Maternity Nursing NCLEX
A client arrives at a birthing center in active labor. Her membranes are still intact, and the
health care provider prepares to perform an amniotomy. What will the nurse relay to the
client as the most likely outcome of the amniotomy? - ANS-Increased efficiency of
contractions
\A client arrives at the clinic for the first prenatal assessment. She tells the nurse that the first
day of her last menstrual period was October 19, 2014. Using Nägele's rule, which expected
date of delivery should the nurse document in the client's chart?
1. July 12, 2014
2. July 26, 2015
3. August 12, 2015
4. August 26, 2015 - ANS-2. July 26, 2015
\A client in a postpartum unit complains of sudden sharp chest pain and dyspnea. The nurse
notes that the client is tachycardic and the respiratory rate is elevated. The nurse suspects a
pulmonary embolism. Which should be the initial nursing action? - ANS-Administer oxygen,
8 to 10 L/minute, by face mask.
\A client in labor is transported to the delivery room and prepared for a cesarean delivery.
After the client is transferred to the delivery room table, the nurse should place the client in
which position? - ANS-Supine position with a wedge under the right hip
\A client in the first trimester of pregnancy arrives at a health care clinic and reports that she
has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse
instructs the client regarding management of care. Which statement made by the client
indicates a need for further instruction? - ANS-"I will maintain strict bed rest throughout the
remainder of the pregnancy."
\A couple comes to the family planning clinic and asks about sterilization procedures. Which
question by the nurse would determine whether this method of family planning would be
most appropriate?
1. "Has either of you ever had surgery?"
2. "Do you plan to have any other children?"
3. "Do either of you have diabetes mellitus?"
4. "Do either of you have problems with high blood pressure?" - ANS-2. "Do you plan to
have any other children?"
\A health care provider has prescribed transvaginal ultrasonography for a client in the first
trimester of pregnancy and the client asks the nurse about the procedure. How should the
nurse respond to the client? - ANS-"The probe that will be inserted into the vagina will be
covered with a disposable cover and coated with a gel."
\A nonstress test is performed on a client who is pregnant, and the results of the test indicate
nonreactive findings. The health care provider prescribes a contraction stress test, and the
, results are documented as negative. How should the nurse document this finding? - ANS-A
normal test result
\A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum
period. After locating the fundus, the nurse notes that the uterus feels soft and boggy. Which
nursing intervention would be most appropriate? - ANS-Massage the fundus until it is firm
\A nursing student is assigned to care for a client in labor. The nursing instructor asks the
student to describe fetal circulation, specifically the ductus venosus. Which statement is
correct regarding the ductus venosus?
1. Connects the pulmonary artery to the aorta
2. Is an opening between the right and left atria
3. Connects the umbilical vein to the inferior vena cava
4. Connects the umbilical artery to the inferior vena cava - ANS-3. Connects the umbilical
vein to the inferior vena cava
\A postpartum client is diagnosed with cystitis. The nurse should plan for which priority
nursing action in the care of the client? - ANS-Encouraging fluid intake
\A pregnant client asks the nurse about the types of exercises that are allowable during
pregnancy. The nurse should tell that client that which exercise is safest? - ANS-Swimming
\A pregnant client asks the nurse in the clinic when she will be able to begin to feel the fetus
move. The nurse responds by telling the mother that fetal movements will be noted between
which weeks of gestation? - ANS-14 and 18
\A pregnant client calls a clinic and tells the nurse that she is experiencing leg cramps that
awaken her at night. What should the nurse tell the client to provide relief from the leg
cramps? - ANS-"Bend your foot toward your body while extending the knee when the
cramps occur."
\A pregnant client in the first trimester calls the nurse at a health care clinic and reports that
she has noticed a thin, colorless vaginal drainage. The nurse should make which statement
to the client? - ANS-"The vaginal discharge may be bothersome, but is a normal
occurrence."
\A pregnant client is seen for a regular prenatal visit and tells the nurse that she is
experiencing irregular contractions. The nurse determines that she is experiencing Braxton
Hicks contractions. On the basis of this finding, which nursing action is most appropriate?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout the
pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a prelabor
condition. - ANS-3. Inform the client that these contractions are common and may occur
throughout the pregnancy.
\A pregnant client reports to a health care clinic, complaining of loss of appetite, weight loss,
and fatigue. After assessment of the client, tuberculosis is suspected. A sputum culture is
obtained and identifies Mycobacterium tuberculosis. Which instruction should the nurse
include in the client's teaching plan? - ANS-Isoniazid plus rifampin (Rifadin) will be required
for 9 months.
