Maternity Nursing Study Guide:
Comprehensive Review for NCLEX Exam
Maternity and Pediatric Nursing (Jersey College Nursing School)
,NCLEX Case Study Questions
1. Postpartum Hemorrhage
A client is 2 hours postpartum and has a boggy uterus
deviated to the right. The nurse massages the fundus,
expelling clots, but bleeding continues. What is the next
priority action?
A. Administer oxytocin 10 units IM
B. Assess for bladder distension
C. Prepare for a blood transfusion
D. Increase IV fluid rate
Answer: B
2. Ectopic Pregnancy
A client presents with sudden lower abdominal pain, vaginal
spotting, and dizziness. Her last menstrual period was 8
weeks ago. A transvaginal ultrasound shows no intrauterine
gestational sac. Which intervention is most critical?
A. Administer RhoGAM
B. Prepare for emergency surgery
C. Start methotrexate therapy
D. Monitor vital signs hourly
Answer: B
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, 3. Preeclampsia Management
A client with severe preeclampsia is receiving IV magnesium sulfate.
Which finding indicates toxicity?
A. Urine output 30 mL/hr
B. Absent patellar reflexes
C. BP 150/95 mmHg
D. Respiratory rate 14/min
Answer: B
4. Newborn Resuscitation
A newborn has an APGAR score of 3 at 1 minute. What is the priority intervention?
A. Dry and stimulate the infant
B. Initiate positive-pressure ventilation
C. Administer epinephrine
D. Suction the mouth and nose
Answer: B
5. Gestational Diabetes
A client with gestational diabetes asks about dietary
changes. Which statement indicates understanding?
A. “I should avoid all carbohydrates.”
B. “I will eat small, frequent meals with balanced nutrients.”
2
Comprehensive Review for NCLEX Exam
Maternity and Pediatric Nursing (Jersey College Nursing School)
,NCLEX Case Study Questions
1. Postpartum Hemorrhage
A client is 2 hours postpartum and has a boggy uterus
deviated to the right. The nurse massages the fundus,
expelling clots, but bleeding continues. What is the next
priority action?
A. Administer oxytocin 10 units IM
B. Assess for bladder distension
C. Prepare for a blood transfusion
D. Increase IV fluid rate
Answer: B
2. Ectopic Pregnancy
A client presents with sudden lower abdominal pain, vaginal
spotting, and dizziness. Her last menstrual period was 8
weeks ago. A transvaginal ultrasound shows no intrauterine
gestational sac. Which intervention is most critical?
A. Administer RhoGAM
B. Prepare for emergency surgery
C. Start methotrexate therapy
D. Monitor vital signs hourly
Answer: B
,1
, 3. Preeclampsia Management
A client with severe preeclampsia is receiving IV magnesium sulfate.
Which finding indicates toxicity?
A. Urine output 30 mL/hr
B. Absent patellar reflexes
C. BP 150/95 mmHg
D. Respiratory rate 14/min
Answer: B
4. Newborn Resuscitation
A newborn has an APGAR score of 3 at 1 minute. What is the priority intervention?
A. Dry and stimulate the infant
B. Initiate positive-pressure ventilation
C. Administer epinephrine
D. Suction the mouth and nose
Answer: B
5. Gestational Diabetes
A client with gestational diabetes asks about dietary
changes. Which statement indicates understanding?
A. “I should avoid all carbohydrates.”
B. “I will eat small, frequent meals with balanced nutrients.”
2
