks gestation and in a supine position
for a pelvic examination. The client reports feeling dizzy and nauseated, and upon
assessment, her skin feels damp and cool. Which of the following actions should the
nurse take first?
A. Elevate the client's legs 20 degrees above her hips
B. Encourage the client to take deep breaths
C. Position the client on her left side
D. Provide a cold compress to the forehead
Correct Answer: C. [CORRECT]
Verified Explanation: These are classic signs of supine hypotension syndrome
(aortocaval compression syndrome). At 38 weeks, the gravid uterus compresses the
inferior vena cava when supine, reducing venous return and cardiac output. The
absolute priority is immediate left lateral positioning to relieve vena cava compression
and restore circulation. This is more effective than leg elevation because it directly
addresses the cause.
Distractor Analysis:
, • A: Leg elevation helps but doesn't relieve the uterine compression causing the
problem
• B & D: These are supportive measures but do not address the life -threatening
hemodynamic compromise
Galen Tip: "Left is Best" - For any third-trimester client with dizziness, hypotension, or
fetal heart rate decelerations, immediate left lateral positioning is the first intervention.
4. The nurse is preparing to teach a client about the cardiovascular changes that occur
during pregnancy. Which of the following decreases or remains unchanged?
A. Heart rate
B. Blood pressure
C. Cardiac output
D. Blood volume
Correct Answer: B. [CORRECT]
Verified Explanation: During pregnancy, blood pressure typically decreases or
remains stable due to progesterone-mediated vasodilation, which reduces systemic
vascular resistance. This occurs despite significant increases in:
• Cardiac output (↑ 30-50%)
• Heart rate (↑ 10-20 bpm)
• Blood volume (↑ 40-50%)
The drop in diastolic pressure is more pronounced than systolic, with the nadir around
28 weeks.
Distractor Analysis: A, C, and D all significantly INCREASE during pregnancy.
Galen Tip: Remember the "B" stays Below or Baseline - Blood pressure is the one
cardiovascular parameter that doesn't rise in pregnancy.
5. The nurse is caring for a client who is pregnant. The first day of the last menstrual
period (LMP) was October 1. Using Naegele's rule, the nurse calculates the estimated
date of delivery (EDD) as:
A. June 4
B. July 4
EXAMS 1, 2, 3 & 4 | MATERNAL AND PEDIATRIC NURSING
GALEN COLLEGE OF NURSING | 2026/2027 ACADEMIC YEAR
Complete 4-Exam Bundle with 200 Verified Questions (50 Questions Per
Exam)
A+ Graded Practice Test | Actual Galen College Exam Format
Instructions: This complete bundle contains all four NUR 254 exams for the 2026/2027
academic year. Each exam contains exactly 50 questions with verified correct answers
and expert explanations. Choose the best answer for each question. For select-all-that-
apply questions, all correct options must be selected. Record your answers on the
provided answer sheet. There is no penalty for guessing.
====================================================
===========================
NUR 254 EXAM 1
MATERNAL AND PEDIATRIC NURSING
GALEN COLLEGE OF NURSING | 2026/2027
====================================================
===========================
Exam Information:
• Time Allowed: 75 minutes
• Number of Items: 50
• Points per Item: 2
• Total Possible Points: 100
,FUNDAMENTALS OF MATERNAL NURSING & PRENATAL
CARE
1. The nurse has provided dietary teaching for a pregnant client who has iron deficiency
anemia. Which of the following meal options selected by the client indicates that
teaching has been effective?
A. Fried chicken, mashed potatoes, and orange soda
B. Tofu scramble, whole-grain toast, and grapefruit juice
C. Grilled steak, creamed spinach, and an apple
D. Pasta with tomato sauce and a mixed green salad
Correct Answer: C. [CORRECT]
Verified Explanation: Grilled steak is a rich source of heme iron (most bioavailable
form), while creamed spinach provides non-heme iron plus some vitamin C. The apple
offers additional vitamin C, which enhances non-heme iron absorption. This
combination demonstrates understanding of iron-rich food choices and absorption
enhancers for treating iron deficiency anemia in pregnancy.
