NUR 230 EXAM 1 - GALEN
OB/PEDS (2026) ACTUAL
QUESTIONS & CORRECT
LATEST MOCK PRACTICE SET
180 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 230 EXAM 1 - GALEN OB/PEDS (2026) ACTUAL QUESTIONS & CORRECT ANSWERS | GUARANTEE
PASS. It contains 180 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 180 Questions
Foundations - Application - NUR 230 1 Galen Ob/peds 2026 Actual & Correct Guarantee PASS Obstetrics
& Pediatrics Nursing Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Finding 1-45 Intervention, Fetal, Newborn, Child, Heart
Intervention 46-90 Finding, Weeks Gestation, Indicates, Heart RATE, Fetal
Weeks 91-135 Finding, Weeks Gestation, Fetal, Newborn, Pediatric
Gestation 136-180 Finding, Immediate, Indicates, Intervention, Child
TOTAL 180 All questions include answers and detailed rationales
,Section A - Finding
Q1.
A primigravid client at 32 weeks gestation presents with sudden onset of severe
headache, epigastric pain, and visual disturbances. Blood pressure is 172/112 mmHg, and
urine protein is 3+. Which intervention should the nurse prioritize immediately?
A. Administer labetalol IV as ordered B. Place the client in a left lateral position
C. Prepare for immediate cesarean delivery D. Insert a Foley catheter to monitor output
Correct: A - Administer labetalol IV as ordered
Rationale:In severe preeclampsia, controlling blood pressure is critical to prevent maternal
stroke or eclampsia; IV labetalol is the first-line antihypertensive. Positioning and
catheterization are supportive but do not address the hypertensive crisis. Delivery is indicated
after stabilization, not as the immediate priority.
Q2.
A nurse is reviewing fetal heart rate (FHR) tracings. Which pattern indicates normal fetal
acid-base status and requires no intervention?
A. Variable decelerations with accelerations B. Early decelerations with moderate
variability
C. Late decelerations with absent variability D. Prolonged deceleration with minimal
variability
Correct: B - Early decelerations with moderate variability
Rationale:Early decelerations are caused by head compression and are benign, especially
with moderate variability, which indicates adequate oxygenation. Variable decelerations (cord
compression) may require intervention, while late or prolonged decelerations with absent
variability suggest fetal compromise.
Q3.
Which laboratory finding is most indicative of hemolysis, elevated liver enzymes, and low
platelets (HELLP) syndrome in a postpartum client with preeclampsia?
A. Elevated BUN and creatinine B. Decreased haptoglobin and elevated
LDH
C. Increased fibrinogen and D-dimer D. Decreased platelet count and prolonged
PT
Correct: B - Decreased haptoglobin and elevated LDH
Page 3
, Section A - Finding
Rationale: HELLP syndrome is characterized by microangiopathic hemolysis; decreased
haptoglobin and elevated LDH are key indicators of hemolysis. Elevated BUN/creatinine
suggest renal impairment but are not specific to HELLP. Increased fibrinogen and D-dimer are
seen in DIC, and thrombocytopenia with prolonged PT may occur in DIC but is not the
hallmark.
Q4.
A nurse is assessing a newborn immediately after birth. Which finding requires immediate
intervention?
A. Acrocyanosis of the hands and feet B. Respiratory rate of 50 breaths/min with
nasal flaring
C. Apical heart rate of 140 beats/min while D. Molding of the head with overlapping
crying sutures
Correct: B - Respiratory rate of 50 breaths/min with nasal flaring
Rationale:Nasal flaring indicates respiratory distress in a newborn; normal respiratory rate is
30-60, but flaring suggests increased work of breathing. Acrocyanosis, heart rate 140, and
molding are normal findings. Immediate intervention is needed to support ventilation.
Q5.
In the management of a child with diabetic ketoacidosis (DKA), which finding indicates a
potential complication of over-aggressive fluid resuscitation?
A. Decreased serum potassium levels B. Increased intracranial pressure
C. Hypoglycemia D. Hyperchloremic metabolic acidosis
Correct: B - Increased intracranial pressure
Rationale:Over-aggressive fluid resuscitation in DKA can lead to cerebral edema, resulting in
increased intracranial pressure. Rapid shifts in osmolality cause fluid to move into brain cells.
Hypokalemia and hypoglycemia are managed with careful monitoring, and hyperchloremic
acidosis can occur with excessive normal saline, but cerebral edema is the most dangerous
complication.
Q6.
A nurse is providing discharge teaching to the parents of a child with a new diagnosis of
epilepsy. Which instruction is most critical for the parents to understand?
