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

Postpartum hemorrhage is defined as cumulative blood loss greater than 500 mL after vaginal birth or greater than 1,000 mL after cesarean birth.

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

Mastitis presents with localized breast inflammation (erythema, warmth, pain) combined with systemic symptoms such as fever and myalgia, typically requiring antibiotic therapy.

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 are transient, self-limiting mood changes in the first 1–2 postpartum weeks, while postpartum depression is a clinical condition lasting longer and requiring treatment.

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

These findings indicate severe preeclampsia; magnesium sulfate prevents eclamptic seizures and antihypertensive agents reduce the risk of cerebrovascular accident.

Question 5

HELLP syndrome is characterized by which triad of laboratory findings?

Accepted Answer

Hemolysis, elevated liver enzymes, and low platelet count

Answer

HELLP syndrome is a severe variant of preeclampsia defined by hemolysis (H), elevated liver enzymes (EL), and low platelets (LP), all detectable on laboratory testing.

Healthcare and Nursing Practice Test

Healthcare and Nursing Practice Test

Healthcare and Nursing Maternal & Newborn Nursing 3