Maternity Nursing NCLEX Challenge Exam (Quiz #5: 75 Questions)

Mechanism of labor, also known as the cardinal movements, refers to the sequencing of events involved in posturing and positioning that allows the baby to find the easiest to come out of the birth canal. Arrange the following mechanisms of labor in the order during the course of labor and fetal delivery.

The first thing that a nurse must ensure when the baby’s head comes out is

To ensure that the baby will breathe as soon as the head is delivered, the nurse’s priority action is to

When doing perineal care in preparation for delivery, the nurse should observe the following, except?

What are the important considerations that the nurse must remember after the placenta is delivered? Select all that apply.

The following are correct statements about false labor, except?

The passageway in labor and delivery of the fetus include the following, except?

The normal umbilical cord is composed of:

At what stage of labor and delivery does a primigravida differ mainly from a multigravida?

The second stage of labor begins with ___ and ends with __?

The following are signs that the placenta has detached, except?

When the shiny portion of the placenta comes out first is called which of the following mechanisms?

When the baby’s head is out, the immediate action of the nurse is

When delivering the baby’s head the nurse supports the mother’s perineum to prevent a tear. This technique is called

The basic delivery set for normal vaginal delivery includes the following instruments/articles, except?

As soon as the placenta is delivered, the nurse must do which of the following actions?

In vaginal delivery done in the hospital setting, the doctor routinely orders oxytocin to be given to the mother parenterally. The oxytocin is usually given after the placenta has been delivered and not before because:

In a gravido-cardiac mother, the first 2 hours postpartum (4th stage of labor and delivery) particularly in a cesarean section is a critical period because at this stage

This drug is usually given parenterally to enhance uterine contraction:

The partograph is a tool used to monitor labor. The maternal parameters measured/monitored are the following, except?

The following are natural childbirth procedures, except?

The following are common causes of dysfunctional labor. Which of these can a nurse, on her own manage?

At what stage of labor is the mother advised to bear down?

The normal dilatation of the cervix during the first stage of labor in a nullipara is

When the fetal head is at the level of the ischial spine, it is said that the station of the head is

During an internal examination, the nurse palpated the posterior fontanel to be at the left side of the mother at the upper quadrant. The interpretation is that the position of the fetus is:

The following are types of breech presentation, except:

When the nurse palpates the suprapubic area of the mother and found that the presenting part is still movable, the right term for this observation that the fetus is

The placenta should be delivered normally within how many minutes after the delivery of the baby?

When shaving a woman in preparation for cesarean section, the area to be shaved should be from:

During the postpartum period, the fundus of the uterus is expected to go down normally about how many centimeters per day?

The lochia on the first few days after delivery is characterized as

Lochia normally disappears after how many days postpartum?

After an Rh(-) mother has delivered her Rh (+) baby, the mother is given RhoGam. This is done in order to:

To enhance milk production, a lactating mother must do the following interventions, except:

The nursing intervention to relieve pain in breast engorgement while the mother continues to breastfeed is

A woman who delivered normally per vaginam is expected to void within how many hours after delivery?

To ensure adequate lactation the nurse should teach the mother to:

An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is:

The nurse should anticipate that hemorrhage related to uterine atony may occur postnatally if this condition was present during the delivery:

According to Rubin’s theory of maternal role adaptation, the mother will go through 3 stages during the postpartum period. These stages are:

The neonate of a mother with diabetes mellitus is prone to developing hypoglycemia because:

Which of the following is an abnormal vital sign in postpartum?

The uterine fundus right after delivery of placenta is palpable at

A nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes that the client has a saturated perineal pad in 1 hour. The nurse reports the amount of lochial flow as:

In a woman who is not breastfeeding, menstruation usually occurs after how many weeks?

The following are nursing measures to stimulate lactation, except:

When the uterus is firm and contracted after delivery but there is vaginal bleeding, the nurse should suspect which of the following?

The following are interventions to make the fundus contract postpartally, except:

The following are nursing interventions to relieve episiotomy wound pain, except:

Postpartum blues is said to be normal provided that the following characteristics are present. These are

The neonatal circulation differs from the fetal circulation because

The normal respiration of a newborn immediately after birth is characterized as:

The anterior fontanelle is characterized as:

The ideal site for vitamin K injection in the newborn is:

At what APGAR score at 5 minutes after birth should resuscitation be initiated?

Right after birth, when the skin of the baby’s trunk is pinkish but the soles of the feet and palm of the hands are bluish this is called:

The minimum birth weight for full-term babies to be considered normal is:

This procedure is done to prevent ophthalmia neonatorum is:

Which of the following characteristics will distinguish a postmature neonate at birth?

What would be the appropriate first nursing action when caring for a 20-year old G1P0 woman at 39 weeks gestation who is in active labor and for whom an assessment reveals mild variable fetal heart rate deceleration

In basal body temperature (BBT) technique, the sign that ovulation has occurred is an elevation of body temperature by

Lactation Amenorrhea Method(LAM) can be an effective method of natural birth control if

The intrauterine device prevents pregnancy by the ffg mechanism, except:

Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

The natural family planning method called Standard Days (SDM), is the latest type and easy to use method. However, it is a method applicable only to women with regular menstrual cycles between how many days?

Nurse Lesley is conducting health teachings to a group of first-time mothers. Which of the following are signs of ovulation? Select all that apply.

The following methods of artificial birth control works as a barrier device, except:

Which of the following is a true statement about normal ovulation?

If a couple would like to enhance their fertility, the following means can be done. Select all that apply.

In the sympto-thermal method, the parameters being monitored to determine if the woman is fertile or infertile are:

The following are important considerations to teach the woman who is on a low dose (mini-pill) oral contraceptive except:

To determine if the cause of infertility is a blockage of the fallopian tubes, the test to be done is

Infertility can be attributed to male causes such as the following except:

Spinnbarkeit is an indicator of ovulation which is characterized as: