Labor and Delivery Nclex style questions
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1. 2. Uterine tenderness: The nurse is assessing a pregnant client in the second
trimester of pregnancy who was admitted to the maternity unit with a suspected
diagnosis of abruptio placentae. Which assessment finding should the nurse expect
to note if this condition is present?
1. Soft abdomen
2. Uterine tenderness
3. absence of abdominal pain
4. painless, bright red vaginal bleeding
2. 2. Obtain equipment for a manual pelvic examination.: The maternity nurse
is preparing for the admission of a client in the third trimester of pregnancy who is
experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The
nurse reviews the health care provider's prescriptions and should question which
prescription?
1.Prepare the client for an ultrasound.
2.Obtain equipment for a manual pelvic examination.
3.Prepare to draw a hemoglobin and hematocrit blood sample
4. Obtain equipment for external electronic fetal heart rate monitoring
3. 1. Delivery of the fetus: An ultrasound is preformed on a client at term gestation
who is experiencing moderate vaginal bleeding. The results of the ultrasound indi-
cate 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
4. The need for weekly monitoring of coagulation studies until the time of delivery
4. 2. The client has a history of cardiac disease: The nurse is preforming an initial
assessment on a client who has just been told that a pregnancy test is positive.
Which assessment finding indicates that the client is at risk for preterm labor?
1.The client is a 35 year old primigravida
2. The client has a history of cardiac disease
3. The client's hemoglobin level is 13.5 g/dL
4. The client is a 20 year old primigravida of average weight and height
5. 1.Hypotonic: The nurse is monitoring a client in active stage of labor. The client
has been experiencing contractions that are short, irregular, and weak. The nurse
documents that the client is experiencing which type of labor dystocia?
1. Hypotonic
2. Precipitous
3. Hypertonic
4. Preterm labor
, Labor and Delivery Nclex style questions
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6. 2. Support the mother in her reaction to the newborn infant: After a precip-
itous delivery, the nurse notes that the new mother is passive and only touches
her newborn infant briefly with her fingertips. What should the nurse do to help the
woman process the delivery?
1.Encourage the mother to breastfed soon after birth
2. Support the mother in her reaction to the newborn infant
3.Tell the mother that it is important to hold the newborn infant.
4. document a complete account of the mother's reaction on the birth record.
7. 4. Persistent nonreassuring fetal heart rate: The nurse in a labor room is
monitoring a client with dysfunctional labor for signs of fetal or maternal compromise.
Which assessment finding would alert the nurse to a compromise?
1. Maternal fatigue
2. coordinated uterine contractions
3. Progressive changes in the cervix
4. Persistent nonreassuring fetal heart rate
8. 3. The cervix is completely dilated: The nurse is caring for a client in labor.
Which assessment finding indicates to the nurse that the client is beginning the
second stage of labor?
1. The contractions are regular.
2. The membranes have ruptured
3. The cervix is completely dilated
4. The client starts to expel clear vaginal fluid
9. 2. Fetal heart rate of 180 beats/minute: The nurse is preforming an assessment
of a client who is scheduled for a cesarean delivery. Which assessment finding would
indicate the need to contact the health care provider?
1. Hemoglobin of 11g/dL
2. Fetal heart rate of 180 beats/minute
3. Maternal pulse rate of 85 beats/minute
4. White blood cell count of 12,000 cells/mm3
10. 3. 1 cm above the ischial spine: The nurse is reviewing the record of a client
in the labor room and notes that the health care provider had documented the fetal
presenting part is at the -1 station. This documented finding indicates that the fetal
presenting part is located at which area?
1. 1 inch below the coccyx
2. 1 inch below the iliac crest
3. 1 cm above the ischial spine
4. 1 fingerbreadth below the symphysis pubis
11. 3. Increased efficiency of contractions: A client arrives at birthing center in
active labor. Her membranes are still intact, and the health care provider prepares
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1. 2. Uterine tenderness: The nurse is assessing a pregnant client in the second
trimester of pregnancy who was admitted to the maternity unit with a suspected
diagnosis of abruptio placentae. Which assessment finding should the nurse expect
to note if this condition is present?
