Welcome to your nursing test bank and NCLEX practice questions for maternity and newborn nursing. Included in this nursing test bank are 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 carenursing test banks. There are 545 NCLEX-style practice questions partitioned in 8 sets. We’ve made a significant effort to provide you with the most informative rationale so please be sure to 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.
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Question 1 of 75
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?
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Question 2 of 75
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?
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Question 3 of 75
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?
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Question 4 of 75
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?
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Question 5 of 75
5. Question
Which statement made by the client indicates that the mother understands the limitations of breastfeeding her newborn?
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Question 6 of 75
6. Question
When assessing the adequacy of sperm for conception to occur, which of the following is the most useful criterion?
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Question 7 of 75
7. Question
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?
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Question 8 of 75
8. Question
Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?
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Question 9 of 75
9. Question
Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?
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Question 10 of 75
10. Question
In which of the following areas would the nurse expect to observe chloasma?
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Question 11 of 75
11. Question
A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?
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Question 12 of 75
12. Question
Which of the following represents the average amount of weight gained during pregnancy?
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Question 13 of 75
13. Question
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?
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Question 14 of 75
14. Question
Cervical softening and uterine souffle are classified as which of the following?
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Question 15 of 75
15. Question
Which of the following would the nurse identify as a presumptive sign of pregnancy?
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Question 16 of 75
16. Question
Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?
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Question 17 of 75
17. Question
During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?
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Question 18 of 75
18. Question
Which of the following would be a disadvantage of breastfeeding?
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Question 19 of 75
19. Question
Which of the following would cause a false-positive result on a pregnancy test?
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Question 20 of 75
20. Question
FHR can be auscultated with a fetoscope as early as which of the following?
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Question 21 of 75
21. Question
A client LMP began July 5. Her EDD should be which of the following?
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Question 22 of 75
22. Question
Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?
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Question 23 of 75
23. Question
Which of the following danger signs should be reported promptly during the antepartum period?
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Question 24 of 75
24. Question
Which of the following prenatal laboratory test values would the nurse consider as significant?
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Question 25 of 75
25. Question
Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?
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Question 26 of 75
26. Question
During which of the following stages of labor would the nurse assess “crowning”?
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Question 27 of 75
27. Question
Barbiturates are usually not given for pain relief during active labor for which of the following reasons?
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Question 28 of 75
28. Question
Which of the following nursing interventions would the nurse perform during the third stage of labor?
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Question 29 of 75
29. Question
Which of the following actions demonstrates the nurse’s understanding of the newborn’s thermoregulatory ability?
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Question 30 of 75
30. Question
Immediately before expulsion, which of the following cardinal movements occur?
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Question 31 of 75
31. Question
Before birth, which of the following structures connects the right and left auricles of the heart?
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Question 32 of 75
32. Question
Which of the following when present in the urine may cause a reddish stain on the diaper of a newborn?
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Question 33 of 75
33. Question
When assessing the newborn’s heart rate, which of the following ranges would be considered normal if the newborn were sleeping?
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Question 34 of 75
34. Question
Which of the following is true regarding the fontanels of the newborn?
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Question 35 of 75
35. Question
Which of the following groups of newborn reflexes below are present at birth and remain unchanged through adulthood?
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Question 36 of 75
36. Question
Which of the following describes the Babinski reflex?
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Question 37 of 75
37. Question
Which of the following statements best describes hyperemesis gravidarum?
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Question 38 of 75
38. Question
Which of the following would the nurse identify as a classic sign of PIH?
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Question 39 of 75
39. Question
In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?
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Question 40 of 75
40. Question
Which of the following factors would the nurse suspect as predisposing a client to placenta previa?
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Question 41 of 75
41. Question
Which of the following would the nurse assess in a client experiencing abruptio placenta?
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Question 42 of 75
42. Question
Which of the following is described as premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage?
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Question 43 of 75
43. Question
Which of the following may happen if the uterus becomes overstimulated by oxytocin during the induction of labor?
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Question 44 of 75
44. Question
When preparing a client for cesarean delivery, which of the following key concepts should be considered when implementing nursing care?
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Question 45 of 75
45. Question
Which of the following best describes preterm labor?
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Question 46 of 75
46. Question
When PROM occurs, which of the following provides evidence of the nurse’s understanding of the client’s immediate needs?
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Question 47 of 75
47. Question
Which of the following factors is the underlying cause of dystocia?
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Question 48 of 75
48. Question
When uterine rupture occurs, which of the following would be the priority?
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Question 49 of 75
49. Question
Which of the following is the nurse’s initial action when umbilical cord prolapse occurs?
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Question 50 of 75
50. Question
Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?
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Question 51 of 75
51. Question
Which of the following is the primary predisposing factor related to mastitis?
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Question 52 of 75
52. Question
Which of the following best describes thrombophlebitis?
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Question 53 of 75
53. Question
Which of the following assessment findings would the nurse expect if the client develops DVT?
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Question 54 of 75
54. Question
Which of the following are the most commonly assessed findings in cystitis?
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Question 55 of 75
55. Question
Which of the following best reflects the frequency of reported postpartum “blues”?
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Question 56 of 75
56. Question
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?
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Question 57 of 75
57. Question
When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?
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Question 58 of 75
58. Question
When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the following contraceptive methods would be avoided?
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Question 59 of 75
59. Question
For which of the following clients would the nurse expect that an intrauterine device would not be recommended?
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Question 60 of 75
60. Question
A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following should the nurse recommend?
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Question 61 of 75
61. Question
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?
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Question 62 of 75
62. Question
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?
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Question 63 of 75
63. Question
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?
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Question 64 of 75
64. Question
When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the following?
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Question 65 of 75
65. Question
When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the following instructions would be the priority?
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Question 66 of 75
66. Question
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?
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Question 67 of 75
67. Question
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?
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Question 68 of 75
68. Question
Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
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Question 69 of 75
69. Question
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?
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Question 70 of 75
70. Question
Which of the following should the nurse do when a primipara who is lactating tells the nurse that she has sore nipples?
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Question 71 of 75
71. Question
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?
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Question 72 of 75
72. Question
The nurse assesses the postpartum vaginal discharge (lochia) on four clients. Which of the following assessments would warrant notification of the physician?
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Question 73 of 75
73. Question
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?
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Question 74 of 75
74. Question
Which of the following is the priority focus of nursing practice with the current early postpartum discharge?
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Question 75 of 75
75. Question
Which of the following actions would be least effective in maintaining a neutral thermal environment for the newborn?
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