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Maternity NCLEX RN Questions Questions

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Question 1 of 5

A 19-year-old primigravid client at 38 weeks' gestation is admitted to the hospital in active labor that began 8 hours ago. When the client's cervix is 7 cm dilated and the presenting part is at +1 station, the client tells the nurse, 'I need to push!' Which of the following would the nurse do next?

Correct Answer: C

Rationale: At 7 cm dilation, the client is not fully dilated, and pushing can cause cervical trauma. A pant-blow breathing pattern helps manage the urge to push until full dilation. The McDonald procedure is for cervical cerclage, and increasing oxygen/fluids or encouraging pushing is inappropriate.

Question 2 of 5

A nurse is discussing the contraceptive injection with a client. Which of the following side effects should the nurse mention?

Correct Answer: B

Rationale: The contraceptive injection may cause irregular bleeding and potential weight gain. It does not guarantee regular periods, cause permanent infertility, or significantly increase breast cancer risk.

Question 3 of 5

A nurse is discussing sterilization with a female client. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Tubal ligation does not cause early menopause, as it only blocks the fallopian tubes and does not affect ovarian hormone production. The other statements are correct, indicating a need for further teaching.

Question 4 of 5

A multigravid client in active labor at term suddenly sits up and says, 'I can't breathe! My chest hurts really bad!' The client's skin begins to turn a dusky gray color. After calling for assistance, which of the following should the nurse do next?

Correct Answer: A

Rationale: Sudden dyspnea, chest pain, and dusky skin suggest a possible pulmonary embolism or amniotic fluid embolism. Administering oxygen improves oxygenation while awaiting further intervention. CPR is premature, oxytocin is irrelevant, and fibrinogen is for coagulopathy.

Question 5 of 5

Which of the following observations is expected when the nurse is assessing the gestational age of a neonate delivered at term?

Correct Answer: C

Rationale: Sole creases covering the entire foot are characteristic of a term neonate, indicating full gestational maturity.

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