MCN

Question 1

A patient is in labor and has been pushing for 2 hours without progress. The fetal heart rate shows early decelerations. What cause should the nurse anticipate?

A. Cord compression
B. Head compression
C. Acceleration
D. Placental insufficiency

Answer 1

B. Head compression

Question 2

A client with an unruptured ectopic pregnancy is receiving Methotrexate therapy. Which statement by the client indicates a need for further teaching?

A. “ I will need to avoid alcohol while taking this medication.”
B. “ I should avoid taking folic acid supplements.”
C. “ I will need to visit the clinic for follow-up blood tests.”
D. “ I can resume sexual activity as soon as my symptoms improve.”

Answer 2

D. “ I can resume sexual activity as soon as my symptoms improve.”

Question 3

A pregnant client with Rh-negative blood type experienced a trauma at 20 weeks. What should the nurse expect?

A. Immediate RhoGAM administration
B. Observation only, with no intervention
C. RhoGAM administration at 28 weeks as usual
D. Blood transfusion

Answer 3

A. Immediate RhoGAM administration

Question 4

A nurse is preparing to administer Magnesium Sulfate to a client with severe Preeclampsia. Which assessment finding would indicate a potential complication of Magnesium Sulfate therapy?

A. Respiratory rate of 10 breaths per minute
B. Urine output of 30 ml./hour
C. Deep tendon reflexes are 2+
D. Blood pressure of 110/70 mmHg

Answer 4

A. Respiratory rate of 10 breaths per minute

Question 5

In a sensitized Rh-negative mother, what is the primary risk to an Rh-positive fetus?

A. Fetal anemia and hemolytic disease
B. Low birth weight
C. Neonatal hypertension
D. Delayed fetal growth only in the first trimester

Answer 5

A. Fetal anemia and hemolytic disease

Question 6

A pregnant client with a history of heart failure is in her third trimester and reports shortness of breath and fatigue with mild activity. Which symptom, if reported , should be of highest concern?

A. Occasional ankle swelling
B. Difficulty breathing while lying flat
C. Mild dizziness when standing up
D. Mild heart palpitations in the evening

Answer 6

B. Difficulty breathing while lying flat

Question 7

A nurse is assessing a pregnant client with suspected HELLP syndrome. Which symptom is most characteristic of this condition?

A. Severe headache and blurred vision
B. Elevated liver enzymes and low platelet count
C. Severe abdominal cramping
D. Decreased fetal movement

Answer 7

B. Elevated liver enzymes and low platelet count

Question 8

A pregnant client diagnosed with GDM is concerned about the impact on her baby. Which of the following should the nurse include in her teaching?

A. “ There is no risk of complications for the baby.’
B.”Your baby may be at risk for hypoglycemia after birth.”
C. “Gestational diabetes does not require any dietary changes.”
D. “ Your baby will have a low birth weight.”

Answer 8

B.”Your baby may be at risk for hypoglycemia after birth.”

Question 9

An HIV- positive mother on anti retroviral therapy (ART) wants to breastfeed because of cultural beliefs.What is the most appropriate action by the nurse?

A. Insist that breastfeeding is unsafe and discourage it.
B. Encourage breastfeeding only if her viral load is undetectable
C. Provide information on the risk of breastfeeding with HIV and discuss formula feeding
D. Instruct her to supplement breastfeeding with formula for safety.

Answer 9

C. Provide information on the risk of breastfeeding with HIV and discuss formula feeding

Question 10

Which nursing intervention is most appropriate for a pregnant client with heart failure?

A. Encourage bed rest to reduce cardiac workload.
B. Instruct the client to increase daily fluid intake.
C.Advise the client to lie flat on her back for optimal rest.
D. Recommend a high-sodium diet to maintain blood pressure.

Answer 10

A. Encourage bed rest to reduce cardiac workload.

Question 11

A nurse is caring for a laboring woman with a fetus in the occipitoanterior position.What is the expected outcome of this fetal position during labor?

