PAPER N18: NCLEX
MATERNAL/NEWBORN
Title: NCLEX Maternal/Newborn Exam: 30
Practice Questions with Rationales
Keywords: Maternal nursing, obstetrics nursing,
newborn nursing, NCLEX maternal, OB
nursing, postpartum, NCLEX prep
,Questions
1. A nurse is caring for a client in active labor. Which finding
indicates the client is in the transition phase? A) Cervix
dilated to 4 cm B) Cervix dilated to 7 cm C) Cervix dilated
to 9 cm D) Cervix dilated to 2 cm
Explanation: The transition phase is the final stage of the first
stage of labor, with cervical dilation from 8-10 cm. Contractions
are strong and frequent during this phase.
2. A nurse is assessing a newborn immediately after birth.
Which finding is a priority to report? A) Heart rate of 140
bpm B) Respiratory rate of 30 breaths/min C) Apgar score
of 6 at 1 minute D) Temperature of 36.5°C (97.7°F)
, Explanation: A temperature of 36.5°C is slightly below normal
(36.5-37.5°C) but may be acceptable. An Apgar score of 6
indicates moderate depression and requires monitoring.
3. A nurse is caring for a client who is 2 hours postpartum.
Which finding indicates a possible complication? A)
Fundus firm at the umbilicus B) Moderate lochia rubra C)
Fundus boggy and deviated to the right D) Blood pressure
120/80 mmHg
Explanation: A boggy fundus deviated to the right indicates
uterine atony and possible bladder distension. This requires
assessment and intervention to prevent hemorrhage.
4. A nurse is teaching a client about breastfeeding. Which
instruction should the nurse include? A) Feed the infant on
a strict schedule B) Offer the infant both breasts at each
MATERNAL/NEWBORN
Title: NCLEX Maternal/Newborn Exam: 30
Practice Questions with Rationales
Keywords: Maternal nursing, obstetrics nursing,
newborn nursing, NCLEX maternal, OB
nursing, postpartum, NCLEX prep
,Questions
1. A nurse is caring for a client in active labor. Which finding
indicates the client is in the transition phase? A) Cervix
dilated to 4 cm B) Cervix dilated to 7 cm C) Cervix dilated
to 9 cm D) Cervix dilated to 2 cm
Explanation: The transition phase is the final stage of the first
stage of labor, with cervical dilation from 8-10 cm. Contractions
are strong and frequent during this phase.
2. A nurse is assessing a newborn immediately after birth.
Which finding is a priority to report? A) Heart rate of 140
bpm B) Respiratory rate of 30 breaths/min C) Apgar score
of 6 at 1 minute D) Temperature of 36.5°C (97.7°F)
, Explanation: A temperature of 36.5°C is slightly below normal
(36.5-37.5°C) but may be acceptable. An Apgar score of 6
indicates moderate depression and requires monitoring.
3. A nurse is caring for a client who is 2 hours postpartum.
Which finding indicates a possible complication? A)
Fundus firm at the umbilicus B) Moderate lochia rubra C)
Fundus boggy and deviated to the right D) Blood pressure
120/80 mmHg
Explanation: A boggy fundus deviated to the right indicates
uterine atony and possible bladder distension. This requires
assessment and intervention to prevent hemorrhage.
4. A nurse is teaching a client about breastfeeding. Which
instruction should the nurse include? A) Feed the infant on
a strict schedule B) Offer the infant both breasts at each
