Maternal Nursing for the NCLEX®

Which statement made by the nurse demonstrates proper understanding of the role of progesterone in a woman’s body?

What is the purpose of the release of luteinizing hormone in the female reproductive cycle?

A nurse is working with a student nurse in a Women’s Health clinic. The student nurse is identifying the hormones responsible for controlling the menstrual cycle. Which would be the most appropriate responses? Select all that apply.

A nurse is educating a client who is complaining of monthly dysmenorrhea. Which diet options would be best to educate this client on?

A woman who has a regular 28 day cycle is tracking her ovulation. Her last period was on October 5. When should she expect to ovulate?

A 33-year-old client is talking to the nurse about infertility treatments. The client has been prescribed clomiphene to assist with ovulation in order to increase the chances of pregnancy. Which information should the nurse provide to the client about potential complications of this drug?

A 30-year-old female client has been diagnosed with infertility as a result of polycystic ovary syndrome. The client and her husband have been trying to become pregnant for over a year. The provider prescribes clomiphene citrate. Which of the following best describes how this drug can help to achieve pregnancy?

A nurse is working with a young couple who is using the calendar method of tracking fertility as a form of birth control. The nurse would counsel this couple that which of the following are disadvantages of using this method as birth control? Select all that apply.

A 48-year-old female is at an appointment with the healthcare provider for a gynecological exam. The nurse asks the client about birth control methods and menopause. The client asks, “How long will I remain fertile?” Which response from the nurse is accurate?

A nurse is teaching a client interested in utilizing a diaphragm as a form of contraception. What education topics should be included? Select all that apply.

A nurse is providing preoperative teaching for a client undergoing a vasectomy. Which statement by the client would indicate teaching has been understood?

A nurse is talking to a client who takes oral birth control pills as a form of contraception. The client is a smoker and the nurse reminds her that she should not smoke while taking these medications. Which best describes the rationale for this?

Which of the following is considered a form of fertility awareness and a form of contraception used in natural family planning?

A 30-year-old client is being seen at a healthcare clinic where she receives a prescription for hormone therapy as a form of birth control. The nurse counsels the client not to take this medication if she meets which of the following criteria?

A nurse in a fertility clinic is reviewing a client’s basal body temperature chart. The nurse recognizes that ovulation has occurred when which pattern is seen on the chart?

A client calls her OB/Gyn office to say she had a positive pregnancy test but does not know how far along she is. She has irregular periods and knows it has been a few months since she has had a period. She wants to know how the doctors will know her due date. What is the best response by the nurse?

A client giving a medication history tells you she is in the early stages of pregnancy. Which of the following drugs should be immediately discontinued?

A nurse is scheduling a client for her first OB appointment at about 8 weeks pregnant, when the client expresses concern about what to expect. What is the most appropriate response by the nurse?

A client comes into the care clinic after having a positive pregnancy test at home. The nurse asks the client about her last menstrual period and the client notes that it was March 16. Calculate this client’s estimated due date.

A nurse is caring for a client who is 36 weeks pregnant for the first time who has shown up to the hospital. She reports she has been very sick and uncomfortable and would like to be induced. What is the best response?

Which statement by a student nurse indicates a proper understanding of the term ‘gestation’?

A pregnant client tells the nurse that her last menstrual period (LMP) started on December 1, 2018. When is her estimated due date using Nägele’s Rule?

The nurse is assessing a postpartum client who has just delivered less than an hour ago. Where would the nurse expect to find the fundus of the uterus?

An antepartum client wants to know if she is measuring too big during an antenatal exam. The client is 32 weeks’ gestation. Which measurement from the symphysis to the top of the uterus represents a uterine measurement that is too big for 32 weeks’ gestation?

During the postpartum period, by what time frame should the uterus no longer be palpable?

A nurse is assessing a client’s fundal height. The client has just started her third trimester of pregnancy. When positioning the client for this assessment, what complication should the nurse monitor for?

A nurse is assessing a 30-week pregnant client at her prenatal appointment. What should the nurse expect when assessing fundal height?

A nurse is assessing a client who is 2 days postpartum. What should the nurse expect when assessing fundal height?

The nurse is working with a client who requires hemodialysis and has become pregnant. The client asks the nurse, “Will I be able to continue with dialysis even though I am pregnant?” Which response from the nurse is accurate?

A nurse is caring for a pregnant client that has a prior diagnosis of herpes. What should the nurse expect to be included in her plan of care?

