A woman who is completely dilated is pushing with contractions. After

Maternal Newborn NCLEX Questions

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Question 1 of 5.

A woman who is completely dilated is pushing with contractions. After 30 minutes of pushing, the baby is still at 0 station. What is the most appropriate nursing action at this time?

A. Assess for a full bladder

B. Prepare for a cesarean delivery

C. Monitor fetal heart tones

D. Turn the mother to her left side

Explanation: A full bladder can obstruct fetal descent, so assessing and addressing it is the first step.

Question 2 of 5.

A 45-year-old woman was found to have several large fibroid tumors. She is to have an abdominal panhysterectomy. She asks what a panhysterectomy includes. The nurse tells the client that a panhysterectomy consists of the removal of which of the following?

A. Uterine fundus and body

B. Uterine fundus and body and uterine cervix

C. Uterine fundus and body, uterine cervix, fallopian tubes, and ovaries

D. Uterine fundus and body, uterine cervix, fallopian tubes, ovaries, and vagina

Explanation: A panhysterectomy involves removal of the uterus, cervix, fallopian tubes, and ovaries, but the vagina is left intact.

Question 3 of 5.

A 42-year-old woman sees her physician because of painless spotting between periods that is worse after intercourse. A Pap smear is done. The results come back as stage III. The nurse's response is based on the knowledge that a stage III Pap smear indicates that:

A. only normal cells are present.

B. atypical cells are present.

C. cells suggestive but not diagnostic of malignancy are present.

D. many malignant cells are present.

Explanation: A stage III Pap smear indicates cells suggestive of malignancy, requiring further evaluation but not confirming cancer.

Question 4 of 5.

A young woman comes to the clinic for contraceptive advice. She says she wants to take the pill. Vital signs are within normal limits. She tells the nurse she has been having intercourse for the past year without protection. What question is it most important for the nurse to ask her?

A. How much exercise do you get each day?

B. What do you usually eat each day?

C. How many cigarettes do you smoke each day?

D. Are you under stress?

Explanation: Smoking increases the risk of cardiovascular complications with oral contraceptives, making it a critical question.

Question 5 of 5.

A 46-year-old woman visits her gynecologist because she has been spotting. She is to be evaluated for carcinoma of the cervix. If she has cancer of the cervix, she is most likely to report that vaginal spotting occurred at what time?

A. On arising

B. While sitting

C. After intercourse

D. On stair climbing

Explanation: Cervical cancer often causes postcoital bleeding due to fragile cervical tissue.