NSG 210 EXAM 1 MATERNAL-NEWBORN 2025/2026 LATEST
EXAM WITH NCLEX-STYLE, MULTIPLE CHOICE ALREADY
GRADED A+
an infant shows a tendency to bleed two days after birth. the nurse understands this is most
likely caused by which reason?
a. hemophilia
b. absence of intestinal bacteria and lack of vitamin k
c. an immature liver that is unable to synthesize clotting factors
d. delayed production of red blood cells
b
a primigravida diagnosed with type 1 diabetes mellitus reviews the insulin regimen with the
nurse. the nurse explains which changes in insulin requirements will occur in pregnancy?
a. insulin requirements will increase during pregnancy and decrease after delivery
b. insulin. requirements will decrease during pregnancy and increase after delivery
c. insulin requirements will increase during pregnancy and remain increased after delivery
d. insulin requirements will decrease during pregnancy and remain decreased after delivery
a
the need for more insulin is cause by hormones the placenta makes to help the baby grow. at
the same time, these hormones block the action of the mother's insulin. immediately after
delivery, the insulin requirements usually decrease abruptly.
a client had a cesarean delivery. the nurse places the highest priority on monitoring the client
for which potential complication?
a. infection and pain
b. hemorrhage and shock
c. hemorrhage and pain management
d. dehydration and infection
b
the client is not only an ob client but also a postoperative client; observe for patent airway, and
observe incisional dressing for bleeding and amount of lochia
James Madison University (JMU)
,the nurse assesses four newborns. which characteristics noted by the nurse are most
common in a preterm infant?
a. red, wrinkled skin, lanugo, and hypotonic muscles
b. vernix caseosa, silky hair, and facial edema
c. absent nose bridge, depressed fontanels, and absent lanugo
d. mottled skin, meconium stools, and hypertonic muscles
a
painless vaginal bleeding most likely suggests what condition in pregnant women?
placenta previa
when the nurse accidentally bumps into a newborn's bassinet, the newborn jumps and pulls
the extremities into the trunk. the nurse identifies the newborn is demonstrating which
reflex?
a. tonic neck
b. moro
c. babinski
d. rooting
b
meconium-stained amniotic fluid alerts the nurse to the possibility of which problem?
a. fetal distress and perinatal asphyxia
b. fetal distress and hyperbilirubinemia
c. abruptio placenta and asphyxia
d. placenta previa and perinatal sepsis
a
James Madison University (JMU)
, the client arrives at the hospital in active labor. the client asks the nurse what is the purpose
of the fetal monitor. which response by the nurse is best?
a. "the purpose of the fetal monitor is to evaluate the progress of labor"
b. "the purpose of the fetal monitor is to assess the strength and duration of contractions"
c. "the purpose of the fetal monitor is to determine if the fetus is receiving adequate amounts
of oxygen"
d. "the purpose of the fetal monitor is to allow the health care provider to decide if an
oxytocin drip should be started"
c
the nurse understands a preterm infant is at greatest risk for developing which disorder?
a. hypoglycemia
b. respiratory distress syndrome
c. hydrocephalus
d. scoliosis
b
the nurse palpates the fundus of a client after the third stage of labor. the nurse expects the
fundus to have which characteristics?
a. soft and discoid
b. firm and discoid
c. soft and globular
d. firm and globular
d
a client calls the clinic and reports a fever, fatigue, and has a hard, reddened area in one
breast. the client is breastfeeding. which condition does the nurse understand that the client
is most likely experiencing?
a. adjustment reaction
b. primary engorgement
c. a blocked duct
d. mastitis
d
James Madison University (JMU)
EXAM WITH NCLEX-STYLE, MULTIPLE CHOICE ALREADY
GRADED A+
an infant shows a tendency to bleed two days after birth. the nurse understands this is most
likely caused by which reason?
a. hemophilia
b. absence of intestinal bacteria and lack of vitamin k
c. an immature liver that is unable to synthesize clotting factors
d. delayed production of red blood cells
b
a primigravida diagnosed with type 1 diabetes mellitus reviews the insulin regimen with the
nurse. the nurse explains which changes in insulin requirements will occur in pregnancy?
a. insulin requirements will increase during pregnancy and decrease after delivery
b. insulin. requirements will decrease during pregnancy and increase after delivery
c. insulin requirements will increase during pregnancy and remain increased after delivery
d. insulin requirements will decrease during pregnancy and remain decreased after delivery
a
the need for more insulin is cause by hormones the placenta makes to help the baby grow. at
the same time, these hormones block the action of the mother's insulin. immediately after
delivery, the insulin requirements usually decrease abruptly.
a client had a cesarean delivery. the nurse places the highest priority on monitoring the client
for which potential complication?
a. infection and pain
b. hemorrhage and shock
c. hemorrhage and pain management
d. dehydration and infection
b
the client is not only an ob client but also a postoperative client; observe for patent airway, and
observe incisional dressing for bleeding and amount of lochia
James Madison University (JMU)
,the nurse assesses four newborns. which characteristics noted by the nurse are most
common in a preterm infant?
a. red, wrinkled skin, lanugo, and hypotonic muscles
b. vernix caseosa, silky hair, and facial edema
c. absent nose bridge, depressed fontanels, and absent lanugo
d. mottled skin, meconium stools, and hypertonic muscles
a
painless vaginal bleeding most likely suggests what condition in pregnant women?
placenta previa
when the nurse accidentally bumps into a newborn's bassinet, the newborn jumps and pulls
the extremities into the trunk. the nurse identifies the newborn is demonstrating which
reflex?
a. tonic neck
b. moro
c. babinski
d. rooting
b
meconium-stained amniotic fluid alerts the nurse to the possibility of which problem?
a. fetal distress and perinatal asphyxia
b. fetal distress and hyperbilirubinemia
c. abruptio placenta and asphyxia
d. placenta previa and perinatal sepsis
a
James Madison University (JMU)
, the client arrives at the hospital in active labor. the client asks the nurse what is the purpose
of the fetal monitor. which response by the nurse is best?
a. "the purpose of the fetal monitor is to evaluate the progress of labor"
b. "the purpose of the fetal monitor is to assess the strength and duration of contractions"
c. "the purpose of the fetal monitor is to determine if the fetus is receiving adequate amounts
of oxygen"
d. "the purpose of the fetal monitor is to allow the health care provider to decide if an
oxytocin drip should be started"
c
the nurse understands a preterm infant is at greatest risk for developing which disorder?
a. hypoglycemia
b. respiratory distress syndrome
c. hydrocephalus
d. scoliosis
b
the nurse palpates the fundus of a client after the third stage of labor. the nurse expects the
fundus to have which characteristics?
a. soft and discoid
b. firm and discoid
c. soft and globular
d. firm and globular
d
a client calls the clinic and reports a fever, fatigue, and has a hard, reddened area in one
breast. the client is breastfeeding. which condition does the nurse understand that the client
is most likely experiencing?
a. adjustment reaction
b. primary engorgement
c. a blocked duct
d. mastitis
d
James Madison University (JMU)