The nurse is working in a OB clinic and sees a client who is 27 weeks pregnant. Which of the following statements is the MOST concerning?

A nurse is working with a client who wants to quit smoking before becoming pregnant. The nurse is using the concept of motivational interviewing to work with the client toward making changes. Which statement by the nurse would best elicit change talk from the client?

A pregnant client is talking to the nurse about a current gonorrhea infection. Which of the following statements by the client demonstrates an understanding of the prevention of transmission to the neonate?

A pregnant client asks the nurse if it’s okay to have the occasional glass of red wine. What is the most appropriate response by the nurse?

A 31-year-old pregnant client and her husband arrive at the healthcare clinic for a prenatal visit. The nurse notes several areas of bruising on the client’s legs and buttocks during the exam. Which response from the nurse is most appropriate in this situation?

A nurse is caring for a 28-year-old pregnant client with a history of renal disease. The client has developed posterior reversible encephalopathy syndrome (PRES). Based on this diagnosis, which symptom would the nurse most likely expect to see?

A client is undergoing a procedure to check for cancer with nuclear medicine. The client asks the nurse if her pregnant daughter and husband will be able to visit. Which of the following is the best response by the nurse?

A nurse is educating a pregnant client on the risks of smoking during pregnancy. Which of the following should be included in the teaching? Select all that apply.

The nurse is caring for a client who is 34 weeks pregnant at their prenatal appointment. The client has presented with 3+ pitting edema in the ankles and feet. What nursing interventions are appropriate? Select all that apply.

A nurse is caring for a client at her 10-week OB appointment. The client expresses concern and asks why she is already going to the bathroom so frequently when she is only 10 weeks pregnant. What is the most appropriate response by the nurse?

A nurse witnesses a client who is 38 weeks pregnant pass out while ambulating in the hall at the hospital. She is lying on her back on the floor of the hallway, has a pulse, and is breathing normally. What is the priority action at this time?

A nurse is providing discharge teaching to a 32-week pregnant client after her OB appointment. The client has had edema in her lower legs and ankles. What advice should be included in teaching?

A nurse is caring for a pregnant client who is at 28 weeks’ gestation. Which of the following changes in cardiac output would the nurse expect to see in a client of this gestation?

The nurse is working in a OB clinic, seeing a client who is 9 weeks pregnant. Which of the following statements by the client is the LEAST concerning?

A pregnant client calls the OB office to report recurring nosebleeds. What is the best response by the nurse?

Which symptom reported by a pregnant client would be most concerning to the nurse?

A 17-year-old pregnant client is receiving prenatal care at the health clinic. The client states the anticipation of her body changing has caused her to have an emotional crisis. Which of the following interventions would be most appropriate for this client?

Which best describes how pregnancy affects thyroid function?

A nurse is providing teaching for a 22-week pregnant client. What position should the nurse advise the client to sleep in?

A client is 25 weeks pregnant. She asks the nurse about the best positioning for sleep. Which position should the nurse instruct the client to try?

A nurse is educating a pregnant client on ways to alleviate severe morning sickness. Which would be the most appropriate information to include?

A nurse is educating a pregnant client on ways to ease constipation during pregnancy. Which would be the most appropriate information to include?

A nurse is educating a pregnant client on ways to ease breast tenderness. Which would be the most appropriate information to include?

A client who is 36 weeks’ pregnant tells the nurse that she is not getting enough sleep at night because she is uncomfortable. In which of the following positions should the nurse recommend that the client try to sleep?

A nurse is teaching a class at a fertility clinic. Which of the following should be taught as early signs of pregnancy? Select all that apply.

A client who is 28 weeks’ pregnant complains to the nurse that she has had a lot of low back pain during this pregnancy. The client asks the nurse if it is all right if she gets a deep tissue massage while she is pregnant. Which response from the nurse is correct?

A 12 week pregnant client has undergone a chorionic villus sampling. What discharge education should the nurse include? Select all that apply.

A nurse is approached by a pregnant client’s husband. He is upset because he overheard in report that his wife is GBS positive. What is the best response by the nurse?

A nurse is caring for a client who has a low-risk pregnancy. Which routine tests does the nurse expect the client will receive during the 3rd trimester? Select all that apply.

The nurse is working in an OB clinic. Which of the following screenings or diagnostics is not a priority for a routine prenatal client visit?

