NCLEX RN maternal newborn EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

NCLEX EXAM zm




Exam Solution zm




NCLEX UWorld Maternal Newborn 2026 A+ GRADE ASS
zm zm zm zm zm zm zm




URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS
zm zm zm zm zm z




(5C337)
m




QUESTION 1 zm




Uterine Atony zm




ANSWER

-"boggy" uterus -may lead to excessive blood loss and clots -FIRM fundal massage -
zm zm zm zm zm zm zm zm zm zm zm zm zm



if fundal massage causes uterus to become firm nurse should check every 15 minutes for first hour
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



after birth -if fundal massage does not work oxytocin may be necessary
zm zm zm zm zm zm zm zm zm zm zm




QUESTION 2 zm




Lochia
ANSWER

1. birth to 3-4 days after birth: lochia rubra, dark or bright red blood with some small clots 2. 4-
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



14 days after birth: lochia serosa, pink brownish decreasing in amount 3. 11 days up to 6 weeks aft
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



er birth: lochia alba, white color/creamy in light quantity
zm zm zm zm zm zm zm zm




QUESTION 3 zm




Fetal Strip zm




ANSWER

-moderate variability expected and indicates movement -accelerations expected -
zm zm zm zm zm zm zm zm



early decelerations are expected -late decelerations are cause for concern
zm zm zm zm zm zm zm zm zm




QUESTION 4 zm




Late Decelerations
zm




ANSWER

, CAUSED BY UTEROPLACENTAL INSUFFICIENCY -oxygen -reposition on left side -IV fluid bolus -
zm zm zm zm zm zm zm zm zm zm zm zm



notify HCP and prepare to stop oxytocin
zm zm zm zm zm zm




QUESTION 5 zm




Presentations 1. cephalic 2. breech 3. prolapsed cord zm zm zm zm zm zm zm




ANSWER

1. head down, diamond shape palpated 2. legs down, fetal legs/buttocks/feet palpated 3. soft/rubber
zm zm zm zm zm zm zm zm zm zm zm zm zm



y/pulsating structure, requires emergent c-
zm zm zm zm



section and mother to be on hands and knees & use sterile/gloved hand to relieve pressure on cord
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm




QUESTION 6 zm




Spontaneous Rupture of Membranes zm zm zm




ANSWER

-sterile gloves -nitrazine pH test strip: positive for amniotic fluid if blue color present on strip
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm




QUESTION 7 zm




Stages of Labor zm zm




ANSWER

1. latent (1-5 cm dilation) or active (6-
zm zm zm zm zm zm zm



10 cm dilation), < 100% effaced 2. 10 cm (complete) dilation to birth, 100% effaced 3. birth of baby
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



and expulsion of placenta 4. 1-4 hours after birth, mother's physiologic readjustment
zm zm zm zm zm zm zm zm zm zm zm zm




QUESTION 8 zm




Systemic Analgesia for Labor Pain zm zm zm zm




ANSWER

-given in stage 1 active labor ONLY -do not give to opioid dependent women -
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



more than 3 doses not recommended d/t ceiling effect -
zm zm zm zm zm zm zm zm zm



ex. Stadol & Nubain *give at peak of contraction for best absorption
zm zm zm zm zm zm zm zm zm zm zm




QUESTION 9 zm




Stable Labor zm




ANSWER

-stable maternal vital signs -fetus HR 110-160 -well established labor contractions -
zm zm zm zm zm zm zm zm zm zm zm



satisfactory contraction/fetal strip zm zm