A. Shorter duration of labor
B.Increased risk of shoulder dystocia
C. Higher likelihood of Cesarean delivery
D. Greater potential for fetal distress

Answer 11

A. Shorter duration of labor

Question 12

A client asks why she developed GDM during pregnancy but did not have diabetes before. What is the nurse’s best response?

A. “Pregnancy increase your metal, which can lead to diabetes “
B. “Your body produces less insulin during pregnancy, causing high blood sugar.”
C. ‘Hormones from the placenta create insulin resistance, which can lead to high blood sugar.”
D. “Your pancreas stops functioning normally during pregnancy, leafing to diabetes.”

Answer 12

C. ‘Hormones from the placenta create insulin resistance, which can lead to high blood sugar.”

Question 13

Postpartum hemorrhage may occur within the first 24 hours post delivery when the uterus fails to contract. There are also instances where postpartum women may experience bleeding after 24 hours of delivery. Which of the following findings would indicate late postpartum hemorrhage?

A. Bright red bleeding immediately after delivery.
B. A sudden increase in bleeding 6 weeks postpartum
C. Moderate lochia rubra at 2 days postpartum
D. Continuous dark red bleeding in the first hour after delivery

Answer 13

B. A sudden increase in bleeding 6 weeks postpartum

Question 14

A nurse is assessing a client with suspected DIC. Which assessment finding would be most indicative of this condition?

A. Elevated blood pressure
B. Prolonged bleeding from venipuncture sites
C. Decreased heart rate
D. Increased urine output

Answer 14

B. Prolonged bleeding from venipuncture sites

Question 15

What is the Hallmark sign of placenta accreta, increta, or percreta during delivery?

A. Rapid fetal heart rate
B. Severe abdominal pain
C. Placenta not delivering after 30 minutes
D. Excessive vaginal bleeding during labor

Answer 15

C. Placenta not delivering after 30 minutes

Question 16

A nurse receives 4 postpartum patients during her shift. She knows that which of the following patients is at the highest risk for developing postpartum hemorrhage?

A. A 32-year-old woman who had a normal vaginal delivery
B. A 28-year-old woman with a history of fibroids
C. A 24-year-old woman who had a Cesarean delivery
D. A 35-year-old woman with a history of previous PPH

Answer 16

D. A 35-year-old woman with a history of previous PPH

Question 17

A client with a history of multiple pregnancies is in labor with a fetus in the posterior position.What is the most appropriate nursing intervention to assist with labor?

A. Encourage the mother to lie flat on her back.
B. Use counter pressure on the sacrum.
C. Apply a warm compress to the perineum.
D. Promote deep breathing techniques.

Answer 17

B. Use counter pressure on the sacrum.

Question 18

Nurse Jade is taking care of a pregnant patient with right-sided heart failure presenting with jugular vein distention (JVD). Nurse Jade knows that this indicates?

A. Increased pulmonary pressure
B. Right ventricular hypertrophy
C. Pulmonary congestion
D. Systemic venous congestion

Answer 18

D. Systemic venous congestion

Question 19

Which of the following interventions is most appropriate for a postpartum patient with a known thrombin deficiency who is experiencing PPH?

A. Administering vitamin K
B. Initiating fluid resuscitation with crystalloids
C. Preparing for the administration of fresh frozen plasma (FFP)
and platelets
D. Encouraging ambulation

Answer 19

C. Preparing for the administration of fresh frozen plasma (FFP)

Question 20

A patient with a molar pregnancy is scheduled for follow -up hCG level testing. What is the significance of monitoring hCG levels after treatment?

A. To assess liver function
B. To evaluate renal function
C. To detect any residual trophoblastic disease
D. To determine the need for contraception

Answer 20

C. To detect any residual trophoblastic disease

Question 21

A client at 37 weeks of gestation is diagnosed with placenta previa. Which intervention should the nurse prioritize?

