Test Bank for Safe Maternity and Pediatric Nursing Care 3rd Edition (F.A Davis ,
2025) by Luanne Linnard Palmer,
1
,A pregnant client at 32 weeks gestation reports sudden severe headache, visual
disturbances, and right upper quadrant pain. Which condition should the nurse
suspect first?
A. Gestational diabetes
B. Preeclampsia
C. Placenta previa
D. Iron-deficiency anemia
Answer: B
Rationale:
Severe headache, visual changes, and RUQ pain are classic warning signs of
worsening preeclampsia due to vasospasm and possible liver involvement. This is
an obstetric emergency requiring immediate evaluation.
Which finding in a newborn requires immediate nursing intervention?
A. Acrocyanosis in the first 24 hours
2
, B. Respiratory rate of 50 breaths per minute
C. Central cyanosis
D. Passage of meconium within 48 hours
Answer: C
Rationale:
Central cyanosis indicates inadequate oxygenation and is abnormal. Acrocyanosis
and RR 30–60 are normal in newborns.
A nurse is teaching a mother about safe sleep practices for a newborn. Which
statement indicates correct understanding?
A. “I will place my baby on their stomach to sleep.”
B. “I will use soft blankets to keep my baby warm.”
C. “I will place my baby on their back in a crib with a firm mattress.”
D. “I will co-sleep to make feeding easier.”
Answer: C
Rationale:
3
2025) by Luanne Linnard Palmer,
1
,A pregnant client at 32 weeks gestation reports sudden severe headache, visual
disturbances, and right upper quadrant pain. Which condition should the nurse
suspect first?
A. Gestational diabetes
B. Preeclampsia
C. Placenta previa
D. Iron-deficiency anemia
Answer: B
Rationale:
Severe headache, visual changes, and RUQ pain are classic warning signs of
worsening preeclampsia due to vasospasm and possible liver involvement. This is
an obstetric emergency requiring immediate evaluation.
Which finding in a newborn requires immediate nursing intervention?
A. Acrocyanosis in the first 24 hours
2
, B. Respiratory rate of 50 breaths per minute
C. Central cyanosis
D. Passage of meconium within 48 hours
Answer: C
Rationale:
Central cyanosis indicates inadequate oxygenation and is abnormal. Acrocyanosis
and RR 30–60 are normal in newborns.
A nurse is teaching a mother about safe sleep practices for a newborn. Which
statement indicates correct understanding?
A. “I will place my baby on their stomach to sleep.”
B. “I will use soft blankets to keep my baby warm.”
C. “I will place my baby on their back in a crib with a firm mattress.”
D. “I will co-sleep to make feeding easier.”
Answer: C
Rationale:
3
