Font size
S
M
L
XL
WorksheetsNCLEX - MATERNITY Day1
Total questions: 22
Worksheet time: 22mins
Name
Class
Date
1.
Which lifestyle changes should the nurse recommend to reduce heartburn during pregnancy?
a)
Avoid intake of dairy products
b)
Drink large amounts of fluid with meals
c)
Eat several small meals each day
d)
Eliminate fried, fatty foods
e)
Lie down on the left side after meals
2.
Client post forceps-assisted vaginal birth reports severe vaginal pain and fullness. Fundus is firm and midline with scant lochia rubra. What is the most likely cause?
a)
Uterine atony
b)
Vaginal hematoma
c)
Cervical lacerations
d)
Inversion of the uterus
e)
-
3.
Which client findings in a prenatal clinic require further assessment?
a)
Client at 9 weeks gestation with a 2 lb weight gain
b)
Client at 15 weeks with headaches relieved by acetaminophen
c)
Client at 19 weeks with bleeding gums
d)
Client at 20 weeks with increase in diastolic BP by 15 mm Hg
e)
-
4.
Which statement indicates correct understanding of breastfeeding technique?
a)
I will feed my baby for 5–10 minutes on each breast
b)
I will hold my baby on their back with the head turned toward my breast
c)
If I need to reposition my baby's latch, I will use my finger to break the suction first
d)
The baby's mouth should grasp only the nipple without the areola
e)
-
5.
Post-cesarean client is restless, tachycardic, and dyspneic. What is the priority?
a)
Obtain pulse oximetry
b)
Offer PRN pain medication
c)
Check legs for warmth and redness
d)
Teach breathing and relaxation techniques
e)
-
6.
Client at 8 weeks reports morning sickness. Most appropriate nurse response?
a)
Consume hot foods
b)
Drink 2 glasses of water with each meal
c)
Consume a dry, high-carbohydrate snack
d)
Tell client nausea will pass in a few weeks
e)
-
7.
Which vaccines are safe during pregnancy at 30 weeks gestation?
a)
Influenza injection
b)
Influenza nasal spray
c)
Measles, mumps, rubella
d)
Tetanus, diphtheria, pertussis
e)
Varicella
8.
Signs of magnesium sulfate toxicity in client receiving therapy at 37 weeks gestation?
a)
Absent patellar reflex
b)
Blood pressure of 156/84 mm Hg
c)
Client voiding 600 mL in 8 hours
d)
Respiratory rate of 10/min
e)
Somnolence
9.
Which recommendations help a pregnant client with constipation from iron supplements?
a)
Consume dairy products with iron pills
b)
Continue daily moderate exercise
c)
Increase intake of whole grain foods
d)
Limit coffee to 3 cups daily
e)
Take stimulant laxatives daily
10.
Which nurse statement about molar pregnancy needs correction?
a)
A uterine evacuation procedure is the typical treatment for removing the abnormal tissue
b)
I can provide you with resources for coping with the perinatal loss if needed
c)
You may start trying to conceive again as soon as you and your partner feel ready
d)
You will need Rh immune globulin following a molar pregnancy because you have an Rh-negative blood type
e)
-
11.
Which finding during first prenatal visit indicates risk for preterm birth?
a)
Age 25
b)
Periodontal disease
c)
Vegetarian diet
d)
White ethnicity
e)
-
12.
Which teaching topics are appropriate for 14-year-old client with second-trimester pregnancy?
a)
Desire for adoption planning services
b)
Emotional response to the pregnancy
c)
Family/social support systems
d)
Nutritional habits and substance use
e)
Plan for finishing high school
13.
What is the correct action for client with rubella nonimmune status at 12 weeks gestation?
a)
Administering MMR vaccine now
b)
Administering MMR vaccine immediately postpartum
c)
Administering MMR vaccine in the third trimester
d)
Informing the client that an MMR vaccine is not indicated
e)
-
14.
Which preconception health recommendations should the nurse include?
a)
Schedule rubella immunity testing
b)
Ensure 400 mcg of folic acid daily
c)
Avoid alcohol and tobacco
d)
Visit the dentist prior to pregnancy
e)
Increase calories to achieve BMI > 30
15.
What does G5 T1 P2 A1 L2 indicate about obstetric history?
a)
Three living children
b)
Not currently pregnant
c)
One live birth after 37 weeks
d)
Three births between 20–36 weeks gestation
e)
-
16.
Which antepartum client should the nurse assess first?
a)
Hydatidiform mole with dark discharge
b)
Hyperemesis with weight loss
c)
Suspected ectopic pregnancy with shoulder pain
d)
Threatened miscarriage, Jehovah’s Witness
e)
-
17.
Which meal is most appropriate at 13 weeks gestation?
a)
Baked chicken, turnip greens, peanut butter cookie, grape juice
b)
Baked swordfish, fries, apples, milk
c)
Ham sandwich, broccoli, orange slices, water
d)
Fried liver, cheese, fruit cup, water
e)
-
18.
Which finding supports diagnosis of hyperemesis gravidarum?
a)
Heart rate less than 60
b)
Moderate to high urine ketones
c)
Increased potassium
d)
Blood pressure >140/90
e)
-
19.
Which second-trimester education should nurse include?
a)
Quickening around 16–20 weeks
b)
Increased iron intake
c)
Gain 3 lb/week if BMI normal
d)
Fetal anatomy ultrasound scheduled
e)
GDM screening at 24–28 weeks
20.
Which food is most appropriate to prevent neural tube defects?
a)
Calcium-rich snacks
b)
Fortified cereals
c)
Organ meats
d)
Wild salmon
e)
-
21.
Which discharge teaching should be provided after first-trimester miscarriage?
a)
Attend support groups
b)
Genetic counseling recommended after first miscarriage
c)
Communicate openly with partner
d)
Grieving ends after 6 months
e)
Trying to conceive again can help emotionally
22.
Which prenatal client requires priority assessment?
a)
11 weeks with backache and pelvic pressure
b)
16 weeks with earache and congestion
c)
27 weeks with headache and facial swelling
d)
37 weeks with discharge and urinary frequency
e)
-
Reset
