NCLEX-RN
Maternity Questions NCLEX RN Quizlet Questions
Extract:
Question 1 of 5
A 17-year-old client at 33 weeks' gestation diagnosed with mild preeclampsia is prescribed bed rest at home. The nurse instructs the client to contact the health care provider immediately if she experiences which of the following?
Correct Answer: A
Rationale: Blurred vision can indicate worsening preeclampsia and requires immediate medical attention.
Question 2 of 5
When reviewing the prenatal history for a newly delivered neonate, the nurse notes that the mother has neurofibromatosis. The nurse should further assess the neonate for:
Correct Answer: A
Rationale: Neurofibromatosis is associated with café au lait spots, which are a hallmark sign to assess in the neonate.
Question 3 of 5
A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active labor is receiving intravenous lactated Ringer's solution and a continuous epidural anesthetic. During the first hour after administration of the anesthetic, the nurse should monitor the client for:
Correct Answer: A
Rationale: Epidural anesthesia can cause sympathetic blockade, leading to hypotension, especially within the first hour. Monitoring blood pressure is critical. Diaphoresis, headache, or tremors are less common or less urgent.
Question 4 of 5
Two hours ago, a neonate at 38 weeks' gestation and weighing 3,175 g (7 lb) was born to a primiparous client who tested positive for beta-hemolytic Streptococcus. Which of the following would alert the nurse to notify the pediatrician?
Correct Answer: C
Rationale: Temperature instability can indicate early sepsis, especially in a neonate at risk due to maternal beta-hemolytic Streptococcus.
Question 5 of 5
A client who is considering a contraceptive implant asks the nurse about its advantages. Which of the following would the nurse include in the response?
Correct Answer: B
Rationale: The contraceptive implant is effective for up to 3 years and is reversible, making it a long-acting, convenient option. It does not protect against STIs, is not taken daily, and is generally safe for women with clotting risks as it is progestin-only.