NCLEX-RN Maternal-Newborn Practice Exam
1. A nurse is assessing a client in the first trimester of pregnancy. Which finding
requires immediate intervention?
A. Nausea and vomiting in the morning
B. Vaginal bleeding with cramping
C. Breast tenderness
D. Urinary frequency
2. A client at 38 weeks gestation is experiencing contractions. Which finding
indicates true labor?
A. Contractions relieved by walking
B. Regular contractions that increase in intensity
C. Contractions felt in the lower abdomen
D. Irregular contractions that do not change
3. A nurse is teaching a pregnant client about fetal movement. Which instruction is
correct?
A. "You should feel 2 kicks per hour."
B. "You should feel at least 10 movements in 2 hours."
C. "Fetal movement decreases as pregnancy progresses."
D. "You do not need to monitor fetal movement."
4. A client is prescribed folic acid during pregnancy. Which instruction should the
nurse include?
A. "Take this medication at bedtime."
B. "Take this medication to prevent neural tube defects."
C. "Take this medication with a high-fat meal."
D. "Stop taking this medication after the first trimester."
5. A nurse is assessing a client at 36 weeks gestation. Which finding indicates a
need for immediate intervention?
A. Blood pressure of 120/80 mm Hg
B. Blood pressure of 160/110 mm Hg
C. Heart rate of 88 beats per minute
D. Respiratory rate of 18 breaths per minute
,6. A client is diagnosed with gestational diabetes. Which instruction should the
nurse include?
A. "Decrease your carbohydrate intake."
B. "Monitor your blood glucose levels four times a day."
C. "Take oral hypoglycemic agents."
D. "You do not need to monitor your blood glucose."
7. A nurse is assessing a client in labor. Which finding indicates the transition
phase?
A. Contractions every 5 minutes
B. Contractions every 2 minutes lasting 60-90 seconds
C. Cervical dilation of 4 cm
D. Client is talkative and relaxed
8. A client is receiving oxytocin for labor induction. Which finding requires
immediate intervention?
A. Contractions every 3 minutes
B. Contractions lasting longer than 90 seconds
C. Cervical dilation of 5 cm
D. Blood pressure of 120/80 mm Hg
9. A nurse is assessing a client after delivery. Which finding indicates a need for
immediate intervention?
A. Lochia rubra
B. Saturating a perineal pad in 15 minutes
C. Uterine fundus at the umbilicus
D. Blood pressure of 120/80 mm Hg
10. A client is prescribed methylergonovine after delivery. Which finding requires
immediate intervention?
A. Uterine contractions
B. Blood pressure of 160/100 mm Hg
C. Heart rate of 72 beats per minute
D. Respiratory rate of 18 breaths per minute
11. A nurse is teaching a postpartum client about breastfeeding. Which instruction
is correct?
A. "You should feed your baby every 4 hours."
B. "You should feed your baby every 2-3 hours."
C. "You should supplement with formula."
D. "You should pump and bottle feed only."
,12. A client is diagnosed with mastitis. Which instruction should the nurse include?
A. "Stop breastfeeding immediately."
B. "Continue breastfeeding to empty the breast."
C. "Apply cold compresses before feeding."
D. "Wear a tight-fitting bra."
13. A nurse is assessing a newborn immediately after birth. Which finding requires
immediate intervention?
A. Heart rate of 120 beats per minute
B. Respiratory rate of 80 breaths per minute
C. Acrocyanosis
D. A single umbilical artery
14. A client is prescribed betamethasone during pregnancy. Which instruction
should the nurse include?
A. "This medication will cure preterm labor."
B. "This medication will help mature your baby's lungs."
C. "This medication will not affect your blood glucose."
D. "You can stop taking this medication if you feel better."
15. A nurse is assessing a newborn with jaundice. Which finding requires
immediate intervention?
A. Jaundice appearing at 24 hours of life
B. Jaundice appearing within the first 24 hours of life
C. Jaundice appearing at 3 days of life
D. Jaundice appearing at 5 days of life
16. A client is diagnosed with placenta previa. Which finding is expected?
A. Painful vaginal bleeding
B. Painless vaginal bleeding
C. Uterine tenderness
D. Contractions
17. A nurse is assessing a client with abruptio placentae. Which finding is
expected?