A 22-week pregnant client at her OB appointment. The client is rubella non-immune and never received some other immunizations. Which immunizations are safe for the client to receive? Select all that apply.

A nurse is providing procedural instructions to a pregnant client who is hypertensive and about to have a non stress test. Which statement by the nurse is the most appropriate?

A pregnant client with gestational diabetes is to undergo a non stress test (NST). Select all of the following components that are included as part of this test.

A 36-year-old pregnant client is undergoing an amniocentesis to assess for chromosomal abnormalities. After the procedure, the nurse should give which of the following information to the client?

A pregnant client is having a contraction stress test and 3 contractions occur with no decelerations. How should this result be reported to the provider?

A 36-year-old pregnant client is at a prenatal appointment when her provider tells her she needs an amniocentesis to rule out birth defects because of her age. The client later tells the nurse that she does not want to have the test. Which of the following responses from the nurse is accurate?

A nurse is teaching a pregnant client about nutrition in pregnancy. Which statement by the client indicates she has understood the teaching?

A nurse is teaching a client about the importance of folic acid during pregnancy. Which statement by the nurse is most appropriate?

A nurse is assisting a pregnant client to develop a diet plan. What should the nurse do first?

A nurse is providing nutrition education to a pregnant client who practices a vegetarian lifestyle. Which information is the most important for a nurse to provide?

A 28-year-old client is pregnant with her first child and is at the doctor’s office for a prenatal exam. The client is in her first trimester and the nurse is providing information about an appropriate diet during pregnancy. Which of the following information is correct?

The nurse is caring for a client who just discovered she is pregnant. The after visit summary states to take folic acid supplements during pregnancy, so the client inquires about the reasoning for this. Which of the following is the most appropriate response?

Which statement by an 8 week pregnant client indicates the need for further teaching?

The nurse is caring for a client who had an amniocentesis 48 hours ago. She is presenting to the ED with symptoms of chorioamnionitis. Which of the following is NOT an expected finding with this condition?

The nurse is caring for a pregnant client presenting to the ED with symptoms of chorioamnionitis. Which of the following is the priority?

A nurse is caring for a pregnant client in labor. When taking vitals, the nurse notes the client’s temperature is 102.2°F and heart rate is 108 bpm. The nurse notifies the provider, which of the following provider orders should be implemented first?

An infant is born to a mother who contracted chorioamnionitis. What immediate interventions should the nurse anticipate when caring for the newborn? Select all that apply.

A nurse suspects a pregnant client may have chorioamnionitis. Which assessment findings would specifically confirm this diagnosis? Select all that apply.

A nurse is providing discharge instructions to a pregnant client who just received an amniocentesis. What should be included in these instructions?

A pregnant client is in labor to deliver her baby. The mother is 39 weeks’ gestation and has had gestational diabetes during pregnancy. The mother has missed many prenatal appointments and admits that she has not checked her blood glucose levels or controlled her diet well, despite her diagnosis. Which of the following are risks to the infant as a result of uncontrolled gestational diabetes? Select all that apply.

The nurse is caring for a client who had gestational diabetes during pregnancy in the postpartum unit. The nurse is preparing to discharge the client. Which information should the nurse include regarding the client’s gestational diabetes?

A nurse is caring for a pregnant client who wants to know why she needs to be tested for diabetes when she has no personal family history. What is the best response by the nurse?

The nurse is caring for a 34 week pregnant client with gestational diabetes. Despite nutritional and pharmacological interventions, the client’s glucose has been poorly controlled. The provider would like to order a noninvasive test to check the health of the fetus. Which test does the nurse anticipate the provider ordering?

A postpartum client is recovering after delivery of a baby 24 hours ago. The provider has ordered a glycosylated hemoglobin level since the client had gestational diabetes during pregnancy. In this situation, which glycosylated hemoglobin level would be considered normal for this client?

A pregnant client’s first glucose tolerance test result is 210 mg/dL one hour after the test. Which statement by the nurse best explains these results?

A client with gestational diabetes is scheduled to have a 50 g glucose tolerance test. What result is considered normal?

Which of the following is a risk factor for developing gestational diabetes?

A 31-year-old pregnant client comes into the clinic for an oral glucose tolerance screening at 28 weeks’ gestation. After taking the test, the nurse notes that the client’s blood glucose level is 180 mg/dL, 2 hours after the test. With which of the following is this result associated?

