Maternity NCLEX Practice Exam
Questions [100% correctly Solved]
Graded A+
What is the first priority in caring for a newborn immediately after delivery?
Maintaining airway patency by suctioning secretions from the mouth and nose.
Explain the physiological reason for administering vitamin K...
Maternity NCLEX Practice Exam
Questions [100% correctly Solved]
Graded A+
What is the first priority in caring for a newborn immediately after delivery?
Maintaining airway patency by suctioning secretions from the mouth and nose.
Explain the physiological reason for administering vitamin K to a newborn.
Newborns have low levels of vitamin K, which is necessary for blood clotting, and the
injection prevents bleeding complications.
Which of the following interventions should a nurse prioritize for a postpartum client with heavy
lochia?
A. Encourage ambulation
B. Perform fundal massage
C. Administer oxygen
D. Check vital signs and notify the provider
What is the primary purpose of administering oxytocin (Pitocin) postpartum?
To promote uterine contractions and reduce the risk of postpartum hemorrhage.
Which position is most effective for relieving the discomfort of a pregnant client with vena cava
syndrome?
1
, The left lateral position alleviates pressure on the vena cava and improves blood flow.
Which of the following is a priority assessment for a newborn with suspected hypoglycemia?
A. Weight
B. Blood glucose level
C. Heart rate
D. Skin color
Describe the significance of the Apgar score in assessing a newborn's condition at birth.
The Apgar score evaluates the newborn’s heart rate, respiratory effort, muscle tone, reflexes,
and color to determine their immediate health status.
What is the recommended intervention for a pregnant client experiencing supine hypotensive
syndrome?
Position the client on her side to relieve pressure on the vena cava and improve circulation.
A pregnant woman is 8 weeks gestation and reports nausea. Which dietary adjustment should the
nurse suggest?
A. Increase intake of spicy foods
B. Eat three large meals per day
C. Eat small, frequent meals and avoid greasy foods
D. Skip breakfast to reduce morning nausea
2
,Identify the physiological changes in the respiratory system during pregnancy.
Increased tidal volume and respiratory rate compensate for the growing oxygen demands of
both the mother and the fetus.
Which of the following is a characteristic of early labor?
A. Frequent, strong contractions
B. Irregular, mild contractions
C. Complete cervical dilation
D. Crowning of the fetal head
Explain the function of surfactant in fetal lung development.
Surfactant reduces surface tension in the alveoli, preventing collapse and enabling efficient
gas exchange after birth.
Which of the following findings would indicate a need for immediate intervention in a newborn?
A. Temperature of 36.5°C (97.7°F)
B. Caput succedaneum
C. Central cyanosis
D. Presence of lanugo
What is the significance of monitoring the fundus after delivery?
It ensures the uterus is contracting appropriately to prevent hemorrhage and return to its pre-
pregnancy size.
3
, What action should the nurse take if late decelerations are observed on the fetal monitor during
labor?
A. Increase IV fluids
B. Administer oxygen
C. Reposition the client to improve placental perfusion
D. Encourage the client to push
Explain why Rh immunoglobulin (RhoGAM) is administered to an Rh-negative mother after
delivery.
It prevents the mother’s immune system from producing antibodies against Rh-positive fetal
blood cells in future pregnancies.
A client in labor is experiencing variable decelerations. What is the likely cause of this pattern?
Umbilical cord compression, which requires repositioning and further monitoring.
Which of the following newborn reflexes disappears around 4 months of age?
The Moro reflex (startle reflex) typically fades by this age as the nervous system matures.
Describe the role of progesterone in pregnancy maintenance.
Progesterone supports the endometrium, inhibits uterine contractions, and maintains the
uterine lining to sustain the pregnancy.
4
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