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NCLEX RN Maternity Questions Questions

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Question 1 of 5

A breast-feeding primiparous client who delivered 8 hours ago asks the nurse, "How will I know that my baby is getting enough to eat?" Which of the following guidelines should the nurse include in the teaching plan as evidence of adequate intake?

Correct Answer: A

Rationale: Six to eight wet diapers by the fifth day indicate adequate milk intake.

Question 2 of 5

A nurse is counseling a client about the use of a diaphragm for contraception. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Using spermicide with the diaphragm for each act of intercourse is essential for effectiveness. The diaphragm can be inserted up to 6 hours before and left in place for at least 6 hours after intercourse but not more than 24 hours. It should be stored in a clean, dry container, not necessarily airtight.

Question 3 of 5

Which of the following instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate?

Correct Answer: A

Rationale: Mild analgesics like ibuprofen can effectively manage menstrual pain. There is no evidence supporting avoiding cold foods, and moderate exercise can alleviate cramps. Sexual intercourse during menstruation is a personal choice and not medically contraindicated.

Question 4 of 5

The nurse on a mother-baby unit who is working on the night shift is revising the planning worksheet for the remaining 2 hours of the shift. The nurse has the following tasks and orders to complete prior to the 7 a.m. change of shift. Using the work plan below, how should the nurse organize the following tasks so that everything is completed by 7 a.m.?

Order the Items

Source Container

Draw blood for the ordered laboratory tests (CBCs) on 3 postpartum clients with report on charts by shift change.
Start IV of D5 1/2 NS at keep vein open (KVO) rate on postpartum client just prior to change of shift.
Complete admission assessment of newborn turned over to nurse at 5 a.m.
Draw newborn bilirubin level at 6 a.m.

Correct Answer: A,C,D,B

Rationale: 5:00 - Complete admission assessment; 5:30 - Draw CBCs; 6:00 - Draw bilirubin; 6:30 - Start IV. This ensures timely completion.

Question 5 of 5

A client is considering the contraceptive patch. Which of the following instructions should the nurse provide?

Correct Answer: B

Rationale: The contraceptive patch is changed weekly for three weeks, followed by a patch-free week to allow for a withdrawal bleed. It is not applied daily, worn for a month, or placed on the genital area.

Similar Questions

A 16-year-old primigravid client, with a history of attending one prenatal visit, is admitted to the hospital in active labor at 37 weeks' gestation. Her cervix is 7 cm dilated with the presenting part at 0 station. She enters the labor unit appearing anxious and hyperventilating. Because of the hyperventilation, the nurse should assess the client for:
A nurse is preparing a change-of-shift report and has been caring for a multigravid client with a normally progressing labor. Which of the following information should be part of this report? Select all that apply.
A multiparous client delivers dizygotic twins at 37 weeks' gestation. The twin neonates require additional hospitalization after the client is discharged. In planning the family's care, an appropriate goal for the nurse to formulate is that, while the twins are hospitalized, the parents will do which of the following?
A nurse is teaching a client about the use of spermicides. Which of the following instructions should the nurse include?
Before surgery to remove an ectopic pregnancy and the fallopian tube, which of the following would alert the nurse to the possibility of tubal rupture?

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