Maternity Nursing NCLEX Challenge
Exam (Quiz #1: 75 Questions And
Correct Answers||)
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?
A. Endometritis
B. Endometriosis
C. Salpingitis
D. Pelvic thrombophlebitis -CORRECT ANSWER A. Endometritis
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.
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
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.
,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
The nurse is caring for a primigravida at about 2 months and 1-week gestation. After
explaining self-care measures for common discomforts of pregnancy, the nurse
determines that the client understands the instructions when she says:
A. "Nausea and vomiting can be decreased if I eat a few crackers before rising."
B. "If I start to leak colostrum, I should cleanse my nipples with soap and water."
C. "If I have a vaginal discharge, I should wear nylon underwear."
D. "Leg cramps can be alleviated if I put an ice pack on the area." -CORRECT
ANSWER A. "Nausea and vomiting can be decreased if I eat a few crackers before
rising."
Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the
client about infant care. By this time, the nurse expects that the phase of postpartum
psychological adaptation that the client would be in would be termed which of the
following?
A. Taking in
B. Letting go
C. Taking hold
D. Resolution -CORRECT ANSWER C. Taking hold
A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis,
the nurse tells the client that the usual treatment for partial placenta previa is which of
the following?
A. Activity limited to bed rest.
B. Platelet infusion.
C. Immediate cesarean delivery.
D. Labor induction with oxytocin. -CORRECT ANSWER A. Activity limited to bed rest.
The nurse plans to instruct the postpartum client about methods to prevent breast
engorgement. Which of the following measures would the nurse include in the teaching
plan?
A. Feeding the neonate a maximum of 5 minutes per side on the first day.
B. Wearing a supportive brassiere with nipple shields.
, C. Breastfeeding the neonate at frequent intervals.
D. Decreasing fluid intake for the first 24 to 48 hours. -CORRECT ANSWER C.
Breastfeeding the neonate at frequent intervals.
When the nurse on duty accidentally bumps the bassinet, the neonate throws out its
arms, hands open, and begins to cry. The nurse interprets this reaction as indicative of
which of the following reflexes?
A. Startle reflex
B. Babinski reflex
C. Grasping reflex
D. Tonic neck reflex -CORRECT ANSWER A. Startle reflex
A primigravida client at 25 weeks gestation visits the clinic and tells the nurse that her
lower back aches when she arrives home from work. The nurse should suggest that the
client perform:
A. Tailor sitting
B. Leg lifting
C. Shoulder circling
D. Squatting exercises -CORRECT ANSWER A. Tailor sitting
Which of the following would the nurse in charge do first after observing a 2-cm circle of
bright red bleeding on the diaper of a neonate who just had a circumcision?
A. Notify the neonate's pediatrician immediately.
B. Check the diaper and circumcision again in 30 minutes.
C. Secure the diaper tightly to apply pressure on the site.
D. Apply gentle pressure to the site with a sterile gauze pad. -CORRECT ANSWER D.
Apply gentle pressure to the site with a sterile gauze pad.
Which of the following would the nurse most likely expect to find when assessing a
pregnant client with abruption placenta?
A. Excessive vaginal bleeding
B. Rigid, board-like abdomen
C. Tetanic uterine contractions
D. Premature rupture of membranes -CORRECT ANSWER B. Rigid, board-like
abdomen
While the client is in active labor with twins and the cervix is 5 cm dilated, the nurse
observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period.
Which of the following would be the nurse's most appropriate action?
A. Note the fetal heart rate patterns.
B. Notify the physician immediately.
Exam (Quiz #1: 75 Questions And
Correct Answers||)
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?
A. Endometritis
B. Endometriosis
C. Salpingitis
D. Pelvic thrombophlebitis -CORRECT ANSWER A. Endometritis
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.
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
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.
,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
The nurse is caring for a primigravida at about 2 months and 1-week gestation. After
explaining self-care measures for common discomforts of pregnancy, the nurse
determines that the client understands the instructions when she says:
A. "Nausea and vomiting can be decreased if I eat a few crackers before rising."
B. "If I start to leak colostrum, I should cleanse my nipples with soap and water."
C. "If I have a vaginal discharge, I should wear nylon underwear."
D. "Leg cramps can be alleviated if I put an ice pack on the area." -CORRECT
ANSWER A. "Nausea and vomiting can be decreased if I eat a few crackers before
rising."
Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the
client about infant care. By this time, the nurse expects that the phase of postpartum
psychological adaptation that the client would be in would be termed which of the
following?
A. Taking in
B. Letting go
C. Taking hold
D. Resolution -CORRECT ANSWER C. Taking hold
A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis,
the nurse tells the client that the usual treatment for partial placenta previa is which of
the following?
A. Activity limited to bed rest.
B. Platelet infusion.
C. Immediate cesarean delivery.
D. Labor induction with oxytocin. -CORRECT ANSWER A. Activity limited to bed rest.
The nurse plans to instruct the postpartum client about methods to prevent breast
engorgement. Which of the following measures would the nurse include in the teaching
plan?
A. Feeding the neonate a maximum of 5 minutes per side on the first day.
B. Wearing a supportive brassiere with nipple shields.
, C. Breastfeeding the neonate at frequent intervals.
D. Decreasing fluid intake for the first 24 to 48 hours. -CORRECT ANSWER C.
Breastfeeding the neonate at frequent intervals.
When the nurse on duty accidentally bumps the bassinet, the neonate throws out its
arms, hands open, and begins to cry. The nurse interprets this reaction as indicative of
which of the following reflexes?
A. Startle reflex
B. Babinski reflex
C. Grasping reflex
D. Tonic neck reflex -CORRECT ANSWER A. Startle reflex
A primigravida client at 25 weeks gestation visits the clinic and tells the nurse that her
lower back aches when she arrives home from work. The nurse should suggest that the
client perform:
A. Tailor sitting
B. Leg lifting
C. Shoulder circling
D. Squatting exercises -CORRECT ANSWER A. Tailor sitting
Which of the following would the nurse in charge do first after observing a 2-cm circle of
bright red bleeding on the diaper of a neonate who just had a circumcision?
A. Notify the neonate's pediatrician immediately.
B. Check the diaper and circumcision again in 30 minutes.
C. Secure the diaper tightly to apply pressure on the site.
D. Apply gentle pressure to the site with a sterile gauze pad. -CORRECT ANSWER D.
Apply gentle pressure to the site with a sterile gauze pad.
Which of the following would the nurse most likely expect to find when assessing a
pregnant client with abruption placenta?
A. Excessive vaginal bleeding
B. Rigid, board-like abdomen
C. Tetanic uterine contractions
D. Premature rupture of membranes -CORRECT ANSWER B. Rigid, board-like
abdomen
While the client is in active labor with twins and the cervix is 5 cm dilated, the nurse
observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period.
Which of the following would be the nurse's most appropriate action?
A. Note the fetal heart rate patterns.
B. Notify the physician immediately.
