Labor and Delivery Nclex style questions and answers
1, 2, 3, 6 - ansA nurse is providing postpartum instructions to a client who will be breast-feeding her newborn.
The nurse determines that the client has understood the instructions if she makes which of the following
statements. SATA
1. "I should wear a bra that provides support."
2. "Drinking alcohol can affect my milk supply."
3. "The use of caffeine can decrease my milk supply."
4. "I will start my estrogen birth control pills again as soon as I get home."
5. "I know if my breasts get engorged I will limit my breast-feeding and supplement the baby/"
6. "I plan on having bottled water available in the refrigerator so I can get additional fluids easily."
1, 4, 5 - ansA nurse is monitoring a client in preterm labor who is receiving I.V. magnesium sulfate. The nurse
monitors for which adverse reactions of this medication? SATA
1. Flushing
2. Hypertension
3. Increased urine output
4. Depressed respirations
5. Extreme muscle weakness
6. Hyperactive deep tendon reflexes
1. 3 days postpartum - ansA postpartum nurse is providing instructions to a client after delivery of a healthy
infant. The nurse instructs the client that she should expect normal bowel elimination to return:
1. 3 days postpartum
2. 7 days postpartum
3. On the day of delivery
4. Within 2 weeks postpartum
, 1. Acute pain - ansA nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. The
client had a midline episiotomy and has several hemorrhoids. What is the priority nursing diagnosis for this
client?
1. Acute pain
2. Disturbed body image
3. Impaired urinary elimination
4. Risk for imbalanced fluid volume
1. Betamethasone - ansA client in preterm labor at 31 weeks who is dilated to 4 centimeters has been started
on magnesium sulfate and contraction have stopped. If the client's labor can be inhibited for the next 48 hours,
what medication does the nurse anticipate will be prescribed?
1. Bethamethasone
2. Nubain
3. RhoGam
4. Cervidil vaginal insert
1. Bring the infant to the clinic. - ansThe mother of a newborn calls a clinic and reports to a nurse that when
cleaning the umbilical cord, the mother noticed that the cord was moist and that discharge was present. The
appropriate nursing instruction to the mother is which of the following?
1. Bring the infant to the clinic.
2. This is a normal occurrence.
3. Increase the number of times that the cord is cleaned per day.
4. Monitor the cord for another 24 - 48 hours and call the clinic if the discharge continues.
1. Delivery of the fetus - ansAn 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, 2, 3, 6 - ansA nurse is providing postpartum instructions to a client who will be breast-feeding her newborn.
The nurse determines that the client has understood the instructions if she makes which of the following
statements. SATA
1. "I should wear a bra that provides support."
2. "Drinking alcohol can affect my milk supply."
3. "The use of caffeine can decrease my milk supply."
4. "I will start my estrogen birth control pills again as soon as I get home."
5. "I know if my breasts get engorged I will limit my breast-feeding and supplement the baby/"
6. "I plan on having bottled water available in the refrigerator so I can get additional fluids easily."
1, 4, 5 - ansA nurse is monitoring a client in preterm labor who is receiving I.V. magnesium sulfate. The nurse
monitors for which adverse reactions of this medication? SATA
1. Flushing
2. Hypertension
3. Increased urine output
4. Depressed respirations
5. Extreme muscle weakness
6. Hyperactive deep tendon reflexes
1. 3 days postpartum - ansA postpartum nurse is providing instructions to a client after delivery of a healthy
infant. The nurse instructs the client that she should expect normal bowel elimination to return:
1. 3 days postpartum
2. 7 days postpartum
3. On the day of delivery
4. Within 2 weeks postpartum
, 1. Acute pain - ansA nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. The
client had a midline episiotomy and has several hemorrhoids. What is the priority nursing diagnosis for this
client?
1. Acute pain
2. Disturbed body image
3. Impaired urinary elimination
4. Risk for imbalanced fluid volume
1. Betamethasone - ansA client in preterm labor at 31 weeks who is dilated to 4 centimeters has been started
on magnesium sulfate and contraction have stopped. If the client's labor can be inhibited for the next 48 hours,
what medication does the nurse anticipate will be prescribed?
1. Bethamethasone
2. Nubain
3. RhoGam
4. Cervidil vaginal insert
1. Bring the infant to the clinic. - ansThe mother of a newborn calls a clinic and reports to a nurse that when
cleaning the umbilical cord, the mother noticed that the cord was moist and that discharge was present. The
appropriate nursing instruction to the mother is which of the following?
1. Bring the infant to the clinic.
2. This is a normal occurrence.
3. Increase the number of times that the cord is cleaned per day.
4. Monitor the cord for another 24 - 48 hours and call the clinic if the discharge continues.
1. Delivery of the fetus - ansAn 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