A nurse is educating a client on the physiologic changes in pregnancy. What is true about the pregnant woman’s insulin needs at the beginning of a pregnancy?

A nurse is assessing multiple postpartum clients for the risk of Disseminated Intravascular Coagulation. Which client is at the highest risk?

A client who just learned she has an ectopic pregnancy in her fallopian tube wants to know if she can continue with the pregnancy. What is the best response by the nurse?

A female client presents to the emergency room with severe right sided abdominal pain and right shoulder pain. The urine pregnancy test is positive. What is the best next action by the nurse?

A 31-year-old client is brought in to the emergency room after suffering an ectopic pregnancy. Based on the nurse’s understanding of this condition, the nurse knows to look for which signs or symptoms in this client? Select all that apply.

The nurse is working in an OB outpatient client. A client who is 10 weeks pregnant presents with abdominal pain, shoulder pain, and vaginal bleeding. The nurse promptly notifies the provider of these symptoms because it could be a medical emergency. Which condition does the nurse suspect?

A nurse is caring for a client post-op for removal of an ectopic pregnancy. The client has A- blood type and reports receiving Rhogam with her last pregnancy. She asks if she needs to receive it again. What is the best response by the nurse?

A nurse is educating clients on the symptoms of ectopic pregnancy. Which of the following symptoms should be included in the education? Select all that apply.

A nurse is caring for a client who will undergo medical management for an ectopic pregnancy. Which treatment would the nurse anticipate?

A nurse is reviewing lab results for a client that had a D&C to remove a molar pregnancy 6 months ago. Her hCG levels have not decreased. What management should the nurse expect for this client?

A nurse is providing discharge instructions for a client who has undergone a D&C for a trophoblastic molar pregnancy. What should be included in the teaching?

The nurse is discharging a client who just had a hydatiform mole removed, without complications. The nurse is educating the client on the follow-up care required for this. Which of the following is most appropriate to explain to this client?

A nurse at an obstetrics clinic receives a call from a 9-week pregnant client to report disturbing symptoms. Which symptom would indicate a possible molar pregnancy?

A nurse is providing care for a client who has undergone a D&C for a molar pregnancy. What will be included in the plan of care after discharge?

The nurse is caring for a client who just had a hydatiform mole removed. The nurse anticipates monitoring which of the following levels that may suggest invasive disease?

A nurse is caring for a group of newly pregnant clients. Which client is at the highest risk for a molar pregnancy?

A nurse is educating a pregnant client with gestational hypertension on signs that indicate worsening. Which of the following should be included in the teaching? Select all that apply.

A nurse is providing education to a patient who is 24 weeks pregnant and had a blood pressure of 150/91. Which statement by the client indicates understanding of teaching?

A nurse is caring for a pregnant client at her 16-week appointment. Her blood pressure is 142/91. What diagnosis should the nurse expect?

A nurse is caring for a client who is 33 weeks pregnant and has a blood pressure of 143/94. The nurse knows the client is at risk for which of the following?

A pregnant client with preeclampsia is being assessed by the nurse in the labor and delivery unit of the hospital. The nurse checks the client’s lower legs and feet to assess for edema and notes 3+ pitting edema bilaterally. Which of the following describes this stage of pitting edema? Select all that apply.

The nurse is caring for a client who is 36 weeks pregnant with severe preeclampsia who was started on magnesium sulfate. The client seized, and the nurse addressed the seizure appropriately and notified the provider. The client is no longer exhibiting seizure activity and is stable. What is the next priority?

A nurse is caring for a 30 week pregnant client that has proteinuria and blood pressures of 142/92. What order should the nurse expect to receive?

A nurse is caring for a newly admitted 32-week pregnant client with a blood pressure of 150/92, proteinuria, and severe right upper quadrant pain. The nurse knows that which of the following is a possible reason for this?

A 34 week pregnant client is seen for a routine prenatal visit. She is asked how she is feeling and tells the nurse “I’ve had a horrible headache for 2 days and my rings suddenly won’t fit on my fingers”. What is the priority nursing action? Select all that apply.

A nurse is caring for a client with preeclampsia that is suffering from some vision changes. What is the best explanation by the nurse that describes what caused this condition?

A nurse is caring for a client during her first prenatal appointment. What is the priority question during the prenatal interview?

A nurse is caring for a pregnant client who is crying because she found out she is Group Beta Strep positive. What is the best response by the nurse?

