Maternity Nursing (OB Maternal &
Newborn) NCLEX Practice Quiz #2 |
75 Questions
1. Question
The nurse is counseling a couple who has sought information
about conceiving. The couple asks the nurse to explain when
ovulation usually occurs. Which statement by the nurse is
correct?
o A. Two weeks before menstruation.
o B. Immediately after menstruation.
o C. Immediately before menstruation.
o D. Three weeks before menstruation.
Incorrect
Correct Answer: A. Two weeks before menstruation
Ovulation occurs 14 days before the first day of the menstrual
period (A). Although ovulation can occur in the middle of the
cycle or 2 weeks after menstruation, this is only true for a woman
who has a perfect 28-day cycle. For many women, the length of
the menstrual cycle varies.
Option B: After the follicle releases its egg, it changes
into the corpus luteum. This structure releases
hormones, mainly progesterone and some estrogen.
The rise in hormones keeps the uterine lining thick
and ready for a fertilized egg to implant. If the woman
does get pregnant, her body will produce human
chorionic gonadotropin (hCG). This is the hormone
pregnancy tests detect. It helps maintain the corpus
luteum and keeps the uterine lining thick. If the
woman doesn’t get pregnant, the corpus luteum will
shrink away and be resorbed. This leads to decreased
levels of estrogen and progesterone, which causes the
onset of the period. The uterine lining will shed during
this period.
, Option C: The menstrual phase is the first stage of
the menstrual cycle. It’s also when the woman gets
her period. This phase starts when an egg from the
previous cycle isn’t fertilized. Because pregnancy
hasn’t taken place, levels of the hormones estrogen
and progesterone drop. The thickened lining of the
uterus, which would support a pregnancy, is no longer
needed, so it sheds through the vagina. During this
period, there is a release of a combination of blood,
mucus, and tissue from the uterus.
Option D: During each menstrual cycle, an egg
develops and is released from the ovaries. The lining
of the uterus builds up. If a pregnancy doesn’t happen,
the uterine lining sheds during a menstrual period.
Then the cycle starts again.
2. 2. Question
The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take?
A. Administer oxygen by face mask.
B. Notify the health care provider of the client's
symptoms.
C. Have the client breathe into her cupped hands.
D. Check the client's blood pressure and fetal heart rate.
Incorrect
Correct Answer: C. Have the client breathe into her
cupped hands.
Tingling fingers and dizziness are signs of hyperventilation
(blowing off too much carbon dioxide). Hyperventilation is treated
by retaining carbon dioxide. This can be facilitated by breathing
into a paper bag or cupped hands.
Option A: Giving oxygen is inappropriate because the
carbon dioxide level is low, not the oxygen level.
Option B: Before notifying the healthcare provider,
the nurse may first intervene by having the client
, breathe into her cupped hands. If the client’s situation
does not improve, the nurse may notify the physician.
Option D: The client’s blood pressure and fetal heart
rate are not related to the low levels of carbon dioxide
in her body. It is due to blowing off too much carbon
dioxide while using blow breathing exercises.
3. 3. Question
When assessing a client at 12 weeks of gestation, the nurse
recommends that she and her husband consider attending
childbirth preparation classes. When is the best time for the
couple to attend these classes?
A. At 16 weeks of gestation.
B. At 20 weeks of gestation.
C. At 24 weeks of gestation.
D. At 30 weeks of gestation.
Incorrect
Correct Answer: D. At 30 weeks of gestation.
Learning is facilitated by an interested pupil. The couple is most
interested in childbirth toward the end of the pregnancy when
they are beginning to anticipate the onset of labor and the birth
of their child. At 30 weeks, is closest to the time when parents
would be ready for such classes.
Option A: This would not be the best time during
pregnancy for the couple to attend childbirth
education classes. At these times they will have other
teaching needs. Early pregnancy classes often include
topics such as nutrition, physiologic changes, coping
with normal discomforts of pregnancy, fetal
development, maternal and fetal risk factors, and
evolving roles of the mother and her significant others.
Option B: At 20 weeks gestation, the couple may
have an ultrasound to check the fetus’ gender. This is
also the time when the scan may show the beating of
the fetus’ heart, the curve of his spine, or his arms and
legs kicking.
, Option C: During the 24th week of gestation, the
couple may think about where they should have the
baby; learn about the signs of preterm labor; and how
they could introduce the new baby to his siblings.
4. 4. Question
One hour following a normal vaginal delivery, a newborn infant
boy’s axillary temperature is 96° F, his lower lip is shaking and,
when the nurse assesses for a Moro reflex, the boy’s hands
shake. Which intervention should the nurse implement first?
A. Stimulate the infant to cry.
B. Wrap the infant in warm blankets.
C. Feed the infant formula.
D. Obtain a serum glucose level.
Incorrect
Correct Answer: D. Obtain a serum glucose level.
This infant is demonstrating signs of hypoglycemia, possibly
secondary to a low body temperature. The nurse should first
determine the serum glucose level.
Option A: Stimulating the infant to cry is an
intervention for a lethargic infant.
Option B: This intervention should be done based on
the temperature, but first the glucose level should be
obtained.
Option C: Feeding the infant with formula helps raise
the blood sugar, but first, the nurse should determine
the glucose level.
5. 5. Question
Which statement made by the client indicates that the mother
understands the limitations of breastfeeding her newborn?
A. "Breastfeeding my infant consistently every 3
to 4 hours stops ovulation and my period."
