Test Bank for Safe Maternity & Pediatric
Nursing Care 3rd Edition by Luanne Linnard-
Palmer
Safe Maternity & Pediatric Nursing Care
Professional Practice Test Bank
Based on Core Maternity and Pediatric Nursing Concepts
Format: Multiple Choice, Select All That Apply, and Priority Questions
Includes: Answer Key and Rationales
Section I: Maternity Nursing
1. A pregnant patient asks the nurse when the fetal heart rate can typically first
be detected by Doppler ultrasound. Which response is most appropriate?
A. 4–6 weeks
B. 8–10 weeks
C. 10–12 weeks
D. 20–24 weeks
Answer: C
Rationale: With Doppler technology, fetal heart tones can often be detected around 10–12
weeks of pregnancy, although the exact timing may vary.
2. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Nausea and vomiting
C. Fetal heart tones detected by the healthcare provider
D. Breast tenderness
Answer: C
, Rationale: Positive signs of pregnancy are findings that can be directly attributed to the fetus,
such as fetal heart tones, visualization of the fetus, or fetal movement palpated by an examiner.
3. The nurse is assessing a pregnant patient at 32 weeks' gestation. Which finding
should the nurse report immediately?
A. Mild ankle edema at the end of the day
B. Urinary frequency
C. Severe headache and visual disturbances
D. Occasional heartburn
Answer: C
Rationale: Severe headache and visual disturbances may indicate severe preeclampsia and
require immediate evaluation.
4. A patient with preeclampsia is receiving magnesium sulfate. Which assessment
finding requires immediate nursing intervention?
A. Respiratory rate of 10 breaths/minute
B. Urine output of 40 mL/hour
C. Patellar reflexes of 2+
D. Blood pressure of 140/90 mm Hg
Answer: A
Rationale: Magnesium sulfate toxicity can cause respiratory depression. A respiratory rate
below 12 breaths/minute is concerning and requires immediate assessment and intervention.
5. Which medication should the nurse anticipate administering as the antidote
for magnesium sulfate toxicity?
A. Naloxone
B. Calcium gluconate
C. Vitamin K
D. Protamine sulfate
Answer: B
Nursing Care 3rd Edition by Luanne Linnard-
Palmer
Safe Maternity & Pediatric Nursing Care
Professional Practice Test Bank
Based on Core Maternity and Pediatric Nursing Concepts
Format: Multiple Choice, Select All That Apply, and Priority Questions
Includes: Answer Key and Rationales
Section I: Maternity Nursing
1. A pregnant patient asks the nurse when the fetal heart rate can typically first
be detected by Doppler ultrasound. Which response is most appropriate?
A. 4–6 weeks
B. 8–10 weeks
C. 10–12 weeks
D. 20–24 weeks
Answer: C
Rationale: With Doppler technology, fetal heart tones can often be detected around 10–12
weeks of pregnancy, although the exact timing may vary.
2. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Nausea and vomiting
C. Fetal heart tones detected by the healthcare provider
D. Breast tenderness
Answer: C
, Rationale: Positive signs of pregnancy are findings that can be directly attributed to the fetus,
such as fetal heart tones, visualization of the fetus, or fetal movement palpated by an examiner.
3. The nurse is assessing a pregnant patient at 32 weeks' gestation. Which finding
should the nurse report immediately?
A. Mild ankle edema at the end of the day
B. Urinary frequency
C. Severe headache and visual disturbances
D. Occasional heartburn
Answer: C
Rationale: Severe headache and visual disturbances may indicate severe preeclampsia and
require immediate evaluation.
4. A patient with preeclampsia is receiving magnesium sulfate. Which assessment
finding requires immediate nursing intervention?
A. Respiratory rate of 10 breaths/minute
B. Urine output of 40 mL/hour
C. Patellar reflexes of 2+
D. Blood pressure of 140/90 mm Hg
Answer: A
Rationale: Magnesium sulfate toxicity can cause respiratory depression. A respiratory rate
below 12 breaths/minute is concerning and requires immediate assessment and intervention.
5. Which medication should the nurse anticipate administering as the antidote
for magnesium sulfate toxicity?
A. Naloxone
B. Calcium gluconate
C. Vitamin K
D. Protamine sulfate
Answer: B
