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SNLE Maternal & Newborn Nursing Practice Questions

What this topic covers

Antenatal care, labour stages, fetal monitoring, postpartum haemorrhage, pre-eclampsia and newborn assessment.

Free SNLE maternal & newborn nursing questions

1. Which type of lochia should the nurse expect on the fifth day after birth?
  1. Lochia rubra, bright red
  2. Lochia serosa, pinkish-brown
  3. Lochia alba, yellowish-white
  4. No lochia
Show answer and rationale

Answer: B. Lochia serosa, pinkish-brown

Lochia rubra lasts about 1–3 days, lochia serosa about days 4–10, and lochia alba from about day 10 for several weeks.

Reference: Maternal-newborn nursing – lochia

2. What is the compression-to-ventilation ratio used in neonatal resuscitation?
  1. 5:1
  2. 15:2
  3. 3:1
  4. 30:2
Show answer and rationale

Answer: C. 3:1

Newborn resuscitation uses 3 compressions to 1 ventilation (90 compressions and 30 breaths per minute), because most neonatal arrests are caused by respiratory failure.

Reference: AHA/AAP Neonatal Resuscitation 2020

3. Which finding about a postpartum patient's lochia should the nurse report?
  1. Red lochia on the second day
  2. A few clots smaller than a small coin
  3. A foul odour
  4. A brief increase in flow when she first stands up
Show answer and rationale

Answer: C. A foul odour

Normal lochia has a fleshy, musty smell; a foul odour suggests infection such as endometritis. Red lochia in the first days, pooling that flows on standing and a few small clots are normal.

Reference: Maternal-newborn nursing – lochia

4. The fetal heart rate tracing shows abrupt, V-shaped decelerations that vary in timing with contractions. What is the most likely cause?
  1. Umbilical cord compression
  2. Fetal head compression
  3. Uteroplacental insufficiency
  4. Maternal hypoglycaemia
Show answer and rationale

Answer: A. Umbilical cord compression

Variable decelerations are abrupt drops of varying shape and timing caused by compression of the umbilical cord. The first nursing response is usually to change the patient's position.

Reference: Maternal-newborn nursing – fetal heart rate patterns

5. A nurse is teaching a patient in the third trimester about danger signs. Which statement by the patient shows she knows when to seek care immediately?
  1. "I should come in if my baby is moving much less than usual."
  2. "I should come in if I get a mild backache in the evening."
  3. "I should come in if I feel occasional painless tightenings."
  4. "I should come in if I need to pass urine more often."
Show answer and rationale

Answer: A. "I should come in if my baby is moving much less than usual."

A reduction in fetal movements can signal fetal compromise and needs prompt assessment. Urinary frequency, irregular painless Braxton Hicks contractions and mild backache are normal in late pregnancy.

Reference: WHO antenatal care – danger signs in pregnancy

Questions are written with AI assistance. About 10% (150+) have been reviewed by a licensed nurse so far, and more are reviewed every month. Practice questions are for study only and may contain mistakes; verify with official study guides from your destination country. Report a question

Study tip

Know the warning signs of pre-eclampsia and postpartum haemorrhage; fundal massage is the first action for a boggy uterus.

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Maternal & Newborn questions for other Gulf exams

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