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Exam (elaborations)

NCLEX-PN Maternity Review – Comprehensive Maternal-Newborn Nursing Study Guide

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36 pages
2026/2027 Written for academic year
Institution LPN - Licensed Practical Nurse
Course LPN - Licensed Practical Nurse
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Prepare for the NCLEX-PN Maternity content area with this comprehensive maternal and newborn nursing review resource. Designed for PN/LPN nursing students, this material can help reinforce essential maternity concepts and support effective NCLEX-PN preparation. Key topics may include: Antepartum and prenatal care Pregnancy assessment Normal pregnancy changes Labor and delivery Fetal assessment and monitoring Obstetric complications High-risk pregnancy Postpartum care Newborn assessment Maternal and newborn safety Patient education Nursing interventions and priorities NCLEX-PN clinical judgment

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ComprehensiveBFReviewBFforBFtheBFNCLEX-PNBFEXAMBFMaternity


20BFminutesBFafterBFaBFcontinuousBFepiduralBFanestheticBFisBFadministered,BF
aBFlaboringBFclientsBFbloodBFpressureBFdropsBFfromBF120/80BFtoBF90/60BFmm
HG.BFWhatBFactionBFshouldBFtheBFpracticalBFnurseBFtakeBFimmediately?


A)BFnotifyBFtheBFregisteredBFnurseBForBFanesthesiologist
B)BFcontinueBFtoBFassessBFtheBFblood-pressureBFq5BFminutes
C)BFplaceBFtheBFclientBFinBFaBFlateralBFposition

D)BFturnBFoffBFtheBFcontinuousBFepiduralBF-BFcorrectBFanswer✔ ✔
C)BFplaceBFtheBFclientBFinBFaBFlateralBFposition
BF


Rationale:BFplacingBFaBFclientBFinBFtheBFlateralBFpositionBFandBFplacingBFaBFpil
lowBForBFwedgeBFunderBFoneBFhipBFwillBFdeflectBFtheBFuterus


TheBFtotalBFbilirubinBFlevelBFofBFaBF36BFhour,BFbreast-
feedingBFnewbornBFisBF14BFmg/dL.BFBasedBFonBFthisBFfinding,BFwhichBFinterv
entionBFshouldBFtheBFpracticalBFnurseBFimplement?


A)BFprovideBFphototherapyBFforBF30BFminutesBFq8h
B)BFFeedBFtheBFnewbornBFwithBFsterileBFwaterBFhourly
C)BFencourageBFtheBFmotherBFtoBFbreast-feedBFfrequently

,D)BFassessBFtheBFnewbornsBFbloodBFglucoseBFlevelBF-BFcorrectBFanswer✔
✔ C)BFencourageBFtheBFmotherBFtoBFbreastBFfeedBFfrequently


Rationale:BFbreastBFmilkBFprovidesBFcaloriesBFandBFenhancesBFG.I.BFmotility,
BFwhichBFwillBFassistBFtheBFbowelBFinBFeliminatingBFbilirubin.BFTheBFtotalBFbil


irubinBFlevelBFisBF6BFtoBF12BFmg/dLBFafterBFdayBFoneBFofBFlife.BFTheBFinfantsBF
bilirubinBFlevelBFisBFbeginningBFtoBFclimb,BFandBFtheBFinfantBFshouldBFbeBFmo
nitoredBFtoBFpreventBFfurtherBFcomplications.


ABFnewBFmotherBFisBFhavingBFtroubleBFbreast-
feedingBFherBFnewbornBFson.BFHe'sBFmakingBFfranticBFrootingBFmotionsBFand
BFwillBFnotBFgraspBFtheBFnipple.BFWhichBFinterventionBFshouldBFtheBFpractical


BFnurseBFimplement?




