Q. 1
Nursing
Difficulty: Medium
(1 Mark)
An infant at 1 minute of life has a heart rate of 110 bpm, good vigorous cry, active motion of all extremities, grimaces to suctioning, but has pink body with blue extremities (acrocyanosis). What is the APGAR score?
💡
Step-by-Step Explanation & Concept Rationale
Heart rate >100 (2), Good cry/respiration (2), Active motion/muscle tone (2), Grimace/reflex (2), Acrocyanosis/color (1) = Total APGAR score of 9.
Q. 2
Nursing
Difficulty: Easy
(1 Mark)
The first stage of labor is defined as extending from the onset of true labor contractions until:
💡
Step-by-Step Explanation & Concept Rationale
The first stage of labor begins with regular uterine contractions and concludes with complete cervical dilatation (10 cm). The second stage is delivery of the infant, and the third stage is delivery of the placenta.
Q. 3
Nursing
Difficulty: Easy
(1 Mark)
When caring for a newborn receiving phototherapy for physiological neonatal jaundice, which essential nursing precautions must be maintained?
💡
Step-by-Step Explanation & Concept Rationale
Eye shields protect retinas from photochemical damage; genitalia are covered, and frequent breastfeeding is promoted to prevent dehydration and accelerate bilirubin excretion.
Q. 4
Nursing
Difficulty: Easy
(1 Mark)
At what age should exclusive breastfeeding ideally be supplemented with timely, nutritionally adequate complementary feeding (weaning)?
💡
Step-by-Step Explanation & Concept Rationale
WHO and UNICEF recommend exclusive breastfeeding for the first 6 months of life, followed by introduction of safe and nutritionally adequate complementary foods while continuing breastfeeding up to 2 years.
Q. 5
Nursing
Difficulty: Medium
(1 Mark)
In a post-term pregnant patient receiving oxytocin (Pitocin) infusion for labor augmentation, what pattern of uterine contractions signifies hyperstimulation requiring immediate stoppage of oxytocin?
💡
Step-by-Step Explanation & Concept Rationale
Uterine tachysystole (>5 contractions in 10 minutes or duration >90 seconds) compromises uteroplacental perfusion, causing fetal hypoxia; oxytocin must be discontinued immediately.
Q. 6
Nursing
Difficulty: Easy
(1 Mark)
Which reflex is elicited in a newborn by touching or stroking the cheek, causing the baby to turn the head toward the stimulus and open the mouth?
💡
Step-by-Step Explanation & Concept Rationale
The rooting reflex assists in breastfeeding; stroking the perioral area prompts the infant to turn toward the touch in search of the nipple.
Q. 7
Nursing
Difficulty: Easy
(1 Mark)
The dark, sticky, greenish-black stool passed by a newborn within the first 24 to 48 hours of life is called:
💡
Step-by-Step Explanation & Concept Rationale
Meconium is the earliest stool of an infant, composed of amniotic fluid, epithelial cells, mucus, and bile; failure to pass it within 48 hours warrants evaluation for obstruction or Hirschsprung disease.
Q. 8
Nursing
Difficulty: Hard
(1 Mark)
During labor, sudden fetal bradycardia occurs following amniotomy, and a pulsating loop of umbilical cord is felt protruding into the vagina. What is the immediate nursing priority?
💡
Step-by-Step Explanation & Concept Rationale
Umbilical cord prolapse is an obstetric emergency; manual elevation of the fetal presenting part relieves compression on the cord vessels to prevent fetal asphyxia until emergent delivery.
Q. 9
Nursing
Difficulty: Easy
(1 Mark)
Which vaccine should be administered to an Rh-negative unsensitized mother within 72 hours of delivering an Rh-positive infant to prevent hemolytic disease of the newborn in future pregnancies?
💡
Step-by-Step Explanation & Concept Rationale
Anti-D immunoglobulin binds and clears fetal Rh-positive erythrocytes before maternal B-cells can undergo sensitization and form anti-D antibodies.
Q. 10
Nursing
Difficulty: Medium
(1 Mark)
In a post-operative pediatric ward, which developmental behavior is typically demonstrated by a normal 12-month-old infant?
💡
Step-by-Step Explanation & Concept Rationale
By 12 months, typical motor and language milestones include pulling to stand, cruising, using a neat pincer grasp, and saying 1-2 specific words with intent.
Q. 11
Nursing
Difficulty: Easy
(1 Mark)
Lochia rubra, the initial vaginal discharge following delivery, is characterized by:
💡
Step-by-Step Explanation & Concept Rationale
Normal lochial progression is Lochia rubra (days 1-4, red), Lochia serosa (days 4-10, pink-brown), and Lochia alba (days 10-28, yellowish-white).
Q. 12
Nursing
Difficulty: Easy
(1 Mark)
In an infant with severe dehydration from acute gastroenteritis, which clinical signs would the nurse anticipate?
💡
Step-by-Step Explanation & Concept Rationale
Severe pediatric dehydration produces depressed fontanelles, sunken eyes, dry mouth, skin tenting (>2 seconds), and sluggish capillary refill.
Q. 13
Nursing
Difficulty: Easy
(1 Mark)
What is the primary danger of administering aspirin to a child recovering from a viral illness like influenza or chickenpox?
