NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 of 5
A 25-year-old woman is four months pregnant. She had rheumatic fever at age 15 and developed a systolic murmur. She reports exertional dyspnea. What instruction should the nurse give her?
Correct Answer: C
Rationale: Avoiding strenuous activities reduces cardiac strain in a pregnant woman with a history of rheumatic heart disease.
Question 2 of 5
A 32-year-old, gravida 2, para 1, term 1, preterm 0, abortion 0, living 1, is admitted to the labor room. Her previous delivery was a normal, spontaneous vaginal delivery without complications. She has been having contractions for four hours at home. The registered nurse examines her and determines that she is 4-cm dilated and 70% effaced. The fetus is in the breech position. She calls for the nurse saying, 'My water just broke!' What should the practical nurse do initially?
Correct Answer: C
Rationale: Checking the fetal heart rate is critical after membrane rupture in a breech presentation to detect cord compression or distress.
Question 3 of 5
A woman, 38 weeks pregnant, arrives in the labor and delivery suite and tells the nurse that she thinks her membranes have ruptured. The nurse uses phenaphthazine (Nitrazine) paper to test the leaking fluid. The nurse expects the Nitrazine paper to turn which color if amniotic fluid is present?
Correct Answer: C
Rationale: Nitrazine paper turns blue in the presence of amniotic fluid due to its alkaline pH.
Question 4 of 5
An epidural block is ordered for a woman in labor. Which nursing action is essential because the client has epidural anesthesia?
Correct Answer: D
Rationale: Epidurals can cause hypotension, requiring close blood pressure monitoring.
Question 5 of 5
A woman, gravida 5, para 4, is unable to get to the hospital because labor has progressed very rapidly. A nurse, who lives upstairs, comes down to assist her with the emergency home delivery. The nurse examines the woman and assesses that the perineum is bulging. What is the priority nursing measure at this time?
Correct Answer: B
Rationale: Placing a clean sheet ensures a sterile field, critical for safe delivery in an emergency setting.