Maternity Nclex 380+questions Latest 2025
with Answers and Detailed Explanations
When counseling a client about getting enough iron in her diet, the maternity nurse should tell her that:
a. Milk, coffee, and tea aid iron absorption if consumed at the same time as iron.
b. Iron absorption is inhibited by a diet rich in vitamin C.
c .Iron supplements are permissible for children in small doses.
D Constipation is common with iron supplements.
D .Constipation is common with iron supplements.
Which minerals and vitamins are usually recommended to supplement a pregnant woman's diet?
a. Fat-soluble vitamins A and D
b Water-soluble vitamins C and B6
c. Iron and folate
d .Calcium and zinc
c Iron and folate
A 22-year-old woman pregnant with a single fetus had a preconception body mass index (BMI) of 24. When she was seen in
the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lbs) since conception. How would the nurse interpret this
finding?
a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR).
C This weight gain cannot be evaluated until the woman has been observed for several more weeks.
D .The woman's weight gain is appropriate for this stage of pregnancy.
d. The woman's weight gain is appropriate for this stage of pregnancy.
A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The nurse would be most concerned
regarding what this woman consumes during and after tennis matches. Which is the most important?
,A .Several glasses of fluid
b. Extra protein sources, such as peanut butter
c .Salty foods to replace lost sodium
d. Easily digested sources of carbohydrate
a. Several glasses of fluid
A pregnant woman experiencing nausea and vomiting should:
A .Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning.
b. Eat small, frequent meals (every 2 to 3 hours).
C .Increase her intake of high-fat foods to keep the stomach full and coated.
d.Limit fluid intake throughout the day.
b.Eat small, frequent meals (every 2 to 3 hours).
With regard to breathing techniques during labor, maternity nurses should be aware that:
a.Breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction.
b.By the time labor has begun, it is too late for instruction in breathing and relaxation.
c.Controlled breathing techniques are most difficult near the end of the second stage of labor.
d.The patterned-paced breathing technique can help prevent hyperventilation.
a.Breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction.
With regard to what might be called the tactile approaches to comfort management, nurses should be aware that:
a.Either hot or cold applications may provide relief, but they should never be used together in the same treatment.
b.Acupuncture can be performed by a skilled nurse with just a little training.
c.Hand and foot massage may be especially relaxing in advanced labor, when a woman's tolerance for touch is limited.
d.Therapeutic touch (TT) uses handheld electronic stimulators that produce sympathetic vibrations.
c.Hand and foot massage may be especially relaxing in advanced labor, when a woman's tolerance for touch is limited.
,With regard to spinal and epidural (block) anesthesia, nurses should know that:
a.This type of anesthesia is commonly used for cesarean births but is not suitable for vaginal births.
b.A high incidence of postbirth headache is seen with spinal blocks.
c.Epidural blocks allow the woman to move freely.
d.Spinal and epidural blocks are never used together.
b.A high incidence of postbirth headache is seen with spinal blocks.
With regard to systemic analgesics administered during labor, nurses should be aware that:
a.Systemic analgesics cross the maternal blood-brain barrier as easily as they do the fetal blood-brain barrier.
b.Effects on the fetus and newborn can include decreased alertness and delayed sucking.
c.IM administration is preferred over IV administration.
d.IV patient-controlled analgesia (PCA) results in increased use of an analgesic.
b.Effects on the fetus and newborn can include decreased alertness and delayed sucking.
A woman is experiencing back labor and complains of intense pain in her lower back. An effective relief measure is to use:
a.Counterpressure against the sacrum.
b.Pant-blow (breaths and puffs) breathing techniques.
c.Effleurage.
d.Biofeedback.
a.Counterpressure against the sacrum.
A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the
normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are
tingling. The nurse should:
, a.Notify the woman's physician.
b.Tell the woman to slow the pace of her breathing.
c.Administer oxygen via a mask or nasal cannula.
d.Help her breathe into a paper bag.
d.Help her breathe into a paper bag.
In the current practice of childbirth preparation, emphasis is placed on:
a.The Dick-Read (natural) childbirth method.
b.The Lamaze (psychoprophylactic) method.
c.The Bradley (husband-coached) method.
d.Encouraging expectant parents to attend childbirth preparation in any or no specific method.
d.Encouraging expectant parents to attend childbirth preparation in any or no specific method.
A woman in active labor receives an opioid agonist analgesic. Which medication relieves severe, persistent, or recurrent
pain, creates a sense of well-being, overcomes inhibitory factors, and may even relax the cervix but should be used
cautiously in women with cardiac disease?
a.Meperidine (Demerol)
b.Promethazine (Phenergan)
c.Butorphanol tartrate (Stadol)
d.Nalbuphine (Nubain)
a.Meperidine (Demerol)
Nurses should be aware of the difference that experience can make in labor pain, such as:
a.Sensory pain for nulliparous women often is greater than for multiparous women during early labor.
b.Affective pain for nulliparous women usually is less than for multiparous women throughout the first stage of labor.
c.Women with a history of substance abuse experience more pain during labor.
d.Multiparous women have more fatigue from labor and therefore experience more pain.
with Answers and Detailed Explanations
When counseling a client about getting enough iron in her diet, the maternity nurse should tell her that:
a. Milk, coffee, and tea aid iron absorption if consumed at the same time as iron.
b. Iron absorption is inhibited by a diet rich in vitamin C.
c .Iron supplements are permissible for children in small doses.
