NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
A laboring client at -2 station has a spontaneous rupture of the membranes and a cord immediately protrudes from the vagina. The nurse should first:
Correct Answer: A
Rationale: Gentle pressure prevents cord compression.
Question 2 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 3 of 5
A primigravid client with class II heart disease who is visiting the clinic at 8 weeks' gestation tells the nurse that she has been maintaining a low-sodium, 1,800-calorie diet. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Increased caloric intake supports fetal growth without compromising maternal health.
Question 4 of 5
A primiparous client diagnosed with postpartum depression at 2 weeks postpartum asks about treatment options. The nurse should include:
Correct Answer: B
Rationale: Counseling and medication are standard treatments for postpartum depression, tailored to the client's needs.
Question 5 of 5
The nurse is assessing a client at her postpartum checkup 6 weeks after a vaginal delivery. The mother is bottle feeding her baby. Which client finding indicates a problem at this time?
Correct Answer: B
Rationale: White, thick vaginal discharge at 6 weeks suggests an infection, as lochia should be minimal or absent by this time.