Questions 81

NCLEX-RN

NCLEX-RN Test Bank

Maternity Questions NCLEX RN Quizlet Questions

Extract:


Question 1 of 5

A client has admitted use of cocaine prior to beginning labor. After the infant is born, the nurse should anticipate the need to include which of the following actions in the infant's plan of care?

Correct Answer: A

Rationale: Urine toxicology screening is necessary to assess for potential drug exposure in the newborn, which can affect their health and care plan.

Question 2 of 5

A 24-year-old client, G 3, P 1, at 32 weeks' gestation, is admitted to the hospital because of vaginal bleeding. After reviewing the client's history, which of the following factors might lead the nurse to suspect abruptio placentae?

Correct Answer: D

Rationale: Cocaine use is a risk factor for abruptio placentae.

Question 3 of 5

A primiparous client is on a regular diet 24 hours postpartum. She is from Guatemala and speaks little English. The client's mother asks the nurse if she can bring her daughter some "special foods from home." The nurse responds, based on the understanding about which of the following?

Correct Answer: C

Rationale: Nutritious, iron-rich foods support postpartum recovery and respect cultural preferences.

Question 4 of 5

A full-term client is admitted for an induction of labor. The health care provider has assigned a Bishop score of 10. Which drug would the nurse anticipate administering to this client?

Correct Answer: A

Rationale: A Bishop score of 10 indicates a favorable cervix for induction, so oxytocin (Pitocin) is appropriate to initiate contractions. Prostaglandins (Prepidil, Cervidil, Cytotec) are used for cervical ripening when the cervix is unfavorable.

Question 5 of 5

Four days after a vaginal delivery, the client visits the clinic complaining of excessive lochia rubra with clots. The physician orders methylergonovine maleate (Methergine), 0.2 mg intramuscularly. Before administering this drug, the nurse should assess:

Correct Answer: A

Rationale: Methylergonovine can cause hypertension, so blood pressure assessment is essential before administration.

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