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Maternal and Child Nursing Flashcards

6 cards from real SAUDI PROMETRIC NURSING practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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

    Answer: Painless bright red vaginal bleeding

    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.

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

    Answer: Cover the eyes with phototherapy shields and monitor hydration

    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.

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

    Answer: Supine (on the back)

    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.

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

    Answer: Positive (abnormal) — suggests uteroplacental insufficiency

    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.

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

    Answer: Spontaneous bacterial peritonitis

    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.

  6. A postpartum patient's lochia changes from rubra to serosa. On what day postpartum does this transition typically begin?

    Answer: Day 3–4

    Lochia rubra (red) lasts for the first 1–3 days, lochia serosa (pink-brown, watery) begins around day 3–4 and lasts through day 10, followed by lochia alba (white/yellow) until day 21–28 or longer. Deviation from this timeline may indicate infection or hemorrhage.

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Sources & references

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  1. scfhs.org.sa — Test dates, test delivery, eligibility, exam format, passing score, retake policy, score release · verified Oct 2026
Maternal and Child Nursing Flashcards — SAUDI PROMETRIC NURSING Study Cards with Answers