1. Soft abdomen
2. Uterine tenderness
3. absence of abdominal pain
4. painless, bright red vaginal bleeding
2. 2. Obtain equipment for a manual pelvic examination.: The maternity nurse
is preparing for the admission of a client in the third trimester of pregnancy who is
experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The
nurse reviews the health care provider's prescriptions and should question which
prescription?
1.Prepare the client for an ultrasound.
2.Obtain equipment for a manual pelvic examination.
3.Prepare to draw a hemoglobin and hematocrit blood sample
4. Obtain equipment for external electronic fetal heart rate monitoring
3. 1. Delivery of the fetus: An ultrasound is preformed on a client at term gestation
who is experiencing moderate vaginal bleeding. The results of the ultrasound indi-
cate 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
4. The need for weekly monitoring of coagulation studies until the time of delivery
4. 2. The client has a history of cardiac disease: The nurse is preforming an initial
assessment on a client who has just been told that a pregnancy test is positive.
Which assessment finding indicates that the client is at risk for preterm labor?
1.The client is a 35 year old primigravida
2. The client has a history of cardiac disease
3. The client's hemoglobin level is 13.5 g/dL
4. The client is a 20 year old primigravida of average weight and height
5. 1.Hypotonic: The nurse is monitoring a client in active stage of labor. The client
has been experiencing contractions that are short, irregular, and weak. The nurse
documents that the client is experiencing which type of labor dystocia?
1. Hypotonic
2. Precipitous
3. Hypertonic
4. Preterm labor
, Labor and Delivery Nclex style questions
Study online at https://quizlet.com/_u7keb
6. 2. Support the mother in her reaction to the newborn infant: After a precip-
itous delivery, the nurse notes that the new mother is passive and only touches
her newborn infant briefly with her fingertips. What should the nurse do to help the
woman process the delivery?
1.Encourage the mother to breastfed soon after birth
2. Support the mother in her reaction to the newborn infant
3.Tell the mother that it is important to hold the newborn infant.
4. document a complete account of the mother's reaction on the birth record.
7. 4. Persistent nonreassuring fetal heart rate: The nurse in a labor room is
monitoring a client with dysfunctional labor for signs of fetal or maternal compromise.
Which assessment finding would alert the nurse to a compromise?
1. Maternal fatigue
2. coordinated uterine contractions
3. Progressive changes in the cervix
4. Persistent nonreassuring fetal heart rate
8. 3. The cervix is completely dilated: The nurse is caring for a client in labor.
Which assessment finding indicates to the nurse that the client is beginning the
second stage of labor?
1. The contractions are regular.
2. The membranes have ruptured
3. The cervix is completely dilated
4. The client starts to expel clear vaginal fluid
9. 2. Fetal heart rate of 180 beats/minute: The nurse is preforming an assessment
of a client who is scheduled for a cesarean delivery. Which assessment finding would
indicate the need to contact the health care provider?
1. Hemoglobin of 11g/dL
2. Fetal heart rate of 180 beats/minute
3. Maternal pulse rate of 85 beats/minute
4. White blood cell count of 12,000 cells/mm3
10. 3. 1 cm above the ischial spine: The nurse is reviewing the record of a client
in the labor room and notes that the health care provider had documented the fetal
presenting part is at the -1 station. This documented finding indicates that the fetal
presenting part is located at which area?
1. 1 inch below the coccyx
2. 1 inch below the iliac crest
3. 1 cm above the ischial spine
4. 1 fingerbreadth below the symphysis pubis
11. 3. Increased efficiency of contractions: A client arrives at birthing center in
active labor. Her membranes are still intact, and the health care provider prepares
