NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client asks about the risks of the hormonal IUD. Which of the following would the nurse include?
Correct Answer: B
Rationale: The hormonal IUD may cause irregular bleeding, especially initially, which often decreases over time. It does not increase breast cancer risk, cause permanent infertility, or guarantee regular cycles.
Question 2 of 5
Assessment of a 23-year-old primigravid client at term who is admitted to the birthing unit in active labor reveals that her cervix is 4 cm dilated and 100% effaced. Contractions are occurring every 4 minutes. The nurse is developing a care plan with the client to relieve pain based on the gate-control theory of pain. The nurse should explain which of the following to the client?
Correct Answer: D
Rationale: The gate-control theory posits that pain signals are modulated in the spinal cord, where non-painful stimuli (e.g., touch) can 'close the gate' to pain transmission. Input from large fibers closes the gate, perception varies but is not the mechanism, and slow breathing helps manage pain but does not open the gate.
Question 3 of 5
The nurse is evaluating the client who delivered vaginally 2 hours ago and is experiencing postpartum pain rated 8 on scale of 1 to 10. The client is a G 4, P 4, breast-feeding mother who would like medication to decrease the pain in her uterus. Which of the medications listed on the orders sheet would be the most appropriate for this client?
Correct Answer: B
Rationale: Ibuprofen is safe for breastfeeding mothers and effective for uterine cramping pain, unlike aspirin (risk of bleeding), Colace (stool softener), or Vicodin (opioid, less preferred due to sedation risks).
Question 4 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.
Question 5 of 5
A client is considering the withdrawal method. Which of the following statements by the nurse is accurate?
Correct Answer: B
Rationale: The withdrawal method has a high failure rate due to pre-ejaculate and timing issues and does not protect against STIs. It does not require a prescription and is less effective than oral contraceptives.