A. Encourage ambulation and activity as tolerated.
B. Administer corticosteroids to accelerate fetal lung maturity.
C. Prepare for a Cesarean delivery.
D. Monitor fetal heart tones continuously.

Answer 21

C. Prepare for a Cesarean delivery.

Question 22

A nurse is educating a pregnant woman about factors that can affect the passageway during labor. Which statement by the woman indicates a need for further teaching?

A. “ A wider pelvis will make labor easier.”
B. “Pelvic floor muscles can help during delivery.”
C. “A small pelvic outlet is beneficial for labor.”
D. “My past pregnancies can influence my current labor experience.”

Answer 22

C. “A small pelvic outlet is beneficial for labor.”

Question 23

Which of the following patients is at the highest risk for developing a postpartum infection?

A. A patient who had a vaginal delivery without complications.
B. A patient with a history of gestational diabetes who had a Cesarean section.
C. A patient who is breastfeeding exclusively.
D. A patient who had a normal birth experience and was discharged early.

Answer 23

B. A patient with a history of gestational diabetes who had a Cesarean section.

Question 24

A patient presents with signs of early pregnancy and abnormal vaginal bleeding.
An ultrasound shows a molar pregnancy.Which of the following is a classic finding on ultrasound for a complete mole?

A. Fetal heartbeat
B. Snowstorm appearance
C. Single gestational sac
D. Oligohydramnios

Answer 24

B. Snowstorm appearance

Question 25

A pregnant client with sickle cell anemia reports severe pain in her back and joints.What intervention should the nurse prioritize?

A. Apply cold compress to affected areas.
B. Increase IV fluid administration to reduce blood viscosity.
C. Administer oral iron supplements.
D. Encourage the client to ambulate frequently.

Answer 25

B. Increase IV fluid administration to reduce blood viscosity.

Question 26

A nurse is caring for a patient in labor who is experiencing ineffective uterine contractions. What should the nurse assess first?

A. Maternal vital signs
B. Fetal heart rate
C.Contractions, frequency and duration
D. Maternal.pain level

Answer 26

C.Contractions, frequency and duration

Question 27

Lady, a NICU nurse is caring for a newborn with NAS who is experiencing tremors, irritability, and high-pitched crying.Which Nursing intervention is most appropriate for nurse Lady to perform?

A. Swaddle the newborn tightly.
B. Stimulate the newborn with bright lights and noise.
C. Place the newborn in a prone position.
D. Delay feeding until symptoms subside.

Answer 27

A. Swaddle the newborn tightly.

Question 28

A postpartum patient with a history of von Willebrand’s disease is experiencing excessive bleeding. Which assessment finding would most likely indicate a complication related to her condition?

A. Firm and midline uterine fundus
B. Petechiae and easy bruising
C. Moderate lochia rubra
D. Elevated blood pressure

Answer 28

B. Petechiae and easy bruising

Question 29

A postpartum nurse is teaching a new mother about self-assessment of the fundus at home. Which statement by the mother indicates a correct understanding of the instructions?

A. “ I should feel my fundus just above my pubic bone.”

B. “ I need to check my fundus every hour for the first 24 hours.”

C. “The fundus should be firm and below the level of my belly button after a few days.

D. “ If my fundus is hard. I should be concerned about bleeding.”

Answer 29

C. “The fundus should be firm and below the level of my belly button after a few days.

Question 30

A nurse is providing education to a Rh-negative pregnant woman. Which of the following is an accurate statement about Rh incompatibility?

A. “Rh incompatibility usually affects the first pregnancy.”

B. “Rh incompatibility occurs when a Rh-negative mother has antibodies against Rh-positive blood.”

C. “Rh incompatibility occurs when Rh-negative mother has antibodies against Rh-positive blood.”

D. “If you are Rh-negative, your baby will always be Rh-negative.”

Answer 30

B. “Rh incompatibility occurs when a Rh-negative mother has antibodies against Rh-positive blood.”

Question 31

A nurse is educating a client with Preeclampsia about dietary modifications. Which statement by the client indicates a need for further teaching?

