BSN Maternal-Newborn and Women's Health Nursing 2

Question 1

Which assessment is most important for a nurse to perform before administering RhoGAM (Rh immunoglobulin) to a postpartum patient?

Accepted Answer

Confirm the mother is Rh-negative and the newborn is Rh-positive

Answer

Verify the mother's blood pressure is within normal limits

Answer

Ensure the patient has no known allergy to penicillin

Answer

Confirm the patient delivered more than 72 hours ago

Question 2

A nurse is assessing a patient for postpartum depression (PPD). Which symptom most distinguishes PPD from normal 'baby blues'?

Accepted Answer

Persistent feelings of worthlessness and inability to care for the infant lasting beyond 2 weeks

Answer

Tearfulness and mood swings on days 3–5 postpartum

Answer

Mild fatigue and anxiety about newborn care

Answer

Temporary difficulty sleeping when the baby sleeps

Question 3

A patient at 28 weeks' gestation reports decreased fetal movement. The nurse instructs the patient to perform kick counts. Which finding should prompt the patient to contact the provider immediately?

Accepted Answer

Fewer than 10 movements in 2 hours

Answer

Ten movements within the first 45 minutes

Answer

One brief episode of hiccups during counting

Answer

Fetal movement that increases after a snack

Question 4

Which position should the nurse place a laboring patient in to maximize placental perfusion and prevent supine hypotensive syndrome?

Accepted Answer

Left lateral (left side-lying) position

Answer

Supine (flat on back)

Answer

High Fowler's (90-degree sitting)

Answer

Prone (lying on stomach)

Question 5

A nurse is assessing a 1-day-old newborn and notes jaundice extending to the chest and abdomen. The nurse is aware that jaundice appearing before 24 hours of life is:

Accepted Answer

Pathological and requires immediate investigation

Answer

Physiological and expected at this stage

Answer

A sign of breastfeeding jaundice

Answer

Related to normal meconium passage

Question 6

A pregnant patient in her first trimester asks about taking over-the-counter medications for a headache. Which medication should the nurse advise the patient to avoid?

Accepted Answer

Ibuprofen (Advil)

Answer

Acetaminophen (Tylenol)

Answer

Plain water and rest

Answer

A cool compress to the forehead