NUR 254 Exam 4 Galen College of Nursing

NUR 254 Exam 4 | Galen College of Nursing | / Actual Exam Questions and Correct Detailed Answers

Introduction​ This document provides the latest updated NUR 254 Exam 4 review material for Galen College of Nursing, featuring actual exam-style questions with 100% correct answers and in-depth rationales. It is designed to strengthen clinical judgment, support test readiness, and enhance mastery of maternal-child nursing applications.

Exam Coverage:

Maternal Health Nursing​ • Advanced antepartum, intrapartum, and postpartum care​ • Management of high-risk pregnancy conditions​ • Complex labor and delivery interventions​ • Postpartum complications and advanced patient education Pediatric Nursing​ • Advanced growth and development principles​ • Pediatric medication safety and complex calculations​ • Management of acute and chronic pediatric conditions​ • Family-centered care and advanced patient education Advanced Nursing Concepts​ • Prioritization and delegation in maternal and pediatric settings​ • Interprofessional collaboration and communication​ • Critical thinking and clinical judgment in complex scenarios

Answer Format:​

Each question is paired with the correct answer in bold green and supported by a detailed explanation that highlights clinical reasoning, patient safety, and evidence-based practice.

Maternal Health Nursing Questions

• A nurse is caring for a client at 39 weeks gestation with severe

preeclampsia. What is the priority nursing action?​

a) Encourage ambulation​ 1 / 2

b) Administer magnesium sulfate​

c) Increase oral fluid intake​

d) Monitor blood glucose​

b) Administer magnesium sulfate​

Rationale: Severe preeclampsia increases seizure risk; magnesium sulfate is administered to prevent seizures.

• A postpartum client reports heavy vaginal bleeding and a boggy uterus.

What is the nurse’s first action?​

a) Administer pain medication​

b) Perform fundal massage​

c) Encourage early ambulation​

d) Document as normal​

b) Perform fundal massage​

Rationale: A boggy uterus with heavy bleeding indicates uterine atony, requiring fundal massage to promote contraction and reduce hemorrhage.

• A client in labor has a non-reassuring fetal heart rate pattern with late

decelerations. What is the priority intervention?​

a) Increase oxytocin infusion​

b) Administer oxygen and reposition the client​

c) Encourage pushing​

d) Monitor contractions only​

b) Administer oxygen and reposition the client​

Rationale: Late decelerations indicate fetal hypoxia; oxygen administration and repositioning improve fetal oxygenation.

• A client at 35 weeks gestation presents with vaginal bleeding and

abdominal pain. What condition should the nurse suspect?​

a) Preterm labor​

b) Placenta previa​

c) Gestational diabetes​

d) Oligohydramnios​

b) Placenta previa​

Rationale: Vaginal bleeding with abdominal pain at 35 weeks suggests placenta previa, where the placenta covers the cervix.

• A nurse is teaching a postpartum client about breast engorgement. What

is a key management strategy?​

a) Avoid breastfeeding​

b) Apply warm compresses before feeding​

c) Restrict fluid intake​

d) Use tight breast binders​

b) Apply warm compresses before feeding​

• / 2