NCLEX-RN
Maternity NCLEX RN Questions Questions
Extract:
Question 1 of 5
A 24-year-old primigravid client in active labor requests use of the jet hydrotherapy tub to aid in pain relief. The nurse bases the response on the understanding that this therapy is commonly contraindicated for clients with which of the following?
Correct Answer: A
Rationale: Jet hydrotherapy (e.g., whirlpool tubs) is contraindicated with ruptured membranes due to the risk of infection from water entering the vaginal canal. Multifetal gestation, diabetes, and hypotonic labor are not absolute contraindications unless other complications are present.
Question 2 of 5
When assessing the frequency of contractions of a multiparous client in active labor admitted to the birthing area, the nurse should assess the interval between which of the following?
Correct Answer: D
Rationale: Contraction frequency is measured from the beginning of one contraction to the beginning of the next, capturing the full cycle and rest period, which is critical for assessing labor progress.
Question 3 of 5
A nurse is discussing the contraceptive patch with a client. Which of the following side effects should the nurse mention?
Correct Answer: A
Rationale: The contraceptive patch may cause nausea and skin irritation at the application site, especially initially. It does not cause permanent hair loss, guarantee weight loss, or significantly increase ovarian cyst risk.
Question 4 of 5
The nurse is caring for a 22-year-old G 2, P 2 client who has disseminated intravascular coagulation after delivering a dead fetus. Which findings are the highest priority to report to the health care provider?
Correct Answer: C
Rationale: Decreased urinary output indicates potential renal failure.
Question 5 of 5
After teaching the multiparous mother about hemolytic disease of the newborn and Rh sensitization, the nurse determines that the client understands why she was not sensitized during her other pregnancy when she says which of the following?
Correct Answer: C
Rationale: Antibodies form after exposure to an Rh-positive fetus, typically not during the first pregnancy, explaining why sensitization did not occur previously.