NUR 231 Exam 3: Childbearing & Child Caring Family Professional Study Guide
NUR 231 Exam 3: Childbearing & Child Caring
Family
Comprehensive Study Guide
50 Practice Questions with Detailed Rationales
Update
Galen College of Nursing
High-Yield Practice for Exam Success
Questions include correct answers and clear clinical rationales
to strengthen understanding and retention.
Ideal for exam preparation and NCLEX-style practice
2026/2027 Update • For Educational Use Page 1
,NUR 231 Exam 3: Childbearing & Child Caring Family Professional Study Guide
How to Use This Study Guide
This guide contains 50 practice questions with answers and rationales. Attempt each question before revealing the
answer. Review rationales carefully to reinforce key concepts and priority nursing actions.
• Work through questions under timed conditions when possible.
• Focus extra review on topics you miss.
• Use rationales to create personal summary notes or flashcards.
Good luck with your studies!
2026/2027 Update • For Educational Use Page 2
, NUR 231 Exam 3: Childbearing & Child Caring Family Professional Study Guide
Practice Questions
Question 1
A nurse is caring for a patient at 36 weeks gestation diagnosed with severe preeclampsia. Which clinical finding
would most likely indicate the progression to HELLP syndrome?
A. Elevated serum creatinine and decreased BUN
B. Low platelet count and elevated liver enzymes
C. Increased hemoglobin and hematocrit levels
D. Hyperreflexia and presence of clonus
Answer: B
Rationale:
HELLP syndrome is characterized by Hemolysis, Elevated Liver enzymes, and Low Platelets. Low platelet counts and
elevated liver enzymes (AST/ALT) are diagnostic hallmarks.
Question 2
A client in active labor experiences a sudden onset of sharp abdominal pain followed by a cessation of uterine
contractions. The nurse notes a loss of fetal station. Which complication is most likely occurring?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Amniotic fluid embolism
Answer: C
Rationale:
Uterine rupture often presents with sudden sharp pain, cessation of contractions, and the recession of the presenting part
(loss of station).
Question 3
A patient is receiving Magnesium Sulfate for seizure prophylaxis in preeclampsia. The nurse notes the patient
has a respiratory rate of 10 breaths per minute and absent deep tendon reflexes. What is the priority nursing
action?
A. Decrease the infusion rate by half
B. Discontinue the Magnesium Sulfate infusion immediately
C. Notify the provider to request a serum magnesium level
D. Administer Calcium Gluconate intravenously
Answer: B
Rationale:
The first priority in magnesium toxicity (respiratory depression and absent DTRs) is to stop the infusion to prevent further
toxicity before administering the antagonist.
2026/2027 Update • For Educational Use Page 3
NUR 231 Exam 3: Childbearing & Child Caring
Family
Comprehensive Study Guide
50 Practice Questions with Detailed Rationales
Update
Galen College of Nursing
High-Yield Practice for Exam Success
Questions include correct answers and clear clinical rationales
to strengthen understanding and retention.
Ideal for exam preparation and NCLEX-style practice
2026/2027 Update • For Educational Use Page 1
,NUR 231 Exam 3: Childbearing & Child Caring Family Professional Study Guide
How to Use This Study Guide
This guide contains 50 practice questions with answers and rationales. Attempt each question before revealing the
answer. Review rationales carefully to reinforce key concepts and priority nursing actions.
• Work through questions under timed conditions when possible.
• Focus extra review on topics you miss.
• Use rationales to create personal summary notes or flashcards.
Good luck with your studies!
2026/2027 Update • For Educational Use Page 2
, NUR 231 Exam 3: Childbearing & Child Caring Family Professional Study Guide
Practice Questions
Question 1
A nurse is caring for a patient at 36 weeks gestation diagnosed with severe preeclampsia. Which clinical finding
would most likely indicate the progression to HELLP syndrome?
A. Elevated serum creatinine and decreased BUN
B. Low platelet count and elevated liver enzymes
C. Increased hemoglobin and hematocrit levels
D. Hyperreflexia and presence of clonus
Answer: B
Rationale:
HELLP syndrome is characterized by Hemolysis, Elevated Liver enzymes, and Low Platelets. Low platelet counts and
elevated liver enzymes (AST/ALT) are diagnostic hallmarks.
Question 2
A client in active labor experiences a sudden onset of sharp abdominal pain followed by a cessation of uterine
contractions. The nurse notes a loss of fetal station. Which complication is most likely occurring?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Amniotic fluid embolism
Answer: C
Rationale:
Uterine rupture often presents with sudden sharp pain, cessation of contractions, and the recession of the presenting part
(loss of station).
Question 3
A patient is receiving Magnesium Sulfate for seizure prophylaxis in preeclampsia. The nurse notes the patient
has a respiratory rate of 10 breaths per minute and absent deep tendon reflexes. What is the priority nursing
action?
A. Decrease the infusion rate by half
B. Discontinue the Magnesium Sulfate infusion immediately
C. Notify the provider to request a serum magnesium level
D. Administer Calcium Gluconate intravenously
Answer: B
Rationale:
The first priority in magnesium toxicity (respiratory depression and absent DTRs) is to stop the infusion to prevent further
toxicity before administering the antagonist.
2026/2027 Update • For Educational Use Page 3
