NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client asks about the risks of long-term oral contraceptive use. Which of the following would the nurse include in the response?
Correct Answer: B
Rationale: Long-term use of oral contraceptives may increase the risk of blood clots, especially in smokers or those with other risk factors. It reduces ovarian cancer risk, does not cause permanent infertility, and weight changes vary.
Question 2 of 5
A multigravid client is admitted at 4-cm dilation and requesting pain medication. The nurse gives the client Nubain 15 mg and Phenergan 25 mg slow I.V. push. Within 5 minutes, the client tells the nurse she feels like she needs to have a bowel movement. The nurse should first:
Correct Answer: B
Rationale: A sudden urge to have a bowel movement in labor often indicates rapid progression to full dilation or fetal descent. A vaginal examination confirms dilation and station to guide next steps (e.g., preparing for delivery). Naloxone, preparation, or documentation are premature without assessment.
Question 3 of 5
A nurse is teaching a client about the use of the contraceptive patch. Which of the following client statements indicates a need for further teaching?
Correct Answer: D
Rationale: The contraceptive patch does not prevent ovulation permanently; it suppresses ovulation during use and is reversible. The other statements are correct, indicating a need for further teaching.
Question 4 of 5
A 38-year-old client at about 14 weeks' gestation is admitted to the hospital with a diagnosis of complete hydatidiform mole. Soon after admission, the nurse would assess the client for signs and symptoms of which of the following?
Correct Answer: A
Rationale: Pregnancy-induced hypertension is a common complication of hydatidiform mole.
Question 5 of 5
When caring for a multigravid client admitted to the hospital with vaginal bleeding at 38 weeks' gestation, which of the following would the nurse anticipate administering intravenously if the client develops disseminated intravascular coagulation(DIC)?
Correct Answer: B
Rationale: Fresh frozen platelets are used to manage bleeding in DIC.