Saudi Prometric Nursing Maternal and Child Nursing 4

Question 1

A patient at 34 weeks gestation is diagnosed with placenta previa. Which clinical presentation is classic?

Accepted Answer

Painless bright red vaginal bleeding

Answer

Placenta previa presents with painless, bright red vaginal bleeding (often sudden) due to the placenta covering the cervical os. Placental abruption, in contrast, presents with painful dark red bleeding and a rigid uterus.

Question 2

The nurse is caring for a newborn with jaundice receiving phototherapy. Which action is most important?

Accepted Answer

Cover the eyes with phototherapy shields and monitor hydration

Answer

During phototherapy, the newborn's eyes must be protected with opaque shields to prevent retinal damage from the light. The baby should be maximally exposed (except for genitals) to maximize light absorption. Hydration is important as phototherapy can cause increased insensible fluid loss.

Question 3

A nurse is teaching a mother about sudden infant death syndrome (SIDS) prevention. Which sleeping position is recommended?

Accepted Answer

Supine (on the back)

Answer

The 'Back to Sleep' campaign (now 'Safe to Sleep') has dramatically reduced SIDS rates. Infants should always be placed supine (on their back) on a firm, flat surface without loose bedding, pillows, or soft toys.

Question 4

During a contraction stress test (CST), the nurse notes consistent late decelerations. How should this result be interpreted?

Accepted Answer

Positive (abnormal) — suggests uteroplacental insufficiency

Answer

A positive CST means late decelerations occur with at least 50% of contractions and is interpreted as abnormal, suggesting uteroplacental insufficiency. A negative (normal) CST shows no late decelerations, indicating adequate placental reserve.

Question 5

A child with nephrotic syndrome develops sudden severe abdominal pain and fever. The nurse should suspect:

Accepted Answer

Spontaneous bacterial peritonitis

Answer

Children with nephrotic syndrome are immunocompromised due to urinary loss of immunoglobulins, making them highly susceptible to infections. Spontaneous bacterial peritonitis (SBP), often due to pneumococcus, is a serious complication presenting with sudden abdominal pain, fever, and tenderness.

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Maternal and Child Nursing 4