MHN 360 – Maternal Health Nursing
ACTUAL UPDATED QUESTIONS AND
CORRECT ANSWERS
Explain the anatomy and physiology of the female reproductive system and its significance in
maternal health.
CORRECT ANSWERS ✅✅
The female reproductive system consists of the ovaries, fallopian tubes, uterus, cervix, and
vagina, responsible for ovulation, fertilization, pregnancy, and childbirth. Hormonal
regulation by estrogen, progesterone, FSH, and LH controls the menstrual cycle,
implantation, and maintenance of pregnancy. Understanding reproductive physiology is
critical for assessing fertility, pregnancy risks, and complications. Nurses use this knowledge
to educate women on reproductive health, family planning, and early detection of disorders.
Proper assessment ensures optimal maternal and fetal outcomes.
Discuss the nursing assessment of a pregnant woman during the first trimester.
CORRECT ANSWERS ✅✅
First trimester assessment includes confirming pregnancy, reviewing medical and obstetric
history, and conducting physical and pelvic examinations. Vital signs, weight, and lab tests
(CBC, blood group, urinalysis, infectious disease screening) are monitored. Nurses educate
women on lifestyle modifications, nutrition, avoiding teratogens, and recognizing early
pregnancy complications such as bleeding or hyperemesis gravidarum. Psychosocial
assessment is crucial to identify stressors and provide support. Early and comprehensive care
ensures maternal and fetal health.
Explain the pathophysiology, recognition, and nursing care of hyperemesis gravidarum.
CORRECT ANSWERS ✅✅
Hyperemesis gravidarum is excessive nausea and vomiting during pregnancy, leading to
dehydration, electrolyte imbalance, and weight loss. Women may present with persistent
vomiting, ketonuria, hypotension, and fatigue. Nursing care includes fluid and electrolyte
replacement, antiemetic therapy, nutritional support, and monitoring weight and vital signs.
Education involves dietary modifications, small frequent meals, and avoiding triggers. Early
intervention prevents maternal complications, fetal growth restriction, and hospitalization.
Describe the nursing assessment and management of gestational hypertension.
CORRECT ANSWERS ✅✅
,Gestational hypertension develops after 20 weeks of gestation and may progress to
preeclampsia. Women present with elevated blood pressure, headaches, visual disturbances,
and edema. Nursing care includes monitoring blood pressure, proteinuria, weight gain, and
assessing for signs of organ involvement. Education focuses on adherence to antihypertensive
therapy, lifestyle modifications, and recognizing warning signs of preeclampsia. Timely
management prevents maternal and fetal complications such as eclampsia or intrauterine
growth restriction.
Discuss the nursing care of pregnant women with preeclampsia.
CORRECT ANSWERS ✅✅
Preeclampsia is characterized by hypertension, proteinuria, and organ dysfunction after 20
weeks of gestation. Assessment includes monitoring blood pressure, reflexes, urine protein,
liver and kidney function, and fetal well-being. Nursing care involves administering
antihypertensives and magnesium sulfate if indicated, monitoring for seizure activity, and
educating the mother on symptom recognition. Close observation of maternal and fetal status
is essential. Early and aggressive management prevents progression to eclampsia and
improves outcomes.
Explain the nursing assessment and management of eclampsia.
CORRECT ANSWERS ✅✅
Eclampsia is the occurrence of seizures in a woman with preeclampsia, posing life-
threatening risks to both mother and fetus. Assessment includes monitoring seizure activity,
airway patency, vital signs, and fetal heart rate. Nursing care involves airway support, seizure
control with magnesium sulfate, blood pressure management, and preparing for emergency
delivery if indicated. Continuous monitoring and prompt intervention are critical. Education
post-event focuses on follow-up care and prevention in subsequent pregnancies.
Describe the recognition and nursing care of postpartum hemorrhage (PPH).
CORRECT ANSWERS ✅✅
PPH is excessive bleeding after childbirth, leading to hypovolemic shock if untreated.
Women present with heavy vaginal bleeding, hypotension, tachycardia, pallor, and signs of
hypoperfusion. Nursing care includes assessing blood loss, administering uterotonics,
maintaining IV access, fluid and blood replacement, and preparing for surgical interventions
if necessary. Education involves recognizing early signs of PPH and the importance of
prompt reporting. Timely management prevents maternal mortality and preserves
reproductive health.
Discuss the nursing care for women with gestational diabetes mellitus (GDM).
