NCLEX Practice Exam for Maternal and Child Health Nursing 1

Practice Mode

Welcome to your NCLEX Practice Exam for Maternal and Child Health Nursing 1! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Think about the condition most associated with prolonged labor and ruptured membranes in a postpartum patient.

1 / 30

1. Nurse Rachel is monitoring a postpartum patient who was in labor for 30 hours with ruptured membranes for 24 hours. Considering the extended labor and prolonged rupture of membranes, Nurse Rachel needs to be vigilant for which potential complication?

💡 Hint

Consider that bethanechol stimulates the parasympathetic nervous system, which can affect the gastrointestinal tract.

2 / 30

2. Nurse Jenny administers bethanechol to a patient with urinary retention and closely monitors for any adverse effects. Which of the following is most likely to occur?

💡 Hint

Think about the typical pain location associated with the early phase of the first stage of labor.

3 / 30

3. Nurse Jessica is admitting a primigravida patient to the labor and delivery unit. The assessment indicates that the patient is in the early part of the first stage of labor. Where is her pain most likely to be most intense at this stage?

💡 Hint

Consider the potential side effect of oxytocin that can disturb fluid balance and lead to a condition involving excess water in the body.

4 / 30

4. Nurse Grace is administering I.V. oxytocin (Pitocin) to a patient in labor due to slow cervical effacement and dilation. Why is it crucial for Nurse Grace to monitor the patient’s fluid intake and output closely during this time?

💡 Hint

Consider the typical time frame during pregnancy when quickening, or the first fetal movements, are usually felt.

5 / 30

5. Nurse Lisa is creating a teaching plan for a patient who is 8 weeks pregnant. When should Nurse Lisa inform the patient that she can expect to feel the fetus move?

💡 Hint

Consider the phase where the new mother starts to take more control and shows interest in learning about infant care.

6 / 30

6. Nurse Ellen is preparing to provide discharge teaching on infant care to a client 30 hours after delivery. At this stage of postpartum psychological adaptation, which phase does Nurse Ellen anticipate the client to be in?

💡 Hint

Consider a natural and safe method that helps to soothe and protect the nipples while avoiding irritation.

7 / 30

7. Nurse Julia is assisting a postpartum patient who has been breastfeeding for 3 days and is experiencing nipple soreness. To help alleviate the discomfort, what should Nurse Julia recommend?

💡 Hint

Think about the stage of labor that involves rapid cervical dilation and intense contractions.

8 / 30

8. Nurse Clara is admitting a 30-year-old multipara to the birthing room. After her initial examination, she notes that the cervix is dilated to 8 cm, completely effaced, and at 0 station. Based on these findings, which phase of labor is the patient currently in?

💡 Hint

Think about the immediate physical risk associated with significant blood loss and the potential impact on the patient’s condition.

9 / 30

9. Nurse Carla is caring for a patient who is 14 weeks pregnant and experiencing abdominal cramping and vaginal bleeding, with the passage of clots over the past 8 hours. What should be the primary nursing diagnosis for this patient?

💡 Hint

Think about the antidote specifically used to counteract the effects of heparin.

10 / 30

10. Nurse Mica is caring for a postpartum client who is on heparin therapy for thrombophlebitis. If the client experiences complications due to heparin, which medication should Nurse Mica be prepared to administer?

💡 Hint

Consider the potential effect of castor oil on the uterus, especially during pregnancy.

11 / 30

11. Nurse Kelly is approached by a pregnant patient who inquires about using castor oil to relieve constipation. How should Nurse Kelly respond to ensure the patient's safety?

💡 Hint

Consider the importance of regular breastfeeding in maintaining milk flow and preventing engorgement.

12 / 30

12. Nurse Carla is preparing to teach a postpartum client about ways to prevent breast engorgement. Which of the following strategies should Nurse Carla include in the teaching plan?

💡 Hint

Think about the common signs associated with hypertension during pregnancy that involve visual disturbances and kidney function.

13 / 30

13. Nurse Lauren is assessing a patient with pregnancy-induced hypertension (PIH). Which combination of symptoms is most likely to be present?

💡 Hint

Consider the expected color and consistency of lochia during the immediate postpartum period.

14 / 30

14. Nurse Rachel is assessing a postpartum patient 24 hours after delivery. Which lochial finding is considered normal at this stage?

💡 Hint

Focus on the main purposes of the ultrasound in preparation for an amniocentesis.

15 / 30

15. Nurse Sarah is preparing a 36-week pregnant client for a routine ultrasound before an amniocentesis. After explaining the purpose of the ultrasound, which statement from the client would suggest to Nurse Sarah that additional teaching is necessary?

💡 Hint

Consider the abdominal characteristic that is most indicative of abruption placenta in this situation.

16 / 30

16. Nurse Sandra is assessing Mrs. Lopez, a pregnant client suspected of having an abruption placenta. During her evaluation, which clinical finding would Nurse Sandra most likely anticipate?

💡 Hint

Consider the type of speech that naturally captures a neonate's attention and elicits a positive response.

