Maternal & Newborn Health NCLEX-RN Practice Exam — Set 1

A client at 34 weeks reports sudden sharp, stabbing abdominal pain with vaginal bleeding. BP 90/50, HR 120. Which condition should the nurse suspect?

A client receiving magnesium sulfate for severe preeclampsia. Which finding indicates magnesium toxicity?

Newborn at 5 minutes: HR 90, weak cry, some flexion of extremities, grimaces when stimulated, acrocyanosis. APGAR score?

FHR tracing shows decelerations beginning at the peak of the contraction and returning to baseline after the contraction ends. Priority action?

Discharge teaching after C-section 2 days ago. Which statement indicates a need for further teaching?

Rh-negative mother delivers an Rh-positive newborn (24 hours old, bilirubin 12 mg/dL). Which intervention does the nurse anticipate?

Client on oxytocin induction. Contractions every 1.5 minutes, lasting 100 seconds. What should the nurse do FIRST?

Newborn delivered via vacuum-assist has a raised, fluctuant right scalp swelling that does NOT cross suture lines. Finding?

Client at 32 weeks with gestational diabetes (fasting 110 mg/dL). Which statement indicates understanding?

Six hours postpartum: fundus boggy, displaced to the right, severe pain, two perineal pads saturated in 15 min. Priority action?

Client in preterm labor at 30 weeks. Provider prescribes betamethasone. Why?

12-hour-old breastfed newborn with yellow skin, bilirubin 8 mg/dL. Which action?

38-week pregnant client reports a gush of greenish vaginal fluid. Priority nursing action?

Teaching about postpartum depression. Which statement indicates understanding?

Client receiving blood for postpartum hemorrhage develops hives and itching. First action?