©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
Labor and Delivery Nclex style Exam
Questions And Answers 2025 Update.
The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted
to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment
finding should the nurse expect to note if this condition is present?
1. Soft abdomen
2. Uterine tenderness
3. absence of abdominal pain
4. painless, bright red vaginal bleeding - Answer✔2. Uterine tenderness
The maternity nurse is preparing for the admission of a client in the third trimester of
pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta
previa. The nurse reviews the health care provider's prescriptions and should question which
prescription?
1.Prepare the client for an ultrasound.
2.Obtain equipment for a manual pelvic examination.
3.Prepare to draw a hemoglobin and hematocrit blood sample
4. Obtain equipment for external electronic fetal heart rate monitoring - Answer✔2. Obtain
equipment for a manual pelvic examination.
An ultrasound is preformed on a client at term gestation who is experiencing moderate vaginal
bleeding. The results of the ultrasound indicate that abruption placentae is present. On the
basis of these findings, the nurse should prepare the client for which anticipated prescription?
1.Delivery of the fetus.
2. Strict monitoring of intake and output
3.Complete bed rest for the remainder of the pregnancy
1
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
4. The need for weekly monitoring of coagulation studies until the time of delivery - Answer✔1.
Delivery of the fetus
The nurse is preforming an initial assessment on a client who has just been told that a
pregnancy test is positive. Which assessment finding indicates that the client is at risk for
preterm labor?
1.The client is a 35 year old primigravida
2. The client has a history of cardiac disease
3. The client's hemoglobin level is 13.5 g/dL
4. The client is a 20 year old primigravida of average weight and height - Answer✔2. The client
has a history of cardiac disease
The nurse is monitoring a client in active stage of labor. The client has been experiencing
contractions that are short, irregular, and weak. The nurse documents that the client is
experiencing which type of labor dystocia?
1. Hypotonic
2. Precipitous
3. Hypertonic
4. Preterm labor - Answer✔1.Hypotonic
After a precipitous delivery, the nurse notes that the new mother is passive and only touches
her newborn infant briefly with her fingertips. What should the nurse do to help the woman
process the delivery?
1.Encourage the mother to breastfed soon after birth
2. Support the mother in her reaction to the newborn infant
3.Tell the mother that it is important to hold the newborn infant.
4. document a complete account of the mother's reaction on the birth record. - Answer✔2.
Support the mother in her reaction to the newborn infant
The nurse in a labor room is monitoring a client with dysfunctional labor for signs of fetal or
maternal compromise. Which assessment finding would alert the nurse to a compromise?
1. Maternal fatigue
2. coordinated uterine contractions
3. Progressive changes in the cervix
2
Labor and Delivery Nclex style Exam
Questions And Answers 2025 Update.
The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted
to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment
finding should the nurse expect to note if this condition is present?
1. Soft abdomen
2. Uterine tenderness
3. absence of abdominal pain
4. painless, bright red vaginal bleeding - Answer✔2. Uterine tenderness
The maternity nurse is preparing for the admission of a client in the third trimester of
pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta
previa. The nurse reviews the health care provider's prescriptions and should question which
prescription?
1.Prepare the client for an ultrasound.
2.Obtain equipment for a manual pelvic examination.
3.Prepare to draw a hemoglobin and hematocrit blood sample
4. Obtain equipment for external electronic fetal heart rate monitoring - Answer✔2. Obtain
equipment for a manual pelvic examination.
An ultrasound is preformed on a client at term gestation who is experiencing moderate vaginal
bleeding. The results of the ultrasound indicate that abruption placentae is present. On the
basis of these findings, the nurse should prepare the client for which anticipated prescription?
1.Delivery of the fetus.
2. Strict monitoring of intake and output
3.Complete bed rest for the remainder of the pregnancy
1
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
4. The need for weekly monitoring of coagulation studies until the time of delivery - Answer✔1.
Delivery of the fetus
The nurse is preforming an initial assessment on a client who has just been told that a
pregnancy test is positive. Which assessment finding indicates that the client is at risk for
preterm labor?
1.The client is a 35 year old primigravida
2. The client has a history of cardiac disease
3. The client's hemoglobin level is 13.5 g/dL
4. The client is a 20 year old primigravida of average weight and height - Answer✔2. The client
has a history of cardiac disease
The nurse is monitoring a client in active stage of labor. The client has been experiencing
contractions that are short, irregular, and weak. The nurse documents that the client is
experiencing which type of labor dystocia?
1. Hypotonic
2. Precipitous
3. Hypertonic
4. Preterm labor - Answer✔1.Hypotonic
After a precipitous delivery, the nurse notes that the new mother is passive and only touches
her newborn infant briefly with her fingertips. What should the nurse do to help the woman
process the delivery?
1.Encourage the mother to breastfed soon after birth
2. Support the mother in her reaction to the newborn infant
3.Tell the mother that it is important to hold the newborn infant.
4. document a complete account of the mother's reaction on the birth record. - Answer✔2.
Support the mother in her reaction to the newborn infant
The nurse in a labor room is monitoring a client with dysfunctional labor for signs of fetal or
maternal compromise. Which assessment finding would alert the nurse to a compromise?
1. Maternal fatigue
2. coordinated uterine contractions
3. Progressive changes in the cervix
2
