Nclex RN Exams Practice Questions Maternal-neonatal Nursing

1. A woman who is 15 weeks pregnant comes to the clinic for amniocentesis. The nurse knows that this test can be used to identify which of the following characteristics or problems? Select all that apply.
a. Fetal lung maturity
b. Gestational diabetes
c. Chromosomal defects
d. Neural tube defects
e. Polyhydramnios
f. Sex of the fetus

2. A client who is 41 weeks pregnant is about to undergo a biophysical profile (BPP) to evaluate her fetus’s well-being. The nurse is aware that this test includes several components, some of which are listed below. Select all that apply.
a. Fetal tone
b. Fetal breathing
c. Femur length
d. Amniotic fluid volume
e. Biparietal diameter
f. Crown-rump length

3. During a prenatal visit, a physician decides to admit a client to the hospital. Based on the nurse’s admission note below, which complication of pregnancy would the physician suspect?
a. Iron-deficiency anemia
b. Placenta previa
c. Pregnancy-induced hypertension
d. Hyperemesis gravidarum

4. A 35-year-old client who is 28 weeks pregnant is admitted for testing. After reading the nursing notes below, which rationale best explains why a pregnant client should lie on her left side when resting or sleeping in the later stages of pregnancy?
a. To facilitate digestion
b. To facilitate bladder empyting
c. To prevent compression of the vena cava
d. To prevent development of fetal anomalies

5. A client in the first stage of labor is being monitored
using an external fetal monitor. After the nurse reviews the monitoring strip from the client’s chart (shown below), into which of the following positions should she assist the client?
a. Left lateral
b. Right lateral
c. Supine
d. Prone

6. A client who is 29 weeks pregnant comes to the labor and delivery unit. She states that she’s having contractions every 8 minutes. The client is also 3 cm dilated. Which of the following can the nurse expect to administer? Select all that apply.
a. Folic acid (Folvite)
b. Terbutaline (Brethine)
c. Betamethasone
d. Rho(D) immune globulin (RhoGam)
e. I.V. fluids
f. Nalbuphine

7. A nurse is evaluating the external fetal monitoring strip (shown below) of a client who is in labor. Which of the following nursing interventions should the nurse implement?
a. Increase the I.V. fluid rate to boost intravascular volume.
b. Reassure the client that the fetus isn’t at risk,and continue to monitor the fetal heart rate.
c. Elevate the client’s legs.
d. Administer supplemental oxygen.

8. A nurse is caring for a client who’s in the third stage of labor. The nurse knows that the client is likely to exhibit certain characteristic behaviors at this stage.Select all that apply.
a. The client is excited about the process.
b. The client is focused on the neonate’s condition.
c. The client is exhausted from the labor process.
d. The client states she has discomfort from uterine contractions.
e. The client is apprehensive about the process

9. While caring for a client in labor, the nurse expresses concern after evaluating the external fetal monitoring strip below. What condition is the nurse most likely concerned about?
a. Cephalopelvic disproportion
b. Oligohydramnios
c. Uteroplacental insufficiency
d. Hydramnios

10. A nurse is caring for a 1-day postpartum client.The progress note below informs the nurse that the client is in which phase of the postpartum period?
a. Letting go
b. Taking in
c. Holding out
d. Taking hold

11. A nurse is caring for a postpartum client suspected of developing postpartum psychosis. Which of the following statements accurately characterize this disorder? Select all that apply.
a. Symptoms start 2 days after delivery.
b. The disorder is common in postpartum women.
c. Symptoms include delusions and hallucinations.
d. Suicide and infanticide are uncommon in this disorder.
e. The disorder rarely occurs without a psychiatric history.

12. A nurse is caring for a client in the fourth stage of labor. Based on the nurse’s note below, which postpartum complication has the client developed?
a. Postpartum hemorrhage
b. Puerperal infection
c. Deep vein thrombosis
d. Mastitis

13. A nurse assesses a client’s vaginal discharge on the first postpartum day and describes it in her progress note (shown below). Which of the following terms best describes the discharge?
a. Lochia alba
b. Lochia
c. Lochia serosa
d. Lochia rubra

Answer and Rational