1
Maternal/Newborn Test 2 NCLEX
Questions
R
A charge nurse is discussing the potential causes of variable decelerations with a
E
newly licensed nurse.
H
Which of the following should she include in the teaching? (Select all that apply.)
G
A. Short umbilical cord
I
B. Polyhydramnios
C. Umbilical cord compression
H
D. Uteroplacental insufficiency
G
E. Nuchal cord - ANS A, C, E
IN
A client at a 6-week postpartum checkup comes in and says, "I'm so sad. I hate
taking care of the baby. I am just a terrible mother and I wish it would go away."
Y
The LPN's first priority should be to perform:
L
A. an assessment for spiritual support
F
B. a review of her routine blood work that was drawn
C. a risk assessment for harm
D. a support system assessment - ANS C. a risk assessment for harm
A client is in the transition phase of labor irritably tells the nurse not to touch her.
The nurses best action would be to:
, 2
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 - ANS C. Remind the
R
client to focus on relaxation and breathing
HE
A client is scheduled for discharge 3 days post-cesarean delivery. The LPN enters
to find her crying and with no obvious evidence of a physical problem. The nurse
G
should:
I
A. say, "Can I call your minister for you?"
H
B. say, "You seem upset. Would you like to talk about it?"
G
C. say, "This is just postpartum blues and they will go away in a few days"
D. leave her alone and let her collect her emotions - ANS B. say, "You seem
N
upset. Would you like to talk about it?"
YI
A client reports that her contractions started about 1 hr ago and decreased after
L
drinking two glasses of water and walking. She reports that contractions occur
F
every 10 to 15 min and that she hasn't had any fluid leaking or vaginal bleeding.
The nurse should recognize that the client is experiencing which of the
following?
A. Braxton Hicks contractions
B. Rupture of membranes
C. Fetal descent
, 3
D. True contractions - ANS A. Braxton Hicks contractions
A client who is breastfeeding has mastitis. Which of the following should the
nurse reinforce to the client?
R
A. Use a breast pump until the condition subsides, and stop breastfeeding.
E
B. Nurse the infant only on the unaffected breast until resolved.
H
C. Completely empty each breast at each feeding.
D. Wear a breast binder until lactation has ceased. - ANS C. Completely
G
empty each breast at each feeding.
HI
A newly licensed nurse is reviewing a fetal monitor tracing of a client in active
G
labor with the charge nurse. Which of the following should the nurse recognize as
being associated with fetal hypoxia? (Select all that apply.)
N
A. Fetal bradycardia
I
B. Fetal tachycardia
Y
C. Absence of FHR variability
L
D. Early decelerations
F
E. Variable decelerations - ANS ABCE
A nurse in a provider's office is caring for a client who is breastfeeding and is 4
days postpartum. The client reports breast engorgement. Which of the following
recommendations should the nurse make?
A. Apply cold cabbage leaves between feedings.
, 4
B. Place warm compresses right after feedings.
C. Apply breast milk to the nipples and allow them to air dry.
D. Use the various newborn positions for feedings. - ANS A. Apply cold
cabbage leaves between feedings.
ER
A nurse is assisting with the care of a client being induced for labor who is being
H
monitored by an external electronic fetal monitor. The nurse notes that the FHR
variability is decreased and resembles a straight line. The client has not received
G
any pain medication. Which of the following should occur first before the nurse
I
can apply an internal scalp electrode?
H
A. Dilation
G
B. Rupture of membranes
C. Effacement
N
D. Engagement - ANS B. Rupture of membranes
YI
A nurse is assisting with the care of a client in active labor. Which of the following
L
will Leopold maneuvers assist the nurse in determining? (Select all that apply.)
F
A. Presenting part
B. Fetal attitude
C. Fetal lie
D. Position of the cervix
E. Degree of fetal descent into the pelvis - ANS A, B, C, E
Maternal/Newborn Test 2 NCLEX
Questions
R
A charge nurse is discussing the potential causes of variable decelerations with a
E
newly licensed nurse.
H
Which of the following should she include in the teaching? (Select all that apply.)
G
A. Short umbilical cord
I
B. Polyhydramnios
C. Umbilical cord compression
H
D. Uteroplacental insufficiency
G
E. Nuchal cord - ANS A, C, E
IN
A client at a 6-week postpartum checkup comes in and says, "I'm so sad. I hate
taking care of the baby. I am just a terrible mother and I wish it would go away."
Y
The LPN's first priority should be to perform:
L
A. an assessment for spiritual support
F
B. a review of her routine blood work that was drawn
C. a risk assessment for harm
D. a support system assessment - ANS C. a risk assessment for harm
A client is in the transition phase of labor irritably tells the nurse not to touch her.
The nurses best action would be to:
, 2
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 - ANS C. Remind the
R
client to focus on relaxation and breathing
HE
A client is scheduled for discharge 3 days post-cesarean delivery. The LPN enters
to find her crying and with no obvious evidence of a physical problem. The nurse
G
should:
I
A. say, "Can I call your minister for you?"
H
B. say, "You seem upset. Would you like to talk about it?"
G
C. say, "This is just postpartum blues and they will go away in a few days"
D. leave her alone and let her collect her emotions - ANS B. say, "You seem
N
upset. Would you like to talk about it?"
YI
A client reports that her contractions started about 1 hr ago and decreased after
L
drinking two glasses of water and walking. She reports that contractions occur
F
every 10 to 15 min and that she hasn't had any fluid leaking or vaginal bleeding.
The nurse should recognize that the client is experiencing which of the
following?
A. Braxton Hicks contractions
B. Rupture of membranes
C. Fetal descent
, 3
D. True contractions - ANS A. Braxton Hicks contractions
A client who is breastfeeding has mastitis. Which of the following should the
nurse reinforce to the client?
R
A. Use a breast pump until the condition subsides, and stop breastfeeding.
E
B. Nurse the infant only on the unaffected breast until resolved.
H
C. Completely empty each breast at each feeding.
D. Wear a breast binder until lactation has ceased. - ANS C. Completely
G
empty each breast at each feeding.
HI
A newly licensed nurse is reviewing a fetal monitor tracing of a client in active
G
labor with the charge nurse. Which of the following should the nurse recognize as
being associated with fetal hypoxia? (Select all that apply.)
N
A. Fetal bradycardia
I
B. Fetal tachycardia
Y
C. Absence of FHR variability
L
D. Early decelerations
F
E. Variable decelerations - ANS ABCE
A nurse in a provider's office is caring for a client who is breastfeeding and is 4
days postpartum. The client reports breast engorgement. Which of the following
recommendations should the nurse make?
A. Apply cold cabbage leaves between feedings.
, 4
B. Place warm compresses right after feedings.
C. Apply breast milk to the nipples and allow them to air dry.
D. Use the various newborn positions for feedings. - ANS A. Apply cold
cabbage leaves between feedings.
ER
A nurse is assisting with the care of a client being induced for labor who is being
H
monitored by an external electronic fetal monitor. The nurse notes that the FHR
variability is decreased and resembles a straight line. The client has not received
G
any pain medication. Which of the following should occur first before the nurse
I
can apply an internal scalp electrode?
H
A. Dilation
G
B. Rupture of membranes
C. Effacement
N
D. Engagement - ANS B. Rupture of membranes
YI
A nurse is assisting with the care of a client in active labor. Which of the following
L
will Leopold maneuvers assist the nurse in determining? (Select all that apply.)
F
A. Presenting part
B. Fetal attitude
C. Fetal lie
D. Position of the cervix
E. Degree of fetal descent into the pelvis - ANS A, B, C, E
