1. A nurse is assessing a newborn for signs of respiratory distress. Which of the
following is an early sign of respiratory distress in a newborn?
A. Cyanosis
B. Nasal flaring
C. Apnea
D. Grunting
Answer: B. Nasal flaring
Rationale: Nasal flaring is an early sign of respiratory distress, indicating that the newborn is
working harder to breathe.
2. A pregnant woman is at 32 weeks gestation and complains of severe headache,
visual changes, and upper abdominal pain. What is the most likely condition this
woman is experiencing?
A. Hyperemesis gravidarum
B. Pre-eclampsia
C. Gestational diabetes
D. Placenta previa
Answer: B. Pre-eclampsia
Rationale: The signs and symptoms of severe headache, visual changes, and upper abdominal
pain are consistent with pre-eclampsia, which involves elevated blood pressure and organ
damage.
3. A nurse is caring for a post-cesarean section (C-section) patient. What is the
priority nursing action immediately after delivery?
A. Assess for signs of bleeding
B. Administer pain medication
C. Assist with breastfeeding
D. Monitor vital signs
Answer: A. Assess for signs of bleeding
Rationale: After a C-section, the priority is to monitor for excessive bleeding, which can be a
life-threatening complication.
,4. A newborn has a diagnosis of jaundice, and the healthcare provider prescribes
phototherapy. What is the primary purpose of phototherapy for jaundice?
A. To improve the newborn’s feeding
B. To lower bilirubin levels
C. To prevent infection
D. To increase the newborn’s fluid intake
Answer: B. To lower bilirubin levels
Rationale: Phototherapy helps break down bilirubin in the skin, thereby lowering bilirubin
levels and reducing the risk of kernicterus (a form of brain damage).
5. A 25-year-old pregnant woman reports feeling lightheaded and dizzy when
lying on her back. What is the most appropriate nursing intervention?
A. Instruct the patient to stay in a supine position
B. Provide oxygen via mask
C. Encourage the patient to lie on her left side
D. Monitor the fetal heart rate
Answer: C. Encourage the patient to lie on her left side
Rationale: The woman is likely experiencing supine hypotension syndrome. Lying on the left
side helps improve blood flow to the uterus and alleviate dizziness.
6. A nurse is teaching a pregnant woman about warning signs of preterm labor.
Which of the following should the nurse include in the teaching?
A. Mild backache and fatigue
B. Severe headaches and visual disturbances
C. Decreased fetal movement
D. Regular contractions every 10 minutes or less
Answer: D. Regular contractions every 10 minutes or less
Rationale: Regular contractions occurring every 10 minutes or less can be a sign of preterm
labor and need to be assessed immediately.
, 7. A postpartum woman is being monitored for complications following a vaginal
delivery. Which of the following findings would be an early indication of
postpartum hemorrhage?
A. Increased urine output
B. Tachycardia
C. Decreased blood pressure
D. Decreased hemoglobin levels
Answer: B. Tachycardia
Rationale: Tachycardia is an early sign of postpartum hemorrhage, often occurring before a
significant drop in blood pressure.
8. A nurse is assessing a newborn's reflexes. Which of the following is considered
a normal newborn reflex?
A. Babinski reflex
B. Moro reflex
C. Rooting reflex
D. All of the above
Answer: D. All of the above
Rationale: The Babinski reflex, Moro reflex, and rooting reflex are all normal reflexes seen in a
healthy newborn.
9. A nurse is preparing to administer magnesium sulfate to a pregnant woman
with pre-eclampsia. Which of the following should be monitored closely during
treatment?
A. Fetal heart rate
B. Deep tendon reflexes
C. Blood glucose levels
D. Serum calcium levels
Answer: B. Deep tendon reflexes
following is an early sign of respiratory distress in a newborn?
A. Cyanosis
B. Nasal flaring
C. Apnea
D. Grunting
Answer: B. Nasal flaring
Rationale: Nasal flaring is an early sign of respiratory distress, indicating that the newborn is
working harder to breathe.
2. A pregnant woman is at 32 weeks gestation and complains of severe headache,
visual changes, and upper abdominal pain. What is the most likely condition this
woman is experiencing?
A. Hyperemesis gravidarum
B. Pre-eclampsia
C. Gestational diabetes
D. Placenta previa
Answer: B. Pre-eclampsia
Rationale: The signs and symptoms of severe headache, visual changes, and upper abdominal
pain are consistent with pre-eclampsia, which involves elevated blood pressure and organ
damage.
3. A nurse is caring for a post-cesarean section (C-section) patient. What is the
priority nursing action immediately after delivery?
A. Assess for signs of bleeding
B. Administer pain medication
C. Assist with breastfeeding
D. Monitor vital signs
Answer: A. Assess for signs of bleeding
Rationale: After a C-section, the priority is to monitor for excessive bleeding, which can be a
life-threatening complication.
,4. A newborn has a diagnosis of jaundice, and the healthcare provider prescribes
phototherapy. What is the primary purpose of phototherapy for jaundice?
A. To improve the newborn’s feeding
B. To lower bilirubin levels
C. To prevent infection
D. To increase the newborn’s fluid intake
Answer: B. To lower bilirubin levels
Rationale: Phototherapy helps break down bilirubin in the skin, thereby lowering bilirubin
levels and reducing the risk of kernicterus (a form of brain damage).
5. A 25-year-old pregnant woman reports feeling lightheaded and dizzy when
lying on her back. What is the most appropriate nursing intervention?
A. Instruct the patient to stay in a supine position
B. Provide oxygen via mask
C. Encourage the patient to lie on her left side
D. Monitor the fetal heart rate
Answer: C. Encourage the patient to lie on her left side
Rationale: The woman is likely experiencing supine hypotension syndrome. Lying on the left
side helps improve blood flow to the uterus and alleviate dizziness.
6. A nurse is teaching a pregnant woman about warning signs of preterm labor.
Which of the following should the nurse include in the teaching?
A. Mild backache and fatigue
B. Severe headaches and visual disturbances
C. Decreased fetal movement
D. Regular contractions every 10 minutes or less
Answer: D. Regular contractions every 10 minutes or less
Rationale: Regular contractions occurring every 10 minutes or less can be a sign of preterm
labor and need to be assessed immediately.
, 7. A postpartum woman is being monitored for complications following a vaginal
delivery. Which of the following findings would be an early indication of
postpartum hemorrhage?
A. Increased urine output
B. Tachycardia
C. Decreased blood pressure
D. Decreased hemoglobin levels
Answer: B. Tachycardia
Rationale: Tachycardia is an early sign of postpartum hemorrhage, often occurring before a
significant drop in blood pressure.
8. A nurse is assessing a newborn's reflexes. Which of the following is considered
a normal newborn reflex?
A. Babinski reflex
B. Moro reflex
C. Rooting reflex
D. All of the above
Answer: D. All of the above
Rationale: The Babinski reflex, Moro reflex, and rooting reflex are all normal reflexes seen in a
healthy newborn.
9. A nurse is preparing to administer magnesium sulfate to a pregnant woman
with pre-eclampsia. Which of the following should be monitored closely during
treatment?
A. Fetal heart rate
B. Deep tendon reflexes
C. Blood glucose levels
D. Serum calcium levels
Answer: B. Deep tendon reflexes
