The nurse is reviewing the client's postpartum documentation. For each

Maternal Newborn NCLEX RN Practice Questions

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Question 1 of 5.

Extract:The following scenario applies to the next 5 items The nurse is caring for a 31-year-old female client. Item 1 of 5 Nurses' Notes 1300: Client is a 31-year-old G2P2 who delivered a healthy female infant (7 lb 14 oz; 3.57 kg) at 39 weeks gestation via spontaneous vaginal delivery. Labor was augmented with oxytocin, and the estimated blood loss at delivery was 400 mL. She was GBS positive and received appropriate antibiotic treatment during labor. Her obstetric history includes anemia during pregnancy and a prior vacuum-assisted delivery complicated by a retained placenta. At approximately one hour postpartum, the fundus is firm and midline at the level of the umbilicus, and lochia is moderate rubra. A second-degree perineal laceration was repaired with 2-0 vicryl. However, the client reports feeling light-headed, appears pale, and her peripad is saturated within 20 minutes.

The nurse is reviewing the client's postpartum documentation. For each assessment finding, click to indicate whether the finding warrants or does not warrant immediate follow-up by the nurse.

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Explanation: Peripad saturated in 20 minutes (C) and report of lightheadedness (D) warrant immediate follow-up as they indicate potential postpartum hemorrhage, a critical condition requiring urgent intervention. Fundus firm at the umbilicus (A) and moderate rubra lochia (B) are normal postpartum findings at this stage. BP 108/66 mmHg (E) is within normal range and does not require immediate follow-up unless other symptoms worsen.

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.