NCLEX QUESTIONS-MATERNITY
(WITH RATIONALES) LATEST
UPLOAD 2026 ASSURED EXCEL!!
Question 1
A client delivered by cesarean section 24 hours ago is using PCA pain control. She has only had
ice chips since surgery and now complains of nausea, bloating, and weakness. Which nursing
diagnosis has the highest priority?
A. Altered nutrition, less than body requirements for lactation
B. Alteration in comfort related to nausea and abdominal distention
C. Impaired bowel motility related to pain medication and immobility
D. Fatigue related to cesarean delivery and infant care demands
CORRECT ANSWER: C — Impaired bowel motility related to pain medication and
immobility
RATIONALE:
After cesarean delivery, anesthesia, opioid medications, and decreased activity can slow
intestinal movement. The priority concern is impaired bowel motility, which can progress to
paralytic ileus.
• Nutrition problems result from bowel issues.
• Nausea and discomfort are symptoms.
• Fatigue is expected but not the priority.
NCLEX TIP:
After abdominal surgery, always think:
Priority = bowel function + complications
Question 2
, The nurse teaches parents about newborn eye antibiotic ointment. The father asks which
disease is prevented by this medication.
A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis
CORRECT ANSWER: C — Gonorrhea
RATIONALE:
Erythromycin ophthalmic ointment prevents ophthalmia neonatorum, a serious eye infection
caused mainly by Neisseria gonorrhoeae exposure during vaginal birth.
NCLEX TIP:
Newborn prophylaxis:
👁 Eye ointment → Gonorrhea/Chlamydia prevention
Vitamin K → Prevent bleeding
Hepatitis B vaccine → Prevent hepatitis infection
Question 3
A breastfeeding mother is having difficulty because the infant is making frantic rooting motions
but will not latch. What should the nurse do?
A. Encourage pacifier use
B. Hold infant firmly against breast
C. Stop feeding briefly and comfort the infant
D. Give formula first
CORRECT ANSWER: C — Stop feeding briefly and comfort the infant
RATIONALE:
The infant is overstimulated and frustrated. A short calming period allows both mother and
infant to relax and improves successful breastfeeding.
(WITH RATIONALES) LATEST
UPLOAD 2026 ASSURED EXCEL!!
Question 1
A client delivered by cesarean section 24 hours ago is using PCA pain control. She has only had
ice chips since surgery and now complains of nausea, bloating, and weakness. Which nursing
diagnosis has the highest priority?
A. Altered nutrition, less than body requirements for lactation
B. Alteration in comfort related to nausea and abdominal distention
C. Impaired bowel motility related to pain medication and immobility
D. Fatigue related to cesarean delivery and infant care demands
CORRECT ANSWER: C — Impaired bowel motility related to pain medication and
immobility
RATIONALE:
After cesarean delivery, anesthesia, opioid medications, and decreased activity can slow
intestinal movement. The priority concern is impaired bowel motility, which can progress to
paralytic ileus.
• Nutrition problems result from bowel issues.
• Nausea and discomfort are symptoms.
• Fatigue is expected but not the priority.
NCLEX TIP:
After abdominal surgery, always think:
Priority = bowel function + complications
Question 2
, The nurse teaches parents about newborn eye antibiotic ointment. The father asks which
disease is prevented by this medication.
A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis
CORRECT ANSWER: C — Gonorrhea
RATIONALE:
Erythromycin ophthalmic ointment prevents ophthalmia neonatorum, a serious eye infection
caused mainly by Neisseria gonorrhoeae exposure during vaginal birth.
NCLEX TIP:
Newborn prophylaxis:
👁 Eye ointment → Gonorrhea/Chlamydia prevention
Vitamin K → Prevent bleeding
Hepatitis B vaccine → Prevent hepatitis infection
Question 3
A breastfeeding mother is having difficulty because the infant is making frantic rooting motions
but will not latch. What should the nurse do?
A. Encourage pacifier use
B. Hold infant firmly against breast
C. Stop feeding briefly and comfort the infant
D. Give formula first
CORRECT ANSWER: C — Stop feeding briefly and comfort the infant
RATIONALE:
The infant is overstimulated and frustrated. A short calming period allows both mother and
infant to relax and improves successful breastfeeding.