, CORRECT ANSWERS ✅✅
GDM is glucose intolerance diagnosed during pregnancy, increasing risks for maternal and
fetal complications. Assessment includes blood glucose monitoring, HbA1c levels, and fetal
growth evaluation. Nursing care involves dietary counseling, exercise recommendations,
monitoring blood glucose, and administering insulin if required. Education focuses on
lifestyle modifications, self-monitoring, and recognizing signs of hypo- or hyperglycemia.
Proper management reduces risks of macrosomia, preterm labor, and neonatal hypoglycemia.
Explain the assessment and management of anemia in pregnancy.
CORRECT ANSWERS ✅✅
Anemia in pregnancy is commonly due to iron deficiency, causing fatigue, pallor, dizziness,
and shortness of breath. Assessment includes hemoglobin and hematocrit levels, diet history,
and evaluation for bleeding or malabsorption. Nursing care involves administering iron
supplements, promoting iron-rich diet, monitoring response to therapy, and educating on
adherence. Nurses assess maternal and fetal well-being and prevent complications such as
preterm labor. Early identification and management ensure adequate oxygen delivery and
healthy fetal growth.
Describe the nursing care of women with multiple pregnancies.
CORRECT ANSWERS ✅✅
Multiple pregnancies carry higher risks for preterm labor, hypertensive disorders, gestational
diabetes, and fetal growth restriction. Nursing assessment includes monitoring maternal
weight, blood pressure, fetal growth, and uterine activity. Care involves education on
nutrition, rest, warning signs, and preparation for possible preterm delivery. Nurses
coordinate frequent prenatal visits, assess psychosocial needs, and support family planning.
Early and comprehensive care improves maternal and neonatal outcomes.
Discuss the recognition and nursing management of preterm labor.
CORRECT ANSWERS ✅✅
Preterm labor occurs before 37 weeks of gestation, with cervical changes and regular uterine
contractions. Women may present with pelvic pressure, back pain, and vaginal discharge or
bleeding. Nursing care involves monitoring contractions, fetal heart rate, administering
tocolytics, and providing corticosteroids to promote fetal lung maturity. Education includes
bed rest, recognizing warning signs, and ensuring follow-up care. Early intervention reduces
neonatal morbidity and mortality.
Explain the nursing assessment and management of postpartum depression.
ACTUAL UPDATED QUESTIONS AND
CORRECT ANSWERS
Explain the anatomy and physiology of the female reproductive system and its significance in
maternal health.
CORRECT ANSWERS ✅✅
The female reproductive system consists of the ovaries, fallopian tubes, uterus, cervix, and
vagina, responsible for ovulation, fertilization, pregnancy, and childbirth. Hormonal
regulation by estrogen, progesterone, FSH, and LH controls the menstrual cycle,
implantation, and maintenance of pregnancy. Understanding reproductive physiology is
critical for assessing fertility, pregnancy risks, and complications. Nurses use this knowledge
to educate women on reproductive health, family planning, and early detection of disorders.
Proper assessment ensures optimal maternal and fetal outcomes.
Discuss the nursing assessment of a pregnant woman during the first trimester.
CORRECT ANSWERS ✅✅
First trimester assessment includes confirming pregnancy, reviewing medical and obstetric
history, and conducting physical and pelvic examinations. Vital signs, weight, and lab tests
(CBC, blood group, urinalysis, infectious disease screening) are monitored. Nurses educate
women on lifestyle modifications, nutrition, avoiding teratogens, and recognizing early
pregnancy complications such as bleeding or hyperemesis gravidarum. Psychosocial
assessment is crucial to identify stressors and provide support. Early and comprehensive care
ensures maternal and fetal health.
Explain the pathophysiology, recognition, and nursing care of hyperemesis gravidarum.
CORRECT ANSWERS ✅✅
Hyperemesis gravidarum is excessive nausea and vomiting during pregnancy, leading to
dehydration, electrolyte imbalance, and weight loss. Women may present with persistent
vomiting, ketonuria, hypotension, and fatigue. Nursing care includes fluid and electrolyte
replacement, antiemetic therapy, nutritional support, and monitoring weight and vital signs.
Education involves dietary modifications, small frequent meals, and avoiding triggers. Early
intervention prevents maternal complications, fetal growth restriction, and hospitalization.
Describe the nursing assessment and management of gestational hypertension.
