Welcome future nurses! It’s important to master maternity and newborn nursing. Test your competence on the concepts in maternal health, maternity nursing, maternal newborn nursing, labor and delivery, prenatal nursing care, placental and cord anomalies, cesarean birth, and obstetric nursing. Keep up the pace and continue learning with these practice questions. Try these next: Postpartum Care, Newborn Questions
Question A client at 34 weeks of gestation is diagnosed with preeclampsia. Which of the following symptoms would the nurse expect to observe?
A) Bradycardia
B) Hypotension
C) Edema of the face and hands
D) Decreased urinary output
E) Weight loss
Rationale: Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. Edema of the face and hands is a common symptom of preeclampsia, reflecting fluid retention and swelling. This condition contrasts with normal pregnancy-related swelling due to its rapid onset and location. Monitoring for such symptoms is crucial in the early detection and management of preeclampsia to prevent complications.
Question A pregnant woman at 28 weeks of gestation is diagnosed with gestational diabetes. Which of the following management strategies should the nurse prioritize?
A) Immediate delivery
B) High protein diet
C) Oral hypoglycemic agents
D) Daily physical activity
E) Increased caloric intake
Rationale: Gestational diabetes is a form of diabetes that develops during pregnancy, characterized by high blood glucose levels. Daily physical activity is recommended to help manage gestational diabetes as it helps lower blood glucose levels by increasing insulin sensitivity. This management strategy is preferred over the use of oral hypoglycemic agents, which are not always indicated in pregnancy, and dietary adjustments should be made with a focus on controlling blood sugar levels rather than increasing protein or calorie intake.
NCLEX Practice Quizzes: Test Your Knowledge (200+ Quizzes)
Question Which symptom should a nurse expect when assessing a client with eclampsia?
A) Severe headaches
B) Decreased reflexes
C) Hypoglycemia
D) Polyuria
E) Dry skin
Rationale: Eclampsia is a severe complication of preeclampsia involving seizures that cannot be attributed to other causes in a pregnant woman. Severe headaches, along with other neurological symptoms like blurred vision and hyperreflexia, are common precursors to eclampsia. These symptoms reflect increased brain activity and potential swelling, necessitating immediate medical attention to prevent further complications, including maternal and fetal morbidity and mortality.
Question A nurse is caring for a client with a suspected molar pregnancy. Which of the following findings would most likely be observed on an ultrasound?
A) Clear amniotic fluid
B) A gestational sac with a developing fetus
C) A cluster of grape-like vesicles
D) Decreased uterine size
E) A single placenta with twins
Rationale: A molar pregnancy, or hydatidiform mole, is a rare complication of pregnancy characterized by the abnormal growth of trophoblasts, the cells that normally develop into the placenta. On ultrasound, a molar pregnancy appears as a cluster of grape-like vesicles, lacking a developing fetus in a complete molar pregnancy. This distinctive ultrasound finding is crucial for the diagnosis and management of the condition, which involves removal of the abnormal tissue to prevent complications such as gestational trophoblastic disease.
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Question Which of the following interventions is most appropriate for a client experiencing postpartum hemorrhage?
A) Administering a stool softener
B) Encouraging frequent ambulation
C) Massaging the fundus
D) Decreasing fluid intake
E) Applying a warm compress to the abdomen
Rationale: Postpartum hemorrhage is a serious and potentially life-threatening condition characterized by excessive bleeding following childbirth. Massaging the fundus, or the upper part of the uterus, is a primary intervention for postpartum hemorrhage as it stimulates the uterus to contract, helping to stop the bleeding.
Question A nurse is monitoring a patient for signs of magnesium sulfate toxicity during treatment for severe preeclampsia. Which symptom is the earliest sign of magnesium sulfate toxicity that the nurse should monitor?
A) Urinary output less than 30 mL/hr
B) Respirations fewer than 12 per minute
C) Absent deep tendon reflexes
D) Blurred vision
E) Confusion
Rationale: Absent deep tendon reflexes are an early sign of magnesium sulfate toxicity, indicating that the serum magnesium level is higher than desired, affecting neuromuscular function. Monitoring deep tendon reflexes provides a quick and non-invasive way to assess for magnesium toxicity. Urinary output, respirations, blurred vision, and confusion are also important to monitor, but absent deep tendon reflexes often present earlier and provide a critical indication that the magnesium dosage may need to be adjusted to prevent further toxicity.
