SNLE Maternal and Child Health 2

Question 1

A newborn has a yellow tinge to the skin and eyes at 18 hours of life. What type of jaundice is this?

Accepted Answer

Pathological jaundice requiring immediate evaluation

Answer

Jaundice appearing within the first 24 hours of life is always considered pathological and requires immediate evaluation. Causes include hemolytic disease (Rh or ABO incompatibility) or serious infection. Physiological jaundice appears after 24 hours.

Question 2

What is the primary nursing concern when oxytocin (Pitocin) is being used for labor induction?

Accepted Answer

Monitor for uterine hyperstimulation and fetal heart rate changes

Answer

Oxytocin can cause uterine hyperstimulation (more than 5 contractions in 10 minutes or contractions >90 seconds), which reduces uteroplacental blood flow and causes fetal hypoxia. Continuous fetal monitoring is mandatory during induction.

Question 3

What is the normal expected weight loss for a newborn in the first few days of life?

Accepted Answer

Up to 10% of birth weight

Answer

Newborns normally lose up to 10% of their birth weight in the first 3–4 days due to meconium passage, urine output, and limited fluid intake. Birth weight should be regained by 10–14 days. Loss >10% warrants evaluation for feeding problems.

Question 4

Which finding in a postpartum patient requires immediate nursing attention?

Accepted Answer

Uterine fundus soft and deviated to the right with excessive bleeding

Answer

A soft (boggy), displaced uterine fundus indicates uterine atony — the leading cause of postpartum hemorrhage. The bladder is likely full, displacing the uterus. Interventions: empty the bladder and perform uterine massage, then reassess.

Question 5

A child weighing 20 kg has a fever. Using weight-based dosing, the correct dose of acetaminophen (15 mg/kg) is:

Accepted Answer

300 mg

Answer

Dose = 15 mg/kg × 20 kg = 300 mg. Accurate weight-based dosing in pediatrics is critical to avoid under-dosing (ineffective) or overdosing (hepatotoxic with acetaminophen).

SNLE Practice Test

SNLE Practice Test

SNLE Maternal and Child Health 2