Newborn) NCLEX Practice Quiz #2 |
75 Questions
1. Question
The nurse is counseling a couple who has sought information
about conceiving. The couple asks the nurse to explain when
ovulation usually occurs. Which statement by the nurse is
correct?
o A. Two weeks before menstruation.
o B. Immediately after menstruation.
o C. Immediately before menstruation.
o D. Three weeks before menstruation.
Incorrect
Correct Answer: A. Two weeks before menstruation
Ovulation occurs 14 days before the first day of the menstrual
period (A). Although ovulation can occur in the middle of the
cycle or 2 weeks after menstruation, this is only true for a woman
who has a perfect 28-day cycle. For many women, the length of
the menstrual cycle varies.
Option B: After the follicle releases its egg, it changes
into the corpus luteum. This structure releases
hormones, mainly progesterone and some estrogen.
The rise in hormones keeps the uterine lining thick
and ready for a fertilized egg to implant. If the woman
does get pregnant, her body will produce human
chorionic gonadotropin (hCG). This is the hormone
pregnancy tests detect. It helps maintain the corpus
luteum and keeps the uterine lining thick. If the
woman doesn’t get pregnant, the corpus luteum will
shrink away and be resorbed. This leads to decreased
levels of estrogen and progesterone, which causes the
onset of the period. The uterine lining will shed during
this period.
, Option C: The menstrual phase is the first stage of
the menstrual cycle. It’s also when the woman gets
her period. This phase starts when an egg from the
previous cycle isn’t fertilized. Because pregnancy
hasn’t taken place, levels of the hormones estrogen
and progesterone drop. The thickened lining of the
uterus, which would support a pregnancy, is no longer
needed, so it sheds through the vagina. During this
period, there is a release of a combination of blood,
mucus, and tissue from the uterus.
Option D: During each menstrual cycle, an egg
develops and is released from the ovaries. The lining
of the uterus builds up. If a pregnancy doesn’t happen,
the uterine lining sheds during a menstrual period.
Then the cycle starts again.
2. 2. Question
The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take?
A. Administer oxygen by face mask.
B. Notify the health care provider of the client's
symptoms.
C. Have the client breathe into her cupped hands.
D. Check the client's blood pressure and fetal heart rate.
Incorrect
Correct Answer: C. Have the client breathe into her
cupped hands.
Tingling fingers and dizziness are signs of hyperventilation
(blowing off too much carbon dioxide). Hyperventilation is treated
by retaining carbon dioxide. This can be facilitated by breathing
into a paper bag or cupped hands.
Option A: Giving oxygen is inappropriate because the
carbon dioxide level is low, not the oxygen level.
Option B: Before notifying the healthcare provider,
the nurse may first intervene by having the client
, breathe into her cupped hands. If the client’s situation
does not improve, the nurse may notify the physician.
Option D: The client’s blood pressure and fetal heart
rate are not related to the low levels of carbon dioxide
in her body. It is due to blowing off too much carbon
dioxide while using blow breathing exercises.
3. 3. Question
When assessing a client at 12 weeks of gestation, the nurse
recommends that she and her husband consider attending
childbirth preparation classes. When is the best time for the
couple to attend these classes?
A. At 16 weeks of gestation.
B. At 20 weeks of gestation.
C. At 24 weeks of gestation.
D. At 30 weeks of gestation.
Incorrect
Correct Answer: D. At 30 weeks of gestation.
Learning is facilitated by an interested pupil. The couple is most
interested in childbirth toward the end of the pregnancy when
they are beginning to anticipate the onset of labor and the birth
of their child. At 30 weeks, is closest to the time when parents
would be ready for such classes.
Option A: This would not be the best time during
pregnancy for the couple to attend childbirth
education classes. At these times they will have other
teaching needs. Early pregnancy classes often include
topics such as nutrition, physiologic changes, coping
with normal discomforts of pregnancy, fetal
development, maternal and fetal risk factors, and
evolving roles of the mother and her significant others.
Option B: At 20 weeks gestation, the couple may
have an ultrasound to check the fetus’ gender. This is
also the time when the scan may show the beating of
the fetus’ heart, the curve of his spine, or his arms and
legs kicking.
, Option C: During the 24th week of gestation, the
couple may think about where they should have the
baby; learn about the signs of preterm labor; and how
they could introduce the new baby to his siblings.
4. 4. Question
One hour following a normal vaginal delivery, a newborn infant
boy’s axillary temperature is 96° F, his lower lip is shaking and,
when the nurse assesses for a Moro reflex, the boy’s hands
shake. Which intervention should the nurse implement first?
A. Stimulate the infant to cry.
B. Wrap the infant in warm blankets.
C. Feed the infant formula.
D. Obtain a serum glucose level.
Incorrect
Correct Answer: D. Obtain a serum glucose level.
This infant is demonstrating signs of hypoglycemia, possibly
secondary to a low body temperature. The nurse should first
determine the serum glucose level.
Option A: Stimulating the infant to cry is an
intervention for a lethargic infant.
Option B: This intervention should be done based on
the temperature, but first the glucose level should be
obtained.
Option C: Feeding the infant with formula helps raise
the blood sugar, but first, the nurse should determine
the glucose level.
5. 5. Question
Which statement made by the client indicates that the mother
understands the limitations of breastfeeding her newborn?
A. "Breastfeeding my infant consistently every 3
to 4 hours stops ovulation and my period."