A nurse is caring for a mother who is 35 weeks’ pregnant. The client’s medical record states that she tested positive for group B Streptococcus infection. Which of the following precautions should be given in this situation?

A nurse is caring for a pregnant client who is rubella non-immune. What should be included in her plan of care?

A pregnant client had a positive test for TB. She is not experiencing any symptoms, and the nurse is providing information about the illness. Which statement by the nurse is correct in this situation?

A nurse is teaching pregnant clients about the risks of preterm labor. At what gestation are fetal lungs are thought to be mature enough to function outside the womb without support?

A nurse is providing prenatal instructions to a newly pregnant client. The client asks if it is safe to continue taking her medications. The nurse’s response is based on the knowledge that:

A client is concerned that her unborn baby will hear her and her husband arguing, but the husband says that the baby can’t hear. What is the best response by the nurse?

A nurse is explaining fetal gas exchange to a nursing student. Which of the following statements indicate the teaching was understood?

A nurse is educating a group of new nurses on fetal circulation. What factors are involved in the closure of the ductus venosus? Select all that apply.

A nurse is educating a pregnant client on fetal circulation. The client wonders how the baby gets oxygen if the lungs aren’t working properly. The correct response by the nurse is that gas exchange occurs where?

During the first trimester screening the ultrasound tech is checking for the site of placental implantation. The nurse knows that which part of the uterus is the normal site of placental implantation?

A nurse receives a call from an 8-week pregnant client. The client reports that she got an at home Doppler to listen to her baby’s heart rate and wants to know when she will be able hear it. The nurse tells the client that an external doppler can begin to detect the heart rate around how many weeks’ gestation?

A nurse is helping a nursing student review the development of the fetal environment. The nursing student would be correct in identifying that which of the following structures develops from the chorion?

A nurse is performing a newborn assessment on a baby born at 28 weeks. Which assessment findings should the nurse expect? Select all that apply.

A nurse is educating a pregnant client on the role of amniotic fluid. Which of the following should be included in the teaching? Select all that apply.

A nurse is educating a pregnant client on the purpose of the umbilical cord for the fetus. Which of the following is an appropriate statement regarding the umbilical cord?

On the first newborn assessment the nurse hears a loud “whooshing” noise when auscultating heart sounds. The mother asks what this means. What is the most appropriate response by the nurse?

A nurse is educating a pregnant client on fetal circulation. Which of the following statements will be appropriate to include in teaching?

A nurse is caring for a 28-year-old pregnant client who is in labor with her first baby. The father of the unborn baby has been at the hospital briefly during the time that the client has been in labor, but the nurse is unsure whether he will be present during delivery. Which question from the nurse would be most appropriate when discerning the role of the father in this situation?

The nurse is working in an OB clinic. Which of the following client statements is the MOST concerning?

A nurse receives bedside report on a laboring client that the fetus is at -2 station and transverse. The mother asks what this means. What is the best explanation by the nurse?

A fetus is being born head first, with the occiput facing the right side of the mother’s pelvis, towards the back. What is the fetal presentation?

A nurse performs a pelvic exam on a laboring mother. Findings are that the client is 5 cm and at zero station. What does this mean for the fetus?

A client who is 39 weeks’ gestation comes into the hospital and tells the nurse that she thinks she is in labor. The nurse assesses the client and determines that she is in the first stage of labor. Which of the following are associated with this stage of labor? Select all that apply.

A nurse is teaching a class on labor to pregnant clients. The nurse is explaining the role(s) the mother plays in the process of labor. Which of the following should be included? Select all that apply.

A nurse is helping a laboring mother to figure out how to focus her energy and pushing efforts during labor. Which of the following pieces of advice would be most beneficial to the client? Select all that apply.

A 39-week pregnant client arrives to the labor and delivery unit. Upon cervical exam, the client is 8 cm dilated, 100% effaced, and the fetus is at +2 station. What is the priority action of the nurse?

A nurse is caring for a pregnant client who is in labor. Which of the following best describes interventions the nurse should perform during the third stage of labor? Select all that apply.

A 38-week pregnant client is admitted to the labor and delivery unit with contractions 4 to 8 minutes apart and is 2 cm dilated. What would be the priority nursing intervention at this time?

The nurse is caring for a client in labor. Which of the following are signs that the client is in the second stage of labor?

A pregnant client reports to the L&D unit stating “my water broke”. The nurse performs a nitrazine test. If the client has experienced rupture of membranes, what should the nurse expect to see on the test?

