NCLEX RN Practice Questions Maternal Newborn
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Question 1 of 5.
Extract:The nurse is caring for a 31-year-old female client. Item 3 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. 1315: Client appears diaphoretic and states, “I feel dizzy and something is wrong.†On assessment, fundus is boggy, above the umbilicus, lochia is heavy, with large clots noted. Orders 1345 • Foley catheter
The nurse knows that the current priorities for this client's postpartum hemorrhage are
A. red blood cell
B. supplementation
C. volume expansion
D. platelet replacement
E. uterine contraction
Explanation: The priorities for postpartum hemorrhage are volume expansion (C) to restore circulating blood volume and uterine contraction (E) to control bleeding by promoting uterine tone. These interventions address the immediate need to stabilize the client and stop the hemorrhage.
Question 2 of 5.
The nurse is reviewing antepartum tests for a client newly admitted to the labor and delivery unit. Which diagnostic test requires follow-up? See the exhibit.
A. Contraction stress test (CST)
B. Nonstress test (NST)
C. Fetal heart rate via transabdominal ultrasound
D. Vaginal culture for group B streptococcus (GBS)
Explanation: A contraction stress test (CST) requires follow-up if results are positive or equivocal, indicating potential fetal distress, as it assesses fetal response to uterine contractions.
Question 3 of 5.
You are seeing patients in an outpatient obstetrical clinic for their regularly scheduled prenatal appointments. Your patient is a G2P1 32-year-old woman who is 32 weeks pregnant. She says to you that she is concerned because she thinks she is developing striae gravidarum. When you assess the patient, what would you expect to see if she does present with this condition? Select the correct image.
A. Qstn 8-A- MN
B. Qstn 8-B- MN
C. Qstn 8-C- MN
D. Qstn 8-D- MN
Explanation: Striae gravidarum are stretch marks, typically reddish or silvery lines on the abdomen, breasts, or thighs, caused by skin stretching during pregnancy.
Question 4 of 5.
The nurse working on the labor and delivery floor is aware that which of the following maternal infections may increase the risk of developing congenital heart defects in the fetus?
A. Parainfluenza
B. Adenovirus
C. Rubella
D. Measles
Explanation: Rubella infection during pregnancy is associated with congenital heart defects in the fetus.
Question 5 of 5.
The nurse is supervising a nursing student to teach a pregnant client about a scheduled chorionic villus sampling (CVS) test. Which statement, if made by the nursing student, would require follow-up?
A. You will need to provide both a urine and blood sample for this test.
B. Drink plenty of water prior to this test and do not empty your bladder.
C. An ultrasound will be used during this procedure to guide the needle.
D. It is okay to eat and drink on the day of the procedure.
Explanation: CVS does not typically require urine or blood samples, as it involves sampling placental tissue.
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