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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7.Maternity Nursing: Intrapartum NCLEX Practice Questions #7 | 55 Questions
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Question 1 of 55
1. Question
A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment finding would indicate to the nurse that the infusion needs to be discontinued?
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Question 2 of 55
2. Question
A nurse is beginning to care for a client in labor. The physician has prescribed an IV infusion of Pitocin. The nurse ensures that which of the following is implemented before initiating the infusion?
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Question 3 of 55
3. Question
A nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 BPM. Which of the following nursing actions is most appropriate?
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Question 4 of 55
4. Question
A nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which of the following actions is most appropriate?
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Question 5 of 55
5. Question
A nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client’s abdomen. After attachment of the monitor, the initial nursing assessment is which of the following?
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Question 6 of 55
6. Question
A nurse is reviewing the record of a client in the labor room and notes that the nurse-midwife has documented that the fetus is at (-1) station. The nurse determines that the fetal presenting part is:
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Question 7 of 55
7. Question
A pregnant client is admitted to the labor room. An assessment is performed, and the nurse notes that the client’s hemoglobin and hematocrit levels are low, indicating anemia. The nurse determines that the client is at risk for which of the following?
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Question 8 of 55
8. Question
A nurse assists in the vaginal delivery of a newborn infant. After the delivery, the nurse observes the umbilical cord lengthen and a spurt of blood from the vagina. The nurse documents these observations as signs of:
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Question 9 of 55
9. Question
A client arrives at a birthing center in active labor. Her membranes are still intact, and the nurse-midwife prepares to perform an amniotomy. A nurse who is assisting the nurse-midwife explains to the client that after this procedure, she will most likely have:
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Question 10 of 55
10. Question
A nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which of the following is noted on the external monitor tracing during a contraction?
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Question 11 of 55
11. Question
A nurse explains the purpose of effleurage to a client in early labor. The nurse tells the client that effleurage is:
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Question 12 of 55
12. Question
A nurse is caring for a client in the second stage of labor. The client is experiencing uterine contractions every 2 minutes and cries out in pain with each contraction. The nurse recognizes this behavior as:
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Question 13 of 55
13. Question
A nurse is monitoring a client in labor who is receiving Pitocin and notes that the client is experiencing hypertonic uterine contractions. List in order of priority the actions that the nurse takes.
Administer oxygen by face mask at 8 to 10 L/min
Perform a vaginal examination
Reposition the client.
Check the client’s blood pressure and heart rate
Stop Pitocin infusion.
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Question 14 of 55
14. Question
A nurse is assigned to care for a client with hypotonic uterine dysfunction and signs of slowing labor. The nurse is reviewing the physician’s orders and would expect to note which of the following prescribed treatments for this condition?
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Question 15 of 55
15. Question
A nurse in the labor room is preparing to care for a client with hypertonic uterine dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention would be to:
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Question 16 of 55
16. Question
A nurse is developing a plan of care for a client experiencing dystocia and includes several nursing interventions in the plan of care. The nurse prioritizes the plan of care and selects which of the following nursing interventions as the highest priority?
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Question 17 of 55
17. Question
A maternity nurse is preparing to care for a pregnant client in labor who will be delivering twins. The nurse monitors the fetal heart rates by placing the external fetal monitor:
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Question 18 of 55
18. Question
A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which of the following risks associated with placenta previa?
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Question 19 of 55
19. Question
A nurse in the delivery room is assisting with the delivery of a newborn infant. After the delivery of the newborn, the nurse assists in delivering the placenta. Which observation would indicate that the placenta has separated from the uterine wall and is ready for delivery?
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Question 20 of 55
20. Question
A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the following would be the initial nursing action?
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Question 21 of 55
21. Question
A maternity nurse is caring for a client with abruptio placenta and is monitoring the client for disseminated intravascular coagulopathy. Which assessment finding is least likely to be associated with disseminated intravascular coagulation?
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Question 22 of 55
22. Question
A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the nurse expect to note if this condition is present?
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Question 23 of 55
23. Question
A maternity nurse is preparing for the admission of a client in the 3rd trimester of pregnancy that is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician’s orders and would question which order?
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Question 24 of 55
24. Question
An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that an abruptio placenta is present. Based on these findings, the nurse would prepare the client for:
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Question 25 of 55
25. Question
A nurse in a labor room is assisting with the vaginal delivery of a newborn infant. The nurse would monitor the client closely for the risk of uterine rupture if which of the following occurred?
