Welcome to your nursing test bank and NCLEX practice questions for maternity and newborn nursing. This nursing test bank includes 500+ practice questions to test your competence on the concepts behind maternal and child health nursing, maternity nursing, and obstetric nursing.
Maternity Nursing and Newborn Nursing Test Bank
In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. There are 545 NCLEX-style practice questions partitioned into 8 sets. We’ve made a significant effort to provide you with the most informative rationale, so please read them.
Notable topics included in this nursing test bank include nursing care of the pregnant mother (obstetric nursing), labor and delivery, prenatal nursing care, antepartum, intrapartum, and postpartum nursing care, nursing care of patients with preeclampsia, placental and cord anomalies, cesarean birth, labor complications, postpartum depression, GTPAL and more.
Quizzes included in this guide are:
- Maternity Nursing NCLEX Practice | Quiz #1: 75 Questions
- Maternity Nursing NCLEX Practice | Quiz #2: 75 Questions
- Maternity Nursing NCLEX Practice | Quiz #3: 75 Questions
- Maternity Nursing NCLEX Practice | Quiz #4: 75 Questions
- Maternity Nursing NCLEX Practice | Quiz #5: 80 Questions
- Maternity Nursing: Antepartum NCLEX Practice | Quiz #6: 55 Questions
- Maternity Nursing: Intrapartum NCLEX Practice | Quiz #7: 55 Questions
- Maternity Nursing: Postpartum NCLEX Practice | Quiz #8: 55 Questions
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1. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #1: 75 Questions
- 1. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #1: 75 Questions
- 2. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #2: 75 Questions
- 3. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #3: 75 Questions
- 4. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #4: 75 Questions
- 5. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #5: 80 Questions
- 6. Maternity Nursing: Antepartum NCLEX Practice | Quiz #6: 55 Questions
- 7. Maternity Nursing: Intrapartum NCLEX Practice| Quiz #7: 55 Questions
- 8. Maternity Nursing: Postpartum NCLEX Practice | Quiz #8: 55 Questions
Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #1: 75 Questions
This is your first set of practice questions for maternity nursing. Items may include questions about labor and delivery, antepartum, intrapartum, and postpartum nursing care.
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Question 1 of 75
1. Question
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?
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Question 2 of 75
2. Question
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?
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Question 3 of 75
3. Question
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?
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Question 4 of 75
4. Question
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?
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Question 5 of 75
5. Question
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?
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Question 6 of 75
6. Question
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:
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Question 7 of 75
7. Question
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?
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Question 8 of 75
8. Question
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?
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Question 9 of 75
9. Question
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?
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Question 10 of 75
10. Question
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?
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Question 11 of 75
11. Question
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:
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Question 12 of 75
12. Question
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?
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Question 13 of 75
13. Question
Which of the following would the nurse most likely expect to find when assessing a pregnant client with abruption placenta?
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Question 14 of 75
14. Question
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?
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Question 15 of 75
15. Question
A client tells the nurse, “I think my baby likes to hear me talk to him.” When discussing neonates and stimulation with sound, which of the following would the nurse include as a means to elicit the best response?
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Question 16 of 75
16. Question
A 31-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100 %), and at 0 station. What phase of labor is she in?
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Question 17 of 75
17. Question
A pregnant patient asks the nurse if she can take castor oil for her constipation. How should the nurse respond?
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Question 18 of 75
18. Question
A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. She has passed several clots. What is the primary nursing diagnosis for this patient?
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Question 19 of 75
19. Question
Immediately after delivery, the nurse-midwife assesses the neonate’s head for signs of molding. Which factors determine the type of molding?
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Question 20 of 75
20. Question
For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. What must occur before the internal EFM can be applied?
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Question 21 of 75
21. Question
A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in the early part of the first stage of labor. Her pain is likely to be most intense:
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Question 22 of 75
22. Question
A female adult patient is taking a progestin-only oral contraceptive or mini pill. Progestin use may increase the patient’s risk for:
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Question 23 of 75
23. Question
A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms?