A client arrives at a birthing center in active labor. Her membranes are still intact, and the
health care provider prepares to perform an amniotomy. What will the nurse relay to the
client as the most likely outcome of the amniotomy? - ANS-Increased efficiency of
contractions
\A client arrives at the clinic for the first prenatal assessment. She tells the nurse that the first
day of her last menstrual period was October 19, 2014. Using Nägele's rule, which expected
date of delivery should the nurse document in the client's chart?
1. July 12, 2014
2. July 26, 2015
3. August 12, 2015
4. August 26, 2015 - ANS-2. July 26, 2015
\A client in a postpartum unit complains of sudden sharp chest pain and dyspnea. The nurse
notes that the client is tachycardic and the respiratory rate is elevated. The nurse suspects a
pulmonary embolism. Which should be the initial nursing action? - ANS-Administer oxygen,
8 to 10 L/minute, by face mask.
\A client in labor is transported to the delivery room and prepared for a cesarean delivery.
After the client is transferred to the delivery room table, the nurse should place the client in
which position? - ANS-Supine position with a wedge under the right hip
\A client in the first trimester of pregnancy arrives at a health care clinic and reports that she
has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse
instructs the client regarding management of care. Which statement made by the client
indicates a need for further instruction? - ANS-"I will maintain strict bed rest throughout the
remainder of the pregnancy."
\A couple comes to the family planning clinic and asks about sterilization procedures. Which
question by the nurse would determine whether this method of family planning would be
most appropriate?
1. "Has either of you ever had surgery?"
2. "Do you plan to have any other children?"
3. "Do either of you have diabetes mellitus?"
4. "Do either of you have problems with high blood pressure?" - ANS-2. "Do you plan to
have any other children?"
\A health care provider has prescribed transvaginal ultrasonography for a client in the first
trimester of pregnancy and the client asks the nurse about the procedure. How should the
nurse respond to the client? - ANS-"The probe that will be inserted into the vagina will be
covered with a disposable cover and coated with a gel."
\A nonstress test is performed on a client who is pregnant, and the results of the test indicate
nonreactive findings. The health care provider prescribes a contraction stress test, and the
, results are documented as negative. How should the nurse document this finding? - ANS-A
normal test result
\A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum
period. After locating the fundus, the nurse notes that the uterus feels soft and boggy. Which
nursing intervention would be most appropriate? - ANS-Massage the fundus until it is firm
\A nursing student is assigned to care for a client in labor. The nursing instructor asks the
student to describe fetal circulation, specifically the ductus venosus. Which statement is
correct regarding the ductus venosus?
1. Connects the pulmonary artery to the aorta
2. Is an opening between the right and left atria
3. Connects the umbilical vein to the inferior vena cava
4. Connects the umbilical artery to the inferior vena cava - ANS-3. Connects the umbilical
vein to the inferior vena cava
\A postpartum client is diagnosed with cystitis. The nurse should plan for which priority
nursing action in the care of the client? - ANS-Encouraging fluid intake
\A pregnant client asks the nurse about the types of exercises that are allowable during
pregnancy. The nurse should tell that client that which exercise is safest? - ANS-Swimming
\A pregnant client asks the nurse in the clinic when she will be able to begin to feel the fetus
move. The nurse responds by telling the mother that fetal movements will be noted between
which weeks of gestation? - ANS-14 and 18
\A pregnant client calls a clinic and tells the nurse that she is experiencing leg cramps that
awaken her at night. What should the nurse tell the client to provide relief from the leg
cramps? - ANS-"Bend your foot toward your body while extending the knee when the
cramps occur."
\A pregnant client in the first trimester calls the nurse at a health care clinic and reports that
she has noticed a thin, colorless vaginal drainage. The nurse should make which statement
to the client? - ANS-"The vaginal discharge may be bothersome, but is a normal
occurrence."
\A pregnant client is seen for a regular prenatal visit and tells the nurse that she is
experiencing irregular contractions. The nurse determines that she is experiencing Braxton
Hicks contractions. On the basis of this finding, which nursing action is most appropriate?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout the
pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a prelabor
condition. - ANS-3. Inform the client that these contractions are common and may occur
throughout the pregnancy.
\A pregnant client reports to a health care clinic, complaining of loss of appetite, weight loss,
and fatigue. After assessment of the client, tuberculosis is suspected. A sputum culture is
obtained and identifies Mycobacterium tuberculosis. Which instruction should the nurse
include in the client's teaching plan? - ANS-Isoniazid plus rifampin (Rifadin) will be required
for 9 months.
