NCLEX RN Practice Questions Maternal Newborn
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Question 1 of 5.
A 38-week pregnant woman comes into the emergency department complaining of vaginal bleeding. The client is not in obvious distress or pain. Which statement by the client would lead the nurse to suspect placenta previa?
A. I don't feel any pain at all. It's just the bleeding that concerns me.
B. I feel like I'm about to go into labor. My tummy is starting to contract.
C. I started bleeding when I picked up my 3-year-old son, who weighs 32 pounds.
D. I feel like I'm about to vomit.
Explanation: Painless vaginal bleeding (A) is a hallmark of placenta previa, where the placenta covers the cervix. Painful bleeding with contractions (B) suggests placental abruption. Bleeding after lifting (C) may indicate trauma or abruption. Nausea (D) is unrelated to placenta previa.
Question 2 of 5.
The nurse is reviewing antepartum tests for a client newly admitted to the labor and delivery unit. Which diagnostic test requires follow-up? See the exhibit.
A. Contraction stress test (CST)
B. Nonstress test (NST)
C. Fetal heart rate via transabdominal ultrasound
D. Vaginal culture for group B streptococcus (GBS)
Explanation: A contraction stress test (CST) requires follow-up if results are positive or equivocal, indicating potential fetal distress, as it assesses fetal response to uterine contractions.
Question 3 of 5.
You are seeing patients in an outpatient obstetrical clinic for their regularly scheduled prenatal appointments. Your patient is a G2P1 32-year-old woman who is 32 weeks pregnant. She says to you that she is concerned because she thinks she is developing striae gravidarum. When you assess the patient, what would you expect to see if she does present with this condition? Select the correct image.
A. Qstn 8-A- MN
B. Qstn 8-B- MN
C. Qstn 8-C- MN
D. Qstn 8-D- MN
Explanation: Striae gravidarum are stretch marks, typically reddish or silvery lines on the abdomen, breasts, or thighs, caused by skin stretching during pregnancy.
Question 4 of 5.
The nurse working on the labor and delivery floor is aware that which of the following maternal infections may increase the risk of developing congenital heart defects in the fetus?
A. Parainfluenza
B. Adenovirus
C. Rubella
D. Measles
Explanation: Rubella infection during pregnancy is associated with congenital heart defects in the fetus.
Question 5 of 5.
The nurse is supervising a nursing student to teach a pregnant client about a scheduled chorionic villus sampling (CVS) test. Which statement, if made by the nursing student, would require follow-up?
A. You will need to provide both a urine and blood sample for this test.
B. Drink plenty of water prior to this test and do not empty your bladder.
C. An ultrasound will be used during this procedure to guide the needle.
D. It is okay to eat and drink on the day of the procedure.
Explanation: CVS does not typically require urine or blood samples, as it involves sampling placental tissue.
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