Maternity Nursing (OB Maternal &
Newborn) NCLEX Practice Quiz #1 | 75
Questions
1. 1. Question
A postpartum patient was in labor for 30 hours and had ruptured
membranes for 24 hours. For which of the following would the nurse be
alert?
o A. Endometritis
o B. Endometriosis
o C. Salpingitis
o D. Pelvic thrombophlebitis
Incorrect
Correct Answer: A. Endometritis
Endometritis is an infection of the uterine lining and can occur after
prolonged rupture of membranes. Symptoms include swelling of the
abdomen, abnormal vaginal bleeding or discharge, fever, discomfort
with bowel movement, and pain in the lower abdomen or pelvic region.
Option B: Endometriosis does not occur after a strong labor and
prolonged rupture of membranes. It is a painful disorder in which
tissue similar to the tissue that normally lines the inside of the
uterus grows outside of the uterus.
Option C: Salpingitis is a tubal infection and could occur if
endometritis is not treated. It is an inflammation of the fallopian
tubes caused by bacterial infection.
Option D: Pelvic thrombophlebitis involves a clot formation, but
it is not a complication of prolonged rupture of membranes. It is
an extremely rare condition that occurs after delivery when an
infected blood clot, or thrombus, causes inflammation in the
pelvic vein.
2. 2. Question
, A client at 36 weeks gestation is scheduled for a routine ultrasound
prior to amniocentesis. After teaching the client about the purpose of
the ultrasound, which of the following client statements would indicate
to the nurse in charge that the client needs further instruction?
A. The ultrasound will help to locate the placenta.
B. The ultrasound identifies blood flow through the
umbilical cord.
C. The test will determine where to insert the needle.
D. The ultrasound locates a pool of amniotic fluid.
Incorrect
Correct Answer: B. The ultrasound identifies blood flow through the
umbilical cord.
Before amniocentesis, a routine ultrasound is valuable in locating the
placenta, locating a pool of amniotic fluid, and showing the physician
where to insert the needle. Color Doppler imaging ultrasonography
identifies blood flow through the umbilical cord. A routine ultrasound
does not accomplish this.
Option A: As early as 10 weeks, the placenta can be detected by
an ultrasound. The normal placenta is discoid with uniform
echogenicity and rounded margins. It is usually located along the
anterior or posterior uterine walls, extending into the lateral
walls.
Option C: Ultrasound is done before and during amniocentesis to
ensure that the needle can safely pass through the walls of the
abdomen and womb.
Option D: The sample of amniotic fluid is removed through a fine
needle inserted into the uterus through the abdomen, under
ultrasound guidance.
3. 3. Question
While the postpartum client is receiving heparin for thrombophlebitis,
which of the following drugs would the nurse expect to administer if
the client develops complications related to heparin therapy?
A. Calcium gluconate
, B. Protamine sulfate
C. Methylergonovine (Methergine)
D. Nitrofurantoin (Macrodantin)
Incorrect
Correct Answer: B. Protamine sulfate
Protamine sulfate is a heparin antagonist given intravenously to
counteract bleeding complications caused by heparin overdose.
Option A: Calcium gluconate is the calcium salt of gluconic acid,
an intravenous medication used to treat conditions arising from
calcium deficiencies such as hypocalcemic tetany and
hypocalcemia.
Option C: Methylergonovine is used to prevent or treat bleeding
from the uterus that can happen after childbirth or an abortion.
Option D: Nitrofurantoin is used to treat urinary tract infections.
It is an antibiotic that works by killing bacteria that cause
infection.
4. 4. Question
When caring for a 3-day-old neonate who is receiving phototherapy to
treat jaundice, the nurse in charge would expect to do which of the
following?
A. Turn the neonate every 6 hours
B. Encourage the mother to discontinue breastfeeding.
C. Notify the physician if the skin becomes bronze in color.
D. Check the vital signs every 2 to 4 hours.
Incorrect
Correct Answer: D. Check the vital signs every 2 to 4 hours
While caring for an infant receiving phototherapy for treatment of
jaundice, vital signs are checked every 2 to 4 hours because
hyperthermia can occur due to the phototherapy lights.