Question Which intervention is crucial for a patient diagnosed with gestational hypertension without severe features?
A) Immediate induction of labor
B) Bed rest in the lateral position
C) Daily weight monitoring
D) Administration of corticosteroids
E) Continuous fetal monitoring
Rationale: For patients with gestational hypertension without severe features, bed rest in the lateral position is recommended to improve placental blood flow and decrease blood pressure. This non-pharmacological intervention can help manage mild cases of hypertension and reduce the risk of progression to preeclampsia. Immediate induction of labor, administration of corticosteroids, and continuous fetal monitoring are more applicable to severe preeclampsia or other obstetric emergencies. Daily weight monitoring is important for overall assessment but is not as crucial as ensuring optimal placental blood flow through positional management.
Question A postpartum nurse is assessing a patient for signs of endometritis. Which symptom would the nurse expect to find?
A) A firm, well-contracted uterus
B) Foul-smelling lochia
C) Decreased lochial flow
D) Rapid involution of the uterus
E) Absence of afterpains
Rationale: Foul-smelling lochia is a hallmark sign of endometritis, an infection of the uterine lining that can occur postpartum. This symptom, along with others such as fever, uterine tenderness, and increased heart rate, can indicate an infection that requires prompt antibiotic treatment. A firm, well-contracted uterus and rapid involution are signs of a healthy postpartum recovery, not endometritis. Decreased lochial flow and the absence of afterpains do not specifically indicate endometritis and can be normal variations in postpartum recovery.
Question For a patient at 28 weeks gestation with suspected intrauterine growth restriction (IUGR), which management strategy is most appropriate?
A) Immediate delivery
B) Serial ultrasounds to monitor fetal growth
C) Administration of tocolytics
D) Bed rest for the remainder of the pregnancy
E) High-dose vitamin supplements
Rationale: Serial ultrasounds are the most appropriate management strategy for a patient with suspected intrauterine growth restriction (IUGR) to monitor fetal growth and well-being. This non-invasive approach allows healthcare providers to track the fetus’s growth pattern, assess for any worsening conditions, and plan for intervention if necessary. Immediate delivery at 28 weeks gestation is not indicated unless there are signs of significant fetal distress or maternal risk. Tocolytics, bed rest, and high-dose vitamin supplements do not directly address the underlying issue of IUGR and should be considered based on the individual clinical scenario and evidence-based guidelines.
NCLEX Questions: Focus on Maternity
Question A nurse is providing care for a patient who just underwent a cesarean section. Which action is most important to prevent pulmonary embolism in the postoperative period?
A) Encourage the use of incentive spirometry
B) Apply sequential compression devices (SCDs)
C) Administer prophylactic antibiotics
D) Ensure strict bed rest for 24 hours
E) Monitor for signs of wound infection
Rationale: Applying sequential compression devices (SCDs) is a critical intervention to prevent venous thromboembolism, including pulmonary embolism, in the postoperative period after a cesarean section. SCDs enhance venous return from the legs, reducing the risk of clot formation. While incentive spirometry is important for preventing respiratory complications and monitoring for signs of infection is part of standard care, these do not directly prevent pulmonary embolism
Understanding the Maternity NCLEX Priority Questions
Question A postpartum patient is suspected of having a deep vein thrombosis (DVT). Which assessment finding would be most indicative of DVT?
A) Elevated blood pressure
B) Swelling and pain in one leg
C) Lochia rubra lasting more than 2 weeks
D) Temperature of 37.8°C (100°F)
E) Headache and blurred vision
Rationale: Swelling and pain in one leg are classic signs of a deep vein thrombosis (DVT), especially in the postpartum period when the risk of thromboembolic events is increased due to hypercoagulability. Elevated blood pressure, prolonged lochia rubra, mild fever, and headache with blurred vision are not specific indicators of DVT. Prompt recognition and treatment of DVT are crucial to prevent the potentially life-threatening complication of pulmonary embolism.