CORRECT ANSWERS ✅✅
,Gestational hypertension develops after 20 weeks of gestation and may progress to
preeclampsia. Women present with elevated blood pressure, headaches, visual disturbances,
and edema. Nursing care includes monitoring blood pressure, proteinuria, weight gain, and
assessing for signs of organ involvement. Education focuses on adherence to antihypertensive
therapy, lifestyle modifications, and recognizing warning signs of preeclampsia. Timely
management prevents maternal and fetal complications such as eclampsia or intrauterine
growth restriction.
Discuss the nursing care of pregnant women with preeclampsia.
CORRECT ANSWERS ✅✅
Preeclampsia is characterized by hypertension, proteinuria, and organ dysfunction after 20
weeks of gestation. Assessment includes monitoring blood pressure, reflexes, urine protein,
liver and kidney function, and fetal well-being. Nursing care involves administering
antihypertensives and magnesium sulfate if indicated, monitoring for seizure activity, and
educating the mother on symptom recognition. Close observation of maternal and fetal status
is essential. Early and aggressive management prevents progression to eclampsia and
improves outcomes.
Explain the nursing assessment and management of eclampsia.
CORRECT ANSWERS ✅✅
Eclampsia is the occurrence of seizures in a woman with preeclampsia, posing life-
threatening risks to both mother and fetus. Assessment includes monitoring seizure activity,
airway patency, vital signs, and fetal heart rate. Nursing care involves airway support, seizure
control with magnesium sulfate, blood pressure management, and preparing for emergency
delivery if indicated. Continuous monitoring and prompt intervention are critical. Education
post-event focuses on follow-up care and prevention in subsequent pregnancies.
Describe the recognition and nursing care of postpartum hemorrhage (PPH).
CORRECT ANSWERS ✅✅
PPH is excessive bleeding after childbirth, leading to hypovolemic shock if untreated.
Women present with heavy vaginal bleeding, hypotension, tachycardia, pallor, and signs of
hypoperfusion. Nursing care includes assessing blood loss, administering uterotonics,
maintaining IV access, fluid and blood replacement, and preparing for surgical interventions
if necessary. Education involves recognizing early signs of PPH and the importance of
prompt reporting. Timely management prevents maternal mortality and preserves
reproductive health.
Discuss the nursing care for women with gestational diabetes mellitus (GDM).
, CORRECT ANSWERS ✅✅
GDM is glucose intolerance diagnosed during pregnancy, increasing risks for maternal and
fetal complications. Assessment includes blood glucose monitoring, HbA1c levels, and fetal
growth evaluation. Nursing care involves dietary counseling, exercise recommendations,
monitoring blood glucose, and administering insulin if required. Education focuses on
lifestyle modifications, self-monitoring, and recognizing signs of hypo- or hyperglycemia.
Proper management reduces risks of macrosomia, preterm labor, and neonatal hypoglycemia.
Explain the assessment and management of anemia in pregnancy.
CORRECT ANSWERS ✅✅
Anemia in pregnancy is commonly due to iron deficiency, causing fatigue, pallor, dizziness,
and shortness of breath. Assessment includes hemoglobin and hematocrit levels, diet history,
and evaluation for bleeding or malabsorption. Nursing care involves administering iron
supplements, promoting iron-rich diet, monitoring response to therapy, and educating on
adherence. Nurses assess maternal and fetal well-being and prevent complications such as
preterm labor. Early identification and management ensure adequate oxygen delivery and
healthy fetal growth.
Describe the nursing care of women with multiple pregnancies.
CORRECT ANSWERS ✅✅
Multiple pregnancies carry higher risks for preterm labor, hypertensive disorders, gestational
diabetes, and fetal growth restriction. Nursing assessment includes monitoring maternal
weight, blood pressure, fetal growth, and uterine activity. Care involves education on
nutrition, rest, warning signs, and preparation for possible preterm delivery. Nurses
coordinate frequent prenatal visits, assess psychosocial needs, and support family planning.
Early and comprehensive care improves maternal and neonatal outcomes.
Discuss the recognition and nursing management of preterm labor.
CORRECT ANSWERS ✅✅
Preterm labor occurs before 37 weeks of gestation, with cervical changes and regular uterine
contractions. Women may present with pelvic pressure, back pain, and vaginal discharge or
bleeding. Nursing care involves monitoring contractions, fetal heart rate, administering
tocolytics, and providing corticosteroids to promote fetal lung maturity. Education includes
bed rest, recognizing warning signs, and ensuring follow-up care. Early intervention reduces
neonatal morbidity and mortality.
Explain the nursing assessment and management of postpartum depression.
