Maternal Newborn NCLEX RN Practice Questions
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Question 1 of 5.
Extract:The following scenario applies to the next 6 items The nurse in the antepartum clinic is caring for a 32-year-old female at 30 weeks' gestation. Item 1 of 6 Nurses' Note 1128: Client reports that she is ‘looking forward to her delivery.' She reports occasional foot and ankle swelling while on her legs for prolonged periods. This has become bothersome because her shoes feel tight at the end of the day. She has occasional backache, which is relieved by her doing shoulder circles. She reports that she has been constipated on occasion, and straining causes her to notice little spots of bright red blood after she wipes. She denies any trouble with sleep, but about two weeks ago, her legs became restless at night. Over the past two weeks, she noticed that she had become more tired than usual and that someone mentioned that she looked unusually pale. She also began noticing daily headaches that lasted for a few hours. She also had to stop going to the gym because of what she describes as intense fatigue. Upon assessment, the client appeared pale and had dry skin. She is alert and fully oriented. Clear lung fields bilaterally. S1/S2/S3 heart tones auscultated. Peripheral pulses 2+. Fundal height is 30 cm. Fetal heart rate via Doppler was 134 bpm. She reports that the fetus moves about 10 times per hour. Denies having any vaginal discharge or burning with urination. Vital Signs 1129: • 97.8° F (36.6° C) • P 93 • RR 19 • BP 133/79 • Pulse oximetry reading 98% on room air
Which of the following assessment findings require immediate follow-up?
A. reports of little spots of bright red blood after wiping
B. reports of occasional back pain
C. reports of swelling in feet and ankles
D. reports of daily headaches
E. fetal heart rate
F. skin assessment
G. maternal heart tones
Explanation: Reports of little spots of bright red blood after wiping (A) may indicate hemorrhoids or other issues requiring evaluation. Daily headaches (D) are concerning in pregnancy and could suggest preeclampsia or other serious conditions, warranting immediate follow-up. Occasional back pain (B) and swelling in feet and ankles (C) are common in pregnancy and typically benign unless severe. Fetal heart rate (E) of 134 bpm is normal, and skin assessment (F) and maternal heart tones (G) do not currently indicate urgent issues.
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.
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