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

RhoGAM is only indicated when an Rh-negative mother delivers an Rh-positive infant; confirming both blood types is essential before administration.

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

Baby blues resolve within 2 weeks; PPD is characterized by persistent, impairing symptoms including impaired infant bonding and feelings of worthlessness.

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

Fewer than 10 movements in a 2-hour window is the threshold that indicates decreased fetal activity and requires urgent provider evaluation.

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

The left lateral position displaces the uterus off the inferior vena cava, maintaining venous return and preventing supine hypotensive syndrome.

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

Jaundice appearing in the first 24 hours of life is always pathological (commonly hemolytic disease) and requires urgent evaluation to prevent kernicterus.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN Maternal-Newborn and Women's Health Nursing 2