Maternal Newborn Nclex Practice Questions

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A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take?

  • A. Decrease maintenance IV solution infusion rate.
  • B. Place the client in lateral position.
  • C. Administer misoprostol 25 mcg vaginally D
  • D. Administer oxygen via face mask at 2 L/min
Correct Answer: B

Rationale: Late decelerations of the fetal heart rate can indicate uteroplacental insufficiency, which may be a result of decreased oxygen supply to the fetus. Placing the client in a lateral position can help enhance uteroplacental perfusion by relieving pressure on the vena cava and improving maternal blood flow to the placenta. This position change can help improve fetal oxygenation and decrease the occurrence of late decelerations. Other actions such as administering oxygen and assessing for other contributing factors should also be done, but placing the client in a lateral position is the most appropriate immediate intervention in this scenario.

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A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?

  • A. "You must be feeling scared and powerless."
  • B. "Everyone worries about her baby when she's in labor."
  • C. "Your pregnancy is advanced so your baby should be fine."
  • D. "We have a neonatal unit here that's equipped to handle emergencies."
Correct Answer: D

Rationale: The most appropriate response for the nurse to offer in this situation is to inform the client that there is a neonatal unit equipped to handle emergencies. This response provides the client with reassurance that if there are any complications with the baby being born prematurely, there is a specialized unit available to provide the necessary care. It addresses the client's concern about the well-being of her baby while also offering a practical solution in case of any emergencies.

During which cycle day of a typical 28-day menstrual cycle does the follicular phase occur?

  • A. Cycle days 1-14
  • B. Cycle days 7-14
  • C. Cycle days 1-6
  • D. Cycle days 14-28
Correct Answer: A

Rationale: The follicular phase is the first phase of the menstrual cycle, during which the follicles in the ovaries mature in preparation for ovulation. In a typical 28-day menstrual cycle, the follicular phase occurs from cycle days 1 to 14. Ovulation usually takes place around day 14, marking the end of the follicular phase and the beginning of the luteal phase. During the follicular phase, the levels of estrogen gradually increase, stimulating the thickening of the uterine lining and the development of a dominant follicle containing the egg that will be released at ovulation.

What is the priority nursing action when shoulder dystocia is encountered during delivery?

  • A. Apply fundal pressure
  • B. Call for additional assistance
  • C. Perform the McRoberts maneuver
  • D. Encourage the mother to push harder
Correct Answer: C

Rationale: The McRoberts maneuver widens the pelvic outlet for delivery.

Which environment can assist a pregnant teen to achieve the task of establishing a stable identity?

  • A. Home schooling
  • B. Alternative education program
  • C. School-based mothers' program
  • D. Continuing mainstream high school classes
Correct Answer: C

Rationale: A school-based mothers' program can assist a pregnant teen in establishing a stable identity by providing specialized support and resources tailored to their unique needs. These programs typically offer academic assistance, childcare services, counseling, and parenting classes. By being in a supportive and understanding environment with other young mothers, the pregnant teen can feel accepted and supported, which can help boost her self-esteem and confidence. Additionally, these programs often focus on empowering young mothers to continue their education and set goals for their future, contributing to the development of a stable identity.

The nurse is monitoring a client at 36 weeks' gestation with suspected polyhydramnios. What complication is associated with this condition?

  • A. Preterm labor.
  • B. Placenta previa.
  • C. Cord prolapse.
  • D. Gestational hypertension.
Correct Answer: C

Rationale: Excessive amniotic fluid increases the risk of cord prolapse, especially after membrane rupture.

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