Distractor Analysis:
• A: Fried chicken provides some iron but is high in unhealthy fats; orange soda offers
no nutritional value
• B: Tofu contains non-heme iron but lacks the high-quality heme iron found in meat
• D: Pasta with tomato sauce is low in bioavailable iron despite some vitamin C from
tomatoes
Galen Tip: Remember "MEAT-C" for iron absorption: Meat (heme iron), Eat with
Ascorbic acid (vitamin C), Take between meals for better absorption.
2. The nurse is caring for a pregnant client who is recently diagnosed with pica. Which of
the following hemoglobin (Hgb) levels should the nurse expect to find in the client's
chart?
A. 12 g/dL
B. 13.5 g/dL
,C. 9 g/dL
D. 11 g/dL
Correct Answer: C. [CORRECT]
Verified Explanation: Pica (ingestion of non-nutritive substances such as ice, clay,
starch) is strongly associated with iron deficiency anemia. A hemoglobin level of 9
g/dL indicates moderate anemia (normal pregnancy Hgb: 11-14 g/dL). This finding is
consistent with the pathophysiology of pica, which often represents the body's attempt
to obtain missing minerals.
Distractor Analysis:
• A & D: These are within or near normal range for pregnancy
• B: This is actually above normal pregnancy values and would not be associated with
pica
Galen Tip: Pica + Low Hgb = Check for iron deficiency first. The most common form is
pagophagia (eating ice).
3. The nurse is caring for a client who is at 38 weeks gestation and in a supine position
for a pelvic examination. The client reports feeling dizzy and nauseated, and upon
assessment, her skin feels damp and cool. Which of the following actions should the
nurse take first?
A. Elevate the client's legs 20 degrees above her hips
B. Encourage the client to take deep breaths
C. Position the client on her left side
D. Provide a cold compress to the forehead
Correct Answer: C. [CORRECT]
Verified Explanation: These are classic signs of supine hypotension syndrome
(aortocaval compression syndrome). At 38 weeks, the gravid uterus compresses the
inferior vena cava when supine, reducing venous return and cardiac output. The
absolute priority is immediate left lateral positioning to relieve vena cava compression
and restore circulation. This is more effective than leg elevation because it directly
addresses the cause.
Distractor Analysis:
, • A: Leg elevation helps but doesn't relieve the uterine compression causing the
problem
• B & D: These are supportive measures but do not address the life -threatening
hemodynamic compromise
Galen Tip: "Left is Best" - For any third-trimester client with dizziness, hypotension, or
fetal heart rate decelerations, immediate left lateral positioning is the first intervention.
4. The nurse is preparing to teach a client about the cardiovascular changes that occur
during pregnancy. Which of the following decreases or remains unchanged?
A. Heart rate
B. Blood pressure
C. Cardiac output
D. Blood volume
Correct Answer: B. [CORRECT]
Verified Explanation: During pregnancy, blood pressure typically decreases or
remains stable due to progesterone-mediated vasodilation, which reduces systemic
vascular resistance. This occurs despite significant increases in:
• Cardiac output (↑ 30-50%)
• Heart rate (↑ 10-20 bpm)
• Blood volume (↑ 40-50%)
The drop in diastolic pressure is more pronounced than systolic, with the nadir around
28 weeks.
Distractor Analysis: A, C, and D all significantly INCREASE during pregnancy.
Galen Tip: Remember the "B" stays Below or Baseline - Blood pressure is the one
cardiovascular parameter that doesn't rise in pregnancy.
5. The nurse is caring for a client who is pregnant. The first day of the last menstrual
period (LMP) was October 1. Using Naegele's rule, the nurse calculates the estimated
date of delivery (EDD) as:
A. June 4
B. July 4
