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NCLEX RN
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NCLEX RN
NCLEX RN MATERNITY AND NEWBORN CARE NEW 2024 TEST BANK WITH VERIFIED ANSWERS
GAURANTEED A +
NCLEX RN MATERNITY AND NEWBORN CARE NEW 2024 TEST BANK WITH VERIFIED ANSWERS
GAURANTEED A +
NCLEX RN MATERNITY AND
NEWBORN CARE NEW 2024 TEST
BANK WITH VERIFIED ANSWERS
GAURANTEED A +
1. The postpartum client asks the nurse about the occurrence of afterpains. The nurse
informs the client that afterpains will be especially noticeable during which activity?
a. Ambulating
b. Breast-feeding
c. Taking sitz baths
d. Increasing activity after arriving home - ANSWERS-Breast-feeding
2. A pregnant client reports to a health care clinic, complaining of loss of appetite,
weight loss, and fatigue. After assessment of the client, tuberculosis is suspected. A
sputum culture is obtained and identifies Mycobacterium tuberculosis. Which instruction
should the nurse include in the client's teaching plan?
a. Therapeutic abortion is required.
b. Isoniazid plus rifampin will be required for 9 months.
c. She will have to stay at home until treatment is completed.
d. Medication will not be started until after delivery of the fetus. - ANSWERS-
Isoniazid plus rifampin will be required for 9 months
4. The nurse provides instructions to a malnourished client regarding iron
supplementation during pregnancy. Which statement, if made by the client, indicates an
understanding of the instructions?
a. "Iron supplements may give me constipation."
b. "All foods with protein lack iron and should be avoided."
1
, c. "The iron is best absorbed if taken at breakfast with some food."
d. "My body has all of the iron it needs, and I don't need to take supplements." -
ANSWERS-Iron supplements may give me constipation
5. The primary health care provider (PHCP) is assessing the client for the presence of
ballottement. To make this determination, the PHCP should take which action?
a. Auscultate for fetal heart sounds.
b. Assess the cervix for compressibility.
c. Palpate the abdomen for fetal movement.
d. Initiate a gentle upward tap on the cervix. - ANSWERS-Initiate a gentle upward
tap on the cervix
6. The nurse is reviewing the results of the rubella screening (titer) with a pregnant
client. The test results are positive, and the mother asks if it is safe for her toddler to
receive the vaccine. What is the nurse's best response?
a. "Most children do not receive the vaccine until they are 5 years of age."
b. "You are still susceptible to rubella, so your toddler should receive the vaccine."
c. "It is not advised for children of pregnant women to be vaccinated during their
mother's pregnancy."
d. "Your titer supports your immunity to rubella, and it is safe for your toddler to
receive the vaccine at this time." - ANSWERS-Your titer supports your immunity
to rubella, and it is safe for your toddler to receive the vaccine at this time.
8. After the spontaneous rupture of a laboring woman's membranes, the fetal heart rate
drops to 85 beats/minute. Which should be the nurse's priority action?
a. Reposition the laboring woman to knee-chest.
b. Assess the vagina and cervix with a gloved hand.
c. Notify the primary health care provider of the need for an amnioinfusion.
d. Document the description of the fetal bradycardia in the nursing notes. -
ANSWERS-Assess the vagina and cervix with a gloved hand
2
,9. The nurse is collecting data from a client during the first prenatal visit. The client is
anxious to know the sex of the fetus and asks the nurse when she will be able to know.
The nurse should respond to the client knowing that the sex of the fetus can be
determined as early as which week?
6
8
12
20 - ANSWERS-12
10. When performing a postpartum assessment on a client, the nurse notes the
presence of clots in the lochia. The nurse examines the clots and notes that they are
larger than 1 cm. Which nursing action is most appropriate?
a. Document the findings.
b. Notify the obstetrician (OB).
c. Reassess the client in 2 hours.
d. Encourage increased oral intake of fluids. - ANSWERS-Notify the OB
11. The rubella vaccine has been prescribed for a new mother. Which statement should
the postpartum nurse make when providing information about the vaccine to the client?
a. "You should avoid sexual intercourse for 2 weeks after administration of the
vaccine."
b. "You should not become pregnant for 2 to 3 months after administration of the
vaccine."
c. "You should avoid heat and extreme temperature changes for 1 week after
administration of the vaccine."
d. "You must sign an informed consent because anaphylactic reactions can occur
with the administration of this vaccine." - ANSWERS-You should not become
pregnant for 2 to 3 months after administration of the vaccine
12. On delivery of a newborn, the nurse performs an initial assessment. When should
3
, the nurse plan to determine the Apgar score?
a. At 1 minute after birth and 5 minutes after birth
b. Immediately at birth, 3 minutes after birth, and 10 minutes after birth
c. At 1 minute after birth, 5 minutes after birth, and 15 minutes after birth
d. Immediately at birth, after the cord is cut, and after the mother delivers the
placenta - ANSWERS-At 1 minute after birth and 5 minutes after birth
13 .The nurse is providing instructions about measures to prevent postpartum mastitis to
a client who is breast-feeding her newborn. Which client statement would indicate a
need for further instruction?
a. "I should breast-feed every 2 to 3 hours."
b. "I should change the breast pads frequently."
c. "I should wash my hands well before breast-feeding."
d. "I should wash my nipples daily with soap and water." - ANSWERS-I should
wash my nipples daily with soap and water
Which is the priority nursing action for the client with an ectopic pregnancy?
Assessing urine for proteinuria
Checking the electrolyte values
Monitoring for signs of infection
Monitoring the pulse and blood pressure - ANSWERS-Monitoring the pulse and blood
pressure
4
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