Maternal Newborn Nursing Test Maternity Nursing (OB Maternal & Newborn) 3

Question 1

A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which condition does the nurse suspect first?

Accepted Answer

Placenta previa

Answer

Painless bright red vaginal bleeding in the third trimester is the hallmark presentation of placenta previa due to abnormal placental implantation.

Question 2

The nurse is teaching a client about the Leopold maneuvers. Which maneuver determines fetal lie and what part of the fetus is in the uterine fundus?

Accepted Answer

First maneuver

Answer

The first Leopold maneuver is performed by palpating the fundus to identify which fetal part (head or buttocks) occupies the upper uterus.

Question 3

A newborn at 36 hours of life has a total serum bilirubin of 14 mg/dL and is receiving phototherapy. Which nursing action is most important during phototherapy?

Accepted Answer

Cover the infant's eyes with phototherapy shields at all times

Answer

Eye shields must be applied during phototherapy to protect the retina from damage caused by the high-intensity light.

Question 4

A client in active labor has an external fetal monitor showing late decelerations with each contraction. The nurse's priority action is to:

Accepted Answer

Reposition the client to the left lateral position and apply oxygen

Answer

Late decelerations indicate uteroplacental insufficiency; repositioning to the left lateral position and applying oxygen are the initial nursing interventions to improve placental perfusion.

Question 5

Which maternal lab value is most concerning in a client with HELLP syndrome?

Accepted Answer

Platelet count of 80,000/mm³

Answer

HELLP syndrome is characterized by hemolysis, elevated liver enzymes, and low platelets; a platelet count of 80,000/mm³ is critically low and indicates severe disease with bleeding risk.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing (OB Maternal & Newborn) 3