BSN Maternal-Newborn and Women's Health Nursing

Question 1

A nurse assesses a newborn at 1 minute of life and assigns the following: heart rate 118 bpm, weak cry, some flexion of extremities, grimace to suction, body pink with blue extremities. What is the Apgar score?

Accepted Answer

6

Answer

Scoring: HR >100 (2), weak cry (1), some flexion (1), grimace (1), body pink with acrocyanosis (1) = 6 total.

Question 2

A patient at 38 weeks' gestation presents with sudden, painless, bright red vaginal bleeding. The nurse suspects which condition?

Accepted Answer

Placenta previa

Answer

Placenta previa classically presents with painless bright red vaginal bleeding in the third trimester as the low-lying placenta separates.

Question 3

A laboring patient's external fetal monitor shows variable decelerations with cord compression pattern. Which nursing action is the priority?

Accepted Answer

Change the patient's position and administer oxygen via face mask

Answer

Position changes (e.g., lateral decubitus or knee-chest) relieve cord compression, and supplemental oxygen improves fetal oxygenation.

Question 4

A patient who is 2 hours postpartum has a boggy uterus palpated at 2 fingerbreadths above the umbilicus. The priority nursing action is:

Accepted Answer

Massage the uterine fundus firmly until it becomes firm

Answer

Uterine massage stimulates the uterine muscles to contract and is the first-line intervention for a boggy (atonic) uterus.

Question 5

A nurse is caring for a patient with preeclampsia who is receiving IV magnesium sulfate. Which assessment finding indicates magnesium toxicity?

Accepted Answer

Respiratory rate of 10 breaths/min and absent deep tendon reflexes

Answer

Respiratory depression and loss of deep tendon reflexes are signs of magnesium toxicity requiring immediate discontinuation of the infusion.

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