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

A newborn who has an asymmetrical Moro reflex response should be further assessed for which of the following?

During the first 4 hours after a male circumcision, assessing for which of the following is the priority?

The mother asks the nurse. “What’s wrong with my son’s breasts? Why are they so enlarged?” Which of the following would be the best response by the nurse?

Immediately after birth, the nurse notes the following on a male newborn: respirations 78; apical heart rate 160 BPM, nostril-flaring; mild intercostal retractions; and grunting at the end of expiration. Which of the following should the nurse do?

The nurse hears a mother telling a friend on the telephone about umbilical cord care. Which of the following statements by the mother indicates effective teaching?

A newborn weighing 3000 grams and feeding every 4 hours needs 120 calories/kg of body weight every 24 hours for proper growth and development. How many ounces of 20 cals/oz formula should this newborn receive at each feeding to meet nutritional needs?

The post-term neonate with meconium-stained amniotic fluid needs care designed to especially monitor for which of the following?

When measuring a client’s fundal height, which of the following techniques denotes the correct method of measurement used by the nurse?

A client with severe preeclampsia is admitted with BP 160/110, proteinuria, and severe pitting edema. Which of the following would be most important to include in the client’s plan of care?

A postpartum primipara asks the nurse, “When can we have sexual intercourse again?” Which of the following would be the nurse’s best response?

When preparing to administer the vitamin K injection to a neonate, the nurse would select which of the following sites as appropriate for the injection?

When performing a pelvic examination, the nurse observes a red swollen area on the right side of the vaginal orifice. The nurse would document this as enlargement of which of the following?

To differentiate as a female, the hormonal stimulation of the embryo that must occur involves which of the following?

A client at 8 weeks’ gestation calls complaining of slight nausea in the morning hours. Which of the following client interventions should the nurse question?

The nurse documents positive ballottement in the client’s prenatal record. The nurse understands that this indicates which of the following?

During a pelvic exam, the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?

During a prenatal class, the nurse explains the rationale for breathing techniques during preparation for labor based on the understanding that breathing techniques are most important in achieving which of the following?

After 4 hours of active labor, the nurse notes that the contractions of a primigravida client are not strong enough to dilate the cervix. Which of the following would the nurse anticipate doing?

A multigravida at 38 weeks’ gestation is admitted with painless, bright red bleeding and mild contractions every 7 to 10 minutes. Which of the following assessments should be avoided?

Which of the following would be the nurse’s most appropriate response to a client who asks why she must have a cesarean delivery if she has a complete placenta previa?

The nurse understands that the fetal head is in which of the following positions with a face presentation?

With a fetus in the left anterior breech presentation, the nurse would expect the fetal heart rate would be most audible in which of the following areas?

The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?

A patient is in labor and has just been told she has a breech presentation. The nurse should be particularly alert for which of the following?

When describing dizygotic twins to a couple, on which of the following would the nurse base the explanation?

Which of the following refers to the single cell that reproduces itself after conception?

In the late 1950s, consumers and health care professionals began challenging the routine use of analgesics and anesthetics during childbirth. Which of the following was an outgrowth of this concept?

A client has a mid pelvic contracture from a previous pelvic injury due to a motor vehicle accident as a teenager. The nurse is aware that this could prevent a fetus from passing through or around which structure during childbirth?

When teaching a group of adolescents about variations in the length of the menstrual cycle, the nurse understands that the underlying mechanism is due to variations in which of the following phases?

When teaching a group of adolescents about male hormone production, which of the following would the nurse include as being produced by the Leydig cells?

While performing a physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanel is still slightly open. Which of the following is the nurse’s most appropriate action?

When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done?

The infant of a substance-abusing mother is at risk for developing a sense of which of the following?

Which of the following toys should the nurse recommend for a 5-month-old?

The mother of a 2-month-old is concerned that she may be spoiling her baby by picking her up when she cries. Which of the following would be the nurse’s best response?

