NCLEX-RN
NCLEX RN Practice Questions Maternity Questions
Extract:
Question 1 of 5
A 30-year-old multigravid client at 8 weeks' gestation has a history of insulin-dependent diabetes since age 20. When explaining about the importance of blood glucose control during pregnancy, the nurse should tell the client that which of the following will occur regarding the client's insulin needs during the first trimester?
Correct Answer: B
Rationale: Insulin needs typically decrease in the first trimester due to increased insulin sensitivity.
Question 2 of 5
The nurse is making clinical rounds on a group of clients in a newborn nursery. Which infant is at greatest risk of developing respiratory distress syndrome (RDS)?
Correct Answer: C
Rationale: A neonate experiencing apneic episodes is at greatest risk for RDS due to compromised respiratory function.
Question 3 of 5
A client is considering the fertility awareness method. Which of the following factors should the nurse discuss as affecting its reliability?
Correct Answer: B
Rationale: The consistency of the client's menstrual cycle significantly affects the reliability of the fertility awareness method, as irregular cycles make ovulation prediction difficult. Age, parity, STIs, and hormonal contraceptives are less directly relevant.
Question 4 of 5
Which of the following should the nurse include in the teaching plan for a primiparous client who asks about weaning her neonate?
Correct Answer: D
Rationale: Gradual weaning by eliminating one feeding at a time minimizes discomfort and distress for both mother and baby.
Question 5 of 5
The nurse is instructing a preeclamptic client about monitoring the movements of her fetus to determine fetal well-being. Which statement by the client indicates that she needs further instruction about when to call the health care provider concerning fetal movement?
Correct Answer: D
Rationale: Increased fetal movement can be a sign of distress, so the client should be instructed to report any significant changes in movement.