Test your knowledge with real exam-style questions. Answers and rationales included.
Question 1 of 10
A client is 38 weeks pregnant with BP 158/102, headache, and 3+ proteinuria. What condition is this?
📚 Rationale: BP >=160/110 with severe headache and significant proteinuria = preeclampsia with severe features. Requires immediate magnesium sulfate and hospitalization.
Score: 0/0
Question 2 of 10
A client in labor has variable decelerations on the fetal monitor. Priority nursing action?
A postpartum client has a boggy uterus displaced to the right. Priority intervention?
📚 Rationale: Boggy uterus displaced right = full bladder preventing uterine contraction. Have client void first, then reassess before other interventions.
Score: 0/0
Question 4 of 10
Which position is contraindicated for a client with placenta previa?
📚 Rationale: Vaginal examination is CONTRAINDICATED with placenta previa — it can cause massive hemorrhage. Ultrasound diagnosis only. Never perform digital vaginal exams.
Score: 0/0
Question 5 of 10
A client is receiving magnesium sulfate. Which finding requires stopping the infusion?
📚 Rationale: RR below 12 = respiratory depression from mag toxicity. Stop infusion. Have calcium gluconate (antidote) ready. Also hold for urine output below 30mL/hr or absent DTRs.
Score: 0/0
Question 6 of 10
What is the normal fetal heart rate range?
📚 Rationale: Normal FHR is 110-160 bpm. Below 110 = bradycardia. Above 160 = tachycardia. Both require immediate assessment.
Score: 0/0
Question 7 of 10
A client at 32 weeks has painless vaginal bleeding. Most likely condition?
📚 Rationale: Painless vaginal bleeding in third trimester = placenta previa. Abruption = painful bleeding. Never perform vaginal exam.
Score: 0/0
Question 8 of 10
Which vitamin is most important before conception and early pregnancy?
📚 Rationale: Folic acid 400-800mcg reduces neural tube defects by 70%. Must be taken BEFORE conception through first trimester. Neural tube closes by day 28.
Score: 0/0
Question 9 of 10
A newborn has Apgar score of 4 at 1 minute. Priority action?
📚 Rationale: Apgar 4-6 = moderate depression. Begin stimulation (dry, warm, suction) and reassess at 5 minutes. Below 3 requires immediate resuscitation.
Score: 0/0
Question 10 of 10
When should the Hepatitis B vaccine be given to a newborn?
📚 Rationale: Hep B first dose is given at birth before discharge. Second dose at 1-2 months. Third dose at 6-18 months. This protects newborns from vertical transmission.