NCLEX-RN
Maternity NCLEX RN Questions Questions
Extract:
Question 1 of 5
A 29-year-old multigravida at 37 weeks' gestation is being treated for severe preeclampsia and has magnesium sulfate infusing at 3 g/hour. The nurse has determined the priority nursing diagnosis to be: risk for central nervous system injury related to hypertension, edema of cerebrum. To maintain safety for this client, the nurse should:
Correct Answer: C
Rationale: Monitoring signs of CNS irritability such as reflexes, clonus, visual disturbances, and headache helps detect worsening preeclampsia.
Question 2 of 5
When developing the plan of care for a multigravid client with class III heart disease, which of the following areas should the nurse expect to assess frequently?
Correct Answer: D
Rationale: Class III heart disease indicates significant cardiac limitation, making tachycardia a critical sign of cardiac stress during labor. Frequent assessment ensures early detection of decompensation. Dehydration, nausea, or anemia are less immediate concerns.
Question 3 of 5
While the nurse is assessing the fundus of a multiparous client who delivered 24 hours ago, the client asks, "What can I do to get rid of these stretch marks?" Which of the following responses would be most appropriate?
Correct Answer: B
Rationale: Stretch marks typically fade to a silvery-white color over time without specific intervention.
Question 4 of 5
A client asks about the effectiveness of the vaginal contraceptive ring. Which of the following responses by the nurse is accurate?
Correct Answer: B
Rationale: The vaginal contraceptive ring is highly effective when used correctly, with a low failure rate. It is not 100% effective, requires a prescription, and is generally more effective than condoms.
Question 5 of 5
Which of the following indicates successful latch-on during a breast-feeding session?
Correct Answer: A
Rationale: Flanged lips indicate a proper latch, ensuring effective milk transfer and preventing nipple trauma.