Maternity Nursing (OB Maternal &
Newborn) NCLEX Practice Quiz #2 | 75
Questions
1. 1. Question
The nurse is counseling a couple who has sought information about
conceiving. The couple asks the nurse to explain when ovulation
usually occurs. Which statement by the nurse is correct?
o A. Two weeks before menstruation.
o B. Immediately after menstruation.
o C. Immediately before menstruation.
o D. Three weeks before menstruation.
Incorrect
Correct Answer: A. Two weeks before menstruation
Ovulation occurs 14 days before the first day of the menstrual period
(A). Although ovulation can occur in the middle of the cycle or 2 weeks
after menstruation, this is only true for a woman who has a perfect 28-
day cycle. For many women, the length of the menstrual cycle varies.
Option B: After the follicle releases its egg, it changes into the
corpus luteum. This structure releases hormones, mainly
progesterone and some estrogen. The rise in hormones keeps the
uterine lining thick and ready for a fertilized egg to implant. If the
woman does get pregnant, her body will produce human
chorionic gonadotropin (hCG). This is the hormone pregnancy
tests detect. It helps maintain the corpus luteum and keeps the
uterine lining thick. If the woman doesn’t get pregnant, the
corpus luteum will shrink away and be resorbed. This leads to
decreased levels of estrogen and progesterone, which causes the
onset of the period. The uterine lining will shed during this period.
Option C: The menstrual phase is the first stage of the
menstrual cycle. It’s also when the woman gets her period. This
phase starts when an egg from the previous cycle isn’t fertilized.
Because pregnancy hasn’t taken place, levels of the hormones
, estrogen and progesterone drop. The thickened lining of the
uterus, which would support a pregnancy, is no longer needed, so
it sheds through the vagina. During this period, there is a release
of a combination of blood, mucus, and tissue from the uterus.
Option D: During each menstrual cycle, an egg develops and is
released from the ovaries. The lining of the uterus builds up. If a
pregnancy doesn’t happen, the uterine lining sheds during a
menstrual period. Then the cycle starts again.
2. 2. Question
The nurse instructs a laboring client to use accelerated blow breathing.
The client begins to complain of tingling fingers and dizziness. Which
action should the nurse take?
A. Administer oxygen by face mask.
B. Notify the health care provider of the client's symptoms.
C. Have the client breathe into her cupped hands.
D. Check the client's blood pressure and fetal heart rate.
Incorrect
Correct Answer: C. Have the client breathe into her cupped
hands.
Tingling fingers and dizziness are signs of hyperventilation (blowing off
too much carbon dioxide). Hyperventilation is treated by retaining
carbon dioxide. This can be facilitated by breathing into a paper bag or
cupped hands.
Option A: Giving oxygen is inappropriate because the carbon
dioxide level is low, not the oxygen level.
Option B: Before notifying the healthcare provider, the nurse
may first intervene by having the client breathe into her cupped
hands. If the client’s situation does not improve, the nurse may
notify the physician.
Option D: The client’s blood pressure and fetal heart rate are not
related to the low levels of carbon dioxide in her body. It is due to
blowing off too much carbon dioxide while using blow breathing
exercises.
3. 3. Question
, When assessing a client at 12 weeks of gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend
these classes?
A. At 16 weeks of gestation.
B. At 20 weeks of gestation.
C. At 24 weeks of gestation.
D. At 30 weeks of gestation.
Incorrect
Correct Answer: D. At 30 weeks of gestation.
Learning is facilitated by an interested pupil. The couple is most
interested in childbirth toward the end of the pregnancy when they are
beginning to anticipate the onset of labor and the birth of their child. At
30 weeks, is closest to the time when parents would be ready for such
classes.
Option A: This would not be the best time during pregnancy for
the couple to attend childbirth education classes. At these times
they will have other teaching needs. Early pregnancy classes
often include topics such as nutrition, physiologic changes,
coping with normal discomforts of pregnancy, fetal development,
maternal and fetal risk factors, and evolving roles of the mother
and her significant others.
