Healthcare and Nursing Maternal & Newborn Nursing 3

Question 1

How is postpartum hemorrhage defined?

Accepted Answer

Blood loss exceeding 500 mL after vaginal delivery or 1,000 mL after cesarean delivery

Answer

Blood loss exceeding 200 mL after vaginal delivery

Answer

Blood loss exceeding 750 mL after any mode of delivery

Answer

Blood loss exceeding 1,500 mL after cesarean delivery

Question 2

A postpartum patient reports a painful, red, warm area on one breast with a fever of 101.8°F and flu-like body aches. The nurse should suspect:

Accepted Answer

Mastitis

Answer

Breast engorgement

Answer

Galactocele

Answer

Blocked milk duct without infection

Question 3

Which statement best distinguishes postpartum depression from postpartum baby blues?

Accepted Answer

Baby blues occur in the first two weeks and resolve spontaneously; postpartum depression persists beyond two weeks and significantly impairs daily functioning

Answer

Baby blues require antidepressant medication while postpartum depression does not

Answer

Postpartum depression occurs only in first-time mothers

Answer

Baby blues involve psychotic features while postpartum depression involves only sadness

Question 4

A patient at 38 weeks gestation presents with severe headache, visual disturbances, epigastric pain, and a BP of 170/112 mmHg. What is the nurse's priority intervention?

Accepted Answer

Administer magnesium sulfate and antihypertensive therapy as ordered

Answer

Perform amniotomy to expedite delivery

Answer

Increase IV fluid rate to improve perfusion

Answer

Position the patient supine and apply a continuous fetal monitor

Question 5

HELLP syndrome is characterized by which triad of laboratory findings?

Accepted Answer

Hemolysis, elevated liver enzymes, and low platelet count

Answer

Hypertension, elevated leukocytes, and proteinuria

Answer

Hyperglycemia, elevated lipids, and low potassium

Answer

High hemoglobin, liver enlargement, and low serum protein

Question 6

A woman at 8 weeks gestation presents to the ED with sudden severe unilateral pelvic pain, vaginal bleeding, and referred right shoulder pain. What condition should the nurse suspect?

Accepted Answer

Ectopic pregnancy

Answer

Threatened abortion

Answer

Placenta previa

Answer

Ruptured ovarian cyst

Question 7

A patient with gestational diabetes is preparing for discharge. Which instruction is most important?

Accepted Answer

Monitor blood glucose regularly and follow the prescribed diet and exercise plan

Answer

Eliminate all carbohydrates from the diet for the remainder of the pregnancy

Answer

Gestational diabetes always resolves completely immediately after delivery with no follow-up needed

Answer

Insulin is the only acceptable treatment and must be started immediately