Saudi Prometric Nursing Maternal and Child Health — Questions and Answers
Question 1: What are the danger signs during pregnancy that require immediate medical attention?
- Mild morning nausea
- Vaginal bleeding, severe headache with visual changes, sudden swelling, decreased fetal movement, and fluid leaking from the vagina (Correct answer)
- Increased appetite
- Mild back pain
Correct answer: Vaginal bleeding, severe headache with visual changes, sudden swelling, decreased fetal movement, and fluid leaking from the vagina
Danger signs requiring immediate attention: vaginal bleeding (placenta previa/abruption), severe headache with visual disturbances (preeclampsia), sudden edema especially in face (preeclampsia), decreased fetal movement, and rupture of membranes (infection risk).
Question 2: What is the APGAR score used for in newborn assessment?
- Measuring birth weight
- Rapid assessment of newborn condition at 1 and 5 minutes after birth, evaluating 5 criteria (Correct answer)
- Determining blood type
- Measuring head circumference
Correct answer: Rapid assessment of newborn condition at 1 and 5 minutes after birth, evaluating 5 criteria
APGAR assesses: Appearance (skin color), Pulse (heart rate), Grimace (reflex response), Activity (muscle tone), Respiration (breathing). Each scored 0-2, total 0-10. Assessed at 1 and 5 minutes. Score 7-10 is normal; below 7 needs intervention.
Question 3: What is the correct position for breastfeeding to prevent complications?
- Baby lying flat on the bed
- Baby's body aligned (ear, shoulder, hip in line), facing the breast, with a wide latch covering the areola (Correct answer)
- Baby facing away from the mother
- Mother lying flat on her back
Correct answer: Baby's body aligned (ear, shoulder, hip in line), facing the breast, with a wide latch covering the areola
Correct breastfeeding position: baby's body aligned (ear-shoulder-hip), tummy to tummy with mother, nose at nipple level, wide mouth latch covering most of the areola (not just nipple), lower lip flanged out, and no clicking sounds during feeding.
Question 4: What is the normal fetal heart rate range during labor monitoring?
- 80-100 bpm
- 110-160 bpm (Correct answer)
- 160-200 bpm
- 60-90 bpm
Correct answer: 110-160 bpm
Normal fetal heart rate (FHR) during labor is 110-160 bpm. Tachycardia (>160) may indicate fever, infection, or fetal distress. Bradycardia (<110) may indicate cord compression or fetal hypoxia. Late decelerations suggest uteroplacental insufficiency.
Question 5: What is the recommended immunization schedule for newborns in Saudi Arabia?
- No vaccinations until 6 months
- Hepatitis B vaccine at birth, BCG within the first month, followed by the Saudi MOH recommended schedule (Correct answer)
- Only one vaccine at 1 year
- Vaccinations are optional in Saudi Arabia
Correct answer: Hepatitis B vaccine at birth, BCG within the first month, followed by the Saudi MOH recommended schedule
Saudi Arabia's immunization schedule begins at birth with Hepatitis B vaccine, BCG (tuberculosis) within the first month, followed by scheduled vaccines at 2, 4, 6, 12, and 18 months including DTaP, IPV, Hib, PCV13, Rotavirus, MMR, and Varicella.
Question 6: What nursing assessments are critical during the postpartum period?
- Only checking temperature
- Fundal height and firmness, lochia assessment, vital signs, perineal care, emotional well-being, and bonding with infant (Correct answer)
- Only weighing the mother
- Only checking breast milk production
Correct answer: Fundal height and firmness, lochia assessment, vital signs, perineal care, emotional well-being, and bonding with infant
Postpartum nursing assessments (BUBBLEHE): Breasts (engorgement, latch), Uterus (fundal height, firmness), Bladder (voiding), Bowels (function), Lochia (color, amount, clots), Hemorrhage assessment, Emotional status, and Homans' sign (DVT screening).
Saudi Prometric Nursing Maternal and Child Health
What are the danger signs during pregnancy that require immediate medical attention?