Maternal Child Nursing Care
7th Edition
Author(s)Shannon Perry
PublisherPublished
by Mosby Copyright© 2023
ISBN: 9780323776714
TEST BANK
,Question 1: Antepartum – Preeclampsia (MCQ)
A pregnant client at 34 weeks presents with BP 162/104 mmHg,
headache, and visual disturbances. What is the nurse’s priority
action?
A. Encourage oral fluids
B. Administer magnesium sulfate as prescribed
C. Place client in supine position
D. Reassess in 4 hours
Correct Answer: B
Rationale:
Severe preeclampsia requires immediate seizure prevention
with magnesium sulfate.
A: Fluids do not treat severe hypertension
C: Supine worsens placental perfusion
D: Delay increases risk of eclampsia
Nursing Process: Implementation
Clinical Judgment: Prioritization, recognizing cues
Difficulty: Moderate
Cognitive Level: Apply
Question 2: Antepartum – Danger Signs (SATA)
,Which findings should the nurse identify as danger signs in
pregnancy? (Select all that apply)
A. Vaginal bleeding
B. Persistent vomiting
C. Mild ankle edema
D. Blurred vision
E. Decreased fetal movement
Correct Answers: A, B, D, E
Rationale:
A: Possible placenta previa/abruption
B: Hyperemesis gravidarum
D: Preeclampsia sign
E: Fetal distress
C is normal in pregnancy
Nursing Process: Assessment
Clinical Judgment: Recognizing cues
Difficulty: Easy–Moderate
Cognitive Level: Understand
Question 3: Intrapartum – Fetal Monitoring (MCQ)
Late decelerations are noted on the fetal monitor. What is the
nurse’s first action?
, A. Increase oxytocin infusion
B. Reposition client to side
C. Perform vaginal exam
D. Administer analgesics
Correct Answer: B
Rationale:
Late decelerations = uteroplacental insufficiency → improve
perfusion first.
A: Worsens condition
C: Not priority
D: Does not address cause
Nursing Process: Implementation
Clinical Judgment: Prioritization
Difficulty: Moderate
Cognitive Level: Apply
Question 4: Intrapartum – Oxytocin (NGN Case)
Case: A laboring patient on oxytocin develops tachysystole.
Which interventions are appropriate?
A. Stop oxytocin
B. Administer oxygen
7th Edition
Author(s)Shannon Perry
PublisherPublished
by Mosby Copyright© 2023
ISBN: 9780323776714
TEST BANK
,Question 1: Antepartum – Preeclampsia (MCQ)
A pregnant client at 34 weeks presents with BP 162/104 mmHg,
headache, and visual disturbances. What is the nurse’s priority
action?
A. Encourage oral fluids
B. Administer magnesium sulfate as prescribed
C. Place client in supine position
D. Reassess in 4 hours
Correct Answer: B
Rationale:
Severe preeclampsia requires immediate seizure prevention
with magnesium sulfate.
A: Fluids do not treat severe hypertension
C: Supine worsens placental perfusion
D: Delay increases risk of eclampsia
Nursing Process: Implementation
Clinical Judgment: Prioritization, recognizing cues
Difficulty: Moderate
Cognitive Level: Apply
Question 2: Antepartum – Danger Signs (SATA)
,Which findings should the nurse identify as danger signs in
pregnancy? (Select all that apply)
A. Vaginal bleeding
B. Persistent vomiting
C. Mild ankle edema
D. Blurred vision
E. Decreased fetal movement
Correct Answers: A, B, D, E
Rationale:
A: Possible placenta previa/abruption
B: Hyperemesis gravidarum
D: Preeclampsia sign
E: Fetal distress
C is normal in pregnancy
Nursing Process: Assessment
Clinical Judgment: Recognizing cues
Difficulty: Easy–Moderate
Cognitive Level: Understand
Question 3: Intrapartum – Fetal Monitoring (MCQ)
Late decelerations are noted on the fetal monitor. What is the
nurse’s first action?
, A. Increase oxytocin infusion
B. Reposition client to side
C. Perform vaginal exam
D. Administer analgesics
Correct Answer: B
Rationale:
Late decelerations = uteroplacental insufficiency → improve
perfusion first.
A: Worsens condition
C: Not priority
D: Does not address cause
Nursing Process: Implementation
Clinical Judgment: Prioritization
Difficulty: Moderate
Cognitive Level: Apply
Question 4: Intrapartum – Oxytocin (NGN Case)
Case: A laboring patient on oxytocin develops tachysystole.
Which interventions are appropriate?
A. Stop oxytocin
B. Administer oxygen
