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WorksheetsNCLEX - MATERNITY Day2
Total questions: 23
Worksheet time: 23mins
Name
Class
Date
1.
Which postpartum finding requires immediate intervention?
a)
Lochia soaking pad every 2 hours
b)
Persistent headache and blurred vision
c)
Red, painful nipple
d)
Strong-smelling vaginal discharge
e)
-
2.
Which finding in a client hospitalized for preeclampsia requires immediate follow-up?
a)
Dark red vaginal bleeding
b)
Edema of the hands and face
c)
Elevated liver enzymes
d)
Urine output of 150 mL in 4 hours
e)
-
3.
Which lab test should be ordered for a client at 20 weeks who reports eating powdered cornstarch?
a)
Urine culture and sensitivity
b)
Serum hCG
c)
Hematocrit and hemoglobin
d)
Fecal occult blood test
e)
-
4.
Which statement by client at 8 weeks gestation shows correct understanding of pregnancy weight gain?
a)
I should gain 10–15 lb during first trimester
b)
I should gain about 30 lb total during pregnancy
c)
I should gain no more than 0.5 lb per week in third trimester
d)
Less than 20 lb total will be easier to lose after birth
e)
-
5.
Which statement about glucose challenge test at 24 weeks requires follow-up?
a)
I need to fast for 12 hours before the test
b)
I'll drink a 50-g glucose solution
c)
The test requires no food intake for 1 hour afterward
d)
A 3-hour glucose tolerance test may follow
e)
-
6.
Which findings indicate positive signs of pregnancy?
a)
Cervical softening
b)
Fetal heart tones via Doppler
c)
Positive hCG test
d)
Client report of fetal movement
e)
Fetal visualization via ultrasound
7.
What should be included in teaching after cervical cerclage placement?
a)
The cerclage will be removed at 28 weeks
b)
Report back pain or discomfort
c)
Check the strings weekly
d)
Weekly contraction stress tests will be needed
e)
-
8.
Post-epidural birth client has fundus 2 cm above umbilicus, deviated to right, and no urge to void. Best action?
a)
Change pad and provide perineal care
b)
Encourage fluid intake
c)
Request tocolytic medication
d)
Perform intermittent urinary catheterization
e)
-
9.
What instructions should nurse give client with mastitis?
a)
Apply warm compresses
b)
Stop breastfeeding until resolved
c)
Increase fluid intake
d)
Take ibuprofen PRN
e)
Wear tight-fitting bra
10.
Which statement about diabetes and preconception health is accurate?
a)
I'll need more insulin during first trimester
b)
Elevated hemoglobin A1c increases birth defect risk
c)
I'm at risk of miscarriage even if controlled
d)
Less monitoring needed in third trimester
e)
-
11.
Client with diabetes reports breast tenderness, discharge, and urinary frequency. Most important nursing action?
a)
Ask about breast exams
b)
Assess discharge characteristics
c)
Review blood sugar log
d)
Check last menstrual period
e)
-
12.
Which actions are appropriate for client with suspected placental abruption after trauma?
a)
Administer subcutaneous terbutaline
b)
Prepare for immediate birth
c)
Assess the client's vital signs every 4 hours
d)
Obtain a blood specimen for type and cross-match
e)
Insert a large-bore peripheral venous access device
13.
What is the best action for nurse based on third trimester lab values?
a)
Complete the client assessment and documentation
b)
Draw another sample to repeat the complete blood count
c)
Prepare for transfusion of packed RBCs
d)
Request a prescription for iron supplementation
e)
-
14.
Client with suspected ruptured ectopic pregnancy. What additional findings are expected?
a)
Blood pressure 82/64 mm Hg
b)
Crackles on auscultation
c)
Distended jugular veins
d)
Pulse 120/min
e)
Shoulder pain
15.
Client post-cesarean diagnosed with postpartum endometritis. Which prescription is priority?
a)
Acetaminophen PO PRN for fever
b)
Clindamycin IV every 8 hours
c)
Lactated Ringer IV bolus once
d)
Methylergonovine PO every 4 hours
e)
-
16.
What nursing advice relieves breast engorgement for non-breastfeeding postpartum client?
a)
Apply heat frequently to both breasts
b)
Manually express milk several times a day
c)
Massage breasts from the base to the nipple 3 or 4 times a day
d)
Use chilled, fresh cabbage leaves on breasts throughout the day
e)
-
17.
Which postpartum findings 12 hours after vaginal delivery need follow-up?
a)
Foul-smelling lochia
b)
Temperature of 100°F (37.8°C)
c)
A painful external hemorrhoid
d)
Discomfort during fundal massage
e)
-
18.
Which behavior suggests postpartum psychosis?
a)
Tearfulness and feeling overwhelmed at day 3
b)
Worry and hypervigilance at 6 months
c)
Depression and insomnia at 2 months
d)
Disorganized behavior and delusions at day 5
e)
-
19.
Which first-trimester client requires priority teaching?
a)
Gardens and eats homegrown vegetables
b)
Has gained 4 lb since prepregnancy
c)
Reports thin white vaginal discharge
d)
Swims and practices yoga
e)
-
20.
Which postpartum statement on day 5 warrants concern?
a)
Tired all the time
b)
Bright red blood in bowel movement
c)
Bleeding like a heavy period with clots
d)
Hands feel tingly when holding baby
e)
-
21.
Which action is priority for client 2 hrs post vaginal delivery who soaked pad in 20 mins and has boggy, right-deviated fundus?
a)
Assist client to void using bedpan
b)
Administer IV oxytocin
c)
Obtain CBC
d)
Administer oxygen via nonrebreather
e)
-
22.
Which order should the nurse clarify for a client with boggy fundus and elevated BP?
a)
Insert urinary catheter
b)
Administer methylergonovine IM
c)
Insert second IV line
d)
Check hemoglobin and hematocrit
e)
-
23.
Which education should be provided for preeclampsia without severe features?
a)
Perform fetal kick counts daily
b)
Limit fluid intake to 1 L
c)
Monitor blood pressure
d)
Report vaginal bleeding
e)
Report headaches and vision changes
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