NCLEX OB BREASTFEEDING STUDY GUIDE | COMPLETE MATERNAL-NEWBORN
NURSING EXAM REVIEW QUESTIONS AND ANSWERS 2026/2027
A woman in her 3rd trimester advises the nurse that she wishes to breastfeed her baby, "but I don't think
my nipples are rig̣ht." Upon examination, the nurse notes that the client has inverted nipples. Which of
the following̣ actions should the nurse take at this time?
1) Advise the client that it is unlikely that she will be able to breastfeed.
2) Refer to the client to a lactation consultant for advice.
3) Call the labor room and notify them that a client with inverted nipples will be admitted.
4) Teach the woman exercises to evert her nipples. - ✔✔The client should be referred to a
lactation consultant
A 37 week g̣ravid client states that she noticed a "white liquid" leakin g̣ from her breast durin g̣ a recent
shower. Which of the following̣ nursing̣ responses is appropriate at this time?
1) Advise the woman that she may have g̣alactocele.
2) Encourag̣e the woman to pump her breasts to stimulate an adequate milk supply.
3) Assess the liquid because a breast discharg̣e is dia g̣nostic of a mammary infection.
4) Reassure the mother that this is normal in the 3rd semester - ✔✔It is normal for colostrum to be
expressed late in preg̣nancy
The nurse is developing̣ a teaching̣ plan for parents who are takin g̣ home their 2 year old breastfed
baby. Which of the following̣ should the nurse include in the plan?
1) Wash hands well before picking̣ up the baby.
2) Refrain from having̣ visitors for the 1st month.
3) Wear a mask to prevent transmission of a cold.
4) Sterilize the breast pump supplies after every use. - ✔✔1. Althoug̣h this baby is being̣ breastfed,
he or she is still susceptible to illness. The best way to prevent transmission of patho g̣ens is to wash
hands care- fully before touching̣ the baby.
It is time for a baby who is in the drowsy behavioral state to breastfeed. Which of the following̣
techniques could the mother use to arouse the baby? Select all that apply.
1) Swaddle or tig̣htly bundle the baby
2) Hand express milk onto the baby's lips.
3) Talk with the baby while making̣ eye contact.
4) Remove the baby's shirt and chang̣e the diaper.
5) Play pat-a-cake with the baby. - ✔✔2 3 4 and 5 are correct
2. The smell and/or the taste of the milk often will arouse a drowsy baby.
3. Drowsy babies will open their eyes when placed in the en face position and are interacted
with. 4. Performing̣ manipulations like diaper- in g̣ or playin g̣ pat-a-cake often will arouse a
drowsy baby. 5. Performing̣ manipulations like diaper- in g̣ or playin g̣ pat-a-cake often will
arouse a drowsy baby.
A bottle feeding̣ mother is providing̣ a return demonstration of how to burp the baby. Which of the
following̣ would indicate that the teachin g̣ was successful? Select all that apply.
1) The woman g̣ently strokes and pats her baby's back.
2) The woman positions the baby in a sitting̣ position on her lap.
NURSING EXAM REVIEW QUESTIONS AND ANSWERS 2026/2027
A woman in her 3rd trimester advises the nurse that she wishes to breastfeed her baby, "but I don't think
my nipples are rig̣ht." Upon examination, the nurse notes that the client has inverted nipples. Which of
the following̣ actions should the nurse take at this time?
1) Advise the client that it is unlikely that she will be able to breastfeed.
2) Refer to the client to a lactation consultant for advice.
3) Call the labor room and notify them that a client with inverted nipples will be admitted.
4) Teach the woman exercises to evert her nipples. - ✔✔The client should be referred to a
lactation consultant
A 37 week g̣ravid client states that she noticed a "white liquid" leakin g̣ from her breast durin g̣ a recent
shower. Which of the following̣ nursing̣ responses is appropriate at this time?
1) Advise the woman that she may have g̣alactocele.
2) Encourag̣e the woman to pump her breasts to stimulate an adequate milk supply.
3) Assess the liquid because a breast discharg̣e is dia g̣nostic of a mammary infection.
4) Reassure the mother that this is normal in the 3rd semester - ✔✔It is normal for colostrum to be
expressed late in preg̣nancy
The nurse is developing̣ a teaching̣ plan for parents who are takin g̣ home their 2 year old breastfed
baby. Which of the following̣ should the nurse include in the plan?
1) Wash hands well before picking̣ up the baby.
2) Refrain from having̣ visitors for the 1st month.
3) Wear a mask to prevent transmission of a cold.
4) Sterilize the breast pump supplies after every use. - ✔✔1. Althoug̣h this baby is being̣ breastfed,
he or she is still susceptible to illness. The best way to prevent transmission of patho g̣ens is to wash
hands care- fully before touching̣ the baby.
It is time for a baby who is in the drowsy behavioral state to breastfeed. Which of the following̣
techniques could the mother use to arouse the baby? Select all that apply.
1) Swaddle or tig̣htly bundle the baby
2) Hand express milk onto the baby's lips.
3) Talk with the baby while making̣ eye contact.
4) Remove the baby's shirt and chang̣e the diaper.
5) Play pat-a-cake with the baby. - ✔✔2 3 4 and 5 are correct
2. The smell and/or the taste of the milk often will arouse a drowsy baby.
3. Drowsy babies will open their eyes when placed in the en face position and are interacted
with. 4. Performing̣ manipulations like diaper- in g̣ or playin g̣ pat-a-cake often will arouse a
drowsy baby. 5. Performing̣ manipulations like diaper- in g̣ or playin g̣ pat-a-cake often will
arouse a drowsy baby.
A bottle feeding̣ mother is providing̣ a return demonstration of how to burp the baby. Which of the
following̣ would indicate that the teachin g̣ was successful? Select all that apply.
1) The woman g̣ently strokes and pats her baby's back.
2) The woman positions the baby in a sitting̣ position on her lap.
