Saudi Prometric Nursing Maternal and Child Health 5

Question 1

Which position is recommended for a woman experiencing shoulder dystocia during delivery?

Accepted Answer

McRoberts maneuver (hyperflexion of thighs)

Answer

The McRoberts maneuver involves hyperflexing the maternal thighs onto the abdomen, which flattens the lumbar lordosis and rotates the pubic symphysis to dislodge the impacted shoulder.

Question 2

A child with sickle cell disease presents in a vaso-occlusive crisis. Which nursing intervention is the priority?

Accepted Answer

Administer analgesics and encourage IV hydration

Answer

Vaso-occlusive crisis requires adequate pain management with analgesics and vigorous hydration to reduce blood viscosity and restore flow to ischemic tissue.

Question 3

The neonatal screening test (heel prick) routinely tests for which condition among others in Saudi Arabia?

Accepted Answer

Phenylketonuria (PKU)

Answer

Phenylketonuria (PKU) is included in Saudi Arabia's national newborn screening program via heel prick blood sample to allow early dietary intervention.

Question 4

A primigravida at 37 weeks presents with sudden onset severe headache, visual disturbances, and BP of 162/110 mmHg. The nurse should prepare for which condition?

Accepted Answer

Severe preeclampsia

Answer

Severe headache, visual disturbances, and BP ≥160/110 mmHg in a pregnant woman meet criteria for severe preeclampsia, requiring immediate antihypertensive and magnesium sulfate therapy.

Question 5

According to the growth chart, a child's weight falls at the 3rd percentile for age. This finding indicates:

Accepted Answer

The child is below the normal range and needs further assessment

Answer

A weight at the 3rd percentile is at the lowest boundary of normal; it warrants further assessment for growth faltering, feeding issues, or underlying illness.

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Maternal and Child Health 5