A. Administer antiepileptic medication B. Keep a seizure diary to identify triggers
exactly as prescribed
Page 4
OB/PEDS (2026) ACTUAL
QUESTIONS & CORRECT
LATEST MOCK PRACTICE SET
180 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 230 EXAM 1 - GALEN OB/PEDS (2026) ACTUAL QUESTIONS & CORRECT ANSWERS | GUARANTEE
PASS. It contains 180 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 180 Questions
Foundations - Application - NUR 230 1 Galen Ob/peds 2026 Actual & Correct Guarantee PASS Obstetrics
& Pediatrics Nursing Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Finding 1-45 Intervention, Fetal, Newborn, Child, Heart
Intervention 46-90 Finding, Weeks Gestation, Indicates, Heart RATE, Fetal
Weeks 91-135 Finding, Weeks Gestation, Fetal, Newborn, Pediatric
Gestation 136-180 Finding, Immediate, Indicates, Intervention, Child
TOTAL 180 All questions include answers and detailed rationales
,Section A - Finding
Q1.
A primigravid client at 32 weeks gestation presents with sudden onset of severe
headache, epigastric pain, and visual disturbances. Blood pressure is 172/112 mmHg, and
urine protein is 3+. Which intervention should the nurse prioritize immediately?
A. Administer labetalol IV as ordered B. Place the client in a left lateral position
C. Prepare for immediate cesarean delivery D. Insert a Foley catheter to monitor output
Correct: A - Administer labetalol IV as ordered
Rationale:In severe preeclampsia, controlling blood pressure is critical to prevent maternal
stroke or eclampsia; IV labetalol is the first-line antihypertensive. Positioning and
catheterization are supportive but do not address the hypertensive crisis. Delivery is indicated
after stabilization, not as the immediate priority.
Q2.
A nurse is reviewing fetal heart rate (FHR) tracings. Which pattern indicates normal fetal
acid-base status and requires no intervention?
A. Variable decelerations with accelerations B. Early decelerations with moderate
variability
C. Late decelerations with absent variability D. Prolonged deceleration with minimal
variability
Correct: B - Early decelerations with moderate variability
Rationale:Early decelerations are caused by head compression and are benign, especially
with moderate variability, which indicates adequate oxygenation. Variable decelerations (cord
compression) may require intervention, while late or prolonged decelerations with absent
variability suggest fetal compromise.
Q3.
Which laboratory finding is most indicative of hemolysis, elevated liver enzymes, and low
platelets (HELLP) syndrome in a postpartum client with preeclampsia?
A. Elevated BUN and creatinine B. Decreased haptoglobin and elevated
LDH
C. Increased fibrinogen and D-dimer D. Decreased platelet count and prolonged
PT
Correct: B - Decreased haptoglobin and elevated LDH
Page 3
, Section A - Finding
Rationale: HELLP syndrome is characterized by microangiopathic hemolysis; decreased
haptoglobin and elevated LDH are key indicators of hemolysis. Elevated BUN/creatinine
suggest renal impairment but are not specific to HELLP. Increased fibrinogen and D-dimer are
seen in DIC, and thrombocytopenia with prolonged PT may occur in DIC but is not the
hallmark.
Q4.
A nurse is assessing a newborn immediately after birth. Which finding requires immediate
intervention?
A. Acrocyanosis of the hands and feet B. Respiratory rate of 50 breaths/min with
nasal flaring
C. Apical heart rate of 140 beats/min while D. Molding of the head with overlapping
crying sutures
Correct: B - Respiratory rate of 50 breaths/min with nasal flaring
Rationale:Nasal flaring indicates respiratory distress in a newborn; normal respiratory rate is
30-60, but flaring suggests increased work of breathing. Acrocyanosis, heart rate 140, and
molding are normal findings. Immediate intervention is needed to support ventilation.
Q5.
In the management of a child with diabetic ketoacidosis (DKA), which finding indicates a
potential complication of over-aggressive fluid resuscitation?
A. Decreased serum potassium levels B. Increased intracranial pressure
C. Hypoglycemia D. Hyperchloremic metabolic acidosis
Correct: B - Increased intracranial pressure
Rationale:Over-aggressive fluid resuscitation in DKA can lead to cerebral edema, resulting in
increased intracranial pressure. Rapid shifts in osmolality cause fluid to move into brain cells.
Hypokalemia and hypoglycemia are managed with careful monitoring, and hyperchloremic
acidosis can occur with excessive normal saline, but cerebral edema is the most dangerous
complication.
Q6.
A nurse is providing discharge teaching to the parents of a child with a new diagnosis of
epilepsy. Which instruction is most critical for the parents to understand?
A. Administer antiepileptic medication B. Keep a seizure diary to identify triggers
exactly as prescribed
Page 4