A. “I should limit my salt intake to help manage my blood pressure.”

B. “I need to focus on eating a high protein diet with plenty of fruits and vegetables.”

C. “I should eat low protein diet since it will make my condition better.”

D. “Staying hydrated is important.ao I will drink plenty of water.”

Answer 31

C. “I should eat low protein diet since it will make my condition better.”

Question 32

You are teaching a mother of a newborn with NAS. She asks why her newborn is more irritable than her other children were. Your best response would be:

A. “All newborns are different, so irritability can vary.”

B. “Your baby is withdrawing from the substances that passed through the placenta.”

C. “It’s a temporary phase due to birth trauma.”

D. “Your baby likely has colic.”

Answer 32

B. “Your baby is withdrawing from the substances that passed through the placenta.”

Question 33

A laboring patient presents with the diagnosis of cephalopelvic disproportion (CPD). Which of the following would the nurse expect to observe?

A. Rapid cervical dilation.
B. Fetal heart rate decelerations.
C. Prolonged labor despite strong contractions.
D. Increased maternal fatigue.

Answer 33

C. Prolonged labor despite strong contractions.

Question 34

A client with hyperemesis gravidarum is being discharged. Which statement by the client indicates a need for further teaching?

A. “I should eat small, frequent meals throughout the day.”
B. “I will lie down right after eating to prevent nausea.”
C. “I will avoid spicy or greasy foods.”
D. “I should try dry, bland foods like crackers when I wake up.”

Answer 34

B. “I will lie down right after eating to prevent nausea.”

Question 35

Student nurses are conducting health teaching for pregnant patients with Preeclampsia. They are correct if they state that the main goal of nursing care for a client with Preeclampsia is:

A. To promote a low-salt diet.
B. To prevent progression to eclampsia.
C. To ensure a natural delivery.
D. To monitor fetal development closely

Answer 35

B. To prevent progression to eclampsia

Question 36

A nurse is reviewing the discharge instructions for a postpartum patient at risk for infection. Which statement by the patient indicates a need for further teaching?

A. “I will monitor my temperature regularly.”
B. “I can resume sexual intercourse as soon as I feel ready.”
C. “I should call my doctor if I notice any foul-smelling discharge.”
D. “I will use tampons for the first few weeks after delivery.”

Answer 36

D. “I will use tampons for the first few weeks after delivery.”

Question 37

A nurse is preparing a client for a 3-hour OGTT to test for Gestational diabetes. Which instruction should the nurse provide?

A. “Eat a high-carbohydrate meal the night before the test.”
B. “Fast for at least 8 hours before the test.”
C. “Drink only water mixed with glucose before the test.”
D. “Take your regular morning insulin before the test.”

Answer 37

B. “Fast for at least 8 hours before the test.”

Question 38

A nurse is assessing a new mother two weeks postpartum. The mother expresses feelings of sadness, irritability,and difficulty sleeping. Which condition is the mother most likely experiencing?

A. Postpartum psychosis
B. Postpartum depression
C. Postpartum blues
D. Adjustment disorder

Answer 38

C. Postpartum blues

Question 39

A patient is in labor and has been pushing for 2 hours without progress. The fetal heart rate shows early decelerations. What management should the nurse perform?

A. No interventions needed
B. Maternal repositioning
C. Identifying labor progress
D. Immediate delivery of the baby

Answer 39

C. Identifying labor progress

Question 40

A client in labor has a history of severe Preeclampsia and is at risk for Eclampsia. Which of the following should the nurse prepare for during delivery?

