Latest Foundations of Maternal, Newborn, and
Women’s Health Nursing 7th Edition
Comprehensive Maternal Child Nursing
Test Bank Practice Questions Answers Rationales
Pregnancy Labor Delivery Postpartum Newborn
Care Women’s Health NCLEX Review Study
1. A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg to a woman to induce
labor. Provided are 100 mg tabs. How many tabs are given?: A: 0.25 tabs
2. Which Leopold Maneuver is used to determine the presenting part of the fetus?
A. first maneuver
B. second maneuver
C. third maneuver
D. fourth maneuver
3. A newborn is newly admitted to the nursery. A nursing assessment finds all of the following findings. Which of
these are abnormal? (Select all that apply)
A. acrocyanosis
B. visible jaundice
C. respiratory Rate of 47 breaths per minute
D. heart rate of 93 bpm
E. anteroposterior lateral ratio of 1:1
4. What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency
5. What is a normal range for fetal heart rate?
A. 100-150 bpm
B. 110-160 bpm
C. 90-150 bpm
6. What is one of the immunizations given shortly after birth?
, A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine
7. 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?
A. soft abdomen
B. uterine tenderness
C. absence of abdominal pain
D. painless, bright red vaginal bleeding
8. The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse
should monitor for which adverse effects of this medication? Select all that apply.
A. Flushing
B. Hypertension
C. Increased urinary output
D. Depressed respirations
E. Extreme muscle weakness
F. Hyperactive deep tendon reflexes
9. The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the
nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with
this syndrome?
A. Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz
D. Head circumference appropriate for gestational age
10. A nurse is assessing new parents feeding their newborn. Which of the following assessments requires more
education?
A. Parents are holding the newborn in a semi-upright position
B. The bottle is tilted enough that no air is coming through the nipple
C. The father is allowing the bottle to prop on the blanket
D. The newborn is given opportunities to burp during feeding
11. A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client
reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse
suggest?
A. Sit-ups
,B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches
12. A Labor and Delivery nurse is caring for a client in labor and has applied an external fetal monitor and
tocotransducer. The FHR is around 140/min. Contractions are occurring every 8 min and lasting 30-40 secs. The nurse
performs a vaginal exam and finds the cervix is dilated to 2 cm, 50% effaced, and the fetus is at -2 station. Which stage
and phase of labor is this client experiencing?
A. First stage, active phase
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase: D. First stage, latent phase
13. A woman is admitted to the hospital in labor that has had a miscarriage at 10 weeks gestation five years ago. She
has a three year old who was born at 39 weeks, and a five year old born at 40 weeks. What is her GTPAL?
A. G=3 T=2 P=0, A=1, L=2
B. G=4 T=2 P=0, A=1, L=2
C. G=4 T=1 P=1, A=1, L=2
D. G=3 T=2 P=0, A=1, L=3: B. G=4 T=2 P=0, A=1, L=2
14. How many mL of blood would you expect after a mother delivers via C-section?
A. 500 mL
B. 2000 mL
C. 1000 mL
D. 1500 mL: C. 1000 mL
15. What method of contraception offers protections against STIs?
A. Condoms
B. Intrauterine device
C. Combined oral contraceptives
D. Bilateral tubal ligation: A. Condoms
16. What condition would be indicated if the fetal heart strip showed a late deceleration? A. nothing is wrong
B. cord compression
C. head compression
D. placental insufficiency: D. Placental insufficiency
17. Which type of laceration goes through the skin, muscle, perineum and anal sphincter muscle?
A. 1st degree
B. 2nd degree
C. 3rd degree
D. 4th degree: C. 3rd degree
, 18. When can intrauterine fetal demise occur?
A. before 20 weeks
B. 20 weeks - delivery
C. after delivery
D. between 10-15 weeks: B. 20 weeks - delivery
19. The nurse should make which statement to a pregnant client found to have a gynecoid pelvis?
A. "Your type of pelvis has a narrow pubic arch."
B. "Your type of pelvis is the most favorable for labor and birth."
C. "Your type of pelvis is a wide pelvis, but it has a short diameter."
D. "You will need a cesarean section because this type of pelvis is not favorable
for a vaginal delivery.": B. "Your type of pelvis is the most favorable for labor and birth."
20. The nurse in the labor room is caring for a client in the active stage of the first phase of labor. The nurse is
assessing the fetal patterns and notes a late deceleration on the monitor strip. What is the most appropriate
nursing action?
A. Administer oxygen via face mask.
B. Place the mother in a supine position.
C. Increase the rate of the oxytocin intravenous infusion.
D. Document the findings and continue to monitor the fetal patterns.: A. Administer oxygen via face mask.
21. When planning care for a postpartum client who plans to breast-feed her infant, which important piece of
information should the nurse include in the teaching plan to prevent the development of mastitis? A. Offer only one
breast at each feeding.