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Question 24 of 75
24. Question
Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. administration of oxytocin (Pitocin). Why should the nurse monitor the patient’s fluid intake and output closely during oxytocin administration?
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Question 25 of 75
25. Question
Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss?
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Question 26 of 75
26. Question
After administering bethanechol to a patient with urine retention, the nurse in charge monitors the patient for adverse effects. Which is most likely to occur?
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Question 27 of 75
27. Question
The nurse in charge is caring for a patient who is in the first stage of labor. What is the shortest but most difficult part of this stage?
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Question 28 of 75
28. Question
After 3 days of breastfeeding, a postpartum patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she:
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Question 29 of 75
29. Question
The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse should tell the patient that she can expect to feel the fetus move at which time?
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Question 30 of 75
30. Question
Normal lochial findings in the first 24 hours post-delivery include:
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Question 31 of 75
31. Question
Accompanied by her husband, a patient seeks admission to the labor and delivery area. The client states that she is in labor and says she attended the hospital clinic for prenatal care. Which question should the nurse ask her first?
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Question 32 of 75
32. Question
A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions?
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Question 33 of 75
33. Question
A patient is in her last trimester of pregnancy. Nurse Vickie should instruct her to notify her primary health care provider immediately if she notices:
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Question 34 of 75
34. Question
The nurse in-charge is reviewing a patient’s prenatal history. Which finding indicates a genetic risk factor?
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Question 35 of 75
35. Question
An adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. In this method, the unsafe period for sexual intercourse is indicated by:
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Question 36 of 75
36. Question
During a nonstress test (NST), the electronic tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). To mark the strip, the nurse in charge should instruct the client to push the control button at which time?
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Question 37 of 75
37. Question
When evaluating a client’s knowledge of symptoms to report during her pregnancy, which statement would indicate to the nurse in charge that the client understands the information given to her?
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Question 38 of 75
38. Question
When assessing a client during her first prenatal visit, the nurse discovers that the client had a reduction mammoplasty. The mother indicates she wants to breast-feed. What information should the nurse give to this mother regarding breastfeeding success?
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Question 39 of 75
39. Question
Following a precipitous delivery, examination of the client’s vagina reveals a fourth-degree laceration. Which of the following would be contraindicated when caring for this client?
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Question 40 of 75
40. Question
A client makes a routine visit to the prenatal clinic. Although she is 14 weeks pregnant, the size of her uterus approximates that in an 18- to 20-week pregnancy. Dr. Charles diagnoses gestational trophoblastic disease and orders ultrasonography. The nurse expects ultrasonography to reveal:
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Question 41 of 75
41. Question
After completing a second vaginal examination of a client in labor, the nurse-midwife determines that the fetus is in the right occiput anterior position and at (–1) station. Based on these findings, the nurse-midwife knows that the fetal presenting part is:
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Question 42 of 75
42. Question
Which of the following would be inappropriate to assess in a mother who’s breastfeeding?
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Question 43 of 75
43. Question
During a prenatal visit at 4 months gestation, a pregnant client asks whether tests can be done to identify fetal abnormalities. Between 18 and 40 weeks gestation, which procedure is used to detect fetal anomalies?
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Question 44 of 75
44. Question
A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. What does this score indicate?
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Question 45 of 75
45. Question
A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client’s preparation for parenting, the nurse might ask which question?
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Question 46 of 75
46. Question
A client who’s admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40 weeks gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. Which of the following would be the priority at this time?
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Question 47 of 75
47. Question
The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first?
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Question 48 of 75
48. Question
The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. Which nursing diagnosis takes priority for this client?
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Question 49 of 75
49. Question
Which change would the nurse identify as a progressive physiological change in the postpartum period?
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Question 50 of 75
50. Question
A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is most likely causing the client’s complaint of vaginal bleeding?
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Question 51 of 75
51. Question
A client with type 1 diabetes mellitus who is a multigravida visits the clinic at 27 weeks gestation. The nurse should instruct the client that for most pregnant women with type 1 diabetes mellitus:
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Question 52 of 75
52. Question
When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:
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Question 53 of 75
53. Question
What is the approximate time that the blastocyst spends traveling to the uterus for implantation?
