Final maternity practice nclex questions and
100% verified answers 2025/2026 version
The nurse is preparing a laboring client for an amniotomy. Immediately after the procedure is
completed, it is most important for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - Answer C
A nurse receives a shift change report for a newborn who is 12 hours post-vaginal delivery. In
developing a plan of care, the nurse should give the highest priority to which finding?
A.Cyanosis of the hands and feet
B.Skin color that is slightly jaundiced
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk - Answer B
breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
,B.Feed expressed breast milk to avoid the pain of the infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect on the infant. - Answer a
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized
swelling on the right side of his head. In a newborn, what is the most likely cause of this accumulation of
blood between the periosteum and skull that does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage - Answer a
Prior to discharge, what instructions should the nurse give to parents regarding the newborn's umbilical
cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath - Answer C
,A mother expresses fear about changing the infant's diaper after circumcision. What information should
the nurse include in the teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent infection.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. - Answer C
A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of gestation in preterm
labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her
labor contractions. What are the primary side effects of terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - Answer C
hich 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. - Answer A
The nurse cares for the client immediately after normal vaginal delivery.. What action should the nurse
take FIRST?
A: observe the locial flow
B: Palpate the fundus
C: obtain a warning blanket
D: obtain vital signs - Answer A
A woman is in active labor. As labor progresses, she becomes irritable and complains of feeling
increasingly uncomfortable. She is 8cm dilated. Which of these actions should the nurse take FIRST?
A: contact the physician
B: Coach the patient in proper breathing and relaxation techniques
C: Administer an analgesic
D: remove the fetal monitor to allow the client to move around - Answer B
The nurse instucts the women how to prevent conception using the basal body temperature method.
The nurse explains that during ovulation, the womans basal body temperature will change in which
direction?
A: lowers significantly
B: rises signficantly
C: is unchanged
D: rises slightly - Answer D
A nurse accidentally bumps into a newborns bassinet. The newborn jumps and pulls the extremities into
the trunk. The nurse identifies the newborn is demonstrating which reflex?
A: tonic neck
100% verified answers 2025/2026 version
The nurse is preparing a laboring client for an amniotomy. Immediately after the procedure is
completed, it is most important for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - Answer C
A nurse receives a shift change report for a newborn who is 12 hours post-vaginal delivery. In
developing a plan of care, the nurse should give the highest priority to which finding?
A.Cyanosis of the hands and feet
B.Skin color that is slightly jaundiced
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk - Answer B
breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
,B.Feed expressed breast milk to avoid the pain of the infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect on the infant. - Answer a
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized
swelling on the right side of his head. In a newborn, what is the most likely cause of this accumulation of
blood between the periosteum and skull that does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage - Answer a
Prior to discharge, what instructions should the nurse give to parents regarding the newborn's umbilical
cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath - Answer C
,A mother expresses fear about changing the infant's diaper after circumcision. What information should
the nurse include in the teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent infection.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. - Answer C
A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of gestation in preterm
labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her
labor contractions. What are the primary side effects of terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - Answer C
hich 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. - Answer A
The nurse cares for the client immediately after normal vaginal delivery.. What action should the nurse
take FIRST?
A: observe the locial flow
B: Palpate the fundus
C: obtain a warning blanket
D: obtain vital signs - Answer A
A woman is in active labor. As labor progresses, she becomes irritable and complains of feeling
increasingly uncomfortable. She is 8cm dilated. Which of these actions should the nurse take FIRST?
A: contact the physician
B: Coach the patient in proper breathing and relaxation techniques
C: Administer an analgesic
D: remove the fetal monitor to allow the client to move around - Answer B
The nurse instucts the women how to prevent conception using the basal body temperature method.
The nurse explains that during ovulation, the womans basal body temperature will change in which
direction?
A: lowers significantly
B: rises signficantly
C: is unchanged
D: rises slightly - Answer D
A nurse accidentally bumps into a newborns bassinet. The newborn jumps and pulls the extremities into
the trunk. The nurse identifies the newborn is demonstrating which reflex?
A: tonic neck