A pregnant client is experiencing lightening. What new symptoms would the nurse expect to find in this client now? Select all that apply.

A nurse receives a call from a 39 week pregnant client stating she has noticed some bloody mucousy discharge. What is the best response by the nurse?

A nurse is caring for a client in labor who experienced ROM 9 hours ago. What is the priority for this client?

A nurse is educating a laboring client on the cardinal movements of delivery. What is the best explanation by the nurse?

A nurse is caring for a woman who is 39 weeks’ gestation and in labor. The nurse is preparing to perform Leopold’s maneuver on this client. Which action is part of performing Leopold’s maneuver? Select all that apply.

A nurse is performing Leopold’s Maneuver on a pregnant client in labor and feels a firm, irregular shape during the pelvic grip. What should the nurse expect for the care of this client?

A nurse is performing Leopold’s Maneuver and feels a firm, round, movable object during the fundal grip. What does this finding mean?

Which best describes an indication for performing Leopold’s maneuvers on a pregnant client?

A nurse performs leopold’s maneuver and determines the fetus is transverse. Irregular, small bumps are felt by the fundus and a firm movable ball is felt on the right side. Where would you best detect the fetal heart rate?

A pregnant client is admitted to the labor and delivery unit. Prior to obtaining fetal heart tones, the nurse performs Leopold’s Maneuvers. What is the purpose for this?

A nurse is educating a nursing student on the purpose for Leopold’s Maneuvers. The student has understood education if he/she identifies which of the following as a purpose for performing Leopold’s Maneuvers? Select all that apply.

A nurse caring for a pregnant client is checking fetal heart tones using a Doppler stethoscope. Which of the following interventions would the nurse employ during this process? Select all that apply.

A nurse is caring for a client who is in labor at the hospital. The nurse prepares to apply an external fetal monitor but the client is morbidly obese and the monitor does not fit well. What should the nurse do? Select all that apply.

A nurse is caring for a pregnant client who is in labor. The nurse places an external fetal monitor on the client’s abdomen to assess fetal heart tones. While checking the client to determine cervical dilation, the nurse notes that the FHR increases above the baseline and then returns to normal levels after the exam. Which of the following responses from the nurse is most appropriate?

Which of the following situations could lead to late decelerations on fetal heart monitoring? Select all that apply.

A pregnant client arrives to labor and delivery unit and the nurse places a fetal monitor on her. The fetal heart rate is assessed to be 123. What is the most appropriate action by the nurse?

A client who is 39 weeks’ gestation is in labor has started pushing during delivery. The nurse is performing external fetal monitoring during this time and notes that the baby’s heart rate drops during contractions but increases again by the time the contraction has ended. Which action of the nurse is most appropriate?

A nurse is caring for a client who is in labor. The client has an external fetal heart monitor in place and the nurse is watching the baby’s heart rate. The nurse notes that the infants heart rate increases to 180 beats per minute and stays elevated for 10 minutes before returning to 140 bpm again. Which of the following nursing actions is most appropriate?

A nurse is caring for a client who is in labor. The nurse has applied external fetal monitoring and notes that the baby’s heart rate is having late decelerations. Which of the following actions should the nurse perform? Select all that apply.

A nurse is caring for a client who is 28 weeks pregnant and having a nonstress test. The result is an 8. What action should the nurse take next?

The nurse is performing fetal heart monitoring (FHM) on a client who is 39-weeks along and has been in labor for 14 hours. Which of the following findings is the LEAST concerning?

A nurse is prioritizing care for multiple pregnant clients. The nurse knows that which of the following situations would put the client at higher risk for a prolapsed umbilical cord?

The nurse is caring for a pregnant client who has been in labor for 9 hours. The client calls the nurse into the room who notes the baby’s shoulder as the presenting part with the umbilical cord under it. The nurse calls for help. Which intervention is NOT appropriate in this situation?

A nurse is assessing pregnant clients for possible cord prolapse. Which of the following symptoms would be indicative of possible prolapse?

On exam, a nurse discovers that a laboring pregnant client has a prolapsed umbilical cord. Which of the following positions should the client be placed in?

A nurse is educating nursing students on prolapsed umbilical cord. Which of the following is the most appropriate explanation of why this is a medical emergency?

During a cervical exam on a laboring client, the nurse feels something squishy. What is the priority action by the nurse?

A 37-week pregnant client with a complete placenta previa comes to the unit in labor. What is the priority for this client?

