Maternity, Neonatal & pediatric
Nursing EXAM 2 |Latest Exam 2026-
Graded A+ |100% Guaranteed Pass|
STUDY NOW
What does lochia rubra indicate? -ANSWER Normal postpartum bleeding that is dark red
and lasts about 3-4 days
When does lochia serosa occur? -ANSWER Days 4-10 postpartum; pinkish-brown
discharge.
What is lochia alba? -ANSWER White or yellow discharge that lasts up to 6 weeks
postpartum.
When is a woman at highest risk for uterine atony? -ANSWER Overdistended uterus
(multiple gestation, macrosomia, prolonged labor)
What prevents postpartum thromboembolic disease? -ANSWER Early ambulation.
What vaccines may be given postpartum? -ANSWER Varicella, Tdap, and Rho(D)
immune globulin (if Rh-negative).
Signs of postpartum preeclampsia? -ANSWER Headache, visual changes, epigastric
pain, hyperreflexia.
How do postpartum blues differ from postpartum depression? -ANSWER Blues are mild
and resolve in ~2 weeks; depression is persistent and severe.
Expected finding with breast engorgement (day 3)? -ANSWER Breasts warm, firm, tender
when milk "comes in."
What Apgar score indicates good transition to extrauterine life? -ANSWER 7-10
Immediate newborn medications? -ANSWER Vitamin K and Hepatitis B vaccine.
What causes hyperbilirubinemia? -ANSWER Immature liver, increased RBC breakdown,
Rh incompatibility.
How does phototherapy work? -ANSWER Breaks down bilirubin so it can be excreted.
Normal newborn respiratory rate? -ANSWER 30-60 breaths/min
, Difference between caput succedaneum and cephalohematoma? -ANSWER -Caput
crosses suture lines
-Cephalohematoma does not
What is PKU? -ANSWER Inability to metabolize phenylalanine → screened at birth.
Diagnostic criteria for preeclampsia? -ANSWER BP ≥140/90 after 20 weeks + proteinuria
or organ dysfunction
Drug of choice to prevent seizures? -ANSWER Magnesium sulfate
Classic sign of placenta previa? -ANSWER Painless bright red bleeding in 2nd half of
pregnancy.
Priority nursing action for placenta previa? -ANSWER Continuous fetal heart monitoring.
What is contraindicated in placenta previa? -ANSWER vaginal exam
Key findings in abruptio placentae? -ANSWER Painful bleeding with rigid abdomen.
Priority Treatment for abruptio placentae? -ANSWER Stabilize mother, IV fluids, prepare
for delivery
What does the indirect Coombs test detect? -ANSWER Maternal antibodies against Rh-
positive blood.
What does MSAFP screen for? -ANSWER Neural tube defects and chromosomal
abnormalities
What is evaluated in a biophysical profile? -ANSWER Fetal movement, tone, breathing,
amniotic fluid, NST.
normal lecithin to sphingomyelin ratio? -ANSWER 2:1 (≥2.5:1 in diabetic mothers)
What is oxytocin used for? -ANSWER Induce labor and prevent postpartum hemorrhage.
Signs of oxytocin water intoxication? -ANSWER Headache, nausea, confusion, seizures
What is methylergonovine used for? -ANSWER Treat postpartum hemorrhage.
Major contraindication for methylergonovine? -ANSWER Hypertension — causes
vasoconstriction and increased BP
What does terbutaline do? -ANSWER Stops preterm labor by relaxing uterine smooth
muscle.
Nursing EXAM 2 |Latest Exam 2026-
Graded A+ |100% Guaranteed Pass|
STUDY NOW
What does lochia rubra indicate? -ANSWER Normal postpartum bleeding that is dark red
and lasts about 3-4 days
When does lochia serosa occur? -ANSWER Days 4-10 postpartum; pinkish-brown
discharge.
What is lochia alba? -ANSWER White or yellow discharge that lasts up to 6 weeks
postpartum.
When is a woman at highest risk for uterine atony? -ANSWER Overdistended uterus
(multiple gestation, macrosomia, prolonged labor)
What prevents postpartum thromboembolic disease? -ANSWER Early ambulation.
What vaccines may be given postpartum? -ANSWER Varicella, Tdap, and Rho(D)
immune globulin (if Rh-negative).
Signs of postpartum preeclampsia? -ANSWER Headache, visual changes, epigastric
pain, hyperreflexia.
How do postpartum blues differ from postpartum depression? -ANSWER Blues are mild
and resolve in ~2 weeks; depression is persistent and severe.
Expected finding with breast engorgement (day 3)? -ANSWER Breasts warm, firm, tender
when milk "comes in."
What Apgar score indicates good transition to extrauterine life? -ANSWER 7-10
Immediate newborn medications? -ANSWER Vitamin K and Hepatitis B vaccine.
What causes hyperbilirubinemia? -ANSWER Immature liver, increased RBC breakdown,
Rh incompatibility.
How does phototherapy work? -ANSWER Breaks down bilirubin so it can be excreted.
Normal newborn respiratory rate? -ANSWER 30-60 breaths/min
, Difference between caput succedaneum and cephalohematoma? -ANSWER -Caput
crosses suture lines
-Cephalohematoma does not
What is PKU? -ANSWER Inability to metabolize phenylalanine → screened at birth.
Diagnostic criteria for preeclampsia? -ANSWER BP ≥140/90 after 20 weeks + proteinuria
or organ dysfunction
Drug of choice to prevent seizures? -ANSWER Magnesium sulfate
Classic sign of placenta previa? -ANSWER Painless bright red bleeding in 2nd half of
pregnancy.
Priority nursing action for placenta previa? -ANSWER Continuous fetal heart monitoring.
What is contraindicated in placenta previa? -ANSWER vaginal exam
Key findings in abruptio placentae? -ANSWER Painful bleeding with rigid abdomen.
Priority Treatment for abruptio placentae? -ANSWER Stabilize mother, IV fluids, prepare
for delivery
What does the indirect Coombs test detect? -ANSWER Maternal antibodies against Rh-
positive blood.
What does MSAFP screen for? -ANSWER Neural tube defects and chromosomal
abnormalities
What is evaluated in a biophysical profile? -ANSWER Fetal movement, tone, breathing,
amniotic fluid, NST.
normal lecithin to sphingomyelin ratio? -ANSWER 2:1 (≥2.5:1 in diabetic mothers)
What is oxytocin used for? -ANSWER Induce labor and prevent postpartum hemorrhage.
Signs of oxytocin water intoxication? -ANSWER Headache, nausea, confusion, seizures
What is methylergonovine used for? -ANSWER Treat postpartum hemorrhage.
Major contraindication for methylergonovine? -ANSWER Hypertension — causes
vasoconstriction and increased BP
What does terbutaline do? -ANSWER Stops preterm labor by relaxing uterine smooth
muscle.
