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NCLEX RN· RN Maternal Newborn · Maternity and Newborn NCLEX RN Questions

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse performs an obstetrics history on a client seeking antenatal care for a confirmed pregnancy. The client reports having six-year-old twins born at 39 gestational weeks. She had an ectopic pregnancy at four gestational weeks that occurred sixteen weeks ago. When completing the client's documentation, the nurse should record the GTPAL as

A. G=3, T=1, P=0, A=1, L=2
B. G=3, T=2, P=0, A=1, L=2
C. G=4, T=2, P=0, A=1, L=2
D. G=3, T=2, P=0, A=1, L=1

Expert Explanatory Rationale

Correct Answer: G=3, T=1, P=0, A=1, L=2

Question 2 of 5

The nurse working in the maternity ward is caring for a 24-hour post-partum client. When assessing the client, the nurse notes that her fundus is firm at the level of the umbilicus and is veering a little bit to the right. The initial action for the nurse is to:

A. Check for bladder distention
B. Check the client's blood pressure
C. Check if the client has been given oxytocin
D. Check the pad count

Expert Explanatory Rationale

Correct Answer: Check for bladder distention

Question 3 of 5

The nurse is caring for a client with placenta previa. Which of the following orders by the primary healthcare provider (PHCP) should the nurse question?

A. Manual cervical exam
B. Transabdominal ultrasound
C. Nonstress test
D. Transvaginal ultrasound

Expert Explanatory Rationale

Correct Answer: Manual cervical exam

Question 4 of 5

The nurse is caring for a newborn immediately after delivery. Which of the following actions would be appropriate?

A. Perform APGAR assessment at five and ten minutes
B. Suction the nose then the mouth
C. Administer RhoGAM intramuscularly
D. Place the infant skin to skin with a parent

Expert Explanatory Rationale

Correct Answer: Place the infant skin to skin with a parent

Question 5 of 5

The nurse just finished receiving the shift report from the night nurse. Which of the following newborns should the nurse assess first?

A. A 3-hour old newborn weighing 6 pounds
B. A 4-hour old newborn delivered at 42 weeks
C. A 6-hour old newborn that is 21 inches long
D. An 8-hour old newborn delivered at 40 weeks

Expert Explanatory Rationale

Correct Answer: A 4-hour old newborn delivered at 42 weeks

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