Option A: Only one study reported the significance drop in
serum bilirubin and shorter duration of phototherapy in the
supine group. Keeping the jaundiced newborn in the supine
, position throughout phototherapy is as effective as turning them
periodically based on appraised studies.
Option B: The baby may be breastfed without interruption
during phototherapy. Jaundice in breastfed babies is not a reason
to stop breastfeeding as long as a baby is feeding well, gaining
weight, and otherwise growing.
Option C: Bronze baby syndrome is a rare complication seen in
neonates with hyperbilirubinemia who are being treated with
phototherapy. Affected neonates develop gray-brown skin,
serum, and urine within a week of initiation of phototherapy.
5. 5. Question
A primigravida in active labor is about 9 days post-term. The client
desires a bilateral pudendal block anesthesia before delivery. After the
nurse explains this type of anesthesia to the client, which of the
following locations identified by the client as the area of relief would
indicate to the nurse that the teaching was effective?
A. Back
B. Abdomen
C. Fundus
D. Perineum
Incorrect
Correct Answer: D. Perineum
A bilateral pudendal block is used for vaginal deliveries to relieve pain
primarily in the perineum and vagina. Pudendal block anesthesia is
adequate for episiotomy and its repair.
Option A: A spinal anesthetic is given into the middle of the
lower back and local anesthetic is injected through the needle
into the fluid that surrounds the spinal cord. It numbs the nerves
that supply the abdomen, hips, bottom, and legs.
Option B: General or regional anesthesia can be appropriate for
patients undergoing abdominal surgery. Balanced anesthesia
with inhalational anesthetics, opioids, and neuromuscular
blockers are used in general anesthesia for abdominal surgical
procedures.
Option C: Spinal anesthesia is one of the most preferred
anesthetic methods during Cesarean section since it provides
Newborn) NCLEX Practice Quiz #1 | 75
Questions
1. 1. Question
A postpartum patient was in labor for 30 hours and had ruptured
membranes for 24 hours. For which of the following would the nurse be
alert?
o A. Endometritis
o B. Endometriosis
o C. Salpingitis
o D. Pelvic thrombophlebitis
Incorrect
Correct Answer: A. Endometritis
Endometritis is an infection of the uterine lining and can occur after
prolonged rupture of membranes. Symptoms include swelling of the
abdomen, abnormal vaginal bleeding or discharge, fever, discomfort
with bowel movement, and pain in the lower abdomen or pelvic region.
Option B: Endometriosis does not occur after a strong labor and
prolonged rupture of membranes. It is a painful disorder in which
tissue similar to the tissue that normally lines the inside of the
uterus grows outside of the uterus.
Option C: Salpingitis is a tubal infection and could occur if
endometritis is not treated. It is an inflammation of the fallopian
tubes caused by bacterial infection.
Option D: Pelvic thrombophlebitis involves a clot formation, but
it is not a complication of prolonged rupture of membranes. It is
an extremely rare condition that occurs after delivery when an
infected blood clot, or thrombus, causes inflammation in the
pelvic vein.
2. 2. Question
, A client at 36 weeks gestation is scheduled for a routine ultrasound
prior to amniocentesis. After teaching the client about the purpose of
the ultrasound, which of the following client statements would indicate
to the nurse in charge that the client needs further instruction?
A. The ultrasound will help to locate the placenta.
B. The ultrasound identifies blood flow through the
umbilical cord.
C. The test will determine where to insert the needle.
D. The ultrasound locates a pool of amniotic fluid.
Incorrect
Correct Answer: B. The ultrasound identifies blood flow through the
umbilical cord.
Before amniocentesis, a routine ultrasound is valuable in locating the
placenta, locating a pool of amniotic fluid, and showing the physician
where to insert the needle. Color Doppler imaging ultrasonography
identifies blood flow through the umbilical cord. A routine ultrasound
does not accomplish this.