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Question 54 of 75
54. Question
After teaching a pregnant woman who is in labor about the purpose of the episiotomy, which of the following purposes stated by the client would indicate to the nurse that the teaching was effective?
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Question 55 of 75
55. Question
A primigravida client at about 35 weeks gestation in active labor has had no prenatal care and admitted to cocaine use during the pregnancy. Which of the following persons must the nurse notify?
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Question 56 of 75
56. Question
When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse in charge should include which of the following?
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Question 57 of 75
57. Question
A client with eclampsia begins to experience a seizure. Which of the following would the nurse in charge do first?
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Question 58 of 75
58. Question
While caring for a multigravida client in early labor in a birthing center, which of the following foods would be best if the client requests a snack?
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Question 59 of 75
59. Question
The multigravida mother with a history of rapid labor who is in active labor calls out to the nurse, “The baby is coming!” Which of the following would be the nurse’s first action?
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Question 60 of 75
60. Question
While assessing a primipara during the immediate postpartum period, the nurse in charge plans to use both hands to assess the client’s fundus to:
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Question 61 of 75
61. Question
Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.
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Question 62 of 75
62. Question
While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:
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Question 63 of 75
63. Question
Which of the following is the most common kind of placental adherence seen in pregnant women?
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Question 64 of 75
64. Question
A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time?
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Question 65 of 75
65. Question
A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):
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Question 66 of 75
66. Question
In the past, factors to determine whether a woman was likely to have a high-risk pregnancy were evaluated primarily from a medical point of view. A broader, more comprehensive approach to high-risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Which of the options listed here is not included as a category?
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Question 67 of 75
67. Question
A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?
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Question 68 of 75
68. Question
What is an appropriate indicator for performing a contraction stress test?
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Question 69 of 75
69. Question
The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis?
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Question 70 of 75
70. Question
A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply.
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Question 71 of 75
71. Question
A patient has undergone an amniocentesis for evaluation of fetal well-being. Which intervention would be included in the nurse’s plan of care after the procedure? Select all that apply.
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Question 72 of 75
72. Question
With regard to small-for-gestational-age (SGA) infants and intrauterine growth restriction (IUGR), nurses should be aware that:
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Question 73 of 75
73. Question
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant. Which nursing diagnosis has the highest priority?
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Question 74 of 75
74. Question
The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for administering antibiotic ointment into the eyes of the newborn. An expectant father asks, “What type of disease causes infections in babies that can be prevented by using this ointment?” Which response by the nurse is accurate?
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Question 75 of 75
75. Question
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting motions and will not grasp the nipple. Which intervention should the nurse implement?
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1. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #1: 75 Questions
- 1. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #1: 75 Questions
- 2. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #2: 75 Questions
- 3. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #3: 75 Questions
- 4. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #4: 75 Questions
- 5. Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #5: 80 Questions
- 6. Maternity Nursing: Antepartum NCLEX Practice | Quiz #6: 55 Questions
- 7. Maternity Nursing: Intrapartum NCLEX Practice| Quiz #7: 55 Questions
- 8. Maternity Nursing: Postpartum NCLEX Practice | Quiz #8: 55 Questions
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love you guys
Thank you professor 😊
Hi,
Thank you for all of your hard work in putting these tests together!! Just a couple of notes:
on maternal quiz #2:
questions 1,7 and 24 said my answer was incorrect even though I chose the correct answer
rationale on #21 includes rationale from #20
rationale on #51 for C is labeled D
Corrected! Thank you for letting us know.
Thank you Matt. Godspeed!
thank you for all of your hard work to create all of these practice tests!! I just have a couple of questions re: quiz #4 from the Maternal Nursing Section:
#18.) the correct answer states that from 33 weeks on, a mother would be seen q week, but then in the rationale below it states that from 28-36 weeks the mother is seen q 2 weeks…so there appears to be a bit of overlap there? just a bit confused :(
also,
#61.) the correct answer is shown as D but seems to contradict rationale…if those meds should be given when delivery is imminent (per rationale) does that contradict what answer D says about the baby won’t be delivered for at least 3 more hours? also, answer B rationale doesn’t really explain why B is wrong, from what I could understand.