A. Painless vaginal bleeding
B. Painful vaginal bleeding with a rigid abdomen
C. Uterine relaxation
D. No vaginal bleeding
18. A client is prescribed magnesium sulfate for preeclampsia. Which finding
indicates magnesium toxicity?
, A. Blood pressure of 120/80 mm Hg
B. Respiratory rate of 10 breaths per minute
C. Heart rate of 72 beats per minute
D. Urine output of 50 mL/hr
19. A nurse is assessing a client with preeclampsia. Which finding indicates severe
preeclampsia?
A. Blood pressure of 140/90 mm Hg
B. Blood pressure of 160/110 mm Hg with headache
C. Mild ankle edema
D. Weight gain of 1 kg (2.2 lb) in 1 week
20. A client is prescribed labetalol for hypertension during pregnancy. Which
instruction should the nurse include?
A. "Stop taking this medication if you feel better."
B. "Change positions slowly to prevent dizziness."
C. "Take this medication with a high-fat meal."
D. "This medication will cure your hypertension."
21. A nurse is assessing a client in the postpartum period. Which finding indicates
endometritis?
A. Lochia rubra
B. Foul-smelling lochia with fever
C. Uterine fundus at the umbilicus
D. Blood pressure of 120/80 mm Hg
22. A client is prescribed antibiotics for endometritis. Which instruction should the
nurse include?
A. "Stop taking this medication if you feel better."
B. "Complete the full course of antibiotics."
C. "Take this medication with a high-fat meal."
D. "This medication will cure your infection immediately."
23. A nurse is assessing a client with a deep vein thrombosis postpartum. Which
finding is expected?
A. Painless swelling of the leg
B. Unilateral leg pain and swelling
C. Bilateral leg swelling
D. No leg symptoms
24. A client is prescribed heparin for DVT postpartum. Which laboratory value
should the nurse monitor?
1. A nurse is assessing a client in the first trimester of pregnancy. Which finding
requires immediate intervention?
A. Nausea and vomiting in the morning
B. Vaginal bleeding with cramping
C. Breast tenderness
D. Urinary frequency
2. A client at 38 weeks gestation is experiencing contractions. Which finding
indicates true labor?
A. Contractions relieved by walking
B. Regular contractions that increase in intensity
C. Contractions felt in the lower abdomen
D. Irregular contractions that do not change
3. A nurse is teaching a pregnant client about fetal movement. Which instruction is
correct?
A. "You should feel 2 kicks per hour."
B. "You should feel at least 10 movements in 2 hours."
C. "Fetal movement decreases as pregnancy progresses."
D. "You do not need to monitor fetal movement."
4. A client is prescribed folic acid during pregnancy. Which instruction should the
nurse include?
A. "Take this medication at bedtime."
B. "Take this medication to prevent neural tube defects."
C. "Take this medication with a high-fat meal."
D. "Stop taking this medication after the first trimester."
5. A nurse is assessing a client at 36 weeks gestation. Which finding indicates a
need for immediate intervention?
A. Blood pressure of 120/80 mm Hg
B. Blood pressure of 160/110 mm Hg
C. Heart rate of 88 beats per minute
D. Respiratory rate of 18 breaths per minute
,6. A client is diagnosed with gestational diabetes. Which instruction should the
nurse include?
A. "Decrease your carbohydrate intake."
B. "Monitor your blood glucose levels four times a day."
C. "Take oral hypoglycemic agents."
D. "You do not need to monitor your blood glucose."
7. A nurse is assessing a client in labor. Which finding indicates the transition
phase?
A. Contractions every 5 minutes
B. Contractions every 2 minutes lasting 60-90 seconds
C. Cervical dilation of 4 cm
D. Client is talkative and relaxed
8. A client is receiving oxytocin for labor induction. Which finding requires
immediate intervention?