A 30-week pregnant client is diagnosed with placenta previa. Which of the following findings would indicate the need for an immediate cesarean section?

A client in labor is being admitted to the hospital for delivery of her baby. The client has been seen for regular prenatal visits and has been monitored closely because of a diagnosis of placenta previa. The nurse notes that the provider on call starts to perform a pelvic exam to assess cervical dilation. Which response from the nurse is appropriate?

A pregnant client presents with bright red painless vaginal bleeding at 30 weeks. What should the nurse plan to assess for?

A provider suspects a pregnant client has placenta previa. How will this be confirmed?

A 32-week pregnant client arrives to the emergency department with severe abdominal pain and vaginal bleeding. What condition should the nurse be concerned for?

A nurse is assessing a pregnant client who is in labor. Which of the following symptoms would be indicative of a possible placental abruption? Select all that apply.

A nurse is caring for a 38-week pregnant client. The client is complaining of severe abdominal pain. What is your priority assessment?

A nurse is assessing a postpartum client who delivered via c-section for a placental abruption. What assessment finding would be the MOST concerning?

A 40-week pregnant client arrives to the L&D unit in labor. She admits to using cocaine this morning. The nurse knows this places the client at higher risk for which condition?

Which of the following conditions would most likely cause vaginal bleeding during the third trimester of pregnancy?

A 27-week pregnant client arrives to the hospital in labor. On cervical exam, she is 10 cm dilated. What is the priority nursing action?

A pregnant client who is 32 weeks’ gestation is experiencing preterm labor and has been brought in to the hospital. Which of the following interventions are appropriate for the management of preterm labor? Select all that apply.

A nurse is caring for a client that is 26 weeks pregnant allowed out of bed only for bathroom privileges due to preterm labor. Which of the following should be included in her care? Select all that apply.

A nurse is caring for a 29-week pregnant client who reports lower back pain, lower abdominal pain, and contractions every 5-10 minutes. Vital signs are HR 92, BP 138/86, temp 100.4, RR 18, SpO2 98%. What is the priority nursing action?

A nurse is educating a pregnant client on signs of preterm labor. What should be included in this education? Select all that apply.

A nurse is caring for a client and newborn after a precipitous delivery. What possible complications should the nurse be alert to? Select all that apply.

A nurse is caring for a client postpartum who just delivered her third baby precipitously. What complication should the nurse watch this client closely for?

A 39-week pregnant client arrives to the L&D unit having contractions 1-2 minutes apart. What is the priority nursing action?

A pregnant woman approaches a nurse in the hospital and asks for help. She states “My water broke and it feels like the baby is coming right now!” What actions should the nurse perform in response? Select all that apply.

A pregnant client comes into the hospital in active labor; the nurse notes that her contractions are less than one minute apart. Which of the following interventions should the nurse include to manage precipitous labor?

A nurse is working in the emergency department when a man rushes up to her and says “I need help! My wife is in the car having intense contractions and says she is going to push the baby out right now!” Which response by the nurse is best?

A nurse is caring for a laboring client. Contractions are 6-7 minutes apart and the client is 4 cm dilated with intact membranes. This is unchanged from the last exam several hours ago. What is the expected management for this patient? Select all that apply.

A nurse believes her laboring client may be experiencing hypotonic labor. Which finding would be consistent with this?

A nurse is assessing multiple laboring clients. The nurse knows which client is more at risk for dystocia?

A nurse believes her laboring client may be experiencing hypertonic labor. Which finding would be consistent with this?

A nurse is caring for a laboring client an notes signs of hypertonic labor. What nursing action(s) should the nurse take at this time. Select all that apply.

A nurse is educating a postpartum client on the importance of emptying her bladder. Which of the following is the most appropriate statement by the nurse?

A nurse is caring for a client who delivered a baby approximately 12 hours ago. Which of the following changes in vital signs for the mother would the nurse expect to see during the first 24 hours postpartum?

A nurse is caring for a client who has developed postpartum endometritis. Based on the nurse’s knowledge of this condition, which symptoms would the nurse expect to see?

A nurse is caring for a postpartum client with an episiotomy. Which of the following orders should the nurse anticipate? Select all that apply.

A nurse is caring for a postpartum mother who has chosen to bottle feed her infant. The client is concerned about how to properly care for her breasts even though she is not breastfeeding. What self-care suggestions should the nurse include in the teaching? Select all that apply.

