Maternal-Newborn
Nursing and Women's
Health (Part 2)
### Question 1
A patient at 36 weeks gestation is admitted with preeclampsia. The nurse notes that the patient's blood
pressure is 158/98 mmHg and she has 3+ proteinuria. Which medication should the nurse anticipate
administering to prevent seizures?
A. Magnesium sulfate
B. Nifedipine
C. Betamethasone
D. Oxytocin
,💫RATIONALE✔️✔️: Magnesium sulfate is the medication of choice for seizure prophylaxis in patients
with preeclampsia. It acts as a central nervous system depressant and reduces the risk of eclampsia.
Nifedipine is used for blood pressure control, betamethasone promotes fetal lung maturity, and
oxytocin is used for labor induction.
💫ANSWER✔️✔️: A. Magnesium sulfate
---
### Question 2
The nurse is assessing a newborn who is 5 minutes old. The newborn has a heart rate of 100 beats per
minute, slow and irregular respirations, some flexion of the extremities, a pink body with blue
extremities, and a cry that is weak. What Apgar score should the nurse assign?
A. 4
B. 5
C. 6
D. 7
💫RATIONALE✔️✔️: The Apgar score is assessed at 1 and 5 minutes of life. This newborn receives:
Heart rate 100 (1 point), Respiratory effort slow/irregular (1 point), Muscle tone some flexion (1 point),
Color pink body with blue extremities (1 point), Reflex irritability weak cry (1 point). Total score = 5.
💫ANSWER✔️✔️: B. 5
---
,### Question 3
A patient who is 34 weeks pregnant presents with painless vaginal bleeding. Which condition should the
nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Rupture of membranes
💫RATIONALE✔️✔️: Painless vaginal bleeding in the third trimester is characteristic of placenta
previa, where the placenta partially or completely covers the cervical os. Abruptio placentae typically
presents with painful bleeding. Preterm labor presents with contractions, and rupture of membranes
presents with fluid leakage.
💫ANSWER✔️✔️: A. Placenta previa
---
### Question 4
A patient who is 2 days postpartum reports chills, fever, and breast pain. The nurse notes redness and
warmth in one breast. Which condition should the nurse suspect?
A. Engorgement
B. Mastitis
C. Plugged milk duct
, D. Galactorrhea
💫RATIONALE✔️✔️: Mastitis is characterized by fever, chills, and breast pain with localized redness
and warmth. It is typically unilateral and occurs during the first few weeks postpartum. Engorgement
presents with bilateral breast fullness, and plugged milk ducts present with a localized tender area
without systemic symptoms.
💫ANSWER✔️✔️: B. Mastitis
---
### Question 5
The nurse is assessing a patient who is 8 weeks pregnant. Which finding indicates a potential ectopic
pregnancy?
A. Nausea and vomiting
B. Unilateral lower quadrant pain
C. Breast tenderness
D. Fatigue and lethargy
💫RATIONALE✔️✔️: Unilateral lower quadrant pain, with or without vaginal bleeding, is a classic sign
of ectopic pregnancy. This condition requires immediate medical evaluation. Nausea, vomiting, breast
tenderness, and fatigue are normal early pregnancy symptoms.
💫ANSWER✔️✔️: B. Unilateral lower quadrant pain
---
Nursing and Women's
Health (Part 2)
### Question 1
A patient at 36 weeks gestation is admitted with preeclampsia. The nurse notes that the patient's blood
pressure is 158/98 mmHg and she has 3+ proteinuria. Which medication should the nurse anticipate
administering to prevent seizures?
A. Magnesium sulfate
B. Nifedipine
C. Betamethasone
D. Oxytocin
,💫RATIONALE✔️✔️: Magnesium sulfate is the medication of choice for seizure prophylaxis in patients
with preeclampsia. It acts as a central nervous system depressant and reduces the risk of eclampsia.
Nifedipine is used for blood pressure control, betamethasone promotes fetal lung maturity, and
oxytocin is used for labor induction.
💫ANSWER✔️✔️: A. Magnesium sulfate
---
### Question 2
The nurse is assessing a newborn who is 5 minutes old. The newborn has a heart rate of 100 beats per
minute, slow and irregular respirations, some flexion of the extremities, a pink body with blue
extremities, and a cry that is weak. What Apgar score should the nurse assign?
A. 4
B. 5
C. 6
D. 7
💫RATIONALE✔️✔️: The Apgar score is assessed at 1 and 5 minutes of life. This newborn receives:
Heart rate 100 (1 point), Respiratory effort slow/irregular (1 point), Muscle tone some flexion (1 point),
Color pink body with blue extremities (1 point), Reflex irritability weak cry (1 point). Total score = 5.
💫ANSWER✔️✔️: B. 5
---
,### Question 3
A patient who is 34 weeks pregnant presents with painless vaginal bleeding. Which condition should the
nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Rupture of membranes
💫RATIONALE✔️✔️: Painless vaginal bleeding in the third trimester is characteristic of placenta
previa, where the placenta partially or completely covers the cervical os. Abruptio placentae typically
presents with painful bleeding. Preterm labor presents with contractions, and rupture of membranes
presents with fluid leakage.
💫ANSWER✔️✔️: A. Placenta previa
---
### Question 4
A patient who is 2 days postpartum reports chills, fever, and breast pain. The nurse notes redness and
warmth in one breast. Which condition should the nurse suspect?
A. Engorgement
B. Mastitis
C. Plugged milk duct
, D. Galactorrhea
💫RATIONALE✔️✔️: Mastitis is characterized by fever, chills, and breast pain with localized redness
and warmth. It is typically unilateral and occurs during the first few weeks postpartum. Engorgement
presents with bilateral breast fullness, and plugged milk ducts present with a localized tender area
without systemic symptoms.
💫ANSWER✔️✔️: B. Mastitis
---
### Question 5
The nurse is assessing a patient who is 8 weeks pregnant. Which finding indicates a potential ectopic
pregnancy?
A. Nausea and vomiting
B. Unilateral lower quadrant pain
C. Breast tenderness
D. Fatigue and lethargy
💫RATIONALE✔️✔️: Unilateral lower quadrant pain, with or without vaginal bleeding, is a classic sign
of ectopic pregnancy. This condition requires immediate medical evaluation. Nausea, vomiting, breast
tenderness, and fatigue are normal early pregnancy symptoms.
💫ANSWER✔️✔️: B. Unilateral lower quadrant pain
---