A)BFencourageBFfrequentBFuseBFofBFaBFpacifierBFsoBFthatBFtheBFinfantBFbecome
sBFaccustomedBFtoBFsucking
B)BFholdBFtheBFinfantsBFheadBFfirmlyBFagainstBFtheBFbreastBFuntilBFheBFlatches
BFontoBFtheBFnippleBF



C)BFencourageBFtheBFmotherBFtoBFstopBFfeedingBFforBFaBFfewBFminutesBFandBFc
omfortBFtheBFinfant
D)BFprovideBFformulaBFforBFtheBFinfantBFuntilBFheBFbecomesBFcalmBFandBFthe
nBFofferBFtheBFbreastBFagainBF-BFcorrectBFanswer✔ ✔
C)BFencourageBFtheBFmotherBFtoBFstopBFfeedingBFforBFaBFfewBFminutesBFand
BFcomfortBFtheBFinfant

,Rationale:BFtheBFinfantBFisBFbecomingBFfrustratedBFandBFsoBFisBFtheBFmother;B
FbothBFneedBFaBFtimeout.BFTheBFmotherBFshouldBFbeBFencouragedBFtoBFcomfo


rtBFtheBFinfantBFandBFtoBFrelaxBFherself.BFAfterBFsuchBFaBFtimeout,BFbreast-
feedingBFisBFoftenBFmoreBFsuccessful.


BeforeBFdischarge,BFwhatBFinformationBFshouldBFtheBFpracticalBFnurseBFgive
BFtoBFparentsBFregardingBFtheBFnewborn'sBFumbilicalBFcordBFcareBFatBFhome?




A)BFwashBFtheBFcordBFfrequentlyBFwithBFmildBFsoapBFandBFwater
B)BFCoverBFtheBFcordBFwithBFaBFsterileBFdressing
C)BFallowBFtheBFcordBFtoBFairBFdryBFasBFmuchBFasBFpossible
D)BFapplyBFbabyBFlotionBFafterBFtheBFbaby'sBFdailyBFbathBF-BFcorrectBFanswer
✔ ✔ C)BFallowBFtheBFcordBFtoBFairBFdryBFasBFmuchBFasBFpossible


Rationale:BFrecentBFstudiesBFindicateBFthatBFairBFdryingBForBFplainBFwaterBFap
plicationBFmayBFbeBFequalBFtoBForBFmoreBFeffectiveBFthanBFalcoholBFinBFtheBFc
ordBFhealingBFprocess


TheBFnurseBFisBFpreparingBFaBF3-day-
old,BFfullBFtermBFnewbornBFforBFdischargeBFhome.BFTheBFbaby'sBFmotherBFisBF
HIV-
positive.BFForBFwhichBFprocedureBFshouldBFtheBFpracticalBFnurseBFwearBFglo
ves?BF(SelectBFallBFthatBFapply)

, A)BFdiaperBFchanges
B)BFobtainingBFvitalBFsigns
C)BFformulaBFfeeding
D)BFnewbornBFhearingBFscreening
E)BFheelBFstickBFforBFmetabolicBFscreening

F)BFdischargeBFbathBF-BFcorrectBFanswer✔ ✔
A,E)BFdiaperBFchangesBFandBFheelBFstickBFforBFmetabolicBFscreening


Rationale:BFafterBFtheBFinfantBFhasBFbeenBFgivenBFtheBFadmissionBFbath,BFtheB
FPNBFshouldBFwearBFglovesBFonlyBFinBFthoseBFsituationsBFinBFwhichBFthereBFis


BFaBFpotentialBFforBFtheBFpresenceBFofBFHIVBFpositiveBFbloodBFandBFbodyBFflui


ds.


TheBFnurseBFisBFtakingBFtheBFtemperatureBFofBFaBFclientBFwhoBFisBF6BFhoursBFp
ostpartum.BFTheBFnurseBFnotesBFthatBFtheBFclientsBFtemperatureBFisBF100.4°F.
BFWhichBFinterventionBFshouldBFtheBFnurseBFimplement?




A)BFencourageBFfluidsBFtoBFincreaseBFhydration
B)BFrecheckBFtheBFtemperatureBFandBF15BFminutes
C)BFplaceBFanBFiceBFpackBFonBFtheBFclientsBFforhead
D)BFcallBFtheBFphysicianBFforBFanBForderBFforBFacetaminophenBF(Tylenol)BF-
BFcorrectBFanswer✔ ✔ A)BFencourageBFfluidsBFtoBFincreaseBFhydration

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