SNLE - Saudi Nursing Licensing Maternal and Newborn Care Questions and Answers

Question 1

According to the Saudi Ministry of Health (MOH) National Immunization Schedule, which two vaccines are mandatory for a healthy newborn within the first 24 hours of life?

Accepted Answer

BCG (Bacillus Calmette-Guérin) and Hepatitis B (HBV)

Answer

Rotavirus and DTaP

Answer

MMR and Varicella

Answer

IPV (Inactivated Polio Vaccine) and Hib

Question 2

A nurse is caring for a 2-day-old newborn in Riyadh. A heel prick blood sample is collected as part of the mandatory National Newborn Screening Program. Which of the following conditions is included in this screening panel?

Accepted Answer

Congenital Hypothyroidism

Answer

Type 1 Diabetes

Answer

Retinopathy of Prematurity

Answer

Developmental Dysplasia of the Hip

Question 3

A 26-year-old pregnant woman at 26 weeks of gestation undergoes screening for Gestational Diabetes Mellitus (GDM) at a primary health clinic in Jeddah. According to common protocols in Saudi Arabia, what is the initial screening test performed?

Accepted Answer

A 50-gram, 1-hour Glucose Challenge Test (GCT)

Answer

A 100-gram, 4-hour Oral Glucose Tolerance Test (OGTT)

Answer

A fasting plasma glucose (FPG) test only

Answer

A random blood sugar and HbA1c test

Question 4

A nurse is providing discharge education to a new mother. Due to the high prevalence of Vitamin D deficiency in Saudi Arabia, what is the standard recommendation for a healthy, exclusively breastfed infant?

Accepted Answer

Administer 400 IU of Vitamin D daily, starting in the first few days of life.

Answer

Expose the infant to direct sunlight for 30 minutes daily.

Answer

Rely on the Vitamin D content from the mother's breast milk only.

Answer

Start Vitamin D supplementation only after 6 months of age.

Question 5

A new father in Al-Khobar approaches the nurse and expresses his wish for a respected elder to perform 'Tahneek' for his newborn. What is the nurse's most culturally competent and safe response?

Accepted Answer

Allow the family to perform the ritual using a minuscule amount of a softened date, ensuring aseptic technique and observing the infant for any adverse reaction.

Answer

Inform the father that no outside food or substances are allowed for the newborn.

Answer

Document the request and inform the physician, recommending against the practice.

Answer

Provide the family with a honey-based gel from the hospital pharmacy to use instead.

Question 6

A nurse is assessing a woman who is 12 hours postpartum after a vaginal delivery. Which finding requires immediate notification of the charge nurse or physician?

Accepted Answer

Fundus is boggy and deviated to the right, 3 cm above the umbilicus.

Answer

Fundus is firm, at the level of the umbilicus.

Answer

Lochia rubra is present, with one saturated perineal pad in 2 hours.

Answer

Patient complains of moderate uterine cramping, especially during breastfeeding.