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

The first priority during an eclamptic seizure is patient safety — turning her to the side prevents aspiration and maintains a patent airway while protecting her from self-injury.

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

Hyperemesis gravidarum causes severe dehydration and electrolyte imbalances; assessment of hydration status and IV fluid/electrolyte replacement is the immediate priority.

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

After cerclage placement, patients must be educated to report contractions, bleeding, or membrane rupture immediately as these may indicate cerclage failure or preterm labor.

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

The hallmark symptom of intrahepatic cholestasis of pregnancy is intense pruritus, especially on the palms and soles, caused by bile salt accumulation under the skin.

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

Vitamin C (ascorbic acid) enhances the absorption of non-heme iron by converting ferric iron to the more absorbable ferrous form; dairy products and calcium decrease iron absorption.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternal Complications 2