Maternity Nursing NCLEX Challenge Exam (Quiz #1: 75 Questions)
1. A postpartum patient was in labor for 30 hours and had A. Endometritis
ruptured membranes for 24 hours. For which of the
following would the nurse be alert?
A. Endometritis
B. Endometriosis
C. Salpingitis
D. Pelvic thrombophlebitis
2. A client at 36 weeks gestation is scheduled for a rou- tine B. The ultrasound identi- fies
ultrasound prior to amniocentesis. After teaching the client blood flow through the
about the purpose of the ultrasound, which of the following umbilical cord.
client statements would indicate to the nurse in charge that
the client needs further instruc- tion?
A. The ultrasound will help to locate the placenta.
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.
3. While the postpartum client is receiving heparin for
B. Protamine sulfate
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)
4.
, Maternity Nursing NCLEX Challenge Exam (Quiz #1: 75 Questions)
When caring for a 3-day-old neonate who is receiving D. Check the vital signs every 2
phototherapy to treat jaundice, the nurse in charge would to 4 hours.
expect to do which of the following?
A. Turn the neonate every 6 hours
B. Encourage the mother to discontinue breastfeed- ing.
C. Notify the physician if the skin becomes bronze in color.
D. Check the vital signs every 2 to 4 hours.
5. 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 D. Perineum
type of anesthesia to the client, which of the fol- lowing
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
6. The nurse is caring for a primigravida at about
2 months and 1-week gestation. After explaining
self-care measures for common discomforts of preg- nancy,
A. "Nausea and vomiting can
the nurse determines that the client under- stands the
be decreased if I eat a few
instructions when she says:
crackers before ris- ing."
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
, Maternity Nursing NCLEX Challenge Exam (Quiz #1: 75 Questions)
nipples with soap and water."
C. "If I have a vaginal discharge, I should wear nylon
underwear."
D. "Leg cramps can be alleviated if I put an ice pack on the
area."
C. Taking hold
7. 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
A. Activity limited to bed rest.
8. 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 pre- via is which of the
following?
A. Activity limited to bed rest.
B. Platelet infusion.
C. Immediate cesarean delivery.
D. Labor induction with oxytocin. C. Breastfeeding the
9. The nurse plans to instruct the postpartum client
about methods to prevent breast engorgement. Which neonate at frequent inter-
of the following measures would the nurse include in the vals.
teaching plan?
A. Feeding the neonate a maximum of 5 minutes per
1. A postpartum patient was in labor for 30 hours and had A. Endometritis
ruptured membranes for 24 hours. For which of the
following would the nurse be alert?
A. Endometritis
B. Endometriosis
C. Salpingitis
D. Pelvic thrombophlebitis
2. A client at 36 weeks gestation is scheduled for a rou- tine B. The ultrasound identi- fies
ultrasound prior to amniocentesis. After teaching the client blood flow through the
about the purpose of the ultrasound, which of the following umbilical cord.
client statements would indicate to the nurse in charge that
the client needs further instruc- tion?
A. The ultrasound will help to locate the placenta.
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.
3. While the postpartum client is receiving heparin for
B. Protamine sulfate
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)
4.
, Maternity Nursing NCLEX Challenge Exam (Quiz #1: 75 Questions)
When caring for a 3-day-old neonate who is receiving D. Check the vital signs every 2
phototherapy to treat jaundice, the nurse in charge would to 4 hours.
expect to do which of the following?
A. Turn the neonate every 6 hours
B. Encourage the mother to discontinue breastfeed- ing.
C. Notify the physician if the skin becomes bronze in color.
D. Check the vital signs every 2 to 4 hours.
5. 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 D. Perineum
type of anesthesia to the client, which of the fol- lowing
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
6. The nurse is caring for a primigravida at about
2 months and 1-week gestation. After explaining
self-care measures for common discomforts of preg- nancy,
A. "Nausea and vomiting can
the nurse determines that the client under- stands the
be decreased if I eat a few
instructions when she says:
crackers before ris- ing."
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
, Maternity Nursing NCLEX Challenge Exam (Quiz #1: 75 Questions)
nipples with soap and water."
C. "If I have a vaginal discharge, I should wear nylon
underwear."
D. "Leg cramps can be alleviated if I put an ice pack on the
area."
C. Taking hold
7. 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
A. Activity limited to bed rest.
8. 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 pre- via is which of the
following?
A. Activity limited to bed rest.
B. Platelet infusion.
C. Immediate cesarean delivery.
D. Labor induction with oxytocin. C. Breastfeeding the
9. The nurse plans to instruct the postpartum client
about methods to prevent breast engorgement. Which neonate at frequent inter-
of the following measures would the nurse include in the vals.
teaching plan?
A. Feeding the neonate a maximum of 5 minutes per
