NUR 230 Exam 3 – Galen OB/Peds (2026) Comprehensive Practice UPDATE
1. A nurse is assessing a pregnant client at 34 weeks gestation who presents with sudden,
painless vaginal bleeding. Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. Spontaneous abortion
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the
second or third trimester. Abruptio placentae usually involves painful bleeding.
2. Which fetal heart rate pattern is most indicative of uteroplacental insufficiency?
A. Late decelerations
B. Variable decelerations
C. Early decelerations
D. Accelerations
Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency and are a non-
reassuring sign that requires immediate intervention.
,3. A client is receiving magnesium sulfate for preeclampsia. Which finding should the nurse
report to the provider immediately?
A. Fetal heart rate of 140 bpm
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL per hour
D. Respiratory rate of 10 breaths per minute
Answer: D
Rationale: Magnesium toxicity can cause respiratory depression. A rate below 12 is a
critical sign of toxicity.
4. At 1 minute after birth, a newborn has a heart rate of 110, a weak cry, some flexion of
extremities, grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate (2), Cry (1), Muscle tone (1), Reflex (1), Color (1) = 6.
, 5. According to Piaget, which stage of cognitive development is a 4-year-old child typically in?
A. Sensorimotor
B. Concrete operational
C. Preoperational
D. Formal operational
Answer: C
Rationale: The preoperational stage occurs from ages 2 to 7 and is characterized by
symbolic thinking and egocentrism.
6. A nurse is caring for a 6-month-old infant. Which developmental milestone should the
nurse expect the infant to have achieved?
A. Rolling from back to abdomen
B. Walking while holding onto furniture
C. Sitting steadily without support
D. Speaking three-word sentences
Answer: A
Rationale: Infants typically roll from back to abdomen by 5 to 6 months of age.
7. Which medication is administered to a newborn to prevent ophthalmia neonatorum?
A. Vitamin K
1. A nurse is assessing a pregnant client at 34 weeks gestation who presents with sudden,
painless vaginal bleeding. Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. Spontaneous abortion
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the
second or third trimester. Abruptio placentae usually involves painful bleeding.
2. Which fetal heart rate pattern is most indicative of uteroplacental insufficiency?
A. Late decelerations
B. Variable decelerations
C. Early decelerations
D. Accelerations
Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency and are a non-
reassuring sign that requires immediate intervention.
,3. A client is receiving magnesium sulfate for preeclampsia. Which finding should the nurse
report to the provider immediately?
A. Fetal heart rate of 140 bpm
B. Deep tendon reflexes of 2+
C. Urinary output of 40 mL per hour
D. Respiratory rate of 10 breaths per minute
Answer: D
Rationale: Magnesium toxicity can cause respiratory depression. A rate below 12 is a
critical sign of toxicity.
4. At 1 minute after birth, a newborn has a heart rate of 110, a weak cry, some flexion of
extremities, grimace when stimulated, and a pink body with blue extremities. What is the
APGAR score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate (2), Cry (1), Muscle tone (1), Reflex (1), Color (1) = 6.
, 5. According to Piaget, which stage of cognitive development is a 4-year-old child typically in?
A. Sensorimotor
B. Concrete operational
C. Preoperational
D. Formal operational
Answer: C
Rationale: The preoperational stage occurs from ages 2 to 7 and is characterized by
symbolic thinking and egocentrism.
6. A nurse is caring for a 6-month-old infant. Which developmental milestone should the
nurse expect the infant to have achieved?
A. Rolling from back to abdomen
B. Walking while holding onto furniture
C. Sitting steadily without support
D. Speaking three-word sentences
Answer: A
Rationale: Infants typically roll from back to abdomen by 5 to 6 months of age.
7. Which medication is administered to a newborn to prevent ophthalmia neonatorum?
A. Vitamin K