17 / 30

17. Nurse Emily is speaking with a new mother who believes her baby enjoys hearing her voice. When discussing how to best stimulate a neonate with sound, what should Nurse Emily emphasize as the most effective approach?

💡 Hint

Consider an exercise that helps to stretch and strengthen the lower back and pelvic muscles, commonly recommended during pregnancy.

18 / 30

18. A primigravida client at 25 weeks' gestation mentions to Nurse Anna that she experiences lower back pain after work. What should Nurse Anna recommend to help alleviate the client's discomfort?

💡 Hint

Consider the routine monitoring required for a neonate under phototherapy.

19 / 30

19. Nurse Ana is caring for a 3-day-old neonate undergoing phototherapy for jaundice. Which action should Nurse Ana anticipate as part of the routine care?

💡 Hint

Think about a source of heat loss that occurs through indirect transfer from the infant to nearby surfaces.

20 / 30

20. Nurse Sarah is caring for a neonate transferred to the nursery five hours after birth. To prevent hypothermia, she is mindful of potential sources of radiant heat loss. What is one common source?

💡 Hint

Focus on the frequency of contractions and the stage of labor, particularly when it involves a multiple pregnancy.

21 / 30

21. Nurse Jenna is attending to a client in active labor with twins, who has reached 5 cm dilation. She notices that the contractions are happening every 7 to 8 minutes over a 30-minute span. What should Nurse Jenna do next?

💡 Hint

Consider a potential complication involving abnormal implantation that is associated with progestin-only contraceptives.

22 / 30

22. Nurse Maria is educating a female patient who is taking a progestin-only oral contraceptive, commonly known as the mini pill. What increased risk should Nurse Maria inform the patient about associated with progestin use?

💡 Hint

Consider the area that is directly affected by pudendal nerve block during delivery.

23 / 30

23. Nurse Kelly is assisting a primigravida who is 9 days post-term and in active labor. The client requests bilateral pudendal block anesthesia for pain relief before delivery. After Nurse Kelly explains the effects of this anesthesia, which area identified by the client as the location of pain relief would show that the teaching was understood?

💡 Hint

Consider the recommended dietary changes to manage early pregnancy symptoms like nausea and vomiting.

24 / 30

24. Nurse Claire is educating a primigravida who is approximately 2 months and 1 week into her pregnancy about self-care strategies for common discomforts. Which statement from the client would indicate to Nurse Claire that she has understood the instructions?

💡 Hint

Consider how the position and movements of the fetus during labor impact the shape of the neonate's head.

25 / 30

25. Nurse Lily is assisting the nurse-midwife in assessing the neonate's head for molding right after delivery. Which factors are most likely to influence the type of molding observed?

💡 Hint

Think about the reflex that involves a sudden extension of the arms and opening of the hands in response to a startling event.

26 / 30

26. Nurse Jenna accidentally bumps the bassinet, causing the neonate to throw out its arms, open its hands, and start crying. How should Nurse Jenna interpret this reaction?

💡 Hint

Consider the requirement related to the fetal environment that allows for the use of an internal monitoring device.

27 / 30

27. Nurse Ava is preparing to assist the nurse-midwife in applying an internal electronic fetal monitoring (EFM) device for a patient in active labor. What condition must be met before the internal EFM can be used?

💡 Hint

Consider the phase of labor where the cervix dilates rapidly and contractions become particularly intense.

28 / 30

28. Nurse Emma is caring for a patient in the first stage of labor. What is the shortest but most challenging part of this stage?

💡 Hint

Consider the immediate action that would help control bleeding from the circumcision site.

29 / 30

29. Nurse Leah notices a 2-cm circle of bright red blood on the diaper of a neonate who was just circumcised. What should Nurse Leah do first?

💡 Hint

Consider the treatment approach that involves minimizing physical activity to prevent further complications with the placenta.

30 / 30

30. Nurse Laura is discussing the management plan with a pregnant client diagnosed with partial placenta previa. What should Nurse Laura explain as the usual treatment for this condition?

Exam Mode

Welcome to your NCLEX Practice Exam for Maternal and Child Health Nursing 1! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Kelly is approached by a pregnant patient who inquires about using castor oil to relieve constipation. How should Nurse Kelly respond to ensure the patient's safety?

2 / 30

2. Nurse Mica is caring for a postpartum client who is on heparin therapy for thrombophlebitis. If the client experiences complications due to heparin, which medication should Nurse Mica be prepared to administer?

3 / 30

3. Nurse Kelly is assisting a primigravida who is 9 days post-term and in active labor. The client requests bilateral pudendal block anesthesia for pain relief before delivery. After Nurse Kelly explains the effects of this anesthesia, which area identified by the client as the location of pain relief would show that the teaching was understood?

4 / 30

4. Nurse Lisa is creating a teaching plan for a patient who is 8 weeks pregnant. When should Nurse Lisa inform the patient that she can expect to feel the fetus move?

