SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN (9TH
EDITION) — UNIT V: MATERNITY NURSING | 100 NCLEX-PN STYLE
QUESTIONS WITH ANSWERS
Unit V: Maternity Nursing — NCLEX-PN Practice Questions
1. A client in active labor is 8 cm dilated and expresses the urge to push. What should the
nurse do first?
A. Encourage the client to push with contractions
B. Tell the client to take short, shallow breaths
C. Prepare for delivery
D. Check the perineum for crowning
Answer: B
2. The nurse is monitoring a client receiving oxytocin for induction of labor. Which finding
requires the nurse to stop the infusion?
A. Uterine contractions every 2 minutes
B. Fetal heart rate of 100 beats/min
C. Maternal heart rate of 90 beats/min
D. Moderate variability on the monitor
Answer: B
3. The nurse notes late decelerations on the fetal monitor. Which action should the nurse
take first?
A. Increase the oxytocin infusion
B. Place the client in a side-lying position
C. Notify the health care provider
D. Apply oxygen at 8–10 L/min via mask
Answer: B
4. A primigravida at 10 weeks’ gestation reports nausea every morning. The nurse should
recommend:
A. Skipping breakfast
B. Eating dry crackers before rising
C. Taking iron supplements on an empty stomach
D. Drinking large amounts of fluid with meals
Answer: B
5. The nurse is caring for a postpartum client with a firm fundus at the umbilicus but heavy
lochia rubra. The nurse should first:
A. Call the health care provider
B. Massage the uterus
C. Check for bladder distention
D. Administer oxytocin
Answer: C
, 6. The nurse is assessing a newborn with a respiratory rate of 70/min, nasal flaring, and
grunting. The priority action is to:
A. Notify the health care provider
B. Suction the infant’s mouth and nose
C. Continue to observe
D. Stimulate the infant
Answer: A
7. The nurse prepares to administer vitamin K to a newborn. The correct injection site is:
A. Deltoid muscle
B. Vastus lateralis
C. Ventrogluteal muscle
D. Dorsogluteal muscle
Answer: B
8. The nurse teaches a postpartum mother about preventing mastitis. Which statement
indicates understanding?
A. “I’ll avoid breastfeeding if my breasts are full.”
B. “I’ll feed my baby on demand.”
C. “I’ll use tight bras to support my breasts.”
D. “I’ll wash my nipples with soap after each feeding.”
Answer: B
9. Which finding in a postpartum client requires immediate intervention?
A. Fundus firm and midline
B. Lochia rubra with small clots
C. Perineal swelling and severe pain
D. Temperature 37.6°C (99.7°F)
Answer: C
10. The nurse teaches a pregnant client about iron supplementation. Which food enhances
absorption?
A. Milk
B. Orange juice
C. Coffee
D. Tea
Answer: B
11. Which newborn finding should be reported immediately?
A. Head circumference greater than chest circumference
B. Nasal flaring and retractions
C. Startle reflex
D. Acrocyanosis
Answer: B
12. The nurse is caring for a postpartum woman who had a cesarean delivery. Which
assessment takes priority?
A. Lochia amount
B. Incision site
C. Respiratory status
D. Urine output
Answer: C
EDITION) — UNIT V: MATERNITY NURSING | 100 NCLEX-PN STYLE
QUESTIONS WITH ANSWERS
Unit V: Maternity Nursing — NCLEX-PN Practice Questions
1. A client in active labor is 8 cm dilated and expresses the urge to push. What should the
nurse do first?
A. Encourage the client to push with contractions
B. Tell the client to take short, shallow breaths
C. Prepare for delivery
D. Check the perineum for crowning
Answer: B
2. The nurse is monitoring a client receiving oxytocin for induction of labor. Which finding
requires the nurse to stop the infusion?
A. Uterine contractions every 2 minutes
B. Fetal heart rate of 100 beats/min
C. Maternal heart rate of 90 beats/min
D. Moderate variability on the monitor
Answer: B
3. The nurse notes late decelerations on the fetal monitor. Which action should the nurse
take first?
A. Increase the oxytocin infusion
B. Place the client in a side-lying position
C. Notify the health care provider
D. Apply oxygen at 8–10 L/min via mask
Answer: B
4. A primigravida at 10 weeks’ gestation reports nausea every morning. The nurse should
recommend:
A. Skipping breakfast
B. Eating dry crackers before rising
C. Taking iron supplements on an empty stomach
D. Drinking large amounts of fluid with meals
Answer: B
5. The nurse is caring for a postpartum client with a firm fundus at the umbilicus but heavy
lochia rubra. The nurse should first:
A. Call the health care provider
B. Massage the uterus
C. Check for bladder distention
D. Administer oxytocin
Answer: C
, 6. The nurse is assessing a newborn with a respiratory rate of 70/min, nasal flaring, and
grunting. The priority action is to:
A. Notify the health care provider
B. Suction the infant’s mouth and nose
C. Continue to observe
D. Stimulate the infant
Answer: A
7. The nurse prepares to administer vitamin K to a newborn. The correct injection site is:
A. Deltoid muscle
B. Vastus lateralis
C. Ventrogluteal muscle
D. Dorsogluteal muscle
Answer: B
8. The nurse teaches a postpartum mother about preventing mastitis. Which statement
indicates understanding?
A. “I’ll avoid breastfeeding if my breasts are full.”
B. “I’ll feed my baby on demand.”
C. “I’ll use tight bras to support my breasts.”
D. “I’ll wash my nipples with soap after each feeding.”
Answer: B
9. Which finding in a postpartum client requires immediate intervention?
A. Fundus firm and midline
B. Lochia rubra with small clots
C. Perineal swelling and severe pain
D. Temperature 37.6°C (99.7°F)
Answer: C
10. The nurse teaches a pregnant client about iron supplementation. Which food enhances
absorption?
A. Milk
B. Orange juice
C. Coffee
D. Tea
Answer: B
11. Which newborn finding should be reported immediately?
A. Head circumference greater than chest circumference
B. Nasal flaring and retractions
C. Startle reflex
D. Acrocyanosis
Answer: B
12. The nurse is caring for a postpartum woman who had a cesarean delivery. Which
assessment takes priority?
A. Lochia amount
B. Incision site
C. Respiratory status
D. Urine output
Answer: C
