Saudi Prometric Nursing Maternal and Child Nursing

Question 1

During the first stage of labor, a nurse monitors fetal heart rate (FHR) and notes early decelerations. What is the most appropriate nursing action?

Accepted Answer

Continue to monitor — early decelerations are normal and benign

Answer

Reposition the patient to the left lateral position immediately

Answer

Administer oxygen via face mask

Answer

Notify the physician immediately

Question 2

A primigravida at 38 weeks gestation presents with BP 158/104, severe headache, and 3+ proteinuria. What condition should the nurse suspect?

Accepted Answer

Severe preeclampsia

Answer

Mild preeclampsia

Answer

HELLP syndrome

Answer

Gestational hypertension

Question 3

A nurse is teaching a new mother about breastfeeding. Which finding indicates the newborn is latching correctly?

Accepted Answer

The infant's mouth covers most of the areola, not just the nipple

Answer

The mother feels sharp, pinching pain throughout the feed

Answer

The infant's lips are tucked inward

Answer

Only the nipple is in the infant's mouth

Question 4

A neonate is born with Apgar scores of 4 at 1 minute and 6 at 5 minutes. What do these scores indicate?

Accepted Answer

Moderate depression requiring continued assessment and intervention

Answer

Severe depression requiring immediate resuscitation

Answer

Normal transition to extrauterine life

Answer

Mild depression, no action needed

Question 5

A child is admitted with suspected epiglottitis. Which nursing action is the highest priority?

Accepted Answer

Do not attempt to visualize the throat or obtain a throat swab

Answer

Prepare for lumbar puncture

Answer

Administer oral antibiotics and reassess

Answer

Obtain a throat culture before starting treatment

Question 6

The nurse is assessing a 2-year-old child's developmental milestones. Which finding is a concern?

Accepted Answer

No two-word phrases by 24 months

Answer

Can stack 4–6 blocks

Answer

Runs with frequent falls

Answer

Uses a spoon with some spilling