Test Bank for Safe Maternity and Pediatric Nursing Care 3rd Edition (F.A Davis ,
2025) by Luanne Linnard Palmer, 60
1
,A pregnant client at 36 weeks reports painless bright red vaginal bleeding. What is
the nurse’s priority concern?
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Uterine rupture
Answer: B
Rationale:
Painless, bright red bleeding in late pregnancy is classic for placenta previa. This
condition requires immediate assessment because vaginal exams can worsen
bleeding.
Which assessment finding in a newborn requires immediate intervention?
A. Heart rate 140 bpm
B. Respiratory rate 55/min
C. Grunting and chest retractions
D. Acrocyanosis
2
,Answer: C
Rationale:
Grunting and retractions indicate respiratory distress and inadequate
oxygenation.
A postpartum client complains of severe perineal pain and swelling. The uterus is
firm. What is the most likely cause?
A. Uterine atony
B. Hematoma
C. Endometritis
D. Retained placenta
Answer: B
Rationale:
Severe pain with a firm uterus suggests vaginal hematoma rather than uterine
bleeding.
Which developmental behavior is expected in a 9-month-old infant?
3
, A. Walking independently
B. Stranger anxiety
C. Drawing shapes
D. Speaking sentences
Answer: B
Rationale:
Stranger anxiety typically appears around 6–9 months of age.
A newborn is placed under phototherapy for jaundice. What is the priority nursing
intervention?
A. Cover infant’s eyes
B. Give formula only
C. Keep infant swaddled
D. Restrict fluids
Answer: A
4
2025) by Luanne Linnard Palmer, 60
1
,A pregnant client at 36 weeks reports painless bright red vaginal bleeding. What is
the nurse’s priority concern?
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Uterine rupture
Answer: B
Rationale:
Painless, bright red bleeding in late pregnancy is classic for placenta previa. This
condition requires immediate assessment because vaginal exams can worsen
bleeding.
Which assessment finding in a newborn requires immediate intervention?
A. Heart rate 140 bpm
B. Respiratory rate 55/min
C. Grunting and chest retractions
D. Acrocyanosis
2
,Answer: C
Rationale:
Grunting and retractions indicate respiratory distress and inadequate
oxygenation.
A postpartum client complains of severe perineal pain and swelling. The uterus is
firm. What is the most likely cause?
A. Uterine atony
B. Hematoma
C. Endometritis
D. Retained placenta
Answer: B
Rationale:
Severe pain with a firm uterus suggests vaginal hematoma rather than uterine
bleeding.
Which developmental behavior is expected in a 9-month-old infant?
3
, A. Walking independently
B. Stranger anxiety
C. Drawing shapes
D. Speaking sentences
Answer: B
Rationale:
Stranger anxiety typically appears around 6–9 months of age.
A newborn is placed under phototherapy for jaundice. What is the priority nursing
intervention?
A. Cover infant’s eyes
B. Give formula only
C. Keep infant swaddled
D. Restrict fluids
Answer: A
4
