NCLEX Maternity nursing practice exam: labor,
delivery & postpartum questions and
100%correct answers graded A+
Question 1
A nurse determines that a client is beginning the 2nd stage of labor when which assessment
is noted?
A. The client begins to expel clear vaginal fluid
B. The contractions are regular
C. The membranes have ruptured
D. The cervix is dilated completely ✓
Question 2
The nurse notes a late deceleration on the monitor strip. The most appropriate nursing action
is to:
A. Place the mother in the supine position
B. Document the findings and continue to monitor
C. Administer oxygen via face mask ✓
D. Increase the rate of Pitocin IV infusion
Question 3
Which assessment finding would indicate a need to contact the physician prior to cesarean
delivery?
A. Fetal heart rate of 180 beats per minute ✓
B. White blood cell count of 12,000
C. Maternal pulse rate of 85 beats per minute
D. Hemoglobin of 11.0 g/dL
Question 4
The nurse places the client prepared for cesarean delivery in the:
A. Trendelenburg's position with the legs in stirrups
B. Semi-Fowler position with a pillow under the knees
C. Prone position with the legs separated and elevated
D. Supine position with a wedge under the right hip ✓
, Question 5
The nurse most accurately determines that fetal heart sounds are heard by:
A. Noting if the heart rate is greater than 140 BPM
B. Placing the diaphragm of the Doppler on the mother's abdomen
C. Performing Leopold's maneuvers first
D. Palpating the maternal radial pulse while listening to the fetal heart rate ✓
Question 6
Which assessment finding would indicate the Pitocin infusion needs to be discontinued?
A. Three contractions occurring within a 10-minute period
B. A fetal heart rate of 90 beats per minute ✓
C. Adequate resting tone of the uterus between contractions
D. Increased urinary output
Question 7
The nurse ensures which of the following is implemented before initiating a Pitocin infusion?
A. Placing the client on complete bed rest
B. Continuous electronic fetal monitoring ✓
C. An IV infusion of antibiotics
D. Placing a code cart at the client's bedside
Question 8
The nurse notes FHR between contractions is 100 BPM. Which nursing action is most
appropriate?
A. Encourage the coach to continue breathing exercises
B. Encourage the client to continue pushing
C. Continue monitoring the fetal heart rate
D. Notify the physician or nurse midwife ✓
Question 9
The nurse notes episodic accelerations on the fetal monitor. Which action is most
appropriate?
A. Document the findings and tell the mother that the monitor indicates fetal well-being ✓
B. Take vital signs and tell the mother bed rest is required
delivery & postpartum questions and
100%correct answers graded A+
Question 1
A nurse determines that a client is beginning the 2nd stage of labor when which assessment
is noted?
A. The client begins to expel clear vaginal fluid
B. The contractions are regular
C. The membranes have ruptured
D. The cervix is dilated completely ✓
Question 2
The nurse notes a late deceleration on the monitor strip. The most appropriate nursing action
is to:
A. Place the mother in the supine position
B. Document the findings and continue to monitor
C. Administer oxygen via face mask ✓
D. Increase the rate of Pitocin IV infusion
Question 3
Which assessment finding would indicate a need to contact the physician prior to cesarean
delivery?
A. Fetal heart rate of 180 beats per minute ✓
B. White blood cell count of 12,000
C. Maternal pulse rate of 85 beats per minute
D. Hemoglobin of 11.0 g/dL
Question 4
The nurse places the client prepared for cesarean delivery in the:
A. Trendelenburg's position with the legs in stirrups
B. Semi-Fowler position with a pillow under the knees
C. Prone position with the legs separated and elevated
D. Supine position with a wedge under the right hip ✓
, Question 5
The nurse most accurately determines that fetal heart sounds are heard by:
A. Noting if the heart rate is greater than 140 BPM
B. Placing the diaphragm of the Doppler on the mother's abdomen
C. Performing Leopold's maneuvers first
D. Palpating the maternal radial pulse while listening to the fetal heart rate ✓
Question 6
Which assessment finding would indicate the Pitocin infusion needs to be discontinued?
A. Three contractions occurring within a 10-minute period
B. A fetal heart rate of 90 beats per minute ✓
C. Adequate resting tone of the uterus between contractions
D. Increased urinary output
Question 7
The nurse ensures which of the following is implemented before initiating a Pitocin infusion?
A. Placing the client on complete bed rest
B. Continuous electronic fetal monitoring ✓
C. An IV infusion of antibiotics
D. Placing a code cart at the client's bedside
Question 8
The nurse notes FHR between contractions is 100 BPM. Which nursing action is most
appropriate?
A. Encourage the coach to continue breathing exercises
B. Encourage the client to continue pushing
C. Continue monitoring the fetal heart rate
D. Notify the physician or nurse midwife ✓
Question 9
The nurse notes episodic accelerations on the fetal monitor. Which action is most
appropriate?
A. Document the findings and tell the mother that the monitor indicates fetal well-being ✓
B. Take vital signs and tell the mother bed rest is required