Option B: At 20 weeks gestation, the couple may have an
ultrasound to check the fetus’ gender. This is also the time when
the scan may show the beating of the fetus’ heart, the curve of
his spine, or his arms and legs kicking.
Option C: During the 24th week of gestation, the couple may
think about where they should have the baby; learn about the
signs of preterm labor; and how they could introduce the new
baby to his siblings.
4. 4. Question
One hour following a normal vaginal delivery, a newborn infant boy’s
axillary temperature is 96° F, his lower lip is shaking and, when the
nurse assesses for a Moro reflex, the boy’s hands shake. Which
intervention should the nurse implement first?
, A. Stimulate the infant to cry.
B. Wrap the infant in warm blankets.
C. Feed the infant formula.
D. Obtain a serum glucose level.
Incorrect
Correct Answer: D. Obtain a serum glucose level.
This infant is demonstrating signs of hypoglycemia, possibly secondary
to a low body temperature. The nurse should first determine the serum
glucose level.
Option A: Stimulating the infant to cry is an intervention for a
lethargic infant.
Option B: This intervention should be done based on the
temperature, but first the glucose level should be obtained.
Option C: Feeding the infant with formula helps raise the blood
sugar, but first, the nurse should determine the glucose level.
5. 5. Question
Which statement made by the client indicates that the mother
understands the limitations of breastfeeding her newborn?
A. "Breastfeeding my infant consistently every 3 to 4 hours
stops ovulation and my period."
B. "Breastfeeding my baby immediately after drinking alcohol is
safer than waiting for the alcohol to clear my breast milk."
C. "I can start smoking cigarettes while breastfeeding because it
will not affect my breast milk."
D. "When I take a warm shower after I breastfeed, it relieves the
pain from being engorged between breastfeedings."
Incorrect
Correct Answer: A. “Breastfeeding my infant consistently
every 3 to 4 hours stops ovulation and my period.”
Continuous breastfeeding on a 3- to 4-hour schedule during the day
will cause a release of prolactin, which will suppress ovulation and
menses, but is not completely effective as a birth control method.
Newborn) NCLEX Practice Quiz #2 | 75
Questions
1. 1. Question
The nurse is counseling a couple who has sought information about
conceiving. The couple asks the nurse to explain when ovulation
usually occurs. Which statement by the nurse is correct?
o A. Two weeks before menstruation.
o B. Immediately after menstruation.
o C. Immediately before menstruation.
o D. Three weeks before menstruation.
Incorrect
Correct Answer: A. Two weeks before menstruation
Ovulation occurs 14 days before the first day of the menstrual period
(A). Although ovulation can occur in the middle of the cycle or 2 weeks
after menstruation, this is only true for a woman who has a perfect 28-
day cycle. For many women, the length of the menstrual cycle varies.
Option B: After the follicle releases its egg, it changes into the
corpus luteum. This structure releases hormones, mainly
progesterone and some estrogen. The rise in hormones keeps the
uterine lining thick and ready for a fertilized egg to implant. If the
woman does get pregnant, her body will produce human
chorionic gonadotropin (hCG). This is the hormone pregnancy
tests detect. It helps maintain the corpus luteum and keeps the
uterine lining thick. If the woman doesn’t get pregnant, the
corpus luteum will shrink away and be resorbed. This leads to
decreased levels of estrogen and progesterone, which causes the
onset of the period. The uterine lining will shed during this period.
Option C: The menstrual phase is the first stage of the
menstrual cycle. It’s also when the woman gets her period. This
phase starts when an egg from the previous cycle isn’t fertilized.
Because pregnancy hasn’t taken place, levels of the hormones
, estrogen and progesterone drop. The thickened lining of the
uterus, which would support a pregnancy, is no longer needed, so
it sheds through the vagina. During this period, there is a release
of a combination of blood, mucus, and tissue from the uterus.
Option D: During each menstrual cycle, an egg develops and is
released from the ovaries. The lining of the uterus builds up. If a
pregnancy doesn’t happen, the uterine lining sheds during a
menstrual period. Then the cycle starts again.
