NCLEX RN Practice Questions Maternal Newborn
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Question 1 of 5.
While reviewing fetal monitoring strips, the labor and delivery nurse notes that the reading is nonreassuring. What features of the fetal monitoring strip does the nurse characterize as nonreassuring? Select all that apply.
A. Fetal heart rate less than 110 beats/minute.
B. Increase in variability.
C. Late decelerations
D. Mild variable decelerations
E. Early accelerations
Explanation: Fetal heart rate <110 bpm (A) indicates bradycardia, a nonreassuring sign. Late decelerations (C) suggest placental insufficiency and fetal hypoxemia. Increased variability (B) is reassuring, indicating fetal well-being. Mild variable decelerations (D) may be normal but require monitoring. Early accelerations (E) are reassuring.
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.