Maternity Nursing (OB Maternal &
Newborn) NCLEX Practice Quiz #1 |
75 Questions
1. Question
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?
o A. Endometritis
o B. Endometriosis
o C. Salpingitis
o D. Pelvic thrombophlebitis
Correct Answer: A. Endometritis
Endometritis is an infection of the uterine lining and can occur
after prolonged rupture of membranes. Symptoms include
swelling of the abdomen, abnormal vaginal bleeding or discharge,
fever, discomfort with bowel movement, and pain in the lower
abdomen or pelvic region.
Option B: Endometriosis does not occur after a strong
labor and prolonged rupture of membranes. It is a
painful disorder in which tissue similar to the tissue
that normally lines the inside of the uterus grows
outside of the uterus.
Option C: Salpingitis is a tubal infection and could
occur if endometritis is not treated. It is an
inflammation of the fallopian tubes caused by
bacterial infection.
Option D: Pelvic thrombophlebitis involves a clot
formation, but it is not a complication of prolonged
rupture of membranes. It is an extremely rare
condition that occurs after delivery when an infected
blood clot, or thrombus, causes inflammation in the
pelvic vein.
,2. 2. Question
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.
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.
Correct Answer: B. The ultrasound identifies blood flow through
the umbilical cord.
Before amniocentesis, a routine ultrasound is valuable in locating
the placenta, locating a pool of amniotic fluid, and showing the
physician where to insert the needle. Color Doppler imaging
ultrasonography identifies blood flow through the umbilical cord.
A routine ultrasound does not accomplish this.
Option A: As early as 10 weeks, the placenta can be
detected by an ultrasound. The normal placenta is
discoid with uniform echogenicity and rounded
margins. It is usually located along the anterior or
posterior uterine walls, extending into the lateral
walls.
Option C: Ultrasound is done before and during
amniocentesis to ensure that the needle can safely
pass through the walls of the abdomen and womb.
Option D: The sample of amniotic fluid is removed
through a fine needle inserted into the uterus through
the abdomen, under ultrasound guidance.
3. 3. Question
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)
Correct Answer: B. Protamine sulfate
Protamine sulfate is a heparin antagonist given intravenously to
counteract bleeding complications caused by heparin overdose.
Option A: Calcium gluconate is the calcium salt of
gluconic acid, an intravenous medication used to treat
conditions arising from calcium deficiencies such as
hypocalcemic tetany and hypocalcemia.
Option C: Methylergonovine is used to prevent or
treat bleeding from the uterus that can happen after
childbirth or an abortion.
Option D: Nitrofurantoin is used to treat urinary tract
infections. It is an antibiotic that works by killing
bacteria that cause infection.
4. 4. Question
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.
Correct Answer: D. Check the vital signs every 2 to 4
hours
While caring for an infant receiving phototherapy for treatment of
jaundice, vital signs are checked every 2 to 4 hours because
hyperthermia can occur due to the phototherapy lights.
, Option A: Only one study reported the significance
drop in serum bilirubin and shorter duration of
phototherapy in the supine group. Keeping the
jaundiced newborn in the supine position throughout
phototherapy is as effective as turning them
periodically based on appraised studies.
Option B: The baby may be breastfed without
interruption during phototherapy. Jaundice in
breastfed babies is not a reason to stop breastfeeding
as long as a baby is feeding well, gaining weight, and
otherwise growing.
Option C: Bronze baby syndrome is a rare
complication seen in neonates with hyperbilirubinemia
who are being treated with phototherapy. Affected
neonates develop gray-brown skin, serum, and urine
within a week of initiation of phototherapy.
5. 5. Question
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
Correct Answer: D. Perineum
A bilateral pudendal block is used for vaginal deliveries to relieve
pain primarily in the perineum and vagina. Pudendal block
anesthesia is adequate for episiotomy and its repair.
