Maternal Newborn Nursing Test Maternal Complications 3

Question 1

A patient is 3 hours postpartum and her uterus is displaced to the right of the umbilicus and feels boggy. What is the likely cause and appropriate intervention?

Accepted Answer

Uterine atony from a distended bladder; assist the patient to void

Answer

Normal uterine involution; reassess in 1 hour

Answer

Postpartum hemorrhage; administer oxytocin IV

Answer

Uterine rupture; prepare for emergency surgery

Question 2

A patient at 32 weeks gestation is admitted with preterm premature rupture of membranes (PPROM). She is GBS-negative. What is the priority nursing intervention?

Accepted Answer

Initiate fetal monitoring and assess for signs of infection and cord prolapse

Answer

Prepare for immediate induction of labor

Answer

Administer tocolytics to stop preterm contractions

Answer

Place the patient in Trendelenburg position permanently

Question 3

A patient is diagnosed with a postpartum deep vein thrombosis (DVT) of the left leg. Which assessment finding is consistent with this diagnosis?

Accepted Answer

Unilateral leg warmth, redness, edema, and pain with dorsiflexion

Answer

Bilateral leg edema with cool, pale skin

Answer

Superficial varicosities with bilateral calf cramps

Answer

Absence of pedal pulses bilaterally

Question 4

A primigravida at 36 weeks has a blood pressure of 148/96 mmHg on two readings 4 hours apart. She denies headache or visual changes and has trace proteinuria. What condition does this represent?

Accepted Answer

Gestational hypertension

Answer

Normal blood pressure variation in pregnancy

Answer

Chronic hypertension

Answer

Preeclampsia without severe features

Question 5

Which medication is CONTRAINDICATED in a breastfeeding patient with postpartum depression?

Accepted Answer

Lithium carbonate at high doses

Answer

Sertraline (Zoloft)

Answer

Paroxetine (Paxil)

Answer

Cognitive behavioral therapy

Question 6

A postpartum patient develops a temperature of 38.4°C (101.1°F) on day 2 after a cesarean birth. She has uterine tenderness and foul-smelling lochia. What does this indicate?

Accepted Answer

Endometritis requiring antibiotic therapy

Answer

Normal postoperative fever response

Answer

Mastitis requiring warm compresses

Answer

Wound dehiscence requiring surgical consultation