Maternity and Newborn NCLEX RN Questions
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Question 1 of 5.
The labor and delivery unit charge nurse has received a change-of-shift report on the following clients in labor. Which client should the charge nurse ask the staff nurse to see first?
A. A 28-year-old primigravida at 39 weeks gestation, currently in active labor, with a fetal heart rate of 90-100 bpm.
B. A 35-year-old multipara at 41 weeks gestation, currently in early labor, with a history of rapid labor in her previous delivery.
C. A 20-year-old multipara at 37 weeks gestation, currently in active labor, with a history of two previous cesarean deliveries.
D. A 25-year-old multipara at 38 weeks gestation, currently in early labor, with cervical dilation of 3 cm.
Explanation: A fetal heart rate of 90-100 bpm (A) indicates bradycardia, a nonreassuring sign requiring immediate assessment. Rapid labor history (B), previous cesareans (C), and early labor with 3 cm dilation (D) are less urgent without immediate fetal distress.
Question 2 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 3 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 4 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 5 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.
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