Maternal and newborn health is a core part of Health Promotion and Maintenance on the NCLEX-RN. These free questions cover pregnancy, labor, postpartum, and newborn assessment.
On postpartum day 1, which assessment finding requires immediate nursing intervention?
RATIONALE
A boggy (soft) uterus with heavy bleeding signals uterine atony — the leading cause of postpartum hemorrhage. Immediate action: fundal massage, empty the bladder, and notify the provider.
Which findings are expected in a healthy term newborn? Select all that apply.
RATIONALE
Normal newborn values: RR 30–60/min, HR 120–160 bpm (80 is too low), acrocyanosis is normal in the first 24–48 hours, a positive Babinski is normal until age 2, and the Moro reflex should be PRESENT.
A laboring client's fetal heart monitor shows late decelerations. What is the nurse's priority action?
RATIONALE
Late decelerations indicate uteroplacental insufficiency. Priority interventions: reposition (usually left lateral) to improve perfusion, stop oxytocin, give oxygen, and notify the provider.
These are just a few samples. NCA's full platform runs a real Computer Adaptive Testing engine with detailed rationales for every question.
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