NCLEX-RN
NCLEX RN Questions on Reproductive Health Questions
Question 1 of 5
The nurse is caring for assigned clients and is reviewing laboratory data. Which laboratory data requires follow-up? A client with a
Correct Answer: B
Rationale: An A1C of 7.5% is elevated for a client with diabetes mellitus (DM), as the target is typically ≤7%. This requires follow-up to assess glycemic control.
Extract:
The following scenario applies to the next 1 items
The nurse in the emergency department (ED) is caring for a pregnant client.
Item 1 of 1
Nurses' Notes
Emergency Department
0735: Client reports sudden onset of nausea and vomiting, heavy vaginal bleeding with dark red blood, frequent low-intensity contractions, lower abdominal pain rated 9/10 on the Numerical Rating Scale for past two hours, and dull lower back pain rated 2/10 on the Numerical Rating Scale for the past 24 hours. Client is 30 weeks gestation (G=4 T=3 P=0 A=0 L=3) and is Rh-positive. Vital signs: T 99.8 ⁰ F (37.7 ⁰ C), P 99, RR 16, BP 112/76, pulse oximetry reading 94% on room air. Uterine tenderness present with gentle palpation. Client states they are a one-pack per day cigarette smoker and denies any alcohol or illicit drug use.
Question 2 of 5
The nurse reviews the client's admission data to begin the plan of care. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two (2) actions the nurse should take to address that condition, and two (2) parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: B (placental abruption), A (initiate EFM, start peripheral access device), C (fetal heart rate pattern, vital signs)
Rationale: The client's heavy vaginal bleeding, severe abdominal pain, and frequent contractions at 30 weeks suggest placental abruption. EFM and peripheral access are critical interventions, and monitoring fetal heart rate and vital signs assesses progress.
Extract:
Question 3 of 5
The nurse is admitting a new client and begins to review information regarding advanced directives. The client becomes agitated and refuses to discuss the issue or accept a handout about the topic. Which is the appropriate nursing action?
Correct Answer: B
Rationale: Respecting the client's autonomy, the nurse should document the refusal accurately, using the client's words, without forcing the issue.
Question 4 of 5
The nurse is caring for a client who has been prescribed prednisone. Which of the following statements, if made by the nurse, would be correct?
Correct Answer: A, B, E
Rationale: Prednisone can cause weight gain, should be taken in the morning with food to reduce GI upset, and may cause mood changes. Ibuprofen should be avoided due to increased GI risk, and prednisone may increase, not decrease, blood pressure.
Question 5 of 5
When assessing a postpartum client, a nurse notes that the client has soaked three perineal pads in the three hours since delivery. The nurse also notes a soft fundus. The initial action for the nurse would be which of the following?
Correct Answer: B
Rationale: A soft fundus and heavy bleeding suggest uterine atony, a common cause of postpartum hemorrhage. Fundal massage is the initial action to stimulate uterine contraction.