2. 2. Question
The nurse instructs a laboring client to use accelerated blow breathing.
The client begins to complain of tingling fingers and dizziness. Which
action should the nurse take?
A. Administer oxygen by face mask.
B. Notify the health care provider of the client's symptoms.
C. Have the client breathe into her cupped hands.
D. Check the client's blood pressure and fetal heart rate.
Incorrect
Correct Answer: C. Have the client breathe into her cupped
hands.
Tingling fingers and dizziness are signs of hyperventilation (blowing off
too much carbon dioxide). Hyperventilation is treated by retaining
carbon dioxide. This can be facilitated by breathing into a paper bag or
cupped hands.
Option A: Giving oxygen is inappropriate because the carbon
dioxide level is low, not the oxygen level.
Option B: Before notifying the healthcare provider, the nurse
may first intervene by having the client breathe into her cupped
hands. If the client’s situation does not improve, the nurse may
notify the physician.
Option D: The client’s blood pressure and fetal heart rate are not
related to the low levels of carbon dioxide in her body. It is due to
blowing off too much carbon dioxide while using blow breathing
exercises.
3. 3. Question
, When assessing a client at 12 weeks of gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend
these classes?
A. At 16 weeks of gestation.
B. At 20 weeks of gestation.
C. At 24 weeks of gestation.
D. At 30 weeks of gestation.
Incorrect
Correct Answer: D. At 30 weeks of gestation.
Learning is facilitated by an interested pupil. The couple is most
interested in childbirth toward the end of the pregnancy when they are
beginning to anticipate the onset of labor and the birth of their child. At
30 weeks, is closest to the time when parents would be ready for such
classes.
Option A: This would not be the best time during pregnancy for
the couple to attend childbirth education classes. At these times
they will have other teaching needs. Early pregnancy classes
often include topics such as nutrition, physiologic changes,
coping with normal discomforts of pregnancy, fetal development,
maternal and fetal risk factors, and evolving roles of the mother
and her significant others.
Option B: At 20 weeks gestation, the couple may have an
ultrasound to check the fetus’ gender. This is also the time when
the scan may show the beating of the fetus’ heart, the curve of
his spine, or his arms and legs kicking.
Option C: During the 24th week of gestation, the couple may
think about where they should have the baby; learn about the
signs of preterm labor; and how they could introduce the new
baby to his siblings.
4. 4. Question
One hour following a normal vaginal delivery, a newborn infant boy’s
axillary temperature is 96° F, his lower lip is shaking and, when the
nurse assesses for a Moro reflex, the boy’s hands shake. Which
intervention should the nurse implement first?
, A. Stimulate the infant to cry.
B. Wrap the infant in warm blankets.
C. Feed the infant formula.
D. Obtain a serum glucose level.
Incorrect
Correct Answer: D. Obtain a serum glucose level.
This infant is demonstrating signs of hypoglycemia, possibly secondary
to a low body temperature. The nurse should first determine the serum
glucose level.
Option A: Stimulating the infant to cry is an intervention for a
lethargic infant.
Option B: This intervention should be done based on the
temperature, but first the glucose level should be obtained.
Option C: Feeding the infant with formula helps raise the blood
sugar, but first, the nurse should determine the glucose level.
5. 5. Question
Which statement made by the client indicates that the mother
understands the limitations of breastfeeding her newborn?
A. "Breastfeeding my infant consistently every 3 to 4 hours
stops ovulation and my period."
B. "Breastfeeding my baby immediately after drinking alcohol is
safer than waiting for the alcohol to clear my breast milk."
C. "I can start smoking cigarettes while breastfeeding because it
will not affect my breast milk."
D. "When I take a warm shower after I breastfeed, it relieves the
pain from being engorged between breastfeedings."
Incorrect
Correct Answer: A. “Breastfeeding my infant consistently
every 3 to 4 hours stops ovulation and my period.”
Continuous breastfeeding on a 3- to 4-hour schedule during the day
will cause a release of prolactin, which will suppress ovulation and
menses, but is not completely effective as a birth control method.