A. Contractions every 3 minutes
B. Contractions lasting longer than 90 seconds
C. Cervical dilation of 5 cm
D. Blood pressure of 120/80 mm Hg
9. A nurse is assessing a client after delivery. Which finding indicates a need for
immediate intervention?
A. Lochia rubra
B. Saturating a perineal pad in 15 minutes
C. Uterine fundus at the umbilicus
D. Blood pressure of 120/80 mm Hg
10. A client is prescribed methylergonovine after delivery. Which finding requires
immediate intervention?
A. Uterine contractions
B. Blood pressure of 160/100 mm Hg
C. Heart rate of 72 beats per minute
D. Respiratory rate of 18 breaths per minute
11. A nurse is teaching a postpartum client about breastfeeding. Which instruction
is correct?
A. "You should feed your baby every 4 hours."
B. "You should feed your baby every 2-3 hours."
C. "You should supplement with formula."
D. "You should pump and bottle feed only."
,12. A client is diagnosed with mastitis. Which instruction should the nurse include?
A. "Stop breastfeeding immediately."
B. "Continue breastfeeding to empty the breast."
C. "Apply cold compresses before feeding."
D. "Wear a tight-fitting bra."
13. A nurse is assessing a newborn immediately after birth. Which finding requires
immediate intervention?
A. Heart rate of 120 beats per minute
B. Respiratory rate of 80 breaths per minute
C. Acrocyanosis
D. A single umbilical artery
14. A client is prescribed betamethasone during pregnancy. Which instruction
should the nurse include?
A. "This medication will cure preterm labor."
B. "This medication will help mature your baby's lungs."
C. "This medication will not affect your blood glucose."
D. "You can stop taking this medication if you feel better."
15. A nurse is assessing a newborn with jaundice. Which finding requires
immediate intervention?
A. Jaundice appearing at 24 hours of life
B. Jaundice appearing within the first 24 hours of life
C. Jaundice appearing at 3 days of life
D. Jaundice appearing at 5 days of life
16. A client is diagnosed with placenta previa. Which finding is expected?
A. Painful vaginal bleeding
B. Painless vaginal bleeding
C. Uterine tenderness
D. Contractions
17. A nurse is assessing a client with abruptio placentae. Which finding is
expected?
A. Painless vaginal bleeding
B. Painful vaginal bleeding with a rigid abdomen
C. Uterine relaxation
D. No vaginal bleeding
18. A client is prescribed magnesium sulfate for preeclampsia. Which finding
indicates magnesium toxicity?
, A. Blood pressure of 120/80 mm Hg
B. Respiratory rate of 10 breaths per minute
C. Heart rate of 72 beats per minute
D. Urine output of 50 mL/hr
19. A nurse is assessing a client with preeclampsia. Which finding indicates severe
preeclampsia?
A. Blood pressure of 140/90 mm Hg
B. Blood pressure of 160/110 mm Hg with headache
C. Mild ankle edema
D. Weight gain of 1 kg (2.2 lb) in 1 week
20. A client is prescribed labetalol for hypertension during pregnancy. Which
instruction should the nurse include?
A. "Stop taking this medication if you feel better."
B. "Change positions slowly to prevent dizziness."
C. "Take this medication with a high-fat meal."
D. "This medication will cure your hypertension."
21. A nurse is assessing a client in the postpartum period. Which finding indicates
endometritis?
A. Lochia rubra
B. Foul-smelling lochia with fever
C. Uterine fundus at the umbilicus
D. Blood pressure of 120/80 mm Hg
22. A client is prescribed antibiotics for endometritis. Which instruction should the
nurse include?
A. "Stop taking this medication if you feel better."
B. "Complete the full course of antibiotics."
C. "Take this medication with a high-fat meal."
D. "This medication will cure your infection immediately."
23. A nurse is assessing a client with a deep vein thrombosis postpartum. Which
finding is expected?
A. Painless swelling of the leg
B. Unilateral leg pain and swelling
C. Bilateral leg swelling
D. No leg symptoms
24. A client is prescribed heparin for DVT postpartum. Which laboratory value
should the nurse monitor?
