Maternity and Newborn NCLEX RN Questions

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Question 1 of 5.

The nurse is caring for a client in the third trimester of pregnancy. Which of the following assessment findings would be expected? Select All That Apply.

A. Persistent abdominal pain

B. Increased fetal movement

C. Swollen ankles and feet

D. Weight loss

E. Decreased frequency of urination

Explanation: Increased fetal movement and swollen ankles/feet are normal due to fetal growth and fluid retention. Persistent abdominal pain, weight loss, and decreased urination are concerning and require investigation.

Question 2 of 5.

Your pregnant client has been hospitalized with hyperemesis gravidarum. She is given ondansetron to treat this illness. What serious side effects should the hospital nurses be watching for?

A. Continued nausea and vomiting

B. Prolonged QT interval

C. Respiratory distress

D. Constipation

Explanation: Ondansetron can cause prolonged QT interval, a serious cardiac risk, requiring monitoring.

Question 3 of 5.

The nurse is performing an obstetrics history on a client who is pregnant at 25 gestational weeks. The client reports giving birth to twins at 31 weeks of gestation. She had a stillborn infant at 23 weeks gestation and a spontaneous abortion at 12 weeks gestation. The nurse is correct in documenting her GTPAL as

A. G4-T0-P2-A1-L2

B. G4-T0-P1-A2-L2

C. G4-T0-P1-A2-L3

D. G4-T1-P1-A1-L2

Explanation: GTPAL: G4 (4 pregnancies), T0 (no term births), P2 (twins at 31 weeks, preterm), A1 (spontaneous abortion), L2 (two living children from twins).

Question 4 of 5.

The nurse is caring for a pregnant client who has a rubella infection. Which of the following issues is the client's fetus at risk of developing? Select all that apply.

A. intrauterine growth restriction (IUGR)

B. hemolytic disease

C. hydrocephaly

D. large for gestational age (LGA)

E. stillbirth

Explanation: Rubella can cause congenital rubella syndrome, leading to IUGR, hydrocephaly, and stillbirth. Hemolytic disease and LGA are unrelated.

Question 5 of 5.

The nurse is teaching a client who is pregnant about interventions that may lessen constipation. Which of the following interventions are appropriate to recommend?

A. Increasing the consumption of fruits and vegetables

B. Taking a mild over-the-counter laxative

C. Lying flat on the back when sleeping

D. Reduce the consumption of iron by at least 1/2

Explanation: Increasing fiber from fruits and vegetables helps alleviate constipation. Laxatives and reducing iron are not recommended without medical advice, and lying flat can worsen discomfort.

Question 1 of 5.

The nurse is caring for a client in the third trimester of pregnancy. Which of the following assessment findings would be expected? Select All That Apply.

A. Persistent abdominal pain

B. Increased fetal movement

C. Swollen ankles and feet

D. Weight loss

E. Decreased frequency of urination

Question 2 of 5.

Your pregnant client has been hospitalized with hyperemesis gravidarum. She is given ondansetron to treat this illness. What serious side effects should the hospital nurses be watching for?

A. Continued nausea and vomiting

B. Prolonged QT interval

C. Respiratory distress

D. Constipation

Question 3 of 5.

A. G4-T0-P2-A1-L2

B. G4-T0-P1-A2-L2

C. G4-T0-P1-A2-L3

D. G4-T1-P1-A1-L2

Question 4 of 5.

The nurse is caring for a pregnant client who has a rubella infection. Which of the following issues is the client's fetus at risk of developing? Select all that apply.

A. intrauterine growth restriction (IUGR)

B. hemolytic disease

C. hydrocephaly

D. large for gestational age (LGA)

E. stillbirth

Question 5 of 5.

The nurse is teaching a client who is pregnant about interventions that may lessen constipation. Which of the following interventions are appropriate to recommend?

A. Increasing the consumption of fruits and vegetables

B. Taking a mild over-the-counter laxative

C. Lying flat on the back when sleeping

D. Reduce the consumption of iron by at least 1/2

Question 1 of 5.

The nurse is caring for a client in the third trimester of pregnancy. Which of the following assessment findings would be expected? Select All That Apply.

A. Persistent abdominal pain

B. Increased fetal movement

C. Swollen ankles and feet

D. Weight loss

E. Decreased frequency of urination

Question 2 of 5.

Your pregnant client has been hospitalized with hyperemesis gravidarum. She is given ondansetron to treat this illness. What serious side effects should the hospital nurses be watching for?

A. Continued nausea and vomiting

B. Prolonged QT interval

C. Respiratory distress

D. Constipation

Question 3 of 5.

A. G4-T0-P2-A1-L2

B. G4-T0-P1-A2-L2

C. G4-T0-P1-A2-L3

D. G4-T1-P1-A1-L2

Question 4 of 5.

The nurse is caring for a pregnant client who has a rubella infection. Which of the following issues is the client's fetus at risk of developing? Select all that apply.

A. intrauterine growth restriction (IUGR)

B. hemolytic disease

C. hydrocephaly

D. large for gestational age (LGA)

E. stillbirth

Question 5 of 5.

The nurse is teaching a client who is pregnant about interventions that may lessen constipation. Which of the following interventions are appropriate to recommend?

A. Increasing the consumption of fruits and vegetables

B. Taking a mild over-the-counter laxative

C. Lying flat on the back when sleeping

D. Reduce the consumption of iron by at least 1/2

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