1 Exampromax - Stuvia US 2025/2026
Maternity Exam 1 NCLEX Qs Questions and Correct
Detailed Answers (Verified Answers) ||Already Graded
A+||Newest Version
A laboring woman is lying in the supine position. The most appropriate
nursing action is to:
a. Ask her to turn to one side.
b. Elevate her feet and legs.
c. Take her blood pressure.
d. Determine whether there is fetal tachycardia.
Ans: a. may cause heavy uterus to put pressure on the vena cava. reducing
Exampromax - Stuvia US
blood to her heart. relieved by having her turn to one side.
Approved By:
Which action best explains the main role of surfactant in the neonate?
A) Assists with ciliary body maturation in the upper airways
B) Helps maintain a rhythmic breathing pattern
C) Promotes clearing mucus from the respiratory tract
D) Helps the lungs remain expanded after the initiation of breathing
Ans: D) Helps the lungs remain expanded after the initiation of breathing
Surfactant works by reducing surface tension in the lung. Surfactant allows
the lung to remain slightly expanded, decreasing the amount of work
required for inspiration.
Four hours after a difficult labor and birth, a primiparous woman refuses
to feed her baby, stating that she is too tired and just wants to sleep. The
nurse should:
1.Tell the woman she can rest after she feeds her baby
2.Recognize this as a behavior of the taking-hold stage
, 2 Exampromax - Stuvia US 2025/2026
3.Record the behavior as ineffective maternal-newborn attachment
4.Take the baby back to the nursery, reassuring the woman that her rest is a
priority at this time
Ans: 4. Response 1 does not take into consideration the need for the new
mother to be nurtured and have her needs met during the taking-in stage.
The behavior described is typical of this stage and not a reflection of
ineffective attachment unless the behavior persists. Mothers need to
reestablish their own well-being in order to effectively care for their baby
Which anticipatory guidance action by the nurse makes role transition to
parenthood easier?
a. Helps the new parents identify resources
Exampromax - Stuvia US
b. Recommends employing babysitters frequently
Approved By:
c. Tells the parents about the realities of parenthood
d. Offers a home phone number and tells parents to call if they have a
question
Ans: A
Available resources within the community can assist the parents in role
transition. Some parents may not be able to afford babysitters. Also, this
removes them from the parenthood role. Each adult sees parenthood in a
different light. They cannot be compared. Searching out resources for the
parents is an important task. However, the nurse should not give her
personal number to clients.
A client with group AB blood whose husband has group O has just given
birth. The major sign of ABO blood incompatibility in the neonate is which
complication or test result?
A) Negative Coombs test
B) Bleeding from the nose and ear
C) Jaundice after the first 24 hours of life
D) Jaundice within the first 24 hours of life
, 3 Exampromax - Stuvia US 2025/2026
Ans: D
The neonate with ABO blood incompatibility with its mother will have
jaundice (pathologic) within the first 24 hours of life. The neonate would
have a positive Coombs test result
To promote bonding and attachment immediately after birth, which action
should the nurse take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
c. Teach the mother about the concepts of bonding and attachment.
Exampromax - Stuvia US
d. Assist the mother in assuming an en face position with her newborn.
Ans: D
Approved By:
Assisting the mother in assuming an en face position with her newborn will
support the bonding process. After birth is a good time to initiate
breastfeeding, but first the mother needs time to explore the new infant and
begin the bonding process. The mother should be given as much privacy as
possible; however, nursing assessments must still be continued during this
critical time. The mother has just delivered and is more focused on the
infant; she will not be receptive to teaching at this time.
The term reciprocal attachment behavior refers to which of the following?
a. Behavior during the sensitive period when the infant is in the quiet alert
stage
b. Positive feedback an infant exhibits toward parents during the attachment
process
c. Unidirectional behavior exhibited by the infant, initiated and enhanced
by eye contact
d. Behavior by the infant during the sensitive period to elicit feelings of
"falling in love" from the parents
, 4 Exampromax - Stuvia US 2025/2026
Ans: B
In this definition, reciprocal refers to the feedback from the infant during the
attachment process. The quiet alert state is a good time for bonding but does
not define reciprocal attachment. Reciprocal attachment deals with
feedback behavior and is not unidirectional.
Which nursing action is most appropriate to correct a boggy uterus that is
displaced above and to the right of the umbilicus?
a. Notify the physician of an impending hemorrhage.
b. Assess the blood pressure and pulse.
c. Evaluate the lochia.
Exampromax - Stuvia US
d. Assist the client in emptying her bladder.
Approved By:
Ans: d. urinary retention can cause distention of the bladder. which will lift
and displace uterus it will go up and right. this intervention needs to be done
before we notify doc. if we do the intervention and she still is distended then
we need to call doc. and then do fundal massage.
Before giving a PP client the rubella vaccine, which of the following facts
should the nurse include in client teaching?
1. The vaccine is safe in clients with egg allergies
2. Breast-feeding isn't compatible with the vaccine
3. Transient arthralgia and rash are common adverse effects
4. The client should avoid getting pregnant for 3 months after the vaccine
because the vaccine has teratogenic effects
Ans: 4. The client must understand that she must not become pregnant for
3 months after the vaccination because of its potential teratogenic effects.
The rubella vaccine is made from duck eggs so an allergic reaction may
occur in clients with egg allergies. The virus is not transmitted into the
breast milk, so clients may continue to breastfeed after the vaccination.
Transient arthralgia and rash are common adverse effects of the vaccine.