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Question 26 of 55
26. Question
A client is admitted to the birthing suite in early active labor. The priority nursing intervention on the admission of this client would be:
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Question 27 of 55
27. Question
A client who is gravida 1, para 0 is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus’ head is:
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Question 28 of 55
28. Question
After doing Leopold’s maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed:
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Question 29 of 55
29. Question
The physician asks the nurse the frequency of a laboring client’s contractions. The nurse assesses the client’s contractions by timing from the beginning of one contraction:
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Question 30 of 55
30. Question
The nurse observes the client’s amniotic fluid and decides that it appears normal, because it is:
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Question 31 of 55
31. Question
At 38 weeks gestation, a client is having late decelerations. The fetal pulse oximeter shows 75% to 85%. The nurse should:
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Question 32 of 55
32. Question
When examining the fetal monitor strip after the rupture of the membranes in a laboring client, the nurse notes variable decelerations in the fetal heart rate. The nurse should:
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Question 33 of 55
33. Question
When monitoring the fetal heart rate of a client in labor, the nurse identifies an elevation of 15 beats above the baseline rate of 135 beats per minute lasting for 15 seconds. This should be documented as:
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Question 34 of 55
34. Question
A laboring client complains of low back pain. The nurse replies that this pain occurs most when the position of the fetus is:
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Question 35 of 55
35. Question
The breathing technique that the mother should be instructed to use as the fetus’ head is crowning is:
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Question 36 of 55
36. Question
During the period of induction of labor, a client should be observed carefully for signs of:
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Question 37 of 55
37. Question
A client arrives at the hospital in the second stage of labor. The fetus’ head is crowning, the client is bearing down, and the birth appears imminent. The nurse should:
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Question 38 of 55
38. Question
A laboring client is to have a pudendal block. The nurse plans to tell the client that once the block is working, she:
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Question 39 of 55
39. Question
Which of the following observations indicates fetal distress?
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Question 40 of 55
40. Question
Which of the following fetal positions is most favorable for birth?
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Question 41 of 55
41. Question
A laboring client has external electronic fetal monitoring in place. Which of the following assessment data can be determined by examining the fetal heart rate strip produced by the external electronic fetal monitor?
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Question 42 of 55
42. Question
A laboring client is in the first stage of labor and has progressed from 4 to 7 cm in cervical dilation. In which of the following phases of the first stage does cervical dilation occur most rapidly?
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Question 43 of 55
43. Question
A multiparous client who has been in labor for 2 hours states that she feels the urge to move her bowels. How should the nurse respond?
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Question 44 of 55
44. Question
Labor is a series of events affected by the coordination of the five essential factors. One of these is the passenger (fetus). Which are the other four factors?
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Question 45 of 55
45. Question
Fetal presentation refers to which of the following descriptions?
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Question 46 of 55
46. Question
A client is admitted to the L & D suite at 36 weeks’ gestation. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates tetanic contractions, the client again complains of severe pain. After the client vomits, she states that the pain is better and then passes out. Which is the probable cause of her signs and symptoms?
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Question 47 of 55
47. Question
Upon completion of a vaginal examination on a laboring woman, the nurse records 50%, 6 cm, -1. Which of the following is a correct interpretation of the data?
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Question 48 of 55
48. Question
Which of the following findings meets the criteria of a reassuring FHR pattern?
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Question 49 of 55
49. Question
Late deceleration patterns are noted when assessing the monitor tracing of a woman whose labor is being induced with an infusion of Pitocin. The woman is in a side-lying position, and her vital signs are stable and fall within a normal range. Contractions are intense, last 90 seconds, and occur every 1 1/2 to 2 minutes. The nurse’s immediate action would be to:
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Question 50 of 55
50. Question
The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia would be:
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Question 51 of 55
51. Question
Perineal care is an important infection control measure. When evaluating a postpartum woman’s perineal care technique, the nurse would recognize the need for further instruction if the woman:
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Question 52 of 55
52. Question
Which measure would be least effective in preventing postpartum hemorrhage?
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Question 53 of 55
53. Question
When making a visit to the home of a postpartum woman one week after birth, the nurse should recognize that the woman would characteristically:
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Question 54 of 55
54. Question
Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:
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Question 55 of 55
55. Question
Parents can facilitate the adjustment of their other children to a new baby by:
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7.Maternity Nursing: Intrapartum NCLEX Practice Questions #7 | 55 Questions
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