Maternal Newborn Nursing Test Maternal Complications 2

Question 1

A patient develops eclampsia and begins seizing during labor. What is the nurse's FIRST priority action?

Accepted Answer

Turn the patient to her side and protect her from injury

Answer

Administer magnesium sulfate IV bolus

Answer

Call for emergency assistance immediately

Answer

Time and document the seizure

Question 2

A patient is admitted with hyperemesis gravidarum. Which nursing intervention is the highest priority?

Accepted Answer

Assess hydration status and initiate IV fluid replacement

Answer

Encourage small frequent oral meals immediately

Answer

Administer antiemetics before assessing dehydration

Answer

Teach relaxation techniques to manage nausea

Question 3

A patient at 20 weeks gestation is diagnosed with an incompetent cervix and undergoes cervical cerclage. Which discharge instruction should the nurse provide?

Accepted Answer

Report any uterine contractions, bleeding, or ruptured membranes immediately

Answer

Resume all normal activities including sexual intercourse

Answer

Expect some cervical bleeding for 4–6 weeks

Answer

Avoid all prenatal vitamins after the procedure

Question 4

A patient at 36 weeks has been diagnosed with obstetric cholestasis (intrahepatic cholestasis of pregnancy). Which symptom is most characteristic?

Accepted Answer

Intense generalized pruritus, worst on the palms and soles

Answer

Nausea and vomiting in the morning

Answer

Painless jaundice with dark urine

Answer

Upper right quadrant pain with fever

Question 5

A pregnant patient has a hemoglobin of 9.2 g/dL and is diagnosed with iron-deficiency anemia. Which instruction about iron supplementation is most important?

Accepted Answer

Take iron with orange juice or vitamin C to enhance absorption

Answer

Take iron with milk to enhance absorption

Answer

Take iron with calcium supplements to improve tolerance

Answer

Take iron with meals only to prevent nausea

Question 6

A patient with gestational diabetes is at 38 weeks gestation. Her fasting glucose readings have been 95–105 mg/dL on dietary management alone. What intervention is indicated?

Accepted Answer

Initiate insulin therapy as dietary control has failed

Answer

Continue dietary management and recheck at 40 weeks

Answer

Switch to oral hypoglycemic agents such as glyburide

Answer

Schedule immediate induction of labor