Maternal Newborn NCLEX Practice Questions | Nurselytic

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Maternal Newborn NCLEX Practice Questions Questions

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Question 1 of 5

A 45-year-old woman has been having menorrhagia and metrorrhagia for several months. She is also feeling very tired and run down. Which is the most likely explanation for her fatigue?

Correct Answer: D

Rationale: Chronic blood loss from menorrhagia and metrorrhagia leads to iron deficiency anemia, reducing oxygen-carrying capacity and causing fatigue.

Question 2 of 5

What is the most common complication associated with too rapid delivery in precipitate labor?

Correct Answer: B

Rationale: Rapid delivery in precipitate labor increases the risk of dural or subdural tears due to sudden pressure changes on the fetal head.

Question 3 of 5

A woman in labor is experiencing very strong contractions every two to three minutes, lasting 60 to 75 seconds. She complains of a severe backache and is irritable. The best interpretation of these data is that the woman is in which stage/phase of labor?

Correct Answer: B

Rationale: Frequent, long contractions with backache and irritability indicate the transition phase, the end of the first stage.

Question 4 of 5

The nurse is caring for a laboring woman who has a history of rheumatic heart disease. How should the nurse position her during labor?

Correct Answer: C

Rationale: Side-lying reduces cardiac strain and improves placental perfusion in women with rheumatic heart disease.

Question 5 of 5

The nurse is caring for an infant admitted with diarrhea, poor skin turgor, and dry mucous membranes. Which laboratory data would cause the nurse the most concern?

Correct Answer: B

Rationale: A urine specific gravity of 1.035 indicates concentrated urine, suggesting significant dehydration.

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