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NCLEX quiz: labor and delivery

Marijke DurningBy
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Labor and delivery—the place in the hospital that can be full of joy, but where nurses have to think on their feet because things can change in the blink of an eye.

Despite its stresses, L&D is a popular place to work.

Let’s see how you do with these 10 L&D questions.


The laboring client is experiencing contractions every 2–3 minutes lasting 90 seconds. The client’s fetal heart rate is ranging from 130–140 beats per minute (BPM) with variability of 6p–10 beats per minute. Which action by the nurse is most appropriate?





The client is scheduled for an oxytocin challenge exam using 10 units of oxytocin (Pitocin) in 1,000 mL of intravenous fluid. Which action by the nurse would ensure safe administration of oxytocin (Pitocin)?





The pregnant client is admitted to the emergency room with the umbilical cord protruding from the vagina. Which action should be taken first?





The client is found to be at +4 station. Which action is most appropriate for the nurse to take?





The client is admitted to the labor unit following spontaneous rupture of membranes. Upon assessment of the client’s condition, the nurse notes the fetal heart tones are 160–170 beats per minute. There is a dark green vaginal discharge, and the client’s cervix is 50% effaced. The nurse’s initial action should be to do which of the following?





The nurse has just received the shift report. Which client should the nurse see first?





Which action is contraindicated in the client with placenta previa?





Which nurse would be best to care for the client with cesarean section delivery of a large-for-gestational baby?





The client is experiencing a decrease in the fetal heart tones beginning at the increment of the contraction and returning to baseline by the acme or end of each contraction. Between contractions the fetal heart tones are 130–140 beats per minute with good variability. Which action should be taken first?





The nurse is assessing the client two hours after delivery of a 9-pound infant. Which problem should receive priority?







Study material provided by NCLEX-RN Exam Prep:

Pearson IT Certification is a publishing imprint born of a tradition of proven learning tools and educational training materials such as NCLEX-RN Exam Prep (now in its second edition) that have helped generations of certification exam candidates succeed. Tapping into the exciting new opportunities provided by the technology advances of online learning and web-based services, Pearson has created a suite of products and solutions that address the learning, preparation and practice needs of a new generation of certification candidates. Pearson IT Certification delivers learning formats ranging from books to online learning and practice services, network simulators and video training.

Marijke Durning
Marijke is a professional writer who began her working career as a registered nurse over 25 years ago. After working in clinical areas ranging from rehab to intensive care, as a floor nurse to a supervisor, she found she could combine her extensive health knowledge with her love of writing. Although she has been published in a wide variety of publications for professionals and the general public, her passion is writing for the every day person to promote health literacy.

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