,Galen NUR 254 Exam 1 Questions and Answers
(2026), Maternal & Pediatric Nursing
Question 1
A client at 36 weeks gestation presents to the emergency department with
painless, bright red vaginal bleeding. Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Rupture of membranes
Answer: A. Placenta previa
Rationale: Painless, bright red vaginal bleeding in the third trimester is the
classic presentation of placenta previa —a condition where the placenta
partially or completely covers the cervical os. Abruptio placentae (B) presents
with painful, dark red bleeding and uterine rigidity. Preterm labor (C) presents
with contractions and cervical changes. Rupture of membranes (D) presents
with a gush or leakage of fluid.
Question 2
A nurse is assessing a 4-month-old infant. Which developmental milestone
should the infant demonstrate?
A. Sit without support
B. Roll from back to side
C. Walk independently
D. Speak in two-word phrases
Answer: B. Roll from back to side
, Rationale: At 4 months of age, an infant should be able to roll from back to
side. Sitting without support (A) typically occurs at 6–8 months. Walking
independently (C) occurs at 12–15 months. Speaking in two-word phrases (D)
occurs at approximately 18–24 months.
Question 3
A client at 28 weeks gestation is diagnosed with gestational diabetes. The nurse
should anticipate which order?
A. Oral glucose tolerance test (OGTT)
B. Ultrasound to assess fetal growth
C. Induction of labor immediately
D. Administration of insulin only
Answer: B. Ultrasound to assess fetal growth
Rationale: Gestational diabetes increases the risk of fetal macrosomia (large
for gestational age). An ultrasound is typically ordered to assess fetal growth,
amniotic fluid volume, and guide management. An OGTT (A) is used for
diagnosis, not after diagnosis. Induction of labor (C) is not immediate. Insulin
(D) may be needed, but diet and exercise are first-line.
Question 4
The nurse is performing Leopold's maneuvers on a client at 38 weeks gestation.
The purpose of these maneuvers is to:
A. Determine fetal heart rate
B. Assess fetal position and presentation
C. Measure fundal height
D. Evaluate amniotic fluid volume
(2026), Maternal & Pediatric Nursing
Question 1
A client at 36 weeks gestation presents to the emergency department with
painless, bright red vaginal bleeding. Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Rupture of membranes
Answer: A. Placenta previa
Rationale: Painless, bright red vaginal bleeding in the third trimester is the
classic presentation of placenta previa —a condition where the placenta
partially or completely covers the cervical os. Abruptio placentae (B) presents
with painful, dark red bleeding and uterine rigidity. Preterm labor (C) presents
with contractions and cervical changes. Rupture of membranes (D) presents
with a gush or leakage of fluid.
Question 2
A nurse is assessing a 4-month-old infant. Which developmental milestone
should the infant demonstrate?
A. Sit without support
B. Roll from back to side
C. Walk independently
D. Speak in two-word phrases
Answer: B. Roll from back to side
, Rationale: At 4 months of age, an infant should be able to roll from back to
side. Sitting without support (A) typically occurs at 6–8 months. Walking
independently (C) occurs at 12–15 months. Speaking in two-word phrases (D)
occurs at approximately 18–24 months.
Question 3
A client at 28 weeks gestation is diagnosed with gestational diabetes. The nurse
should anticipate which order?
A. Oral glucose tolerance test (OGTT)
B. Ultrasound to assess fetal growth
C. Induction of labor immediately
D. Administration of insulin only
Answer: B. Ultrasound to assess fetal growth
Rationale: Gestational diabetes increases the risk of fetal macrosomia (large
for gestational age). An ultrasound is typically ordered to assess fetal growth,
amniotic fluid volume, and guide management. An OGTT (A) is used for
diagnosis, not after diagnosis. Induction of labor (C) is not immediate. Insulin
(D) may be needed, but diet and exercise are first-line.
Question 4
The nurse is performing Leopold's maneuvers on a client at 38 weeks gestation.
The purpose of these maneuvers is to:
A. Determine fetal heart rate
B. Assess fetal position and presentation
C. Measure fundal height
D. Evaluate amniotic fluid volume
