SNLE Maternal and Child Health 4

Question 1

What is the most common cause of respiratory distress in premature newborns?

Accepted Answer

Respiratory distress syndrome (RDS) from surfactant deficiency

Answer

Surfactant, produced by type II pneumocytes, reduces alveolar surface tension and prevents alveolar collapse. Premature infants (<37 weeks) lack adequate surfactant, causing RDS (hyaline membrane disease). Treatment includes exogenous surfactant and respiratory support.

Question 2

A postpartum patient develops a fever of 38.5°C on day 3 with a tender, red area on her right breast. What condition is this?

Accepted Answer

Mastitis

Answer

Mastitis is breast infection (most commonly Staphylococcus aureus) presenting with localized redness, warmth, tenderness, fever, and flu-like symptoms, typically on days 3–4 postpartum. Treatment includes antibiotics and continued breastfeeding or pumping.

Question 3

Which immunization is specifically contraindicated in a child with severe combined immunodeficiency (SCID)?

Accepted Answer

Live vaccines such as MMR and varicella

Answer

Live attenuated vaccines (MMR, varicella, oral rotavirus, BCG) are absolutely contraindicated in children with SCID or severe immunodeficiency because the live virus can cause disseminated infection and death in an immune-compromised host.

Question 4

What is the appropriate first response when a child is found in respiratory arrest?

Accepted Answer

Open the airway with head-tilt–chin-lift and give 2 rescue breaths

Answer

For pediatric respiratory arrest without cardiac arrest, the priority is restoring ventilation. Open the airway, give 2 rescue breaths, and check for a pulse. Chest compressions are added if there is no pulse or HR <60 with signs of poor perfusion.

Question 5

A pregnant patient reports decreased fetal movement. What is the initial nursing intervention?

Accepted Answer

Perform a non-stress test (NST) and notify the physician

Answer

Decreased fetal movement can signal fetal compromise. The initial assessment tool is the non-stress test (NST), which evaluates fetal heart rate reactivity as an indicator of fetal well-being. The physician must be notified promptly.

SNLE Practice Test

SNLE Practice Test

SNLE Maternal and Child Health 4