Engage Maternal, Newborn, and Women’s Health PN: Overview of Maternal, Newborn, and Women’s Health Care: 1.1 Matern

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Sample questions from Engage Maternal, Newborn, and Women’s Health PN: Overview of Maternal, Newborn, and Women’s Health Care: 1.1 Matern

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A 26-year-old at 30 weeks of pregnancy arrives at the prenatal clinic reporting a severe headache and blurred vision. Her blood pressure is 168/112 mm Hg, and urine dipstick shows 3+ protein. Which action should the nurse take first?

   • A.Place the client in a quiet area and notify the obstetric provider immediately
   • B.Ask the client to return in 1 week for a repeat blood pressure
   • C.Encourage oral fluids and have the client walk for 10 minutes
   • D.Provide written information about common discomforts of pregnancy

   Rationale: Severe hypertension with neurologic symptoms and proteinuria suggests preeclampsia with severe features and requires immediate evaluation. A follow-up in 1 week delays treatment, walking is unsafe, and routine teaching does not address the acute risk. The exam takeaway is to recognize and rapidly escalate signs of maternal and fetal compromise.

2. 2.A 19-year-old at 10 weeks of pregnancy tells the nurse at a community clinic that she is unsure whether to continue the pregnancy. Her vital signs are stable, and she appears anxious. Which response best supports the client's autonomy?

   • A.Tell the client which option the nurse believes is best
   • B.Explore the client's concerns and offer unbiased information about available resources
   • C.Ask the client's partner to decide with her
   • D.Reassure the client that she will feel differently later

   Rationale: Nonjudgmental listening and accurate, unbiased information support informed decision-making and client autonomy. Directing the client, transferring the decision to a partner, or dismissing her concerns are inappropriate. The exam takeaway is to provide respectful, client-centered reproductive counseling.

3. 3.A 32-year-old at 28 weeks of pregnancy calls the prenatal office after noticing no fetal movement for several hours. She reports that movement is usually active after dinner. Her blood pressure is 118/72 mm Hg, and she has no bleeding or pain. What should the nurse advise?

   • A.Wait until the next prenatal appointment to discuss the change
   • B.Drink a caffeinated beverage and call again tomorrow
   • C.Contact the obstetric provider now for prompt assessment
   • D.Begin vigorous exercise to stimulate fetal movement

   Rationale: A notable decrease in fetal movement warrants prompt assessment because it can indicate fetal compromise. Waiting, using caffeine as a substitute for evaluation, or exercising delays appropriate care. The exam takeaway is to treat a meaningful change in fetal movement as a timely assessment need.

4. 4.A 24-year-old at 12 weeks of pregnancy presents to the clinic with a temperature of 38.3 C (100.9 F), dysuria, and flank pain. Her pulse is 108/min and blood pressure is 110/68 mm Hg. Which action is most appropriate?

   • A.Recommend an over-the-counter urinary analgesic and routine follow-up
   • B.Encourage increased fluids and reassess symptoms in 48 hours
   • C.Arrange prompt provider evaluation for possible pyelonephritis
   • D.Explain that urinary symptoms are expected during pregnancy

   Answer and rationale are in the full material.

5. 5.A 29-year-old at 24 weeks of pregnancy is seen in an outpatient clinic. She says she plans to stop taking her prescribed antiseizure medication because she is worried it could harm the fetus. She is alert, with stable vital signs, and reports no recent seizures. What should the nurse say?

   • A.Stop the medication now and restart it after delivery
   • B.Do not change or stop the medication without promptly discussing the risks and options with the prescriber
   • C.Take half the dose until the next prenatal visit
   • D.Replace the medication with an herbal supplement

   Answer and rationale are in the full material.