A. Immediate delivery via Cesarean section
B. Administration of a loading dose of Magnesium Sulfate
C. Continuous fetal heart rate monitoring
D. Administration of IV Hydralazine

Answer 40

B. Administration of a loading dose of Magnesium Sulfate

Question 41

Clint is caring for an Rh-mother who delivered an Rh+ baby. The patient asks why is RhoGAM administered to her after delivery if her newborn is Rh-positive; Clint’s best response would be:

A. To promote maternal immune response to the Rh-positive cells
B. To prevent hemolytic disease in the mother
C. To prevent the mother from developing antibodies against Rh-positive blood
D. To protect the newborn from future infections

Answer 41

C. To prevent the mother from developing antibodies against Rh-positive blood

Question 42

During a follow -up visit, an HIV- positive mother who had been formula feeding her baby asks why breastfeeding is still unsafe even with an undetectable viral load. What is the nurse’s best response?

A. “HIV can still be present in breast milk despite an undetectable viral load.”

B. “Once you are undetectable, breastfeeding is generally safe.”

C. “Breastfeeding is only unsafe if you have other infections.”

D. “Breastfeeding safety depends on your CD4 cell count, not just viral load.”

Answer 42

A. “HIV can still be present in breast milk despite an undetectable viral load.”

Question 43

In counseling a client diagnosed with an ectopic pregnancy, the nurse should emphasize the importance of:

A. Immediate removal of the affected fallopian tube.
B. Avoiding future pregnancies.
C. Early prenatal care in future pregnancies.
D. Taking iron supplements to prevent anemia.

Answer 43

C. Early prenatal care in future pregnancies.

Question 44

A nurse is caring for a client in labor with a history of obesity. What complication should the nurse be most alert for?

A. Increased likelihood of fetal macrosomia
B. Increased risk of labor induction failure
C. Increased risk of uterine rupture
D. Decreased likelihood of postpartum hemorrhage

Answer 44

A. Increased likelihood of fetal macrosomia

Question 45

Which statement by a client with placenta increta indicates an understanding of the nurse’s teaching?

A. “I understand that the placenta is invading the uterine muscle.”

B. “I do not require a hysterectomy after delivery.”

C. “This condition is when my placenta attached deep into the endometrium.”

D. “This condition is when my placenta perforates my uterus that might cause uterine rupture.”

Answer 45

A. “I understand that the placenta is invading the uterine muscle.”

Question 46

Knowing the possible complications of different maternal conditions would let the nurse anticipate their care for their patient. A patient diagnosed with Abruptio placenta is at risk for which of the following complications?

A. Placenta accreta
B. Preterm labor
C. Fetal growth restriction
D. Disseminated intravascular coagulation (DIC)

Answer 46

D. Disseminated intravascular coagulation (DIC)

Question 47

During a vaginal examination, the nurse finds that the laboring woman is 4 cm dilated and experiencing contractions every 2-3 minutes. However, the contractions are weak. What nursing intervention is most appropriate?

A. Encourage the mother to push.
B. Offer intravenous fluids.
C. Prepare for a Cesarean section.
D. Advise the mother to change positions frequently.

Answer 47

C. Prepare for a Cesarean section.

Question 48

A nurse is educating a postpartum patient about the difference between postpartum blues and postpartum depression.Which statement by the patient indicates a correct understanding?

A. “Postpartum blues last for more than two weeks.”

B. “I should expect to feel sad every day for the next few months.”

C. Postpartum depression can affect my ability to care for my baby.”

D. “Postpartum blues require medication treatment.”

Answer 48

C. Postpartum depression can affect my ability to care for my baby.”

Question 49

A postpartum patient is being discharged after treatment for Endometritis. What is an important teaching point the nurse should include?
A. “You can resume your normal activities as soon as you leave the hospital.”

B. “ It’s normal to have a persistent fever for several days.”

C. “Be sure to report any return of fever or unusual discharge.”

D. “You should avoid all physical activity for six weeks.”

Answer 49

C. “Be sure to report any return of fever or unusual discharge.”

Question 50

A nurse is assisting a woman in labor who is exhibiting signs of fetal distress.
Which of the following interventions should the nurse perform first?

A. Administer oxygen to the.mother.
B. Increase IV fluids
C. Prepare for immediately delivery.
D. Change the maternal position.

Answer 50

C. Prepare for immediately delivery.