Maternity and Newborn NCLEX RN Questions
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Maternal Newborn
Question 1 of 5.
The nurse is providing education to a group of pregnant women regarding the prevention of postpartum thrombophlebitis. Which statement by one of the expecting mothers would indicate a correct understanding of the teaching? Select all that apply.
A. After giving birth, we are at an increased risk of clots for 6 to 8 weeks.
B. We shouldn't go on car rides longer than 4 hours for a few weeks after giving birth.
C. After delivery, we should get up and walk as soon as we are able.
D. Avoiding crossing our legs will help prevent clots from forming.
E. Having a vaginal delivery will increase the risk for postpartum clots
Explanation: Postpartum thrombophlebitis risk is elevated for 6-8 weeks (A) due to hypercoagulability. Early ambulation (C) reduces stasis, and avoiding leg crossing (D) prevents venous compression. Long car rides (B) are not specifically contraindicated unless immobility is prolonged. Vaginal delivery (E) does not inherently increase clot risk compared to cesarean.
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.
Related Questions