When assessing an 18-month-old, the nurse notes a characteristic protruding abdomen. Which of the following would explain the rationale for this finding?

If parents keep a toddler dependent in areas where he is capable of using skills, the toddler will develop a sense of which of the following?

Which of the following is an appropriate toy for an 18-month-old?

When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler?

When teaching parents about typical toddler eating patterns, which of the following should be included?

Which of the following suggestions should the nurse offer the parents of a 4-year-old boy who resists going to bed at night?

When providing therapeutic play, which of the following toys would best promote imaginative play in a 4-year-old?

Which of the following activities, when voiced by the parents following a teaching session about the characteristics of school-age cognitive development would indicate the need for additional teaching?

A hospitalized school age child states: “I’m not afraid of this place, I’m not afraid of anything.” This statement is most likely an example of which of the following?

After teaching a group of parents about accident prevention for school agers, which of the following statements by the group would indicate the need for more teaching?

Which of the following skills is the most significant one learned during the school-age period?

A child age 7 was unable to receive the measles, mumps, and rubella (MMR) vaccine at the recommended scheduled time. When would the nurse expect to administer the MMR vaccine?

The adolescent’s inability to develop a sense of who he is and what he can become results in the sense of which of the following?

Which of the following would be most appropriate for a nurse to use when describing menarche to a 13-year-old?

A 14-year-old boy has acne and according to his parents, dominates the bathroom by using the mirror all the time. Which of the following remarks by the nurse would be least helpful in talking to the boy and his parents?

Which of the following should the nurse suspect when noting that a 3-year-old is engaging in explicit sexual behavior during doll play?

Which of the following statements by the parents of a child with school phobia would indicate the need for further teaching?

When developing a teaching plan for a group of high school students about teenage pregnancy, the nurse would keep in mind which of the following?

When assessing a child with a cleft palate, the nurse is aware that the child is at risk for more frequent episodes of otitis media due to which of the following?

While performing a neurodevelopmental assessment on a 3-month-old infant, which of the following characteristics would be expected?

By the end of which of the following would the nurse most commonly expect a child’s birth weight to triple?

Which of the following best describes parallel play between two toddlers?

Which of the following would the nurse identify as the initial priority for a child with acute lymphocytic leukemia?

Which of the following information, when voiced by the mother, would indicate to the nurse that she understands home care instructions following the administration of diphtheria, tetanus, and pertussis injection?

Which of the following actions by a community health nurse is most appropriate when noting multiple bruises and burns on the posterior trunk of an 18-month-old child during a home visit?

Which of the following is being used when the mother of a hospitalized child calls the student nurse and states, “You idiot, you have no idea how to care for my sick child”?

Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease?

Which of the following would the nurse do first for a 3-year-old boy who arrives in the emergency room with a temperature of 105 degrees, inspiratory stridor, and restlessness, who is leaning forward and drooling?

Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for a child with a urinary tract infection?

Which of the following should the nurse do first for a 15-year-old boy with a full leg cast who is screaming in unrelenting pain and exhibiting right foot pallor signifying compartment syndrome?

At which of the following ages would the nurse expect to administer the varicella zoster vaccine to a child?

When discussing normal infant growth and development with parents, which of the following toys would the nurse suggest as most appropriate for an 8-month-old?

Which of the following aspects of psychosocial development is necessary for the nurse to keep in mind when providing care for the preschool child?

Which of the following is characteristic of a preschooler with mild-mental retardation?

Which of the following assessment findings would lead the nurse to suspect Down syndrome in an infant?

While assessing a newborn with cleft lip, the nurse would be alert that which of the following will most likely be compromised?

When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions?

While assessing a child with pyloric stenosis, the nurse is likely to note which of the following?

Which of the following nursing diagnoses would be inappropriate for the infant with gastroesophageal reflux (GER)?

Which of the following parameters would the nurse monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal reflux disease (GERD)?