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
- Maternity Nursing NCLEX Practice | Quiz #5: 80 Questions
- Maternity Nursing: Antepartum NCLEX Practice | Quiz #6: 55 Questions
- Maternity Nursing: Intrapartum NCLEX Practice | Quiz #7: 55 Questions
- Maternity Nursing: Postpartum NCLEX Practice | Quiz #8: 55 Questions
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Maternity Nursing: Intrapartum NCLEX Practice| Quiz #7: 55 Questions
55 NCLEX-style questions about intrapartum nursing care.
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Question 1 of 55
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?CorrectIncorrect
Question 2 of 55
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?CorrectIncorrect
Question 3 of 55
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?CorrectIncorrect
Question 4 of 55
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?CorrectIncorrect
Question 5 of 55
A nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client’s abdomen. After the attachment of the monitor, the initial nursing assessment is which of the following?CorrectIncorrect
Question 6 of 55
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:CorrectIncorrect
Question 7 of 55
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?CorrectIncorrect
Question 8 of 55
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:CorrectIncorrect
Question 9 of 55
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:CorrectIncorrect
Question 10 of 55
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?CorrectIncorrect
Question 11 of 55
A nurse explains the purpose of effleurage to a client in early labor. The nurse tells the client that effleurage is:CorrectIncorrect
Question 12 of 55
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:CorrectIncorrect
Question 13 of 55
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.
Check the client’s blood pressure and heart rate
Administer oxygen by face mask at 8 to 10 L/min
Stop Pitocin infusion.
Reposition the client.
Perform a vaginal examination
Question 14 of 55
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?CorrectIncorrect
Question 15 of 55
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:CorrectIncorrect
Question 16 of 55
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?CorrectIncorrect
Question 17 of 55
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:CorrectIncorrect
Question 18 of 55
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?CorrectIncorrect
Question 19 of 55
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?CorrectIncorrect
Question 20 of 55
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?CorrectIncorrect
Question 21 of 55
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?CorrectIncorrect
Question 22 of 55
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?CorrectIncorrect
Question 23 of 55
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?CorrectIncorrect
Question 24 of 55
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:CorrectIncorrect
Question 25 of 55
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?CorrectIncorrect
Question 26 of 55
A client is admitted to the birthing suite in early active labor. The priority nursing intervention on the admission of this client would be:CorrectIncorrect
Question 27 of 55
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:CorrectIncorrect
Question 28 of 55
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:CorrectIncorrect
Question 29 of 55
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:CorrectIncorrect
Question 30 of 55
The nurse observes the client’s amniotic fluid and decides that it appears normal, because it is:CorrectIncorrect
Question 31 of 55
At 38 weeks gestation, a client is having late decelerations. The fetal pulse oximeter shows 75% to 85%. The nurse should:CorrectIncorrect
Question 32 of 55
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:CorrectIncorrect
Question 33 of 55
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:CorrectIncorrect
Question 34 of 55
A laboring client complains of low back pain. The nurse replies that this pain occurs most when the position of the fetus is:CorrectIncorrect
Question 35 of 55
The breathing technique that the mother should be instructed to use as the fetus’ head is crowning is:CorrectIncorrect
Question 36 of 55
During the period of induction of labor, a client should be observed carefully for signs of:CorrectIncorrect
Question 37 of 55
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:CorrectIncorrect
Question 38 of 55
A laboring client is to have a pudendal block. The nurse plans to tell the client that once the block is working, she:CorrectIncorrect
Question 39 of 55
Which of the following observations indicates fetal distress?CorrectIncorrect
Question 40 of 55
Which of the following fetal positions is most favorable for birth?CorrectIncorrect
Question 41 of 55
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?CorrectIncorrect
Question 42 of 55
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?CorrectIncorrect
Question 43 of 55
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?CorrectIncorrect
Question 44 of 55
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?CorrectIncorrect
Question 45 of 55
Fetal presentation refers to which of the following descriptions?CorrectIncorrect
Question 46 of 55
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?CorrectIncorrect
Question 47 of 55
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?CorrectIncorrect
Question 48 of 55
Which of the following findings meets the criteria of a reassuring FHR pattern?CorrectIncorrect
Question 49 of 55
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:CorrectIncorrect
Question 50 of 55
The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia would be:CorrectIncorrect
Question 51 of 55
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:CorrectIncorrect
Question 52 of 55
Which measure would be least effective in preventing postpartum hemorrhage?CorrectIncorrect
Question 53 of 55
When making a visit to the home of a postpartum woman one week after birth, the nurse should recognize that the woman would characteristically:CorrectIncorrect
Question 54 of 55
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:CorrectIncorrect
Question 55 of 55
Parents can facilitate the adjustment of their other children to a new baby by:CorrectIncorrect
Recommended books and resources for your NCLEX success:
- Saunders Comprehensive Review for the NCLEX-RN (8th Edition)
The most comprehensive and complete NCLEX exam review book with over 5,200 NCLEX-style questions that are thoroughly updated to reflect the most recent test plan.
- Saunders Q & A Review for the NCLEX-RN® Examination (8th Edition)
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- NCLEX-RN Prep Plus by Kaplan (24th Edition)
Kaplan’s NCLEX-RN Prep Plus uses expert critical thinking strategies and targeted sample questions to help you put your expertise into practice and face the exam with confidence.
- Illustrated Study Guide for the NCLEX-RN Exam
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- NCLEX RN Examination Prep Flashcards
Easy to use flash cards developed by test prep books for test takers trying to achieve a passing score on the NCLEX RN test, these flashcards cover.
- Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX-RN Examination
This book is the first and the most popular NCLEX-RN Exam review book focused exclusively on building management-of-care clinical judgment skills.
- Saunders Comprehensive Review for the NCLEX-PN Examination (8th Edition)
The book includes a review of all nursing content areas, more than 4,500 NCLEX exam-style questions, detailed rationales, test-taking tips and strategies, and new Next-Generation NCLEX (NGN)-style questions.
- More NCLEX review books here.
An investment in knowledge pays the best interest. Keep up the pace and continue learning with these practice quizzes:
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