,TEST BANK FOR MATERNITY AND WOMEN’S HEALTH
CARE |A MASTERPIECE STRUCTURED WITH
QUESTIONS AND FACTUAL&ACCURATE
RESPONSES|<2026 LATEST RELEASE!!!>
1. Hypertensive Disorder in Pregnancy
A 28-year-old primigravida at 32 weeks presents with severe headache,
blurred vision, and epigastric pain. Her BP is 168/110 mmHg, and urinalysis
shows +3 protein. Reflexes are hyperactive with clonus.
What is the priority nursing action?
A. Administer oral antihypertensives
B. Place the client in a quiet, dark room and prepare magnesium sulfate
C. Encourage ambulation to reduce BP
D. Provide a high-protein diet
Answer: B
Rationale:
This is severe preeclampsia with CNS involvement, placing the client at risk
for seizures (eclampsia). Priority is:
• Reduce stimuli (prevent seizures)
• Administer magnesium sulfate (seizure prophylaxis)
2. Postpartum Hemorrhage
A client 1 hour postpartum has saturated two pads within 20 minutes. The
uterus is boggy and displaced to the right.
What should the nurse do first?
A. Call the provider
B. Massage the fundus and assess bladder
,C. Administer IV fluids
D. Prepare for surgery
Answer: B
Rationale:
Boggy uterus = uterine atony → major cause of hemorrhage.
Displacement suggests full bladder preventing contraction.
Priority:
1. Fundal massage
2. Empty bladder
3. Fetal Heart Rate Interpretation
A laboring client’s fetal monitor shows recurrent late decelerations with
minimal variability.
What is the most appropriate intervention?
A. Continue monitoring
B. Turn client to left side and administer oxygen
C. Increase oxytocin infusion
D. Encourage pushing
Answer: B
Rationale:
Late decelerations = placental insufficiency
Immediate interventions:
• Left lateral position
• Oxygen
• Stop oxytocin if running
4. Ectopic Pregnancy Rupture
A client at 7 weeks gestation arrives with sharp abdominal pain, shoulder
pain, and dizziness. BP is 88/54 mmHg.
What is the priority action?
, A. Obtain urine sample
B. Start IV fluids and prepare for surgery
C. Provide analgesics
D. Schedule ultrasound
Answer: B
Rationale:
Signs of ruptured ectopic pregnancy → internal bleeding → shock
Priority:
• Stabilize (IV fluids)
• Emergency surgery
5. Gestational Diabetes Management
A pregnant client with gestational diabetes reports fasting glucose levels
consistently above target.
Which action is most appropriate?
A. Increase carbohydrate intake
B. Begin insulin therapy
C. Stop monitoring glucose
D. Encourage bed rest
Answer: B
Rationale:
When diet fails → insulin is required.
Uncontrolled glucose risks:
• Macrosomia
• Neonatal hypoglycemia
6. Placenta Previa
A client at 30 weeks presents with painless bright red vaginal bleeding.
What should the nurse avoid?
CARE |A MASTERPIECE STRUCTURED WITH
QUESTIONS AND FACTUAL&ACCURATE
RESPONSES|<2026 LATEST RELEASE!!!>
1. Hypertensive Disorder in Pregnancy
A 28-year-old primigravida at 32 weeks presents with severe headache,
blurred vision, and epigastric pain. Her BP is 168/110 mmHg, and urinalysis
shows +3 protein. Reflexes are hyperactive with clonus.
What is the priority nursing action?
A. Administer oral antihypertensives
B. Place the client in a quiet, dark room and prepare magnesium sulfate
C. Encourage ambulation to reduce BP
D. Provide a high-protein diet
Answer: B
Rationale:
This is severe preeclampsia with CNS involvement, placing the client at risk
for seizures (eclampsia). Priority is:
• Reduce stimuli (prevent seizures)
• Administer magnesium sulfate (seizure prophylaxis)
2. Postpartum Hemorrhage
A client 1 hour postpartum has saturated two pads within 20 minutes. The
uterus is boggy and displaced to the right.
What should the nurse do first?
A. Call the provider
B. Massage the fundus and assess bladder
,C. Administer IV fluids
D. Prepare for surgery
Answer: B
Rationale:
Boggy uterus = uterine atony → major cause of hemorrhage.
Displacement suggests full bladder preventing contraction.
Priority:
1. Fundal massage
2. Empty bladder
3. Fetal Heart Rate Interpretation
A laboring client’s fetal monitor shows recurrent late decelerations with
minimal variability.
What is the most appropriate intervention?
A. Continue monitoring
B. Turn client to left side and administer oxygen
C. Increase oxytocin infusion
D. Encourage pushing
Answer: B
Rationale:
Late decelerations = placental insufficiency
Immediate interventions:
• Left lateral position
• Oxygen
• Stop oxytocin if running
4. Ectopic Pregnancy Rupture
A client at 7 weeks gestation arrives with sharp abdominal pain, shoulder
pain, and dizziness. BP is 88/54 mmHg.
What is the priority action?
, A. Obtain urine sample
B. Start IV fluids and prepare for surgery
C. Provide analgesics
D. Schedule ultrasound
Answer: B
Rationale:
Signs of ruptured ectopic pregnancy → internal bleeding → shock
Priority:
• Stabilize (IV fluids)
• Emergency surgery
5. Gestational Diabetes Management
A pregnant client with gestational diabetes reports fasting glucose levels
consistently above target.
Which action is most appropriate?
A. Increase carbohydrate intake
B. Begin insulin therapy
C. Stop monitoring glucose
D. Encourage bed rest
Answer: B
Rationale:
When diet fails → insulin is required.
Uncontrolled glucose risks:
• Macrosomia
• Neonatal hypoglycemia
6. Placenta Previa
A client at 30 weeks presents with painless bright red vaginal bleeding.
What should the nurse avoid?
