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 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 NEW!
- Maternity Nursing NCLEX Practice Quiz #5 | 80 Questions NEW!
- Maternity Nursing: Antepartum NCLEX Practice Questions #6 | 55 Questions NEW!
- Maternity Nursing: Intrapartum NCLEX Practice Questions #7 | 55 Questions NEW!
- Maternity Nursing: Postpartum NCLEX Practice Questions #8 | 55 Questions NEW!
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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
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?CorrectIncorrect
Question 2 of 75
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?CorrectIncorrect
Question 3 of 75
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?CorrectIncorrect
Question 4 of 75
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?CorrectIncorrect
Question 5 of 75
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?CorrectIncorrect
Question 6 of 75
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:CorrectIncorrect
Question 7 of 75
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?CorrectIncorrect
Question 8 of 75
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?CorrectIncorrect
Question 9 of 75
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?CorrectIncorrect
Question 10 of 75
When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?CorrectIncorrect
Question 11 of 75
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:CorrectIncorrect
Question 12 of 75
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?CorrectIncorrect
Question 13 of 75
Which of the following would the nurse most likely expect to find when assessing a pregnant client with abruption placenta?CorrectIncorrect
Question 14 of 75
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?CorrectIncorrect
Question 15 of 75
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?CorrectIncorrect
Question 16 of 75
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?CorrectIncorrect
Question 17 of 75
A pregnant patient asks the nurse if she can take castor oil for her constipation. How should the nurse respond?CorrectIncorrect
Question 18 of 75
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?CorrectIncorrect
Question 19 of 75
Immediately after delivery, the nurse-midwife assesses the neonate’s head for signs of molding. Which factors determine the type of molding?CorrectIncorrect
Question 20 of 75
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?CorrectIncorrect
Question 21 of 75
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:CorrectIncorrect
Question 22 of 75
A female adult patient is taking a progestin-only oral contraceptive or mini pill. Progestin use may increase the patient’s risk for:CorrectIncorrect
Question 23 of 75
A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms?CorrectIncorrect
Question 24 of 75
Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. administration of oxytocin (Pitocin). Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration?CorrectIncorrect
Question 25 of 75
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?CorrectIncorrect
Question 26 of 75
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?CorrectIncorrect
Question 27 of 75
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?CorrectIncorrect
Question 28 of 75
After 3 days of breastfeeding, a postpartum patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she:CorrectIncorrect
Question 29 of 75
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?CorrectIncorrect
Question 30 of 75
Normal lochial findings in the first 24 hours post-delivery include:CorrectIncorrect
Question 31 of 75
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?CorrectIncorrect
Question 32 of 75
A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions?CorrectIncorrect
Question 33 of 75
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:CorrectIncorrect
Question 34 of 75
The nurse in-charge is reviewing a patient’s prenatal history. Which finding indicates a genetic risk factor?CorrectIncorrect
Question 35 of 75
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:CorrectIncorrect
Question 36 of 75
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?CorrectIncorrect
Question 37 of 75
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?CorrectIncorrect
Question 38 of 75
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?CorrectIncorrect
Question 39 of 75
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?CorrectIncorrect
Question 40 of 75
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:CorrectIncorrect
Question 41 of 75
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:CorrectIncorrect
Question 42 of 75
Which of the following would be inappropriate to assess in a mother who’s breastfeeding?CorrectIncorrect
Question 43 of 75
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?CorrectIncorrect
Question 44 of 75
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?CorrectIncorrect
Question 45 of 75
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?CorrectIncorrect
Question 46 of 75
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?CorrectIncorrect
Question 47 of 75
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?CorrectIncorrect
Question 48 of 75
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?CorrectIncorrect
Question 49 of 75
Which change would the nurse identify as a progressive physiological change in the postpartum period?CorrectIncorrect
Question 50 of 75
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?CorrectIncorrect
Question 51 of 75
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:CorrectIncorrect
Question 52 of 75
When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:CorrectIncorrect
Question 53 of 75
What is the approximate time that the blastocyst spends traveling to the uterus for implantation?CorrectIncorrect
Question 54 of 75
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?CorrectIncorrect
Question 55 of 75
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?CorrectIncorrect
Question 56 of 75
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?CorrectIncorrect
Question 57 of 75
A client with eclampsia begins to experience a seizure. Which of the following would the nurse in charge do first?CorrectIncorrect
Question 58 of 75
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?CorrectIncorrect
Question 59 of 75
The multigravida mother with a history of rapid labor who us in active labor calls out to the nurse, “The baby is coming!” which of the following would be the nurse’s first action?CorrectIncorrect
Question 60 of 75
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:CorrectIncorrect
Question 61 of 75
Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.CorrectIncorrect
Question 62 of 75
While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:CorrectIncorrect
Question 63 of 75
Which of the following is the most common kind of placental adherence seen in pregnant women?CorrectIncorrect
Question 64 of 75
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?CorrectIncorrect
Question 65 of 75
A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):CorrectIncorrect
Question 66 of 75
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?CorrectIncorrect
Question 67 of 75
A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?CorrectIncorrect
Question 68 of 75
What is an appropriate indicator for performing a contraction stress test?CorrectIncorrect
Question 69 of 75
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?CorrectIncorrect
Question 70 of 75
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.CorrectIncorrect
Question 71 of 75
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.CorrectIncorrect
Question 72 of 75
With regard to small-for-gestational-age (SGA) infants and intrauterine growth restriction (IUGR), nurses should be aware that:CorrectIncorrect
Question 73 of 75
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?CorrectIncorrect
Question 74 of 75
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?CorrectIncorrect
Question 75 of 75
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?CorrectIncorrect
If you need more information or practice quizzes, please do visit the following links:
- Nursing Test Bank: Free Practice Questions UPDATED!
Are you ready to learn? Check out our updated nursing test bank that includes over 3,500 practice questions covering a wide range of nursing topics that are absolutely free!
- NCLEX Questions Nursing Test Bank and Review UPDATED!
For this nursing test bank, we have included more than 1,000+ NCLEX practice questions covering different nursing topics! We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each question to reinforce learning.