Maternity Nursing NCLEX Practice Quiz and Test Bank (500+ Questions)

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?

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?

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?

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?

Which statement made by the client indicates that the mother understands the limitations of breastfeeding her newborn?

When assessing the adequacy of sperm for conception to occur, which of the following is the most useful criterion?

A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group, and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most appropriate nursing diagnosis for this couple?

Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?

In which of the following areas would the nurse expect to observe chloasma?

A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?

Which of the following represents the average amount of weight gained during pregnancy?

When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?

Cervical softening and uterine souffle are classified as which of the following?

Which of the following would the nurse identify as a presumptive sign of pregnancy?

Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?

During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?

Which of the following would be a disadvantage of breastfeeding?

Which of the following would cause a false-positive result on a pregnancy test?

FHR can be auscultated with a fetoscope as early as which of the following?

A client LMP began July 5. Her EDD should be which of the following?

Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?

Which of the following danger signs should be reported promptly during the antepartum period?

Which of the following prenatal laboratory test values would the nurse consider as significant?

Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?

During which of the following stages of labor would the nurse assess “crowning”?

Barbiturates are usually not given for pain relief during active labor for which of the following reasons?

Which of the following nursing interventions would the nurse perform during the third stage of labor?

Which of the following actions demonstrates the nurse’s understanding of the newborn’s thermoregulatory ability?

Immediately before expulsion, which of the following cardinal movements occur?

Before birth, which of the following structures connects the right and left auricles of the heart?

Which of the following when present in the urine may cause a reddish stain on the diaper of a newborn?

When assessing the newborn’s heart rate, which of the following ranges would be considered normal if the newborn were sleeping?

Which of the following is true regarding the fontanels of the newborn?

Which of the following groups of newborn reflexes below are present at birth and remain unchanged through adulthood?

Which of the following describes the Babinski reflex?

Which of the following statements best describes hyperemesis gravidarum?

Which of the following would the nurse identify as a classic sign of PIH?

In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?

Which of the following factors would the nurse suspect as predisposing a client to placenta previa?

Which of the following would the nurse assess in a client experiencing abruptio placenta?

Which of the following is described as premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage?

Which of the following may happen if the uterus becomes overstimulated by oxytocin during the induction of labor?

When preparing a client for cesarean delivery, which of the following key concepts should be considered when implementing nursing care?

Which of the following best describes preterm labor?

When PROM occurs, which of the following provides evidence of the nurse’s understanding of the client’s immediate needs?

Which of the following factors is the underlying cause of dystocia?

When uterine rupture occurs, which of the following would be the priority?

Which of the following is the nurse’s initial action when umbilical cord prolapse occurs?

Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?

Which of the following is the primary predisposing factor related to mastitis?

Which of the following best describes thrombophlebitis?

Which of the following assessment findings would the nurse expect if the client develops DVT?

Which of the following are the most commonly assessed findings in cystitis?

Which of the following best reflects the frequency of reported postpartum “blues”?

For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following?

When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?

When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the following contraceptive methods would be avoided?

For which of the following clients would the nurse expect that an intrauterine device would not be recommended?

A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following should the nurse recommend?

Which of the following would the nurse use as the basis for the teaching plan when caring for a pregnant teenager concerned about gaining too much weight during pregnancy?

The client tells the nurse that her last menstrual period started on January 14 and ended on January 20. Using Nagele’s rule, the nurse determines her EDD to be which of the following?

When taking an obstetrical history on a pregnant client who states, “I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks,” the nurse should record her obstetrical history as which of the following?

When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the following?

When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the following instructions would be the priority?

A client at 24 weeks gestation has gained 6 pounds in 4 weeks. Which of the following would be the priority when assessing the client?

A client 12 weeks’ pregnant came to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation.The nurse would document these findings as which of the following?

Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?

Before assessing the postpartum client’s uterus for firmness and position in relation to the umbilicus and midline, which of the following should the nurse do first?

Which of the following should the nurse do when a primipara who is lactating tells the nurse that she has sore nipples?

The nurse assesses the vital signs of a client, 4 hours’ postpartum that are as follows: BP 90/60; temperature 100.4ºF; pulse 100 weak, thready; R 20 per minute. Which of the following should the nurse do first?

The nurse assesses the postpartum vaginal discharge (lochia) on four clients. Which of the following assessments would warrant notification of the physician?

A postpartum client has a temperature of 101.4ºF, with a uterus that is tender when palpated, remains unusually large, and not descending as normally expected. Which of the following should the nurse assess next?

Which of the following is the priority focus of nursing practice with the current early postpartum discharge?

Which of the following actions would be least effective in maintaining a neutral thermal environment for the newborn?