MATERNAL/NEWBORN TEST 2 NCLEX REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
1. Based on the hormonal theory of labor, the nurse
anticipates a rise in which of the following to begin a
chain of hormonal events that cause labor?
A. Cortisol
B. Oxytocin
C. Progesterone
D. Estrogen - CORRECT ANSWER -A. Cortisol
2. The nurse would recognize that the client has
experienced lightening when the pregnant woman
reports:
A. "I can breath much better"
B. "My ankles are less swollen"
C. "I don't have to urinate as often now"
D. "My lower back pain has been relieved" - CORRECT ANSWER -
A. "I can breath much better"
,3. Fetus has descended into pelvis, relieving pressure on
diaphragm
4. The primary nurse performs a vaginal examination
and finds a prolapsed cord. The nurses priority action
will be to:
A. Give medication to hasten a vaginal delivery
B. Keep the client in a back-lying position
C. Make arrangements for an emergency cesarean
section
D. Get the cord back to its original location - CORRECT ANSWER -
C. Make arrangements for an emergency
cesarean section
5. Position client to take pressure off cord while awaiting
surgery
6. When the fetus is found to be in a vertex presentation,
the nurse anticipates the presenting fetal part will be
the:
A. Forehead
B. Face
C. Buttocks
, D. Occiput - CORRECT ANSWER -D. Occiput
7. A nurse is caring for a client in labor who complains of
feeling faint. The nurse turns the client onto her side
in order to have what effect on contractions?
A. Little or no effect
B. Increase the frequency
C. Increase the intensity
D. Stop the contractions - CORRECT ANSWER -C. Increase the
intensity
Also less frequent
8. The nurse recognizes that the client is in latent phase
of the first stage of Labor. This phase is best described
as lasting from:
A. Undilated cervix to a 2cm dilation
B. Onset of contractions to 4cm
C. Cervix is dilated 4cm to dilation of 8cm
D. No contraction to contractions every 3 minutes -
CORRECT ANSWER -B. Onset of contractions to 4cm
, 9. The nurse, working on a labor and delivery unit,
anticipates active labor for a primagravida will last
how long?
A. 16-18h
B. 12-14h
C. 8-10h
D. 4-6h - CORRECT ANSWER -D. 4-6h
10. A client is in the transition phase of labor irritably
tells the nurse not to touch her. The nurses best action
would be to:
A. Ask for someone else to support the client
B. Tell the client to be cooperative and do as you
say
C. Remind the client to focus on relaxation and
breathing
D. Ask the client to push actively with each
contraction - CORRECT ANSWER -C. Remind the client to focus
on relaxation and breathing
11. The student nurse asks the primary nurse to
explain what the obstetrician meant when telling the
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
1. Based on the hormonal theory of labor, the nurse
anticipates a rise in which of the following to begin a
chain of hormonal events that cause labor?
A. Cortisol
B. Oxytocin
C. Progesterone
D. Estrogen - CORRECT ANSWER -A. Cortisol
2. The nurse would recognize that the client has
experienced lightening when the pregnant woman
reports:
A. "I can breath much better"
B. "My ankles are less swollen"
C. "I don't have to urinate as often now"
D. "My lower back pain has been relieved" - CORRECT ANSWER -
A. "I can breath much better"
,3. Fetus has descended into pelvis, relieving pressure on
diaphragm
4. The primary nurse performs a vaginal examination
and finds a prolapsed cord. The nurses priority action
will be to:
A. Give medication to hasten a vaginal delivery
B. Keep the client in a back-lying position
C. Make arrangements for an emergency cesarean
section
D. Get the cord back to its original location - CORRECT ANSWER -
C. Make arrangements for an emergency
cesarean section
5. Position client to take pressure off cord while awaiting
surgery
6. When the fetus is found to be in a vertex presentation,
the nurse anticipates the presenting fetal part will be
the:
A. Forehead
B. Face
C. Buttocks
, D. Occiput - CORRECT ANSWER -D. Occiput
7. A nurse is caring for a client in labor who complains of
feeling faint. The nurse turns the client onto her side
in order to have what effect on contractions?
A. Little or no effect
B. Increase the frequency
C. Increase the intensity
D. Stop the contractions - CORRECT ANSWER -C. Increase the
intensity
Also less frequent
8. The nurse recognizes that the client is in latent phase
of the first stage of Labor. This phase is best described
as lasting from:
A. Undilated cervix to a 2cm dilation
B. Onset of contractions to 4cm
C. Cervix is dilated 4cm to dilation of 8cm
D. No contraction to contractions every 3 minutes -
CORRECT ANSWER -B. Onset of contractions to 4cm
, 9. The nurse, working on a labor and delivery unit,
anticipates active labor for a primagravida will last
how long?
A. 16-18h
B. 12-14h
C. 8-10h
D. 4-6h - CORRECT ANSWER -D. 4-6h
10. A client is in the transition phase of labor irritably
tells the nurse not to touch her. The nurses best action
would be to:
A. Ask for someone else to support the client
B. Tell the client to be cooperative and do as you
say
C. Remind the client to focus on relaxation and
breathing
D. Ask the client to push actively with each
contraction - CORRECT ANSWER -C. Remind the client to focus
on relaxation and breathing
11. The student nurse asks the primary nurse to
explain what the obstetrician meant when telling the
