NUR 4467C
Care for Women, Children &
Families
Final Exam Review
(Questions & Solutions)
2025
1
, 1. A 32-year-old woman at 22 weeks’ gestation presents with severe
hypertension and proteinuria. Which lab value most strongly supports a
diagnosis of preeclampsia?
• A. Platelet count of 250,000/mm³
• B. Creatinine 1.3 mg/dL
• C. ALT 200 U/L
• D. Hemoglobin 12 g/dL Answer: C. Rationale: Elevated liver
enzymes (like ALT) are a hallmark of severe preeclampsia. Platelet
count and hemoglobin are within normal, and creatinine is
borderline.
2. An 8-year-old child with asthma is admitted for increasing shortness of
breath. Which clinical finding necessitates immediate nursing
intervention?
• A. Oxygen saturation of 92%
• B. Audible wheezing
• C. Cyanosis of lips
• D. Respiratory rate of 26/min Answer: C. Rationale: Cyanosis
indicates hypoxemia; this is a medical emergency demanding
immediate action.
3. Which is the priority nursing intervention for a postpartum woman
with a boggy uterus and heavy lochia?
• A. Call the provider
• B. Start oxygen
• C. Massage the fundus
• D. Insert Foley catheter Answer: C. Rationale: Massaging the
fundus is the first and most effective action for uterine atony.
4. A 6-year-old, recently diagnosed with Type 1 diabetes, is learning
insulin administration. What finding suggests the need for further
education?
2
Care for Women, Children &
Families
Final Exam Review
(Questions & Solutions)
2025
1
, 1. A 32-year-old woman at 22 weeks’ gestation presents with severe
hypertension and proteinuria. Which lab value most strongly supports a
diagnosis of preeclampsia?
• A. Platelet count of 250,000/mm³
• B. Creatinine 1.3 mg/dL
• C. ALT 200 U/L
• D. Hemoglobin 12 g/dL Answer: C. Rationale: Elevated liver
enzymes (like ALT) are a hallmark of severe preeclampsia. Platelet
count and hemoglobin are within normal, and creatinine is
borderline.
2. An 8-year-old child with asthma is admitted for increasing shortness of
breath. Which clinical finding necessitates immediate nursing
intervention?
• A. Oxygen saturation of 92%
• B. Audible wheezing
• C. Cyanosis of lips
• D. Respiratory rate of 26/min Answer: C. Rationale: Cyanosis
indicates hypoxemia; this is a medical emergency demanding
immediate action.
3. Which is the priority nursing intervention for a postpartum woman
with a boggy uterus and heavy lochia?
• A. Call the provider
• B. Start oxygen
• C. Massage the fundus
• D. Insert Foley catheter Answer: C. Rationale: Massaging the
fundus is the first and most effective action for uterine atony.
4. A 6-year-old, recently diagnosed with Type 1 diabetes, is learning
insulin administration. What finding suggests the need for further
education?
2
