ATI RN
Maternal Newborn Nclex Practice Questions Questions
Question 1 of 9
The nurse is preparing a client for induction of labor. What is the primary purpose of administering oxytocin?
Correct Answer: C
Rationale: Oxytocin is used to stimulate uterine contractions to induce or augment labor.
Question 2 of 9
A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?
Correct Answer: D
Rationale: The most appropriate response for the nurse to offer in this situation is to inform the client that there is a neonatal unit equipped to handle emergencies. This response provides the client with reassurance that if there are any complications with the baby being born prematurely, there is a specialized unit available to provide the necessary care. It addresses the client's concern about the well-being of her baby while also offering a practical solution in case of any emergencies.
Question 3 of 9
A client at 28 weeks' gestation reports uterine contractions every 10 minutes. What is the priority nursing action?
Correct Answer: B
Rationale: Assessing for preterm labor signs, including cervical changes, is critical to determine the appropriate intervention.
Question 4 of 9
A client at 12 weeks' gestation asks why folic acid is important during pregnancy. What is the nurse's best response?
Correct Answer: C
Rationale: Folic acid is essential during early pregnancy to reduce the risk of neural tube defects like spina bifida.
Question 5 of 9
The nurse is caring for a client who just had a cesarean delivery. What is the priority nursing action?
Correct Answer: C
Rationale: Assessing fundal firmness helps detect uterine atony and prevent postpartum hemorrhage after delivery.
Question 6 of 9
A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Neonatal opioid withdrawal syndrome, also known as neonatal abstinence syndrome (NAS), can occur in newborns who were exposed to opioids in utero. Symptoms of NAS can include tremors, irritability, high-pitched crying, poor feeding, vomiting, diarrhea, sweating, and sneezing. The severity of symptoms can vary depending on the type of opioid exposure, dosage, and duration of exposure. In this case, the nurse should expect to see moderate tremors of the extremities in the newborn experiencing opioid withdrawals at 48 hours old. It is important for the nurse to monitor and manage the newborn's withdrawal symptoms closely to ensure their safety and well-being.
Question 7 of 9
The nurse provides counseling on coitus interruptus. What important counseling should be included?
Correct Answer: A
Rationale: The important counseling that should be included when discussing coitus interruptus (withdrawal method) is that the partners must communicate well to use this method effectively. Coitus interruptus involves the male partner withdrawing his penis from the vagina before ejaculation to prevent sperm from entering the woman's reproductive tract. Effective communication between partners is crucial to ensure that the method is used correctly and consistently. This method does not protect against sexually transmitted infections (STIs), so it's also important to discuss alternative methods of contraception for STI prevention. The statement that this method is 100 percent effective is incorrect, as pre-ejaculate can contain sperm and there is a risk of pregnancy if withdrawal is not done correctly.
Question 8 of 9
How can a nurse support a mother planning to formula-feed her newborn?
Correct Answer: C
Rationale: Providing accurate information about formula preparation ensures safe and adequate feeding.
Question 9 of 9
What is a common risk factor for breast cancer? Select all that apply.
Correct Answer: A,B,C
Rationale: