Maternal Newborn Nclex Practice Questions

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A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse

  • A. Assist the client into a comfortable position.
  • B. Observe the perineum for signs of crowning.
  • C. Have the client pant during the next contractions.
  • D. Help the client to the bathroom to void.
Correct Answer: B

Rationale: The sudden urge to push along with the advanced cervical dilation, effacement, and station indicates that the client is likely in the second stage of labor, which is the stage of active pushing. When a woman feels the urge to push, it is essential to assess for the crowning of the fetal head at the perineum as this indicates that the baby is descending and will soon be born. This assessment helps the nurse determine the appropriate actions to take next in assisting the delivery process. Waiting for signs of crowning before guiding the client to push can prevent potential complications related to a rapid birth and help facilitate a more controlled delivery process.

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The nurse is reviewing a prenatal client's record and notes a diagnosis of oligohydramnios. What complication is associated with this condition?

  • A. Preterm labor.
  • B. Fetal growth restriction.
  • C. Cord prolapse.
  • D. Placenta previa.
Correct Answer: B

Rationale: Oligohydramnios, or low amniotic fluid levels, is often associated with fetal growth restriction.

A 26-year-old woman is interested in using an IUD for contraception. What is the primary advantage of using an IUD over other contraceptive methods?

  • A. It requires no daily action from the patient once inserted.
  • B. It provides immediate protection after insertion.
  • C. It is effective immediately after the first sexual activity after insertion.
  • D. It is effective only for 6 months before needing replacement.
Correct Answer: A

Rationale: One of the primary advantages of the IUD is that it requires no daily action, making it a convenient and reliable method. Choice B is incorrect because it may take a few days for some types of IUDs to provide full protection. Choice C is incorrect because immediate protection may not be ensured immediately after insertion, especially for hormonal IUDs. Choice D is incorrect because IUDs typically last for several years, not just 6 months.

The nurse is preparing a client for cesarean delivery. What is the priority nursing action?

  • A. Obtain baseline vital signs.
  • B. Insert an indwelling urinary catheter.
  • C. Verify signed informed consent.
  • D. Administer prophylactic antibiotics.
Correct Answer: C

Rationale: Ensuring informed consent is signed is a priority before any surgical procedure.

A client in labor with a breech presentation is scheduled for a cesarean delivery. What is the nurse's priority action?

  • A. Obtain baseline maternal vital signs.
  • B. Assist with positioning for spinal anesthesia.
  • C. Verify fetal heart tones before the procedure.
  • D. Ensure signed informed consent is on file.
Correct Answer: D

Rationale: Ensuring signed informed consent is a priority before any surgical procedure, including cesarean delivery.

The nurse is preparing a client for induction of labor. What is the primary purpose of administering oxytocin?

  • A. Enhance cervical dilation.
  • B. Increase maternal blood pressure.
  • C. Strengthen uterine contractions.
  • D. Prevent postpartum hemorrhage.
Correct Answer: C

Rationale: Oxytocin is used to stimulate uterine contractions to induce or augment labor.

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