DHA Nursing Maternal and Child Health Nursing

Question 1

A pregnant woman at 28 weeks gestation presents with painless bright red vaginal bleeding. Which condition should be suspected first?

Accepted Answer

Placenta previa

Answer

Placenta previa classically presents with painless bright red vaginal bleeding in the second or third trimester due to the low-lying placenta separating from the uterine wall.

Question 2

Which APGAR score component specifically assesses a newborn's muscle tone?

Accepted Answer

Activity

Answer

In the APGAR scoring system, 'Activity' (A) refers to muscle tone, scored from 0 (limp) to 2 (active flexion of limbs).

Question 3

A nurse assesses a breastfed newborn on day 5 of life. Which finding best indicates adequate milk intake?

Accepted Answer

6–8 wet diapers per day

Answer

By day 4–5, a well-hydrated, adequately fed newborn should produce 6–8 wet diapers per day, indicating sufficient fluid and caloric intake.

Question 4

Which stage of labor begins with complete cervical dilation and ends with delivery of the baby?

Accepted Answer

Second stage

Answer

The second stage of labor spans from full (10 cm) cervical dilation to the birth of the baby, during which the mother actively pushes.

Question 5

Which medication is routinely administered to newborns immediately after birth to prevent hemorrhagic disease of the newborn?

Accepted Answer

Vitamin K injection

Answer

Vitamin K is administered intramuscularly at birth because newborns have low stores and lack gut bacteria to synthesize it, preventing potentially fatal bleeding.

DHA Nursing Practice Test

DHA Nursing Practice Test

DHA Nursing Maternal and Child Health Nursing