Option A: As early as 10 weeks, the placenta can be detected by
an ultrasound. The normal placenta is discoid with uniform
echogenicity and rounded margins. It is usually located along the
anterior or posterior uterine walls, extending into the lateral
walls.
Option C: Ultrasound is done before and during amniocentesis to
ensure that the needle can safely pass through the walls of the
abdomen and womb.
Option D: The sample of amniotic fluid is removed through a fine
needle inserted into the uterus through the abdomen, under
ultrasound guidance.
3. 3. Question
While the postpartum client is receiving heparin for thrombophlebitis,
which of the following drugs would the nurse expect to administer if
the client develops complications related to heparin therapy?
A. Calcium gluconate
, B. Protamine sulfate
C. Methylergonovine (Methergine)
D. Nitrofurantoin (Macrodantin)
Incorrect
Correct Answer: B. Protamine sulfate
Protamine sulfate is a heparin antagonist given intravenously to
counteract bleeding complications caused by heparin overdose.
Option A: Calcium gluconate is the calcium salt of gluconic acid,
an intravenous medication used to treat conditions arising from
calcium deficiencies such as hypocalcemic tetany and
hypocalcemia.
Option C: Methylergonovine is used to prevent or treat bleeding
from the uterus that can happen after childbirth or an abortion.
Option D: Nitrofurantoin is used to treat urinary tract infections.
It is an antibiotic that works by killing bacteria that cause
infection.
4. 4. Question
When caring for a 3-day-old neonate who is receiving phototherapy to
treat jaundice, the nurse in charge would expect to do which of the
following?
A. Turn the neonate every 6 hours
B. Encourage the mother to discontinue breastfeeding.
C. Notify the physician if the skin becomes bronze in color.
D. Check the vital signs every 2 to 4 hours.
Incorrect
Correct Answer: D. Check the vital signs every 2 to 4 hours
While caring for an infant receiving phototherapy for treatment of
jaundice, vital signs are checked every 2 to 4 hours because
hyperthermia can occur due to the phototherapy lights.
Option A: Only one study reported the significance drop in
serum bilirubin and shorter duration of phototherapy in the
supine group. Keeping the jaundiced newborn in the supine
, position throughout phototherapy is as effective as turning them
periodically based on appraised studies.
Option B: The baby may be breastfed without interruption
during phototherapy. Jaundice in breastfed babies is not a reason
to stop breastfeeding as long as a baby is feeding well, gaining
weight, and otherwise growing.
Option C: Bronze baby syndrome is a rare complication seen in
neonates with hyperbilirubinemia who are being treated with
phototherapy. Affected neonates develop gray-brown skin,
serum, and urine within a week of initiation of phototherapy.
5. 5. Question
A primigravida in active labor is about 9 days post-term. The client
desires a bilateral pudendal block anesthesia before delivery. After the
nurse explains this type of anesthesia to the client, which of the
following locations identified by the client as the area of relief would
indicate to the nurse that the teaching was effective?
A. Back
B. Abdomen
C. Fundus
D. Perineum
Incorrect
Correct Answer: D. Perineum
A bilateral pudendal block is used for vaginal deliveries to relieve pain
primarily in the perineum and vagina. Pudendal block anesthesia is
adequate for episiotomy and its repair.
Option A: A spinal anesthetic is given into the middle of the
lower back and local anesthetic is injected through the needle
into the fluid that surrounds the spinal cord. It numbs the nerves
that supply the abdomen, hips, bottom, and legs.
Option B: General or regional anesthesia can be appropriate for
patients undergoing abdominal surgery. Balanced anesthesia
with inhalational anesthetics, opioids, and neuromuscular
blockers are used in general anesthesia for abdominal surgical
procedures.
Option C: Spinal anesthesia is one of the most preferred
anesthetic methods during Cesarean section since it provides
