Questions 81

NCLEX-RN

NCLEX-RN Test Bank

Maternity Questions NCLEX RN Quizlet Questions

Extract:


Question 1 of 5

A client asks about the effectiveness of male condoms. Which of the following responses by the nurse is accurate?

Correct Answer: B

Rationale: Male condoms are highly effective when used correctly, with a low failure rate. They are not 100% effective, do not require a prescription, and are more effective than the withdrawal method.

Question 2 of 5

A multigravid client at 40 weeks' gestation with a history of previous cesarean delivery is admitted for a trial of labor. The fetal monitor shows late decelerations. Which interventions should the nurse perform? Select all that apply.

Correct Answer: A,B,D

Rationale: Late decelerations suggest uteroplacental insufficiency. Administering oxygen, stopping oxytocin (if running), and increasing IV fluids improve fetal oxygenation and uterine perfusion. Right-side repositioning is less effective than left-side, and scalp electrodes are not the first step.

Question 3 of 5

To determine whether a primigravid client in labor with a fetus in the left occipitoanterior (LOA) position is completely dilated, the nurse performs a vaginal examination. During the examination the nurse should palpate which of the following cranial sutures?

Correct Answer: A

Rationale: In the LOA position, the fetus's occiput is anterior, and the sagittal suture (running midline along the skull) is most accessible during vaginal examination to assess dilation and fetal position. Other sutures are less prominent in this presentation.

Question 4 of 5

After circumcision with a Plastibell, the nurse should instruct the neonate's mother to cleanse the circumcision site with which of the following?

Correct Answer: A

Rationale: Warm water is recommended for cleansing the circumcision site to keep it clean and promote healing without causing irritation.

Question 5 of 5

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?

Correct Answer: B

Rationale: Parental participation in twin care during hospitalization promotes bonding, confidence, and skill development. Discussing coping, 24-hour observation, or identifying complications are less immediate or unrealistic.

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