5 / 30

5. Nurse Maria is educating a female patient who is taking a progestin-only oral contraceptive, commonly known as the mini pill. What increased risk should Nurse Maria inform the patient about associated with progestin use?

6 / 30

6. Nurse Lauren is assessing a patient with pregnancy-induced hypertension (PIH). Which combination of symptoms is most likely to be present?

7 / 30

7. Nurse Emily is speaking with a new mother who believes her baby enjoys hearing her voice. When discussing how to best stimulate a neonate with sound, what should Nurse Emily emphasize as the most effective approach?

8 / 30

8. Nurse Sarah is preparing a 36-week pregnant client for a routine ultrasound before an amniocentesis. After explaining the purpose of the ultrasound, which statement from the client would suggest to Nurse Sarah that additional teaching is necessary?

9 / 30

9. Nurse Jenna is attending to a client in active labor with twins, who has reached 5 cm dilation. She notices that the contractions are happening every 7 to 8 minutes over a 30-minute span. What should Nurse Jenna do next?

10 / 30

10. Nurse Claire is educating a primigravida who is approximately 2 months and 1 week into her pregnancy about self-care strategies for common discomforts. Which statement from the client would indicate to Nurse Claire that she has understood the instructions?

11 / 30

11. Nurse Jenna accidentally bumps the bassinet, causing the neonate to throw out its arms, open its hands, and start crying. How should Nurse Jenna interpret this reaction?

12 / 30

12. Nurse Carla is caring for a patient who is 14 weeks pregnant and experiencing abdominal cramping and vaginal bleeding, with the passage of clots over the past 8 hours. What should be the primary nursing diagnosis for this patient?

13 / 30

13. Nurse Ava is preparing to assist the nurse-midwife in applying an internal electronic fetal monitoring (EFM) device for a patient in active labor. What condition must be met before the internal EFM can be used?

14 / 30

14. Nurse Carla is preparing to teach a postpartum client about ways to prevent breast engorgement. Which of the following strategies should Nurse Carla include in the teaching plan?

15 / 30

15. Nurse Leah notices a 2-cm circle of bright red blood on the diaper of a neonate who was just circumcised. What should Nurse Leah do first?

16 / 30

16. Nurse Julia is assisting a postpartum patient who has been breastfeeding for 3 days and is experiencing nipple soreness. To help alleviate the discomfort, what should Nurse Julia recommend?

17 / 30

17. Nurse Sarah is caring for a neonate transferred to the nursery five hours after birth. To prevent hypothermia, she is mindful of potential sources of radiant heat loss. What is one common source?

18 / 30

18. Nurse Rachel is monitoring a postpartum patient who was in labor for 30 hours with ruptured membranes for 24 hours. Considering the extended labor and prolonged rupture of membranes, Nurse Rachel needs to be vigilant for which potential complication?

19 / 30

19. Nurse Ellen is preparing to provide discharge teaching on infant care to a client 30 hours after delivery. At this stage of postpartum psychological adaptation, which phase does Nurse Ellen anticipate the client to be in?

20 / 30

20. Nurse Emma is caring for a patient in the first stage of labor. What is the shortest but most challenging part of this stage?

21 / 30

21. Nurse Rachel is assessing a postpartum patient 24 hours after delivery. Which lochial finding is considered normal at this stage?

22 / 30

22. Nurse Lily is assisting the nurse-midwife in assessing the neonate's head for molding right after delivery. Which factors are most likely to influence the type of molding observed?

23 / 30

23. Nurse Grace is administering I.V. oxytocin (Pitocin) to a patient in labor due to slow cervical effacement and dilation. Why is it crucial for Nurse Grace to monitor the patient’s fluid intake and output closely during this time?

24 / 30

24. Nurse Jessica is admitting a primigravida patient to the labor and delivery unit. The assessment indicates that the patient is in the early part of the first stage of labor. Where is her pain most likely to be most intense at this stage?

25 / 30

25. Nurse Sandra is assessing Mrs. Lopez, a pregnant client suspected of having an abruption placenta. During her evaluation, which clinical finding would Nurse Sandra most likely anticipate?

26 / 30

26. Nurse Jenny administers bethanechol to a patient with urinary retention and closely monitors for any adverse effects. Which of the following is most likely to occur?

27 / 30

27. Nurse Clara is admitting a 30-year-old multipara to the birthing room. After her initial examination, she notes that the cervix is dilated to 8 cm, completely effaced, and at 0 station. Based on these findings, which phase of labor is the patient currently in?

28 / 30

28. A primigravida client at 25 weeks' gestation mentions to Nurse Anna that she experiences lower back pain after work. What should Nurse Anna recommend to help alleviate the client's discomfort?

29 / 30

29. Nurse Ana is caring for a 3-day-old neonate undergoing phototherapy for jaundice. Which action should Nurse Ana anticipate as part of the routine care?

30 / 30

30. Nurse Laura is discussing the management plan with a pregnant client diagnosed with partial placenta previa. What should Nurse Laura explain as the usual treatment for this condition?