MATERNITY NURSING NCLEX CHALLENGE EXAM
QUESTIONS WITH CORRECT ANSWERS LATEST
EXAM UPDATE
A primigravida in active labor is about 9 days post-term. The client desires a
bilateral pudendal block anesthesia before delivery. After the nurse explains this
type of anesthesia to the client, which of the following locations identified by
the client as the area of relief would indicate to the nurse that the teaching was
effective?
A. Back
B. Abdomen
C. Fundus
D. Perineum --ANSWER--D. Perineum
The nurse is caring for a primigravida at about 2 months and 1-week gestation.
After explaining self-care measures for common discomforts of pregnancy, the
nurse determines that the client understands the instructions when she says:
A. "Nausea and vomiting can be decreased if I eat a few crackers before rising."
B. "If I start to leak colostrum, I should cleanse my nipples with soap and
water."
C. "If I have a vaginal discharge, I should wear nylon underwear."
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,D. "Leg cramps can be alleviated if I put an ice pack on the area." --ANSWER--
A. "Nausea and vomiting can be decreased if I eat a few crackers before rising."
Forty-eight hours after delivery, the nurse in charge plans discharge teaching for
the client about infant care. By this time, the nurse expects that the phase of
postpartum psychological adaptation that the client would be in would be
termed which of the following?
A. Taking in
B. Letting go
C. Taking hold
D. Resolution --ANSWER--C. Taking hold
A pregnant client is diagnosed with partial placenta previa. In explaining the
diagnosis, the nurse tells the client that the usual treatment for partial placenta
previa is which of the following?
A. Activity limited to bed rest.
B. Platelet infusion.
C. Immediate cesarean delivery.
D. Labor induction with oxytocin. --ANSWER--A. Activity limited to bed rest.
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,The nurse plans to instruct the postpartum client about methods to prevent
breast engorgement. Which of the following measures would the nurse include
in the teaching plan?
A. Feeding the neonate a maximum of 5 minutes per side on the first day.
B. Wearing a supportive brassiere with nipple shields.
C. Breastfeeding the neonate at frequent intervals.
D. Decreasing fluid intake for the first 24 to 48 hours. --ANSWER--C.
Breastfeeding the neonate at frequent intervals.
A postpartum patient was in labor for 30 hours and had ruptured membranes for
24 hours. For which of the following would the nurse be alert?
A. Endometritis
B. Endometriosis
C. Salpingitis
D. Pelvic thrombophlebitis --ANSWER--A. Endometritis
A client at 36 weeks gestation is scheduled for a routine ultrasound prior to
amniocentesis. After teaching the client about the purpose of the ultrasound,
which of the following client statements would indicate to the nurse in charge
that the client needs further instruction?
A. The ultrasound will help to locate the placenta.
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, B. The ultrasound identifies blood flow through the umbilical cord.
C. The test will determine where to insert the needle.
D. The ultrasound locates a pool of amniotic fluid. --ANSWER--B. The
ultrasound identifies blood flow through the umbilical cord.
While the postpartum client is receiving heparin for thrombophlebitis, which of
the following drugs would the nurse expect to administer if the client develops
complications related to heparin therapy?
A. Calcium gluconate
B. Protamine sulfate
C. Methylergonovine (Methergine)
D. Nitrofurantoin (Macrodantin) --ANSWER--B. Protamine sulfate
When caring for a 3-day-old neonate who is receiving phototherapy to treat
jaundice, the nurse in charge would expect to do which of the following?
A. Turn the neonate every 6 hours
B. Encourage the mother to discontinue breastfeeding.
C. Notify the physician if the skin becomes bronze in color.
D. Check the vital signs every 2 to 4 hours. --ANSWER--D. Check the vital
signs every 2 to 4 hours.
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QUESTIONS WITH CORRECT ANSWERS LATEST
EXAM UPDATE
A primigravida in active labor is about 9 days post-term. The client desires a
bilateral pudendal block anesthesia before delivery. After the nurse explains this
type of anesthesia to the client, which of the following locations identified by
the client as the area of relief would indicate to the nurse that the teaching was
effective?
A. Back
B. Abdomen
C. Fundus
D. Perineum --ANSWER--D. Perineum
The nurse is caring for a primigravida at about 2 months and 1-week gestation.
After explaining self-care measures for common discomforts of pregnancy, the
nurse determines that the client understands the instructions when she says:
A. "Nausea and vomiting can be decreased if I eat a few crackers before rising."
B. "If I start to leak colostrum, I should cleanse my nipples with soap and
water."
C. "If I have a vaginal discharge, I should wear nylon underwear."
Page 1 of 32
,D. "Leg cramps can be alleviated if I put an ice pack on the area." --ANSWER--
A. "Nausea and vomiting can be decreased if I eat a few crackers before rising."
Forty-eight hours after delivery, the nurse in charge plans discharge teaching for
the client about infant care. By this time, the nurse expects that the phase of
postpartum psychological adaptation that the client would be in would be
termed which of the following?
A. Taking in
B. Letting go
C. Taking hold
D. Resolution --ANSWER--C. Taking hold
A pregnant client is diagnosed with partial placenta previa. In explaining the
diagnosis, the nurse tells the client that the usual treatment for partial placenta
previa is which of the following?
A. Activity limited to bed rest.
B. Platelet infusion.
C. Immediate cesarean delivery.
D. Labor induction with oxytocin. --ANSWER--A. Activity limited to bed rest.
Page 2 of 32
,The nurse plans to instruct the postpartum client about methods to prevent
breast engorgement. Which of the following measures would the nurse include
in the teaching plan?
A. Feeding the neonate a maximum of 5 minutes per side on the first day.
B. Wearing a supportive brassiere with nipple shields.
C. Breastfeeding the neonate at frequent intervals.
D. Decreasing fluid intake for the first 24 to 48 hours. --ANSWER--C.
Breastfeeding the neonate at frequent intervals.
A postpartum patient was in labor for 30 hours and had ruptured membranes for
24 hours. For which of the following would the nurse be alert?
A. Endometritis
B. Endometriosis
C. Salpingitis
D. Pelvic thrombophlebitis --ANSWER--A. Endometritis
A client at 36 weeks gestation is scheduled for a routine ultrasound prior to
amniocentesis. After teaching the client about the purpose of the ultrasound,
which of the following client statements would indicate to the nurse in charge
that the client needs further instruction?
A. The ultrasound will help to locate the placenta.
Page 3 of 32
, B. The ultrasound identifies blood flow through the umbilical cord.
C. The test will determine where to insert the needle.
D. The ultrasound locates a pool of amniotic fluid. --ANSWER--B. The
ultrasound identifies blood flow through the umbilical cord.
While the postpartum client is receiving heparin for thrombophlebitis, which of
the following drugs would the nurse expect to administer if the client develops
complications related to heparin therapy?
A. Calcium gluconate
B. Protamine sulfate
C. Methylergonovine (Methergine)
D. Nitrofurantoin (Macrodantin) --ANSWER--B. Protamine sulfate
When caring for a 3-day-old neonate who is receiving phototherapy to treat
jaundice, the nurse in charge would expect to do which of the following?
A. Turn the neonate every 6 hours
B. Encourage the mother to discontinue breastfeeding.
C. Notify the physician if the skin becomes bronze in color.
D. Check the vital signs every 2 to 4 hours. --ANSWER--D. Check the vital
signs every 2 to 4 hours.
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