Test Bank for Safe Maternity and Pediatric Nursing Care 3rd Edition (F.A Davis ,
2025) by Luanne Linnard Palmer, 100
1
,A pregnant client at 40 weeks reports sudden severe abdominal pain and a rigid
uterus. What complication should the nurse suspect?
A. Placenta previa
B. Uterine rupture
C. Braxton Hicks contractions
D. Round ligament pain
Answer: B
Rationale:
Sudden severe abdominal pain with a rigid uterus is a classic sign of uterine
rupture, a life-threatening obstetric emergency requiring immediate intervention.
Which newborn finding requires immediate action?
A. Heart rate 150 bpm
B. Respiratory rate 45/min
C. Apnea for 20 seconds with cyanosis
D. Slight jaundice on day 2
2
,Answer: C
Rationale:
Apnea with cyanosis indicates respiratory compromise and requires urgent
intervention.
A postpartum client has a boggy uterus and heavy bleeding. What is the first
nursing action?
A. Administer antibiotics
B. Massage the fundus
C. Prepare for surgery
D. Increase oral fluids
Answer: B
Rationale:
Uterine atony is the most common cause of postpartum hemorrhage; fundal
massage is the priority intervention.
Which milestone is expected in a 12-month-old infant?
3
, A. Walking independently
B. Scribbling spontaneously
C. Speaking full sentences
D. Riding a tricycle
Answer: A
Rationale:
Most infants begin walking independently around 12 months.
A newborn has a blood glucose level of 35 mg/dL. What is the priority
intervention?
A. Recheck in 24 hours
B. Feed immediately
C. Start IV antibiotics
D. Place under phototherapy
Answer: B
Rationale:
4
2025) by Luanne Linnard Palmer, 100
1
,A pregnant client at 40 weeks reports sudden severe abdominal pain and a rigid
uterus. What complication should the nurse suspect?
A. Placenta previa
B. Uterine rupture
C. Braxton Hicks contractions
D. Round ligament pain
Answer: B
Rationale:
Sudden severe abdominal pain with a rigid uterus is a classic sign of uterine
rupture, a life-threatening obstetric emergency requiring immediate intervention.
Which newborn finding requires immediate action?
A. Heart rate 150 bpm
B. Respiratory rate 45/min
C. Apnea for 20 seconds with cyanosis
D. Slight jaundice on day 2
2
,Answer: C
Rationale:
Apnea with cyanosis indicates respiratory compromise and requires urgent
intervention.
A postpartum client has a boggy uterus and heavy bleeding. What is the first
nursing action?
A. Administer antibiotics
B. Massage the fundus
C. Prepare for surgery
D. Increase oral fluids
Answer: B
Rationale:
Uterine atony is the most common cause of postpartum hemorrhage; fundal
massage is the priority intervention.
Which milestone is expected in a 12-month-old infant?
3
, A. Walking independently
B. Scribbling spontaneously
C. Speaking full sentences
D. Riding a tricycle
Answer: A
Rationale:
Most infants begin walking independently around 12 months.
A newborn has a blood glucose level of 35 mg/dL. What is the priority
intervention?
A. Recheck in 24 hours
B. Feed immediately
C. Start IV antibiotics
D. Place under phototherapy
Answer: B
Rationale:
4
