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:
A. Document the findingB. Place the client in knee-chest position and lift the presenting part off the cordC. Increase the oxytocin infusionD. Prepare for immediate dischargeCorrect 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.
A. Elevated blood pressureB. ProteinuriaC. Severe headacheD. Low blood glucoseE. Visual disturbancesCorrect 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:
A. Do nothing; this is normalB. Provide stimulation and reassess, continuing supportive careC. Immediately begin chest compressionsD. Delay all interventions until 10 minutesCorrect 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:
A. Keeping the child calmB. Inspecting the throat with a tongue depressorC. Providing humidified oxygenD. Having emergency airway equipment nearbyCorrect 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?
A. Brisk deep tendon reflexesB. Absent deep tendon reflexes and respiratory depressionC. Elevated blood pressureD. Increased urine outputCorrect 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.
A. Acrocyanosis (bluish hands and feet)B. Central cyanosisC. Molding of the headD. Heart rate of 140 beats/minE. Respiratory rate of 8 breaths/minCorrect 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?
A. Increased urine outputB. Weight lossC. Dry mucous membranesD. Sunken fontanelCorrect 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?
A. “I should feed my baby on a strict 4-hour schedule.”B. “I should feed my baby on demand, about every 2 to 3 hours.”C. “I should give water between feedings.”D. “I should stop if my baby wants to nurse often.”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?
A. Kidney failureB. Coronary artery aneurysmC. Liver failureD. Hearing lossCorrect 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:
A. Massaging the fundusB. Administering pain medicationC. Encouraging ambulationD. Restricting fluidsCorrect answer: A A boggy (soft) uterus suggests uterine atony; fundal massage is the first action to promote contraction and control bleeding.
Check My Answers Retry
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.
Keep Practicing Try another topic quiz from the free NCLEX practice question bank.
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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.