200 Maternal Newborn NCLEX
Questions 2025 | Verified Test Bank with
Answers (Guaranteed A+)
1. A pregnant client at 10 weeks gestation tells the nurse she is experiencing morning sickness.
Which suggestion by the nurse is most appropriate?
a. Eat three large meals a day to maintain energy.
b. Drink a glass of orange juice before getting out of bed.
c. Avoid eating any food until nausea subsides.
d. Eat dry crackers before rising in the morning.
ANS: D
Dry crackers help absorb gastric acid and reduce nausea. Eating a small amount before getting
out of bed is a commonly recommended intervention for morning sickness during the first
trimester. Large meals and acidic juices can exacerbate symptoms.
,DIF: Apply
TOP: Antepartum — First Trimester
MSC: NCLEX: Health Promotion and Maintenance
2. A nurse is assessing a newborn who is 2 hours old. Which finding should be reported to the
provider immediately?
a. Respiratory rate of 60 breaths/min
b. Presence of lanugo on shoulders
c. Nasal flaring and grunting
d. Positive Babinski reflex
ANS: C
Nasal flaring and grunting are signs of respiratory distress and should be reported immediately.
The other findings are normal for a newborn.
DIF: Analyze
TOP: Newborn Assessment
MSC: NCLEX: Physiological Integrity
3. The nurse is caring for a postpartum patient who had a vaginal delivery 4 hours ago. Which
assessment requires immediate action?
,a. Fundus firm and at the level of the umbilicus
b. Moderate lochia rubra with small clots
c. Perineal pad saturated in 15 minutes
d. Mother reports mild afterpains during breastfeeding
ANS: C
Soaking a pad in 15 minutes indicates excessive bleeding and potential postpartum hemorrhage
— a life-threatening emergency.
DIF: Analyze
TOP: Postpartum — Complications
MSC: NCLEX: Safe and Effective Care Environment
4. A nurse is caring for a client in labor. Which of the following findings requires immediate
intervention?
a. Fetal heart rate of 110 bpm
b. Uterine contractions every 3 minutes
c. Late decelerations on the fetal monitor
d. Cervical dilation of 6 cm
ANS: C
Late decelerations are indicative of uteroplacental insufficiency and require immediate nursing
intervention to promote fetal oxygenation.
, DIF: Analyze
TOP: Intrapartum — Fetal Monitoring
MSC: NCLEX: Physiological Integrity
5. Which statement by a client indicates a correct understanding of breastfeeding techniques?
a. "I should limit feedings to every 4 hours."
b. "I will give my baby formula at night to sleep longer."
c. "I should make sure my baby latches onto both the nipple and areola."
d. "If my baby is sleepy, I should stop feeding early."
ANS: C
Proper latching includes both nipple and areola to ensure effective sucking and prevent nipple
trauma. Breastfeeding should be on demand, not on a rigid schedule.
DIF: Understand
TOP: Postpartum — Breastfeeding
MSC: NCLEX: Health Promotion and Maintenance
6. A nurse is teaching a pregnant client about warning signs to report. Which statement indicates
a need for further teaching?
Questions 2025 | Verified Test Bank with
Answers (Guaranteed A+)
1. A pregnant client at 10 weeks gestation tells the nurse she is experiencing morning sickness.
Which suggestion by the nurse is most appropriate?
a. Eat three large meals a day to maintain energy.
b. Drink a glass of orange juice before getting out of bed.
c. Avoid eating any food until nausea subsides.
d. Eat dry crackers before rising in the morning.
ANS: D
Dry crackers help absorb gastric acid and reduce nausea. Eating a small amount before getting
out of bed is a commonly recommended intervention for morning sickness during the first
trimester. Large meals and acidic juices can exacerbate symptoms.
,DIF: Apply
TOP: Antepartum — First Trimester
MSC: NCLEX: Health Promotion and Maintenance
2. A nurse is assessing a newborn who is 2 hours old. Which finding should be reported to the
provider immediately?
a. Respiratory rate of 60 breaths/min
b. Presence of lanugo on shoulders
c. Nasal flaring and grunting
d. Positive Babinski reflex
ANS: C
Nasal flaring and grunting are signs of respiratory distress and should be reported immediately.
The other findings are normal for a newborn.
DIF: Analyze
TOP: Newborn Assessment
MSC: NCLEX: Physiological Integrity
3. The nurse is caring for a postpartum patient who had a vaginal delivery 4 hours ago. Which
assessment requires immediate action?
,a. Fundus firm and at the level of the umbilicus
b. Moderate lochia rubra with small clots
c. Perineal pad saturated in 15 minutes
d. Mother reports mild afterpains during breastfeeding
ANS: C
Soaking a pad in 15 minutes indicates excessive bleeding and potential postpartum hemorrhage
— a life-threatening emergency.
DIF: Analyze
TOP: Postpartum — Complications
MSC: NCLEX: Safe and Effective Care Environment
4. A nurse is caring for a client in labor. Which of the following findings requires immediate
intervention?
a. Fetal heart rate of 110 bpm
b. Uterine contractions every 3 minutes
c. Late decelerations on the fetal monitor
d. Cervical dilation of 6 cm
ANS: C
Late decelerations are indicative of uteroplacental insufficiency and require immediate nursing
intervention to promote fetal oxygenation.
, DIF: Analyze
TOP: Intrapartum — Fetal Monitoring
MSC: NCLEX: Physiological Integrity
5. Which statement by a client indicates a correct understanding of breastfeeding techniques?
a. "I should limit feedings to every 4 hours."
b. "I will give my baby formula at night to sleep longer."
c. "I should make sure my baby latches onto both the nipple and areola."
d. "If my baby is sleepy, I should stop feeding early."
ANS: C
Proper latching includes both nipple and areola to ensure effective sucking and prevent nipple
trauma. Breastfeeding should be on demand, not on a rigid schedule.
DIF: Understand
TOP: Postpartum — Breastfeeding
MSC: NCLEX: Health Promotion and Maintenance
6. A nurse is teaching a pregnant client about warning signs to report. Which statement indicates
a need for further teaching?
