BSN Maternal-Newborn and Women's Health Nursing 3

Question 1

A nurse is teaching a patient about cervical cancer screening guidelines.
According to current US Preventive Services Task Force recommendations, when should cervical cancer screening (Pap smear) begin?

Accepted Answer

At age 21 regardless of sexual history

Answer

At age 18 or at first sexual intercourse

Answer

At the onset of menstruation (menarche)

Answer

At age 25 with high-risk HPV testing

Question 2

A patient receiving epidural analgesia during labor develops sudden hypotension. What is the nurse's priority action?

Accepted Answer

Increase IV fluid rate and position patient in left lateral position

Answer

Discontinue the epidural infusion immediately

Answer

Administer epinephrine IV as ordered

Answer

Place the patient in Trendelenburg position

Question 3

A nurse is caring for a newborn receiving phototherapy for hyperbilirubinemia. Which action is essential during phototherapy?

Accepted Answer

Cover the newborn's eyes with phototherapy eye shields

Answer

Keep the newborn fully clothed to maintain warmth

Answer

Decrease feeding frequency to rest the newborn's gastrointestinal system

Answer

Turn the phototherapy lights off during feedings and keep them off for 1 hour after

Question 4

During a vaginal delivery, the nurse observes the umbilical cord prolapse before the baby's head. What is the nurse's immediate action?

Accepted Answer

Manually elevate the fetal presenting part off the cord with a gloved hand and call for help

Answer

Push the cord back into the uterus

Answer

Prepare for immediate vaginal delivery by rushing the patient to push

Answer

Clamp and cut the cord immediately

Question 5

A patient who had a cesarean birth 4 hours ago reports pain at the incision site rated 7/10. Which nursing intervention should be implemented first?

Accepted Answer

Administer prescribed analgesics and reassess pain in 30–60 minutes

Answer

Reposition the patient and apply ice to the incision

Answer

Notify the surgeon that the patient is in pain

Answer

Offer distraction techniques such as music or relaxation breathing

Question 6

A patient who is 3 days postpartum and exclusively breastfeeding reports nipple soreness with latching. What is the most helpful nursing intervention?

Accepted Answer

Observe a feeding session and evaluate the infant's latch for correct positioning

Answer

Advise the patient to supplement with formula to give the nipples a rest

Answer

Instruct the patient to use a nipple shield during all feedings

Answer

Tell the patient that nipple soreness is normal and will resolve on its own