The nurse is caring for a client experiencing variable decelerations.

Maternal Newborn NCLEX RN Practice Questions

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Question 1 of 5.

The nurse is caring for a client experiencing variable decelerations. The nurse observes the umbilical cord protruding through the vagina. Place the following actions in the order in which they should be performed, starting from first to last.

A. Prepare the client for immediate cesarean delivery.
B. Apply pressure to lift the presenting fetal part.
C. Administer oxygen via face mask.
D. Place the client in the Trendelenburg position.
E. Stay with the client and call for help

Correct arrangement

E. Stay with the client and call for help
B. Apply pressure to lift the presenting fetal part.
D. Place the client in the Trendelenburg position.
C. Administer oxygen via face mask.
A. Prepare the client for immediate cesarean delivery.

Explanation: For a prolapsed umbilical cord, the nurse should first stay with the client and call for help (E) to ensure immediate assistance. Next, apply pressure to lift the presenting fetal part (B) to relieve cord compression, followed by placing the client in the Trendelenburg or knee-chest position (D) to further reduce pressure. Administer oxygen (C) to improve fetal oxygenation, and prepare for immediate cesarean delivery (A) as the definitive treatment.

Question 2 of 5.

The nurse is caring for a 30-year-old client who has developed iron-deficiency anemia during pregnancy. Which complication would this client be at an increased risk for due to iron deficiency anemia? Select all that apply.

A. Low birth weight

B. Preterm delivery

C. Gestational diabetes

D. Perinatal mortality

E. Placenta previa

Explanation: Iron-deficiency anemia reduces oxygen-carrying capacity, increasing risks for low birth weight, preterm delivery, and perinatal mortality due to compromised fetal oxygenation. Gestational diabetes and placenta previa are unrelated to iron deficiency.

Question 3 of 5.

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a urine specimen to look for all of the following, except:

A. Ketones

B. Sexually transmitted infections

C. Glucose

D. Testosterone levels

Explanation: Urine tests during prenatal visits screen for ketones, glucose, and infections, but testosterone levels are not relevant to pregnancy monitoring.

Question 4 of 5.

The nurse is teaching parents about antepartum testing. Which statements should the nurse include? Select all that apply.

A. Oral glucose tolerance testing will measure fetal activity at certain intervals.

B. A nonstress test may be used to measure fetal heart rate.

C. Amniocentesis may be used to assess if you have preeclampsia.

D. Chorionic villus sampling may be done to assess for neural tube defects.

E. You may need to fill up your bladder prior to an ultrasound.

Explanation: Nonstress tests monitor fetal heart rate, and a full bladder may be needed for ultrasound visualization. The other statements are incorrect.

Question 5 of 5.

A nurse at an obstetric clinic has conducted a teaching class on sexuality during pregnancy. Which of the following comments from a participant would indicate that the teaching has been effective?

A. At around the time I would normally have my period, I should abstain from intercourse.

B. I should no longer have sex during the last trimester of pregnancy.

C. My sexual desire will remain the same for the entire pregnancy.

D. The best time to enjoy sex is in the second trimester.

Explanation: The second trimester is often the most comfortable for sexual activity due to reduced nausea and fatigue.