OB and Maternity NCLEX Practice Questions
419 questions
Which of the following pregnancy-related changes is associated with increased respiratory rate?A client at 30 weeks gestation with a history of deep vein thrombosis presents with sudden onset dyspnea and chest…During labor, a client receives oxytocin to augment contractions. What is the primary action of oxytocin?A pregnant client with a history of blood clots is prescribed medication during pregnancy. Enoxaparin belongs to which medication class?A pregnant client is prescribed iron supplements to treat anemia. Which potential adverse effect should the nurse teach the client…During a routine prenatal assessment, the nurse observes that the fundal height is consistently measuring smaller than expected for gestational…A client with a history of asthma is pregnant and requires medication for asthma exacerbation. Which medication is considered safe…Which position is most beneficial for a laboring woman to adopt during the second stage of labor?A client at 32 weeks gestation presents with signs and symptoms of chorioamnionitis. Which intervention should the nurse prioritize?Which intervention is appropriate for a postpartum client experiencing urinary incontinence?A prolonged deceleration in fetal heart rate monitoring is defined as lasting:A client planning a pregnancy is counseled on the importance of folic acid supplementation. What is the primary reason for…A nurse is assessing a fetal heart rate pattern and observes a sinusoidal pattern. What is the priority action?Which of the following interventions is appropriate for a fetus experiencing variable decelerations?Fetal heart rate accelerations are considered reassuring when they are:Which factor is associated with an increased risk of fetal heart rate (FHR) decelerations during labor?Fetal tachycardia may indicate:Which maternal position is most effective for promoting optimal uterine contractions during labor?Which medication is commonly prescribed to pregnant women to prevent neural tube defects in the fetus?A postpartum client reports feeling lightheaded and dizzy when standing up. What is the nurse's initial action?During which stage of labor does the baby's head crown?A pregnant client at 26 weeks gestation presents with complaints of heartburn. Which dietary recommendation should the nurse provide to…Which maneuver can be used to assist in the delivery of the shoulders during childbirth?Which medication is commonly used to accelerate fetal lung maturity in cases of fetal distress?A nurse is assessing a pregnant client for presumptive signs of pregnancy. Which of the following would the nurse include…Which of the following signs is considered a probable sign of pregnancy?Which assessment finding indicates a potential complication during the first stage of labor?A postpartum client asks about contraception options while breastfeeding. Which method is safe and effective during lactation?What is the primary focus of the fourth stage of labor?A client in preterm labor is administered tocolytic therapy to inhibit contractions and delay delivery. Which medication is commonly used…Which of the following factors may prolong the first stage of labor?What is the recommended weight gain range for a woman with a normal BMI during pregnancy?Which maternal position is recommended to improve uteroplacental perfusion during fetal heart rate monitoring?What is the appropriate nursing action if a fetus demonstrates a prolonged deceleration during fetal heart rate monitoring?Which of the following is a common musculoskeletal complaint during pregnancy?A postpartum client is experiencing signs of postpartum depression. What is the nurse's priority action?Which statement regarding accelerations in fetal heart rate monitoring is true?What is the primary purpose of administering Rh immunoglobulin (RhIg) to an Rh-negative mother after childbirth?A pregnant client at 28 weeks gestation presents with a blood pressure of 150/100 mmHg and 3+ proteinuria. Which action…A client at 36 weeks gestation is admitted with preterm labor. Which intervention should the nurse prioritize?A nurse is conducting fetal heart rate monitoring and observes repetitive late decelerations. What intervention should the nurse prioritize?A client at 12 weeks gestation reports noticing a dark line extending from the umbilicus to the pubic area. This…Which of the following is a physiological adaptation that occurs in the cardiovascular system during pregnancy?A client at 26 weeks gestation presents with elevated blood pressure, headache, and epigastric pain. What action should the nurse…A postpartum client with a history of gestational diabetes asks about contraception options. What method should the nurse recommend?A breastfeeding mother develops mastitis. Which antibiotic is generally safe for treating mastitis while breastfeeding?What is the primary indication for the administration of oxytocin (Pitocin) during labor?Which of the following interventions is most appropriate for a postpartum client experiencing perineal discomfort?What is the term for the darkening of the skin around the nipples during pregnancy?A client at 10 weeks gestation reports experiencing mood swings. The nurse explains that this symptom is likely due to: