NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
A woman delivered a baby in the car on the way to the hospital. In the emergency room, the physician examined the mother. What is the priority action for the nurse at this time?
Correct Answer: D
Rationale: Clearing mucus from the baby's mouth and nose ensures a patent airway, the priority for newborn stabilization.
Question 5 of 5
At one minute after birth, an infant is crying, has a heart rate of 140, has acrocyanosis, resists the suction catheter, and keeps his arms extended and his legs flexed. What is the Apgar score?
Correct Answer: C
Rationale: Crying (2), heart rate 140 (2), acrocyanosis (1), active resistance (2), and flexed limbs (1) yield an Apgar score of 8.