D Constipation is common with iron supplements.
D .Constipation is common with iron supplements.
Which minerals and vitamins are usually recommended to supplement a pregnant woman's diet?
a. Fat-soluble vitamins A and D
b Water-soluble vitamins C and B6
c. Iron and folate
d .Calcium and zinc
c Iron and folate
A 22-year-old woman pregnant with a single fetus had a preconception body mass index (BMI) of 24. When she was seen in
the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lbs) since conception. How would the nurse interpret this
finding?
a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR).
C This weight gain cannot be evaluated until the woman has been observed for several more weeks.
D .The woman's weight gain is appropriate for this stage of pregnancy.
d. The woman's weight gain is appropriate for this stage of pregnancy.
A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The nurse would be most concerned
regarding what this woman consumes during and after tennis matches. Which is the most important?
,A .Several glasses of fluid
b. Extra protein sources, such as peanut butter
c .Salty foods to replace lost sodium
d. Easily digested sources of carbohydrate
a. Several glasses of fluid
A pregnant woman experiencing nausea and vomiting should:
A .Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning.
b. Eat small, frequent meals (every 2 to 3 hours).
C .Increase her intake of high-fat foods to keep the stomach full and coated.
d.Limit fluid intake throughout the day.
b.Eat small, frequent meals (every 2 to 3 hours).
With regard to breathing techniques during labor, maternity nurses should be aware that:
a.Breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction.
b.By the time labor has begun, it is too late for instruction in breathing and relaxation.
c.Controlled breathing techniques are most difficult near the end of the second stage of labor.
d.The patterned-paced breathing technique can help prevent hyperventilation.
a.Breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction.
With regard to what might be called the tactile approaches to comfort management, nurses should be aware that:
a.Either hot or cold applications may provide relief, but they should never be used together in the same treatment.
b.Acupuncture can be performed by a skilled nurse with just a little training.
c.Hand and foot massage may be especially relaxing in advanced labor, when a woman's tolerance for touch is limited.
d.Therapeutic touch (TT) uses handheld electronic stimulators that produce sympathetic vibrations.
c.Hand and foot massage may be especially relaxing in advanced labor, when a woman's tolerance for touch is limited.
,With regard to spinal and epidural (block) anesthesia, nurses should know that:
a.This type of anesthesia is commonly used for cesarean births but is not suitable for vaginal births.
b.A high incidence of postbirth headache is seen with spinal blocks.
c.Epidural blocks allow the woman to move freely.
d.Spinal and epidural blocks are never used together.
b.A high incidence of postbirth headache is seen with spinal blocks.
With regard to systemic analgesics administered during labor, nurses should be aware that:
a.Systemic analgesics cross the maternal blood-brain barrier as easily as they do the fetal blood-brain barrier.
b.Effects on the fetus and newborn can include decreased alertness and delayed sucking.
c.IM administration is preferred over IV administration.
d.IV patient-controlled analgesia (PCA) results in increased use of an analgesic.
b.Effects on the fetus and newborn can include decreased alertness and delayed sucking.
A woman is experiencing back labor and complains of intense pain in her lower back. An effective relief measure is to use:
a.Counterpressure against the sacrum.
b.Pant-blow (breaths and puffs) breathing techniques.
c.Effleurage.
d.Biofeedback.
a.Counterpressure against the sacrum.
A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the
normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are
tingling. The nurse should:
, a.Notify the woman's physician.
b.Tell the woman to slow the pace of her breathing.
c.Administer oxygen via a mask or nasal cannula.
d.Help her breathe into a paper bag.
d.Help her breathe into a paper bag.
In the current practice of childbirth preparation, emphasis is placed on:
a.The Dick-Read (natural) childbirth method.
b.The Lamaze (psychoprophylactic) method.
c.The Bradley (husband-coached) method.
d.Encouraging expectant parents to attend childbirth preparation in any or no specific method.
d.Encouraging expectant parents to attend childbirth preparation in any or no specific method.
A woman in active labor receives an opioid agonist analgesic. Which medication relieves severe, persistent, or recurrent
pain, creates a sense of well-being, overcomes inhibitory factors, and may even relax the cervix but should be used
cautiously in women with cardiac disease?
a.Meperidine (Demerol)
b.Promethazine (Phenergan)
c.Butorphanol tartrate (Stadol)
d.Nalbuphine (Nubain)
a.Meperidine (Demerol)
Nurses should be aware of the difference that experience can make in labor pain, such as:
a.Sensory pain for nulliparous women often is greater than for multiparous women during early labor.
b.Affective pain for nulliparous women usually is less than for multiparous women throughout the first stage of labor.
c.Women with a history of substance abuse experience more pain during labor.
d.Multiparous women have more fatigue from labor and therefore experience more pain.
