Saudi Prometric Nursing Maternal and Child Nursing 2

Question 1

A nurse is teaching a pregnant woman about folic acid supplementation. When should supplementation ideally begin?

Accepted Answer

At least 1 month before conception and through the first trimester

Answer

Folic acid (400–800 mcg/day) should be started at least 1 month (ideally 3 months) before conception and continued through the first trimester to prevent neural tube defects, which occur during the first weeks of development, often before pregnancy is known.

Question 2

A postpartum patient is assessed 2 hours after delivery. Her fundus is firm but deviated to the right of the midline. What is the most likely cause?

Accepted Answer

A full urinary bladder

Answer

A deviated uterine fundus (typically to the right) is most commonly caused by a full bladder displacing the uterus. The nurse should assist the patient to void. If the fundus is boggy and displaced, atony with bladder distension is the cause.

Question 3

A nurse is assessing a child with suspected intussusception. Which clinical finding is classic for this condition?

Accepted Answer

Currant jelly stools (blood and mucus mixed stool)

Answer

Intussusception (telescoping of bowel) classically presents with colicky abdominal pain, a sausage-shaped abdominal mass, and 'currant jelly' stools — dark red mucus mixed with blood — caused by mucosal ischemia and sloughing.

Question 4

The nurse is preparing to administer a vaccine to a 2-month-old infant. Which vaccine is given at this age?

Accepted Answer

DTaP, Hib, PCV13, IPV, and Hepatitis B

Answer

At 2 months, the recommended vaccines include DTaP (diphtheria, tetanus, pertussis), Hib, PCV13 (pneumococcal), IPV (polio), and the second dose of hepatitis B. MMR and Varicella are given at 12–15 months.

Question 5

A nurse is caring for a 32-week premature infant. Which condition is the premature infant most at risk for due to surfactant deficiency?

Accepted Answer

Respiratory distress syndrome (RDS)

Answer

Surfactant deficiency in premature infants causes respiratory distress syndrome (RDS), formerly called hyaline membrane disease. Surfactant reduces alveolar surface tension; its absence leads to alveolar collapse, hypoxemia, and respiratory failure.

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Maternal and Child Nursing 2