Option A: A spinal anesthetic is given into the middle
of the lower back and local anesthetic is injected
through the needle into the fluid that surrounds the
Newborn) NCLEX Practice Quiz #1 |
75 Questions
1. Question
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?
o A. Endometritis
o B. Endometriosis
o C. Salpingitis
o D. Pelvic thrombophlebitis
Correct Answer: A. Endometritis
Endometritis is an infection of the uterine lining and can occur
after prolonged rupture of membranes. Symptoms include
swelling of the abdomen, abnormal vaginal bleeding or discharge,
fever, discomfort with bowel movement, and pain in the lower
abdomen or pelvic region.
Option B: Endometriosis does not occur after a strong
labor and prolonged rupture of membranes. It is a
painful disorder in which tissue similar to the tissue
that normally lines the inside of the uterus grows
outside of the uterus.
Option C: Salpingitis is a tubal infection and could
occur if endometritis is not treated. It is an
inflammation of the fallopian tubes caused by
bacterial infection.
Option D: Pelvic thrombophlebitis involves a clot
formation, but it is not a complication of prolonged
rupture of membranes. It is an extremely rare
condition that occurs after delivery when an infected
blood clot, or thrombus, causes inflammation in the
pelvic vein.
,2. 2. Question
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.
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.
Correct Answer: B. The ultrasound identifies blood flow through
the umbilical cord.
Before amniocentesis, a routine ultrasound is valuable in locating
the placenta, locating a pool of amniotic fluid, and showing the
physician where to insert the needle. Color Doppler imaging
ultrasonography identifies blood flow through the umbilical cord.
A routine ultrasound does not accomplish this.
Option A: As early as 10 weeks, the placenta can be
detected by an ultrasound. The normal placenta is
discoid with uniform echogenicity and rounded
margins. It is usually located along the anterior or
posterior uterine walls, extending into the lateral
walls.
Option C: Ultrasound is done before and during
amniocentesis to ensure that the needle can safely
pass through the walls of the abdomen and womb.
Option D: The sample of amniotic fluid is removed
through a fine needle inserted into the uterus through
the abdomen, under ultrasound guidance.
3. 3. Question
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)
Correct Answer: B. Protamine sulfate
Protamine sulfate is a heparin antagonist given intravenously to
counteract bleeding complications caused by heparin overdose.
Option A: Calcium gluconate is the calcium salt of
gluconic acid, an intravenous medication used to treat
conditions arising from calcium deficiencies such as
hypocalcemic tetany and hypocalcemia.
Option C: Methylergonovine is used to prevent or
treat bleeding from the uterus that can happen after
childbirth or an abortion.
Option D: Nitrofurantoin is used to treat urinary tract
infections. It is an antibiotic that works by killing
bacteria that cause infection.
4. 4. Question
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.
Correct Answer: D. Check the vital signs every 2 to 4
hours
While caring for an infant receiving phototherapy for treatment of
jaundice, vital signs are checked every 2 to 4 hours because
hyperthermia can occur due to the phototherapy lights.
, Option A: Only one study reported the significance
drop in serum bilirubin and shorter duration of
phototherapy in the supine group. Keeping the
jaundiced newborn in the supine position throughout
phototherapy is as effective as turning them
periodically based on appraised studies.
Option B: The baby may be breastfed without
interruption during phototherapy. Jaundice in
breastfed babies is not a reason to stop breastfeeding
as long as a baby is feeding well, gaining weight, and
otherwise growing.
Option C: Bronze baby syndrome is a rare
complication seen in neonates with hyperbilirubinemia
who are being treated with phototherapy. Affected
neonates develop gray-brown skin, serum, and urine
within a week of initiation of phototherapy.
5. 5. Question
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
Correct Answer: D. Perineum
A bilateral pudendal block is used for vaginal deliveries to relieve
pain primarily in the perineum and vagina. Pudendal block
anesthesia is adequate for episiotomy and its repair.
Option A: A spinal anesthetic is given into the middle
of the lower back and local anesthetic is injected
through the needle into the fluid that surrounds the
