NCLEX RN Questions Maternal Newborn Nursing

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Question 1 of 5.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two (2) actions the nurse should take to address that condition, and two (2) parameters the nurse should monitor to assess the client's progress

Action To take

A.prepare for the client to be admitted inpatient involuntarily
B. recommend that the client switch to formula feeding instead of breastfeeding
C. obtain an order for psychotherapy
D. identify additional support systems.

Potential Condition

A.postpartum psychosis
B. postpartum depression
C. postpartum blues
D. bipolar II disorder.

Parameter to Monitor

A.suicidal or homicidal ideations
B. bonding with infant
C. the client's relationship status with their partner
D. mental status during involuntarily admission.

Explanation: The client's tearfulness, guilt, and lack of bonding suggest postpartum depression (B). Psychotherapy (A) and support systems (D) are appropriate interventions. Monitoring bonding (B) and suicidal/homicidal ideations (A) assesses progress.

Question 2 of 5.

The nurse is conducting a prenatal class with a group of clients. Which vitamin should the nurse encourage to prevent neural tube defects in the newborn?

A. Folic acid

B. Vitamin B12

C. Vitamin E

D. Iron

Explanation: Folic acid is critical for neural tube closure in early fetal development, reducing the risk of defects like spina bifida.

Question 3 of 5.

The nurse is reviewing a client's contraction stress test results. Which action should the nurse take based on the results? Click the exhibit button for additional client information.

A. obtain an order for a biophysical screening

B. document the results as within normal limits

C. perform Leopold maneuvers

D. obtain a urine specimen and assess for proteinuria

Explanation: A positive or equivocal CST result suggests fetal compromise, warranting further evaluation with a biophysical profile.

Question 4 of 5.

At 25 weeks gestation, a pregnant client presents with a uterine growth size that is less than expected, decreased fetal movement, and an easily palpable fetus. Which of the following is this likely related to?

A. Oligohydramnios

B. Macrosomia

C. Hydramnios

D. Amniotic fluid embolism

Explanation: Oligohydramnios (low amniotic fluid) can cause reduced uterine size, decreased fetal movement, and easier palpation of the fetus.

Question 5 of 5.

A pregnant client who is Rh-negative is ordered an indirect Coombs' test. The nurse understands that the purpose of this test is to determine

A. if antibodies are present from previous exposure to Rh-positive blood.

B. the amount of time that it takes for fetal blood to clot.

C. the blood type, Rh factor, and antibody titer of the newborn.

D. if the fetus has a risk of developing pernicious anemia later in life.

Explanation: The indirect Coombs' test detects maternal antibodies against Rh-positive fetal blood, indicating potential Rh isoimmunization.