NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
A client is considering the fertility awareness method. Which of the following client statements indicates understanding?
Correct Answer: A
Rationale: Tracking basal body temperature daily is a key component of the fertility awareness method. It is less reliable with irregular cycles, pregnancy tests do not monitor ovulation, and intercourse is avoided only during fertile periods.
Question 2 of 5
The nurse is assessing the perineal changes of a multigravid client in the second stage of labor. The illustration below represents which of the following perineal changes?
Correct Answer: D
Rationale: If the illustration shows the fetal head visible at the perineum with no retraction between contractions, and the perineal area appears bulging or stretched, this indicates crowning — the point at which birth is imminent.
Question 3 of 5
The nurse is assessing fetal presentation in a multiparous client. The illustration below indicates which of the following types of presentation?
Correct Answer: D
Rationale: Without the illustration, the context suggests a typical presentation for a multiparous client, which is most likely vertex (head-down), the most common and favorable for vaginal delivery.
Question 4 of 5
A nurse is counseling a client about the contraceptive sponge. Which of the following client statements indicates a need for further teaching?
Correct Answer: C
Rationale: The contraceptive sponge is a single-use device and cannot be reused, even if cleaned, indicating a need for further teaching. The other statements are correct.
Question 5 of 5
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?
Correct Answer: B
Rationale: Falling hematocrit and hemoglobin levels indicate internal bleeding.