Saudi Prometric Nursing Maternal and Child Health 2

Question 1

What is the primary nursing intervention for a neonate with jaundice?

Accepted Answer

Ensure adequate hydration, frequent feeding, monitor bilirubin levels, and prepare for phototherapy if levels are elevated

Answer

Neonatal jaundice management: frequent feeding (promotes bilirubin excretion through stool), adequate hydration, monitor serum bilirubin levels, phototherapy (blue light breaks down bilirubin) if levels exceed threshold, protect eyes during phototherapy, and assess skin/sclera color.

Question 2

What is preeclampsia and what are its key nursing assessments?

Accepted Answer

A pregnancy complication with hypertension and proteinuria, requiring monitoring of BP, urine protein, reflexes, and fetal status

Answer

Preeclampsia presents after 20 weeks with BP ≥140/90 and proteinuria. Nursing assessments: frequent BP monitoring, urine protein (dipstick/24-hour), deep tendon reflexes (hyperreflexia = worsening), daily weights, fetal monitoring, and watching for progression to eclampsia (seizures).

Question 3

What are the developmental milestones a nurse should assess in a 6-month-old infant?

Accepted Answer

Sitting with support, reaching and grasping objects, babbling, responding to name, and rolling over

Answer

At 6 months, infants should: sit with support (may sit briefly alone), reach and grasp objects (transferring hand to hand), babble consonant sounds ('ba-ba'), recognize familiar faces, respond to name, roll both ways, and show interest in solid foods.

Question 4

What is the nursing management for a child with dehydration from gastroenteritis?

Accepted Answer

Assess dehydration severity, initiate oral rehydration therapy (ORT) for mild-moderate cases, IV fluids for severe dehydration, and monitor I&O

Answer

Dehydration management: assess severity (mild/moderate/severe using clinical signs), ORT with electrolyte solutions for mild-moderate cases, IV fluid resuscitation for severe dehydration, monitor strict I&O, daily weights, assess skin turgor, mucous membranes, and fontanelle (infants).

Question 5

What is the nurse's role in supporting breastfeeding in Saudi hospitals?

Accepted Answer

Educate on positioning and latch, support early initiation within 1 hour of birth, encourage rooming-in, and follow Baby-Friendly Hospital Initiative guidelines

Answer

Saudi hospitals follow WHO/UNICEF Baby-Friendly Hospital Initiative: initiate breastfeeding within 1 hour of birth, teach proper positioning and latch, encourage 24-hour rooming-in, feed on demand, avoid supplemental bottles, and provide ongoing lactation support and education.

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Maternal and Child Health 2