1|Page
NCLEX STUDY FROM MARK KLIMEK|
COMPREHENSIVE Q&A FOR
CERTIFICATION SUCCESS 2026
Fetal monitor patterns - correct-answer - if it starts with L it's bad so do LION Pit,
ex; low fetal heart rate, low baseline variability, late decels
VC
EH
AO
L P - correct-answer - Variable Decels Cord Compression (bad)
Early Decels Head (bad)
Acels Okay (good)
Late Decels Placenta (bad)
,2|Page
Best answer for what to check first in fetal monitoring is - correct-answer - fetal
heart rate, it's the ace of spades!
During the 2nd stage (delivery of baby), order of actions. - correct-answer -
Deliver the head then stop pushing, suction the mouth first then the nose, check
for nuchal cord, deliver shoulders and body, ID band
If the baby has to leave the delivery area, the priority is - correct-answer - the ID
band
Umbilical cord has what in it - correct-answer - AVA 2 arteries and a vein
4th stage of L&D recovery stage, what do do? - correct-answer - 4 things you do 4
times an hour in 4th stage
Vitals (assess for s/s of shock)
,3|Page
Fundus (want midline and firm, if boggy, massage, if displaced void/cath)
Pads (check and replace)
Roll on side (check for bleeding under patient)
Excessive Lochia is - correct-answer - a pad saturated in less than or equal to 15
minutes
Postpartum Uterus Tone - correct-answer - Firm NOT boggy
Postpartum Fundal Height - correct-answer - Fundal height should equal day post
partum, day 5 = 5 cm below navel
Postpartum Uterus location - correct-answer - midline, if not void/cath
, 4|Page
Postpartum Lochia color - correct-answer - Rubra - Red (ruby red)
Serosa - Pink (rosa pink)
Alba - whitish (albino white)
Postpartum Lochia amount - correct-answer - Moderage 4-6 inches on pad in one
hour
Excessive pad saturated in 15 min
Best way to measure DVT is - correct-answer - calf circumferences, NOT Homan's
sign, but if select all that apply question, include Homan's sign
Postpartum assessment of extremities - correct-answer - Pulses, Edema, S&S of
Thrombophlebitis
NCLEX STUDY FROM MARK KLIMEK|
COMPREHENSIVE Q&A FOR
CERTIFICATION SUCCESS 2026
Fetal monitor patterns - correct-answer - if it starts with L it's bad so do LION Pit,
ex; low fetal heart rate, low baseline variability, late decels
VC
EH
AO
L P - correct-answer - Variable Decels Cord Compression (bad)
Early Decels Head (bad)
Acels Okay (good)
Late Decels Placenta (bad)
,2|Page
Best answer for what to check first in fetal monitoring is - correct-answer - fetal
heart rate, it's the ace of spades!
During the 2nd stage (delivery of baby), order of actions. - correct-answer -
Deliver the head then stop pushing, suction the mouth first then the nose, check
for nuchal cord, deliver shoulders and body, ID band
If the baby has to leave the delivery area, the priority is - correct-answer - the ID
band
Umbilical cord has what in it - correct-answer - AVA 2 arteries and a vein
4th stage of L&D recovery stage, what do do? - correct-answer - 4 things you do 4
times an hour in 4th stage
Vitals (assess for s/s of shock)
,3|Page
Fundus (want midline and firm, if boggy, massage, if displaced void/cath)
Pads (check and replace)
Roll on side (check for bleeding under patient)
Excessive Lochia is - correct-answer - a pad saturated in less than or equal to 15
minutes
Postpartum Uterus Tone - correct-answer - Firm NOT boggy
Postpartum Fundal Height - correct-answer - Fundal height should equal day post
partum, day 5 = 5 cm below navel
Postpartum Uterus location - correct-answer - midline, if not void/cath
, 4|Page
Postpartum Lochia color - correct-answer - Rubra - Red (ruby red)
Serosa - Pink (rosa pink)
Alba - whitish (albino white)
Postpartum Lochia amount - correct-answer - Moderage 4-6 inches on pad in one
hour
Excessive pad saturated in 15 min
Best way to measure DVT is - correct-answer - calf circumferences, NOT Homan's
sign, but if select all that apply question, include Homan's sign
Postpartum assessment of extremities - correct-answer - Pulses, Edema, S&S of
Thrombophlebitis
