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PN Maternal Newborn Nursing Test Bank | 2025/2026 Edition |Real Exam Questions with 100% Verified Correct Answers

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PN Maternal Newborn Nursing Test Bank | 2025/2026 Edition |Real Exam Questions with 100% Verified Correct Answers A breastfeeding mother presents with redness, swelling, and tenderness in one breast, along with flu-like symptoms and a fever of 101.5°F (38.6°C). What is the priority nursing action? A. Encourage the patient to wean the infant immediately. B. Instruct the patient to apply ice packs to the affected breast. C. Recommend that the patient continue breastfeeding or pumping frequently. D. Advise the patient to stop breastfeeding until the infection is resolved. Correct Answer: C. Recommend that the patient continue breastfeeding or pumping frequently. Rationale: Mastitis, common among lactating women, is often caused by milk stasis and bacterial infection. Continuing to breastfeed or pump helps to empty the breasts, relieve engorgement, and reduce infection risk. Breastfeeding does not harm the infant and promotes resolution. Ice packs are not the first intervention, and stopping breastfeeding may worsen milk stasis. A 30-year-old female patient presents with anovulatory menstrual cycles, obesity, and acne. What condition is most likely indicated by these findings? A. Polycystic Ovary Syndrome (PCOS) B. Endometriosis C. Hyperprolactinemia D. Ovarian Cancer Correct Answer: A. Polycystic Ovary Syndrome (PCOS) Rationale: PCOS is characterized by hyperandrogenism (e.g., acne, hirsutism), oligo- or anovulation (irregular or absent periods), and polycystic ovarian morphology. Associated symptoms often include obesity, infertility, and insulin resistance. The other options do not align with the described symptoms. A pregnant patient in her second trimester is undergoing a routine checkup. What screening should be conducted between 24-28 weeks of gestation to detect a common pregnancy complication? A. Group B Streptococcus (GBS) culture B. Oral Glucose Tolerance Test (OGTT) C. Rubella antibody titer D. Non-stress test (NST) Correct Answer: B. Oral Glucose Tolerance Test (OGTT) Rationale: Gestational diabetes mellitus (GDM) is typically screened between 24-28 weeks using a glucose tolerance test. Group B Streptococcus culture is done at 35-37 weeks, rubella titer is part of early pregnancy labs, and non-stress tests are used later in pregnancy for fetal surveillance. A nurse is caring for a laboring patient whose fetal monitor strip shows late decelerations. What is the initial nursing action? A. Increase the oxytocin infusion rate. B. Administer oxygen at 10 L/min via facemask. C. Reposition the patient to the left side. D. Notify the healthcare provider immediately. Correct Answer: C. Reposition the patient to the left side. Rationale: Late decelerations are associated with uteroplacental insufficiency, and repositioning to the left side improves uteroplacental blood flow. Administering oxygen and notifying the healthcare provider may follow, but repositioning is the first priority. Increasing oxytocin would exacerbate the issue and is contraindicated. A patient with a positive BRCA1 gene mutation and a family history of ovarian cancer asks about early symptoms to watch for. Which symptom should the nurse emphasize as most concerning?

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