NCLEX Maternity & Pediatric Nursing Quiz

10 free NCLEX-style maternal-newborn and pediatric questions with rationales.

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NCLEX maternity questions study help – Dr. Blake NCLEX Review

NCLEX maternity questions: What You Need to Know

Looking for help with NCLEX maternity questions? You are in the right place. This guide gives nursing candidates across the USA and Canada clear, practical steps to prepare for the NCLEX with confidence.

Practice only: These are original practice questions written by Dr. Blake NCLEX Review to build clinical judgment. They are not actual NCLEX exam items and are not affiliated with NCSBN.

NCLEX Maternity & Pediatric Nursing Quiz: 10 Questions with Rationales

Answer every question, then select Check My Answers to see your score and the rationale for each item.

Question 1
Choose one answer

A laboring client’s membranes rupture and the nurse sees the umbilical cord protruding. The first action is to:

Correct answer: B
Cord prolapse is an emergency. Relieving pressure on the cord (knee-chest or Trendelenburg and lifting the presenting part) preserves fetal oxygenation while help is summoned.
Question 2
Select all that apply

Which are signs of pre-eclampsia? Select all that apply.

Correct answer: A, B, C, E
Pre-eclampsia features hypertension, proteinuria, headache and visual changes. Hypoglycemia is not a feature.
Question 3
Choose one answer

A newborn’s 1-minute Apgar is 6. The nurse should:

Correct answer: B
An Apgar of 4–6 indicates moderate distress needing stimulation and support, with reassessment at 5 minutes.
Question 4
Choose one answer

When caring for a child with suspected epiglottitis, the nurse should avoid:

Correct answer: B
Examining the throat can trigger complete airway obstruction in epiglottitis and is contraindicated.
Question 5
Choose one answer

A therapeutic magnesium sulfate level is being maintained for a client with pre-eclampsia. Which finding indicates magnesium toxicity?

Correct answer: B
Magnesium toxicity causes loss of reflexes and respiratory depression; calcium gluconate is the antidote.
Question 6
Select all that apply

Which are expected findings in a normal newborn? Select all that apply.

Correct answer: A, C, D
Acrocyanosis, molding and a heart rate around 120–160 are normal. Central cyanosis and a very low respiratory rate are abnormal.
Question 7
Choose one answer

A 2-year-old is admitted with dehydration. Which finding is the best early indicator of improved hydration?

Correct answer: A
Increasing urine output signals restored perfusion and hydration. The others indicate ongoing dehydration.
Question 8
Choose one answer

The nurse teaches a breastfeeding mother. Which statement indicates correct understanding?

Correct answer: B
Newborns feed on demand roughly every 2–3 hours. Water is unnecessary and can be harmful in the newborn period.
Question 9
Choose one answer

A child with Kawasaki disease is at risk for which serious complication?

Correct answer: B
Kawasaki disease can cause coronary artery aneurysms, so cardiac monitoring and treatment (IVIG, aspirin) are essential.
Question 10
Choose one answer

During the postpartum period, the nurse assesses for hemorrhage. A boggy uterus is best managed first by:

Correct answer: A
A boggy (soft) uterus suggests uterine atony; fundal massage is the first action to promote contraction and control bleeding.

Need Help With These Questions?

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Study Tips for This Topic

  • Know obstetric emergencies: cord prolapse, hemorrhage, pre-eclampsia.
  • Memorize normal newborn vital signs and Apgar scoring.
  • Learn pediatric red flags like epiglottitis and Kawasaki disease.
  • Apply safety and ABCs to maternal-child scenarios.

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FAQ

Is maternity nursing on the NCLEX?

Yes. Maternal-newborn content appears under Health Promotion and Maintenance and Physiological Integrity.

Are these actual NCLEX questions?

No, they are original practice items with rationales.