NCLEX-RN
Maternity RN NCLEX Questions Questions
Question 1 of 5
The nurse observes a bottle-feeding multiparous client tilting the bottle so the nipple is partially filled with air. The nurse should:
Correct Answer: A
Rationale: Tilting the bottle to fill the nipple prevents air swallowing, reducing the risk of gas and regurgitation.
Question 2 of 5
After delivery of a viable neonate, a 20-year-old primiparous client comments to her mother and the nurse about the baby. Which of the following comments would the nurse interpret as a possible sign of potential maternal-infant bonding problems?
Correct Answer: B
Rationale: Delegating the first feeding to the grandmother suggests reluctance to engage in early bonding activities, which could indicate bonding issues. Other comments reflect normal observations or positive engagement with the neonate.
Question 3 of 5
The physician orders an amnioinfusion for a primigravid client at term who is diagnosed with oligohydramnios. Which of the following should the nurse include in the client's teaching plan about the purpose of this procedure?
Correct Answer: A
Rationale: Amnioinfusion replaces amniotic fluid in oligohydramnios, reducing cord compression and the frequency/severity of variable decelerations. It does not affect metabolic alkalosis, heart rate accelerations, or guarantee a specific fluid index.
Question 4 of 5
During an assessment of a neonate born at 33 weeks' gestation, a nurse finds and reports a heart murmur. The neonate is diagnosed with patent ductus arteriosus, for which the neonate received indomethacin. An expected outcome after the administration of indomethacin to a neonate with patent ductus arteriosus is:
Correct Answer: A
Rationale: Indomethacin promotes closure of the patent ductus arteriosus by inhibiting prostaglandin synthesis.
Question 5 of 5
A primigravid client in active labor with a fetus in LOP position complains of severe back pressure. Which of the following would be the priority nursing diagnosis for this client?
Correct Answer: D
Rationale: Severe back pain due to the LOP position is a priority, as it impacts the client's comfort and labor experience. Pain management (e.g., counterpressure) is critical. Anxiety, coping, and urinary retention are secondary concerns.