Test Bank for Safe Maternity and Pediatric Nursing Care 3rd Edition (F.A Davis ,
2025) by Luanne Linnard Palmer, 130
1
,A pregnant client at 39 weeks reports sudden painless vaginal bleeding and no
abdominal pain. What is the nurse’s priority concern?
A. Uterine rupture
B. Placenta previa
C. Preterm labor
D. Gestational hypertension
Answer: B
Rationale:
Painless, bright red bleeding in late pregnancy strongly suggests placenta previa.
This condition requires immediate evaluation because vaginal exams may worsen
hemorrhage.
Which newborn finding requires immediate intervention?
A. Heart rate 120 bpm
B. Respiratory rate 55/min
C. Central cyanosis
D. Mild acrocyanosis of hands and feet
2
,Answer: C
Rationale:
Central cyanosis indicates inadequate oxygenation and is always abnormal in a
newborn.
A postpartum client has a firm uterus but continues to bleed heavily. What is the
most likely cause?
A. Uterine atony
B. Retained placenta fragments
C. Infection
D. Dehydration
Answer: B
Rationale:
A firm uterus with persistent bleeding suggests retained placental tissue or genital
tract trauma.
Which developmental milestone is expected in a 3-year-old child?
3
, A. Riding a bicycle without training wheels
B. Speaking in full sentences
C. Walking independently
D. Reading simple books
Answer: B
Rationale:
By age 3, children typically use 3–4 word sentences and expand vocabulary
rapidly.
A newborn is jittery and has a blood glucose of 38 mg/dL. What is the priority
intervention?
A. Observe and reassess in 1 hour
B. Feed immediately or administer glucose
C. Start antibiotics
D. Begin phototherapy
Answer: B
4
2025) by Luanne Linnard Palmer, 130
1
,A pregnant client at 39 weeks reports sudden painless vaginal bleeding and no
abdominal pain. What is the nurse’s priority concern?
A. Uterine rupture
B. Placenta previa
C. Preterm labor
D. Gestational hypertension
Answer: B
Rationale:
Painless, bright red bleeding in late pregnancy strongly suggests placenta previa.
This condition requires immediate evaluation because vaginal exams may worsen
hemorrhage.
Which newborn finding requires immediate intervention?
A. Heart rate 120 bpm
B. Respiratory rate 55/min
C. Central cyanosis
D. Mild acrocyanosis of hands and feet
2
,Answer: C
Rationale:
Central cyanosis indicates inadequate oxygenation and is always abnormal in a
newborn.
A postpartum client has a firm uterus but continues to bleed heavily. What is the
most likely cause?
A. Uterine atony
B. Retained placenta fragments
C. Infection
D. Dehydration
Answer: B
Rationale:
A firm uterus with persistent bleeding suggests retained placental tissue or genital
tract trauma.
Which developmental milestone is expected in a 3-year-old child?
3
, A. Riding a bicycle without training wheels
B. Speaking in full sentences
C. Walking independently
D. Reading simple books
Answer: B
Rationale:
By age 3, children typically use 3–4 word sentences and expand vocabulary
rapidly.
A newborn is jittery and has a blood glucose of 38 mg/dL. What is the priority
intervention?
A. Observe and reassess in 1 hour
B. Feed immediately or administer glucose
C. Start antibiotics
D. Begin phototherapy
Answer: B
4
