1
Safe Maternity & Pediatric Nursing Care 3rd Edition –
Linnard-Palmer and Coats Test Bank Advanced/Hard
Difficulty | For Nursing Students | 100% Pass
Guaranteed | Graded A+
1
,2
Question 1
A client who is 32 weeks pregnant is admitted with preeclampsia. Which assessment finding
indicates the progression to severe preeclampsia?
A. Blood pressure of 148/92 mmHg
B. Proteinuria of 300 mg/24 hours
C. Platelet count of 80,000/mm³
D. Mild headache
Correct Answer: C
Explanation: A platelet count below 100,000/mm³ indicates severe preeclampsia. Blood
pressure ≥160/110 mmHg, proteinuria ≥5 g/24 hours, and severe headaches are also signs. Mild
headache and BP 148/92 with 300 mg protein are consistent with mild preeclampsia, not
severe.
Question 2
A 6-month-old infant is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
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A. Walks independently
B. Sits without support
C. Rolls from back to abdomen
D. Picks up small objects with thumb and finger
Correct Answer: C
Explanation: Rolling from back to abdomen is a typical milestone for a 6-month-old. Sitting
without support occurs around 8 months; walking independently around 12–15 months; pincer
grasp develops around 9–10 months.
Question 3
A pregnant client at 40 weeks gestation is in active labor. The nurse observes late decelerations
on the fetal heart rate monitor. Which action should the nurse take first?
A. Increase the IV fluid rate
B. Administer oxygen via face mask
C. Position the client on her left side
D. Notify the healthcare provider
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Correct Answer: C
Explanation: Late decelerations indicate uteroplacental insufficiency. The priority
intervention is to position the client on her left side to improve placental perfusion.
Administering oxygen, increasing IV fluids, and notifying the provider are subsequent steps.
Question 4
A newborn is diagnosed with neonatal abstinence syndrome (NAS). Which assessment finding is
most consistent with this diagnosis?
A. Lethargy and poor feeding
B. High-pitched cry and irritability
C. Hypothermia and bradycardia
D. Flaccid muscle tone
Correct Answer: B
Explanation: NAS is characterized by hyperirritability, high-pitched cry, tremors, and poor
feeding. Lethargy, hypothermia, and flaccid tone are not typical; they would indicate other
conditions.
4
Safe Maternity & Pediatric Nursing Care 3rd Edition –
Linnard-Palmer and Coats Test Bank Advanced/Hard
Difficulty | For Nursing Students | 100% Pass
Guaranteed | Graded A+
1
,2
Question 1
A client who is 32 weeks pregnant is admitted with preeclampsia. Which assessment finding
indicates the progression to severe preeclampsia?
A. Blood pressure of 148/92 mmHg
B. Proteinuria of 300 mg/24 hours
C. Platelet count of 80,000/mm³
D. Mild headache
Correct Answer: C
Explanation: A platelet count below 100,000/mm³ indicates severe preeclampsia. Blood
pressure ≥160/110 mmHg, proteinuria ≥5 g/24 hours, and severe headaches are also signs. Mild
headache and BP 148/92 with 300 mg protein are consistent with mild preeclampsia, not
severe.
Question 2
A 6-month-old infant is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
2
,3
A. Walks independently
B. Sits without support
C. Rolls from back to abdomen
D. Picks up small objects with thumb and finger
Correct Answer: C
Explanation: Rolling from back to abdomen is a typical milestone for a 6-month-old. Sitting
without support occurs around 8 months; walking independently around 12–15 months; pincer
grasp develops around 9–10 months.
Question 3
A pregnant client at 40 weeks gestation is in active labor. The nurse observes late decelerations
on the fetal heart rate monitor. Which action should the nurse take first?
A. Increase the IV fluid rate
B. Administer oxygen via face mask
C. Position the client on her left side
D. Notify the healthcare provider
3
, 4
Correct Answer: C
Explanation: Late decelerations indicate uteroplacental insufficiency. The priority
intervention is to position the client on her left side to improve placental perfusion.
Administering oxygen, increasing IV fluids, and notifying the provider are subsequent steps.
Question 4
A newborn is diagnosed with neonatal abstinence syndrome (NAS). Which assessment finding is
most consistent with this diagnosis?
A. Lethargy and poor feeding
B. High-pitched cry and irritability
C. Hypothermia and bradycardia
D. Flaccid muscle tone
Correct Answer: B
Explanation: NAS is characterized by hyperirritability, high-pitched cry, tremors, and poor
feeding. Lethargy, hypothermia, and flaccid tone are not typical; they would indicate other
conditions.
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