A nurse is discharging a client that is 2 days postpartum. What would be appropriate teaching to include regarding lochia?

Which of the following laboratory tests would most likely be ordered for a postpartum client who experienced an uncomplicated vaginal delivery 24 hours ago?

A 28-year-old client is being transferred to the postpartum unit of the hospital following delivery of her infant two hours ago. The nurse performs an initial assessment on the mother. Which information would be part of a routine postpartum assessment? Select all that apply.

A nurse is caring for a postpartum client who delivered 6 hours ago. The client has a temperature of 100°F. The nurse should most likely begin planning care for which condition?

A nurse is caring for a postpartum client who delivered a baby one day ago. The mother says to the nurse, “My feet were so swollen while I was pregnant. I thought it would go away when I had the baby, but it didn’t! When will this go away?” Which response from the nurse is accurate?

A nurse receives a call from the partner of a woman who delivered a baby 2 weeks ago, expressing concern that she is crying easily and withdrawn from caring for her infant. The nurse knows the care plan will likely be based on which diagnosis?

A nurse is educating a postpartum client on steps to take after being diagnosed with mastitis. Which of the following should be included in the teaching? Select all that apply.

A nurse is caring for a postpartum client who has severe hemorrhoids that developed during pregnancy. What should the nurse advise the client to do to best manage her discomfort?

A 46-year-old female client is in the healthcare clinic and complains of stress incontinence. The client has five children and says that she has had difficulties controlling voiding since giving birth to her last child. In addition to multiparity, which of the following describe other causes of stress incontinence? Select all that apply.

A nurse is caring for a postpartum client who had a c-section 6 hours ago and has been given ketorolac IV for her 5/10 pain. A pain reassessment 30 minutes after administration reveals a pain of 6/10. What is the best action by the nurse?

A nurse is caring for clients on a postpartum unit. The nurse knows that which of the following clients are at risk for stronger after pains? Select all that apply.

A nurse is reviewing orders and notices that a 4-hr postpartum client has orders for ice packs and PO ibuprofen. Which of the following conditions is most likely the reason for these orders?

The nurse is discharging a postpartum client and newborn baby. During the pregnancy and delivery, the client developed hemorrhoids. Which of the following statements by the client indicates the need for further teaching?

A 25-year-old client who delivered a baby 4 weeks ago is suffering from postpartum depression. Based on the nurse’s understanding of this condition, the nurse knows that the risk factor most commonly associated with postpartum depression is which of the following?

A nurse is caring for a 2-week old newborn that is exclusively breastfed. When assessing the characteristics of the baby’s stool, what should the nurse expect to find?

A baby needs no help latching on a soft nontender breast is rhythmically sucking on a blistered everted nipple and has a few stimulated swallows. What is the LATCH score?

A nurse is teaching a new mother about breastfeeding. What statements indicate that teaching has been effective? Select all that apply.

A nurse is caring for a postpartum patient who is breastfeeding her infant. The nurse asks the mother if she is having any pain and the client states, “Yes, but I do not want any medication to pass through my breastmilk to the baby, so I won’t take anything.” Which response from the nurse is accurate?

A nurse is talking to a new mother about nutrition while breastfeeding. Which information would the nurse most likely give to the mother about nutrition intake during this time?

A nurse is teaching a new mother about the best ways to be successful with breastfeeding. Which of the following are key factors in breastfeeding success? Select all that apply.

A nurse is educating mothers to be on the current recommendations for breastfeeding. Which of the following are true about the current recommendations?

A client delivered a baby two weeks ago and is breastfeeding. The client is a vegan. Which of the following vitamins is this client at highest risk of deficiency?

A nurse receives a call from a breastfeeding mom who complains of symptoms of a clogged duct. Which instructions by the nurse would be the most beneficial for the client? Select all that apply.

A nurse is educating a breastfeeding mom on nutritional needs. What should be included in the teaching? Select all that apply

Which of the following conditions would most likely contribute to postpartum hemorrhage?

A nurse is teaching a nursing student about risk factors for postpartum hemorrhage. Teaching has been understood if the student identifies the most common cause of postpartum hemorrhage as which of the following?

A postpartum client reports a big gush of blood. What is the nurse’s priority action?

A nurse is caring for a postpartum client that had a blood loss of 1,200 mL after vaginal delivery. Which of the following are priorities to include in her plan of care? Select all that apply.