B. Massage distended areas as the infant nurses.
C. Express and discard milk from the affected breast at the first signs of mastitis.
D. Cleanse the nipples with a mild antibacterial soap before and after infant feedings.: B. Massage distended areas as
the infant nurses
22. What type of test is done to verify rupture of membranes?
A. NST
B. Nitrazine paper test
C. Routine Urinalysis
D. Glucola Screening test.: B. Nitrazine paper test
23. Your patient complains that she is bleeding heavily. Upon assessment of lochia, you see the pad she
changed almost 2 hours ago is now saturated. This would be classified as
A. Light
B. Moderate
C. Heavy
D. Excessive: C. Heavy
Women’s Health Nursing 7th Edition
Comprehensive Maternal Child Nursing
Test Bank Practice Questions Answers Rationales
Pregnancy Labor Delivery Postpartum Newborn
Care Women’s Health NCLEX Review Study
1. A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg to a woman to induce
labor. Provided are 100 mg tabs. How many tabs are given?: A: 0.25 tabs
2. Which Leopold Maneuver is used to determine the presenting part of the fetus?
A. first maneuver
B. second maneuver
C. third maneuver
D. fourth maneuver
3. A newborn is newly admitted to the nursery. A nursing assessment finds all of the following findings. Which of
these are abnormal? (Select all that apply)
A. acrocyanosis
B. visible jaundice
C. respiratory Rate of 47 breaths per minute
D. heart rate of 93 bpm
E. anteroposterior lateral ratio of 1:1
4. What does a rapid decrease in fetal heart rate usually mean?
A. Cord compression
B. Head Compression
C. Placental Insufficiency
5. What is a normal range for fetal heart rate?
A. 100-150 bpm
B. 110-160 bpm
C. 90-150 bpm
6. What is one of the immunizations given shortly after birth?
, A. Vitamin K
B. Pneumonia vaccine
C. HPV vaccine
7. 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?
A. soft abdomen
B. uterine tenderness
C. absence of abdominal pain
D. painless, bright red vaginal bleeding
8. The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse
should monitor for which adverse effects of this medication? Select all that apply.
A. Flushing
B. Hypertension
C. Increased urinary output
D. Depressed respirations
E. Extreme muscle weakness
F. Hyperactive deep tendon reflexes
9. The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the
nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with
this syndrome?
A. Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz
D. Head circumference appropriate for gestational age
10. A nurse is assessing new parents feeding their newborn. Which of the following assessments requires more
education?
A. Parents are holding the newborn in a semi-upright position
B. The bottle is tilted enough that no air is coming through the nipple
C. The father is allowing the bottle to prop on the blanket
D. The newborn is given opportunities to burp during feeding
11. A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client
reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse
suggest?
A. Sit-ups
,B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches
12. A Labor and Delivery nurse is caring for a client in labor and has applied an external fetal monitor and
tocotransducer. The FHR is around 140/min. Contractions are occurring every 8 min and lasting 30-40 secs. The nurse
performs a vaginal exam and finds the cervix is dilated to 2 cm, 50% effaced, and the fetus is at -2 station. Which stage
and phase of labor is this client experiencing?
A. First stage, active phase
B. Fourth stage of labor
C. Second stage of labor
D. First stage, latent phase: D. First stage, latent phase
13. A woman is admitted to the hospital in labor that has had a miscarriage at 10 weeks gestation five years ago. She
has a three year old who was born at 39 weeks, and a five year old born at 40 weeks. What is her GTPAL?
A. G=3 T=2 P=0, A=1, L=2
B. G=4 T=2 P=0, A=1, L=2
C. G=4 T=1 P=1, A=1, L=2
D. G=3 T=2 P=0, A=1, L=3: B. G=4 T=2 P=0, A=1, L=2
14. How many mL of blood would you expect after a mother delivers via C-section?
A. 500 mL
B. 2000 mL
C. 1000 mL
D. 1500 mL: C. 1000 mL
15. What method of contraception offers protections against STIs?
A. Condoms
B. Intrauterine device
C. Combined oral contraceptives
D. Bilateral tubal ligation: A. Condoms
16. What condition would be indicated if the fetal heart strip showed a late deceleration? A. nothing is wrong
B. cord compression
C. head compression
D. placental insufficiency: D. Placental insufficiency
17. Which type of laceration goes through the skin, muscle, perineum and anal sphincter muscle?
A. 1st degree
B. 2nd degree
C. 3rd degree
D. 4th degree: C. 3rd degree
, 18. When can intrauterine fetal demise occur?
A. before 20 weeks
B. 20 weeks - delivery
C. after delivery
D. between 10-15 weeks: B. 20 weeks - delivery
19. The nurse should make which statement to a pregnant client found to have a gynecoid pelvis?
A. "Your type of pelvis has a narrow pubic arch."
B. "Your type of pelvis is the most favorable for labor and birth."
C. "Your type of pelvis is a wide pelvis, but it has a short diameter."
D. "You will need a cesarean section because this type of pelvis is not favorable
for a vaginal delivery.": B. "Your type of pelvis is the most favorable for labor and birth."
20. The nurse in the labor room is caring for a client in the active stage of the first phase of labor. The nurse is
assessing the fetal patterns and notes a late deceleration on the monitor strip. What is the most appropriate
nursing action?
A. Administer oxygen via face mask.
B. Place the mother in a supine position.
C. Increase the rate of the oxytocin intravenous infusion.
D. Document the findings and continue to monitor the fetal patterns.: A. Administer oxygen via face mask.
21. When planning care for a postpartum client who plans to breast-feed her infant, which important piece of
information should the nurse include in the teaching plan to prevent the development of mastitis? A. Offer only one
breast at each feeding.
B. Massage distended areas as the infant nurses.
C. Express and discard milk from the affected breast at the first signs of mastitis.
D. Cleanse the nipples with a mild antibacterial soap before and after infant feedings.: B. Massage distended areas as
the infant nurses
22. What type of test is done to verify rupture of membranes?
A. NST
B. Nitrazine paper test
C. Routine Urinalysis
D. Glucola Screening test.: B. Nitrazine paper test
23. Your patient complains that she is bleeding heavily. Upon assessment of lochia, you see the pad she
changed almost 2 hours ago is now saturated. This would be classified as
A. Light
B. Moderate
C. Heavy
D. Excessive: C. Heavy