Maternity Exam 1 NCLEX Qs Questions and Correct
Detailed Answers (Verified Answers) ||Already Graded
A+||Newest Version
A laboring woman is lying in the supine position. The most appropriate
nursing action is to:
a. Ask her to turn to one side.
b. Elevate her feet and legs.
c. Take her blood pressure.
d. Determine whether there is fetal tachycardia.
Ans: a. may cause heavy uterus to put pressure on the vena cava. reducing
Exampromax - Stuvia US
blood to her heart. relieved by having her turn to one side.
Approved By:
Which action best explains the main role of surfactant in the neonate?
A) Assists with ciliary body maturation in the upper airways
B) Helps maintain a rhythmic breathing pattern
C) Promotes clearing mucus from the respiratory tract
D) Helps the lungs remain expanded after the initiation of breathing
Ans: D) Helps the lungs remain expanded after the initiation of breathing
Surfactant works by reducing surface tension in the lung. Surfactant allows
the lung to remain slightly expanded, decreasing the amount of work
required for inspiration.
Four hours after a difficult labor and birth, a primiparous woman refuses
to feed her baby, stating that she is too tired and just wants to sleep. The
nurse should:
1.Tell the woman she can rest after she feeds her baby
2.Recognize this as a behavior of the taking-hold stage
, 2 Exampromax - Stuvia US 2025/2026
3.Record the behavior as ineffective maternal-newborn attachment
4.Take the baby back to the nursery, reassuring the woman that her rest is a
priority at this time
Ans: 4. Response 1 does not take into consideration the need for the new
mother to be nurtured and have her needs met during the taking-in stage.
The behavior described is typical of this stage and not a reflection of
ineffective attachment unless the behavior persists. Mothers need to
reestablish their own well-being in order to effectively care for their baby
Which anticipatory guidance action by the nurse makes role transition to
parenthood easier?
a. Helps the new parents identify resources
Exampromax - Stuvia US
b. Recommends employing babysitters frequently
Approved By:
c. Tells the parents about the realities of parenthood
d. Offers a home phone number and tells parents to call if they have a
question
Ans: A
Available resources within the community can assist the parents in role
transition. Some parents may not be able to afford babysitters. Also, this
removes them from the parenthood role. Each adult sees parenthood in a
different light. They cannot be compared. Searching out resources for the
parents is an important task. However, the nurse should not give her
personal number to clients.
A client with group AB blood whose husband has group O has just given
birth. The major sign of ABO blood incompatibility in the neonate is which
complication or test result?
A) Negative Coombs test
B) Bleeding from the nose and ear
C) Jaundice after the first 24 hours of life
D) Jaundice within the first 24 hours of life
, 3 Exampromax - Stuvia US 2025/2026
Ans: D
The neonate with ABO blood incompatibility with its mother will have
jaundice (pathologic) within the first 24 hours of life. The neonate would
have a positive Coombs test result
To promote bonding and attachment immediately after birth, which action
should the nurse take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
c. Teach the mother about the concepts of bonding and attachment.
Exampromax - Stuvia US
d. Assist the mother in assuming an en face position with her newborn.
Ans: D
Approved By:
Assisting the mother in assuming an en face position with her newborn will
support the bonding process. After birth is a good time to initiate
breastfeeding, but first the mother needs time to explore the new infant and
begin the bonding process. The mother should be given as much privacy as
possible; however, nursing assessments must still be continued during this
critical time. The mother has just delivered and is more focused on the
infant; she will not be receptive to teaching at this time.
The term reciprocal attachment behavior refers to which of the following?
a. Behavior during the sensitive period when the infant is in the quiet alert
stage
b. Positive feedback an infant exhibits toward parents during the attachment
process
c. Unidirectional behavior exhibited by the infant, initiated and enhanced
by eye contact
d. Behavior by the infant during the sensitive period to elicit feelings of
"falling in love" from the parents
, 4 Exampromax - Stuvia US 2025/2026
Ans: B
In this definition, reciprocal refers to the feedback from the infant during the
attachment process. The quiet alert state is a good time for bonding but does
not define reciprocal attachment. Reciprocal attachment deals with
feedback behavior and is not unidirectional.
Which nursing action is most appropriate to correct a boggy uterus that is
displaced above and to the right of the umbilicus?
a. Notify the physician of an impending hemorrhage.
b. Assess the blood pressure and pulse.
c. Evaluate the lochia.
Exampromax - Stuvia US
d. Assist the client in emptying her bladder.
Approved By:
Ans: d. urinary retention can cause distention of the bladder. which will lift
and displace uterus it will go up and right. this intervention needs to be done
before we notify doc. if we do the intervention and she still is distended then
we need to call doc. and then do fundal massage.
Before giving a PP client the rubella vaccine, which of the following facts
should the nurse include in client teaching?
1. The vaccine is safe in clients with egg allergies
2. Breast-feeding isn't compatible with the vaccine
3. Transient arthralgia and rash are common adverse effects
4. The client should avoid getting pregnant for 3 months after the vaccine
because the vaccine has teratogenic effects
Ans: 4. The client must understand that she must not become pregnant for
3 months after the vaccination because of its potential teratogenic effects.
The rubella vaccine is made from duck eggs so an allergic reaction may
occur in clients with egg allergies. The virus is not transmitted into the
breast milk, so clients may continue to breastfeed after the vaccination.
Transient arthralgia and rash are common adverse effects of the vaccine.
