NUR 231
EXAM 3
Maternal Nursing
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is performing an assessment on an adolescent client. Which
behavior suggests appropriate psychosocial development in this client?
A. Prefers to spend time alone
B. Thinks about peers' opinions of them
C. Avoids discussing feelings or thoughts
D. Shows excessive dependence on parents
Correct Answer: B
Expert Rationale:
Adolescents typically display increased concern for peer acceptance and social
identity, reflecting normal psychosocial development during this stage. Peer
approval significantly influences adolescents' self-esteem and decision-making
processes. Option A suggests social withdrawal, option C indicates poor emotional
expression, and option D reflects regression rather than healthy developmental
progression.
2. The nurse is performing a nutritional assessment on an adolescent client.
Which client statement best indicates that the client's diet is healthy?
A. "I avoid vegetables because I don't like them."
B. "I drink four glasses of water daily."
C. "My parents make sure I drink 8 glasses of water daily."
D. "I rarely eat breakfast because I'm not hungry."
Correct Answer: C
Expert Rationale:
Adequate hydration is a fundamental component of a healthy diet, and consuming
approximately 8 glasses of water daily is consistent with recommended fluid
intake for adolescents. Statement A reflects inadequate vegetable intake,
statement B indicates suboptimal hydration, and statement D suggests
inconsistent meal patterns that may compromise nutritional status.
,3. The nurse is educating new parents about immunizations and immunity.
Which statement indicates the need for additional teaching?
A. "Active immunity is what my child gets from me and is short-term protection."
B. "Vaccines help my child develop immunity by stimulating their own immune
system."
C. "Passive immunity provides immediate but temporary protection."
D. "Some immunizations require multiple doses to be effective."
Correct Answer: A
Expert Rationale:
This statement is incorrect because active immunity is generated by the
individual's own immune response after exposure to an antigen or vaccine and
typically provides long-lasting protection. Passive immunity, such as maternal
antibodies passed during pregnancy, provides short-term protection. The parent
has confused active and passive immunity, requiring corrective education.
4. The nurse has administered a prescribed analgesic to a preschool child. Which
action should the nurse take to assess the effectiveness of this medication?
A. Ask the child to describe the location of the pain
B. Use the Wong-Baker FACES Pain Rating Scale
C. Observe changes in vital signs only
D. Wait 3 hours before reassessing the child's comfort level
Correct Answer: B
Expert Rationale:
The Wong-Baker FACES Pain Rating Scale is a validated pain assessment tool
appropriate for preschool children, allowing them to self-report pain intensity
through facial expressions. This facilitates an accurate assessment of analgesic
effectiveness beyond objective measures like vital signs, which can be influenced
,by other factors. Preschool children lack the cognitive ability to reliably describe
pain location verbally.
5. The nurse is working in an emergency triage area where a parent brings in a
child and states, "I think she got into my mother's medicine." After determining
the medication the child ingested, which action should the nurse perform next?
A. Induce vomiting
B. Contact poison control center
C. Observe the child for symptoms
D. Administer activated charcoal immediately
Correct Answer: B
Expert Rationale:
After identifying the ingested substance, the nurse's priority action is to contact
poison control for expert guidance regarding appropriate interventions, antidotes,
or supportive care. Following consultation, the nurse should implement the
recommendations from poison control to ensure safe and effective management.
Inducing vomiting or administering activated charcoal without specific guidance
may cause further harm.
6. The nurse has attended a conference on immunizations. Which statement by
the nurse indicates that teaching has been effective?
A. "Children should not receive immunizations if they have a mild cold."
B. "Children who have a common cold may still receive an immunization."
C. "Immunizations can cause the diseases they are meant to prevent."
D. "Only children over the age of five can receive immunizations safely."
Correct Answer: B
Expert Rationale:
Mild illness, such as a common cold without fever, is not a contraindication for
, immunization. Vaccinations can safely be administered unless the child has a
moderate to severe illness with or without fever. Option A reflects an outdated
misconception, option C describes a myth about live vaccines in
immunocompetent hosts, and option D is factually incorrect regarding age-based
vaccine eligibility.
7. The nurse has provided discharge instructions to the parents of a 3-year-old
who had a cardiac catheterization. Which statement by the parents indicates a
correct understanding of the teaching?
A. "We will remove the adhesive bandage strip as soon as we get home."
B. "We will keep the adhesive bandage dry and intact until advised otherwise."
C. "We should apply lotion to the catheter site twice daily."
D. "If the site bleeds, we will soak it in warm water."
Correct Answer: B
Expert Rationale:
Maintaining the integrity of the adhesive bandage as instructed is essential to
prevent infection and promote hemostasis at the catheter insertion site. Parents
should avoid prematurely removing the dressing unless instructed by the
healthcare provider. Applying lotion or soaking the site increases infection risk and
may compromise wound healing.
8. The nurse is performing a respiratory assessment of an infant. It is necessary
for the nurse to notify the primary healthcare provider if the nurse observes
that the infant:
A. Has occasional nasal flaring
B. Smiles intermittently during assessment
C. Has nasal flaring at rest
D. Exhibits head bobbing while crying
Correct Answer: C
EXAM 3
Maternal Nursing
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is performing an assessment on an adolescent client. Which
behavior suggests appropriate psychosocial development in this client?
