NCLEX RN Questions Maternal Newborn Nursing
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Question 1 of 5.
The nurse is in the postpartum unit assessing a client who gave birth 2 hours ago. The nurse notes that the client's fundus is soft and boggy. Her perineal pads have been changed twice over the past 2 hours. What is the initial action of the nurse?
A. Apply pressure on the fundus.
B. Massage the fundus until it is firm.
C. Notify the physician.
D. Elevate the client's legs.
Explanation: A soft, boggy fundus indicates uterine atony, a common cause of postpartum hemorrhage. The initial action is to massage the fundus (B) to stimulate contractions and reduce bleeding. Applying pressure (A) is less specific. Notifying the physician (C) is secondary if massage is ineffective. Elevating legs (D) is irrelevant to uterine atony.
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.
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