Thanks!
I want to learned more
Hi and thank you again for all of these awesome practice tests!! I appreciate them so much!
Just very confused on quiz #7 question #38:
it shows the correct answer as a pudendal block may inhibit the ability to push…but in the rationale it states that the pudendal block provides anesthesia to the perineum, so wouldn’t that provide numbing for an episiotomy and isn’t that a common reason this type of block is used? I was unable to find info anywhere saying that pudendal blocks might inhibit ability to push. help? :) thanks in advance!
Thank you so much, I learned a lot 🙏
Hi I found these very helpful. I wished there was a way for me to have a pdf copy of these so can keep on reviewing the questions offline
Hi..thanks for your hard and generous work…actually am referring s many people to use this site for revision.
Although I have a question,how can I save my unfinished work and come later to finish instead of it vanishing away and start all over again?.
Again how can one monitor the progress?
Note: Uterine enlargement is indicated as a presumptive sign in several textbooks. Obviously, this is unfair in how this inconsistency can cost losing a point!
presumptives u feel like n/v, no period, fatigue, breast change…..before going to the doctor or taking a pregnancy test. Just go with what is in your textbook.
Much respect to you, for creating this web which really helps students ( Midwife) in their Examination prepation. God glorify you👏👏👏👏
please fix number 23. you can’t get the correct answer. Thanks for this.
Maternal test 2 Question 62 is wrong , thank you!
Hello. It is right. To find the due date you had to add 7 days to January 14, then -3 months. It is October 21.
Maternity test 3 question 14 is wrong. please revisit
It’s correct because the question is asking for the wrong statement among the choices.
Thank you so much Professor for creating this website.
This helped me hone my skills in Maternity Nursing. However, I need to learn other topics in Maternity Nursing as I am not satisfied with the results of my previous practice test.
How can I open the other set of test. Please help. Thanks.
There is a navigation bar before each quiz. Please use that to navigate through the other tests.
Thank you Matt! May your tribe increase! keep up the good work!
The first half of this quiz was great, but then around question 35 it got to more pediatric stuff and I had to quit since I am doing OB and Newborn right now in class.
Please check out the other parts. :)
How can I download the questions
Hello,
First off, your practice tests are truly wonderful. Thank you from the bottom of my heart!
I wanted to ask a question about question #6 in maternal nursing quiz#4. I chose answer D right upper quadrant, and the correct answer says B right lower quadrant. The rationale states the landmark to look for when looking for PMI is the location of the fetal back in relation to the right or left side of the mother and the presentation, whether cephalic or breech. The best site is the fetal back nearest the head.
My question is, if the baby is breech (as noted in the question) and the best site to hear the HR is the fetal back nearest the head (as noted in rationale), then wouldn’t the upper quadrant be a better site given this baby’s presentation, since the head would be nearest to the fundus?
Thank you again.
Thank you so much! I learned a lot of things did know before.
Thank you🥰
thank you soo much!
52 Quiz8 and 54 Quiz7. Two sentences with the same question but different answers
Hi! Quiz 8 #52 has been updated.
Thank you Nurseslabs!
Very informative. Thank you so much.
Thank you for sharing
Have learn alot
Hello! Thank you for your contributions to nursing.
Regarding Maternity Quizi #6, the answer to the fifth question confuses me. I think its correct answer should be G2T1P0A0L1 (G is twice pregnant, T is full term, and its definition should be 37-40 weeks of birth; P is preterm, which is defined as birth at less than 37 weeks; A is abortion or miscarriage, and L is a live child) and its interpretation also conflicts with the contents of the systematic NCLEX-RN.
Thanks, I just hope it gets better!
Hi Alice, you’re right, the question is now updated. Thanks for letting us know! :)
Thanks for the update and the question is helping me a lot to learn new things. We opt for more.