💡
Step-by-Step Explanation & Concept Rationale
Aspirin in children with viral infections is linked to Reye's syndrome, a life-threatening disorder characterized by fatty liver failure and cerebral edema.
Q. 14
Nursing
Difficulty: Easy
(1 Mark)
The recommended site for intramuscular immunizations (e.g., Pentavalent, PCV) in infants under 12 months of age is the:
💡
Step-by-Step Explanation & Concept Rationale
The vastus lateralis is the largest, best-developed muscle mass in infants and avoids the risk of sciatic nerve damage associated with gluteal sites.
Q. 15
Nursing
Difficulty: Medium
(1 Mark)
Which maneuver is performed by placing the mother's thighs in extreme flexion against her abdomen to resolve shoulder dystocia during delivery?
💡
Step-by-Step Explanation & Concept Rationale
McRoberts maneuver flattens the sacral promontory and cephalad rotation of the pubic symphysis, easing the impacted anterior fetal shoulder.
Q. 16
Nursing
Difficulty: Easy
(1 Mark)
Which of the following is the most common and earliest warning sign of ectopic pregnancy in a woman of childbearing age?
💡
Step-by-Step Explanation & Concept Rationale
The classic clinical triad of ectopic pregnancy is missed menstrual period (amenorrhea), unilateral pelvic/abdominal pain, and vaginal bleeding.
Q. 17
Nursing
Difficulty: Easy
(1 Mark)
In a child with asthma, how should the nurse instruct the parent to use a metered-dose inhaler (MDI) with a spacer?
💡
Step-by-Step Explanation & Concept Rationale
A spacer maximizes drug delivery to small airways; the patient exhales, actuates one puff into the chamber, inhales slowly over 3-5 seconds, and holds breath for 10 seconds.
Q. 18
Nursing
Difficulty: Easy
(1 Mark)
What is the recommended first-line nursing intervention to arrest primary postpartum hemorrhage due to uterine atony?
💡
Step-by-Step Explanation & Concept Rationale
Vigorous fundal massage stimulates the atonic myometrium to contract and clamp down on severed placental site vessels.
Q. 19
Nursing
Difficulty: Easy
(1 Mark)
A 2-year-old child presents with barking cough, inspiratory stridor, and hoarseness that worsens at night. The nurse recognizes this as:
💡
Step-by-Step Explanation & Concept Rationale
Viral croup (most commonly parainfluenza) produces subglottic airway edema resulting in a characteristic 'seal-bark' cough and inspiratory stridor.
Q. 20
Nursing
Difficulty: Easy
(1 Mark)
Which fontanelle in an infant is diamond-shaped and normally closes between 12 to 18 months of age?
💡
Step-by-Step Explanation & Concept Rationale
The anterior fontanelle is diamond-shaped and closes around 12-18 months; the triangular posterior fontanelle closes early, between 6-8 weeks after birth.
Q. 21
Nursing
Difficulty: Medium
(1 Mark)
Clinical Scenario 3: In managing a specialized nursing procedure for Maternal & Pediatric Nursing (Midwifery), which clinical standard ensures optimal patient safety and outcome?
💡
Step-by-Step Explanation & Concept Rationale
Adherence to institutional aseptic guidelines, rigorous monitoring of patient physiological responses, and precise charting constitute the gold standard of professional nursing accountability.
Q. 22
Nursing
Difficulty: Medium
(1 Mark)
Clinical Scenario 7: In managing a specialized nursing procedure for Maternal & Pediatric Nursing (Midwifery), which clinical standard ensures optimal patient safety and outcome?
💡
Step-by-Step Explanation & Concept Rationale
Adherence to institutional aseptic guidelines, rigorous monitoring of patient physiological responses, and precise charting constitute the gold standard of professional nursing accountability.
Q. 23
Nursing
Difficulty: Medium
(1 Mark)
Clinical Scenario 11: In managing a specialized nursing procedure for Maternal & Pediatric Nursing (Midwifery), which clinical standard ensures optimal patient safety and outcome?
💡
Step-by-Step Explanation & Concept Rationale
Adherence to institutional aseptic guidelines, rigorous monitoring of patient physiological responses, and precise charting constitute the gold standard of professional nursing accountability.
Q. 24
Nursing
Difficulty: Medium
(1 Mark)
Clinical Scenario 15: In managing a specialized nursing procedure for Maternal & Pediatric Nursing (Midwifery), which clinical standard ensures optimal patient safety and outcome?
💡
Step-by-Step Explanation & Concept Rationale
Adherence to institutional aseptic guidelines, rigorous monitoring of patient physiological responses, and precise charting constitute the gold standard of professional nursing accountability.
Q. 25
Nursing
Difficulty: Medium
(1 Mark)
Clinical Scenario 19: In managing a specialized nursing procedure for Maternal & Pediatric Nursing (Midwifery), which clinical standard ensures optimal patient safety and outcome?
💡
Step-by-Step Explanation & Concept Rationale
Adherence to institutional aseptic guidelines, rigorous monitoring of patient physiological responses, and precise charting constitute the gold standard of professional nursing accountability.
Study Stream Progress:
Showing 25 of 37 Questions (68%)
Jump to:
Ready to Test Your Retention & Speed?
Now that you have reviewed the study questions and rationales, test yourself in our interactive 1-by-1 practice engine or take the full official timed mock exam.