A. Prefers to spend time alone
B. Thinks about peers' opinions of them
C. Avoids discussing feelings or thoughts
D. Shows excessive dependence on parents
Correct Answer: B
Expert Rationale:
Adolescents typically display increased concern for peer acceptance and social
identity, reflecting normal psychosocial development during this stage. Peer
approval significantly influences adolescents' self-esteem and decision-making
processes. Option A suggests social withdrawal, option C indicates poor emotional
expression, and option D reflects regression rather than healthy developmental
progression.
2. The nurse is performing a nutritional assessment on an adolescent client.
Which client statement best indicates that the client's diet is healthy?
A. "I avoid vegetables because I don't like them."
B. "I drink four glasses of water daily."
C. "My parents make sure I drink 8 glasses of water daily."
D. "I rarely eat breakfast because I'm not hungry."
Correct Answer: C
Expert Rationale:
Adequate hydration is a fundamental component of a healthy diet, and consuming
approximately 8 glasses of water daily is consistent with recommended fluid
intake for adolescents. Statement A reflects inadequate vegetable intake,
statement B indicates suboptimal hydration, and statement D suggests
inconsistent meal patterns that may compromise nutritional status.
,3. The nurse is educating new parents about immunizations and immunity.
Which statement indicates the need for additional teaching?
A. "Active immunity is what my child gets from me and is short-term protection."
B. "Vaccines help my child develop immunity by stimulating their own immune
system."
C. "Passive immunity provides immediate but temporary protection."
D. "Some immunizations require multiple doses to be effective."
Correct Answer: A
Expert Rationale:
This statement is incorrect because active immunity is generated by the
individual's own immune response after exposure to an antigen or vaccine and
typically provides long-lasting protection. Passive immunity, such as maternal
antibodies passed during pregnancy, provides short-term protection. The parent
has confused active and passive immunity, requiring corrective education.
4. The nurse has administered a prescribed analgesic to a preschool child. Which
action should the nurse take to assess the effectiveness of this medication?
A. Ask the child to describe the location of the pain
B. Use the Wong-Baker FACES Pain Rating Scale
C. Observe changes in vital signs only
D. Wait 3 hours before reassessing the child's comfort level
Correct Answer: B
Expert Rationale:
The Wong-Baker FACES Pain Rating Scale is a validated pain assessment tool
appropriate for preschool children, allowing them to self-report pain intensity
through facial expressions. This facilitates an accurate assessment of analgesic
effectiveness beyond objective measures like vital signs, which can be influenced
,by other factors. Preschool children lack the cognitive ability to reliably describe
pain location verbally.
5. The nurse is working in an emergency triage area where a parent brings in a
child and states, "I think she got into my mother's medicine." After determining
the medication the child ingested, which action should the nurse perform next?
A. Induce vomiting
B. Contact poison control center
C. Observe the child for symptoms
D. Administer activated charcoal immediately
Correct Answer: B
Expert Rationale:
After identifying the ingested substance, the nurse's priority action is to contact
poison control for expert guidance regarding appropriate interventions, antidotes,
or supportive care. Following consultation, the nurse should implement the
recommendations from poison control to ensure safe and effective management.
Inducing vomiting or administering activated charcoal without specific guidance
may cause further harm.
6. The nurse has attended a conference on immunizations. Which statement by
the nurse indicates that teaching has been effective?
A. "Children should not receive immunizations if they have a mild cold."
B. "Children who have a common cold may still receive an immunization."
C. "Immunizations can cause the diseases they are meant to prevent."
D. "Only children over the age of five can receive immunizations safely."
Correct Answer: B
Expert Rationale:
Mild illness, such as a common cold without fever, is not a contraindication for
, immunization. Vaccinations can safely be administered unless the child has a
moderate to severe illness with or without fever. Option A reflects an outdated
misconception, option C describes a myth about live vaccines in
immunocompetent hosts, and option D is factually incorrect regarding age-based
vaccine eligibility.
7. The nurse has provided discharge instructions to the parents of a 3-year-old
who had a cardiac catheterization. Which statement by the parents indicates a
correct understanding of the teaching?
A. "We will remove the adhesive bandage strip as soon as we get home."
B. "We will keep the adhesive bandage dry and intact until advised otherwise."
C. "We should apply lotion to the catheter site twice daily."
D. "If the site bleeds, we will soak it in warm water."
Correct Answer: B
Expert Rationale:
Maintaining the integrity of the adhesive bandage as instructed is essential to
prevent infection and promote hemostasis at the catheter insertion site. Parents
should avoid prematurely removing the dressing unless instructed by the
healthcare provider. Applying lotion or soaking the site increases infection risk and
may compromise wound healing.
8. The nurse is performing a respiratory assessment of an infant. It is necessary
for the nurse to notify the primary healthcare provider if the nurse observes
that the infant:
A. Has occasional nasal flaring
B. Smiles intermittently during assessment
C. Has nasal flaring at rest
D. Exhibits head bobbing while crying
Correct Answer: C
