A woman delivered a baby in the car on the way to the hospital. In the

NCLEX Practice Questions Maternal Newborn

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Question 1 of 5.

A woman delivered a baby in the car on the way to the hospital. In the emergency room, the physician examined the mother. What is the priority action for the nurse at this time?

A. Gently tug on the cord and massage the uterus to see if the placenta is ready to be delivered

B. Clamp and cut the cord with sterile scissors

C. Note and record the Apgar score

D. Clear the mucus from the baby's mouth and nose

Explanation: Clearing mucus from the baby's mouth and nose ensures a patent airway, the priority for newborn stabilization.

Question 2 of 5.

The nurse is caring for an adult woman who had a vaginal hysterectomy today. The client is now returned to the nursing care unit following an uneventful stay in the postanesthesia care unit. What is the priority nursing action for this client?

A. Offer her the bedpan.

B. Encourage coughing and deep breathing.

C. Immediately administer pain medication.

D. Assess chest tubes for patency.

Explanation: Coughing and deep breathing are critical post-hysterectomy to prevent respiratory complications like atelectasis or pneumonia.

Question 3 of 5.

The nurse is caring for a woman after insertion of radium rods for treatment of cancer of the cervix. The nurse positions her in a supine position with legs extended for which reason?

A. To keep the rods in the correct position

B. To prevent the urinary bladder from becoming overdistended

C. To reduce pressure on the pelvic and back areas

D. To limit the amount of radiation exposure

Explanation: The supine position with legs extended helps maintain the correct placement of radium rods for effective treatment.

Question 4 of 5.

A client asks the nurse the difference between an intrauterine device (IUD) and a diaphragm. The nurse's response should be based on which information?

A. The diaphragm is inserted into the uterine cavity, and the IUD covers the cervix.

B. The IUD is 97% effective, and the diaphragm is 50% effective.

C. The IUD is placed into the uterine cavity by the doctor, and the diaphragm is placed into the vagina each time by the user.

D. The IUD must be used with contraceptive jelly, and the diaphragm does not require contraceptive jelly.

Explanation: The IUD is inserted into the uterus by a physician, while the diaphragm is user-inserted into the vagina before intercourse.

Question 5 of 5.

The physician prescribes clomiphene (Clomid) for a woman who has been having difficulty getting pregnant. When discussing this drug with the woman, the nurse should know that which of the following is known to be a side effect of clomiphene?

A. Infertility

B. Multiple births

C. Vaginal bleeding

D. Painful intercourse

Explanation: Clomiphene stimulates ovulation, increasing the risk of multiple births as a side effect.