Questions 82

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NCLEX RN Practice Questions Maternity Questions

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Question 1 of 5

A multigravid client at 38 weeks' gestation, G4 P3, is 6 cm dilated with contractions every 3 minutes. The nurse observes meconium-stained amniotic fluid after spontaneous rupture of membranes. What is the priority nursing action?

Correct Answer: B

Rationale: Meconium-stained fluid raises the risk of fetal distress. Assessing the fetal heart rate pattern immediately ensures the fetus is tolerating labor. Cesarean delivery is not automatic, suctioning is irrelevant, and documentation follows assessment.

Question 2 of 5

A client is considering the withdrawal method. Which of the following client statements indicates understanding?

Correct Answer: A

Rationale: The withdrawal method requires careful timing and control to be effective. It is less effective than oral contraceptives, does not protect against STIs, and is not 100% effective, even with perfect use.

Question 3 of 5

Assessment of a primigravid client reveals cervical dilation at 8 cm and complete effacement. The client complains of severe back pain during this phase of labor. The nurse explains that the client's severe back pain is most likely caused by the fetal occiput being in a position that is identified as which of the following?

Correct Answer: C

Rationale: Severe back pain in labor is commonly associated with a posterior occiput position (e.g., occipitoposterior), where the fetal head presses against the maternal sacrum. Breech, transverse, or anterior positions are less likely to cause intense back pain.

Question 4 of 5

While caring for a primigravid client with class II heart disease at 28 weeks' gestation, the nurse would instruct the client to contact her physician immediately if the client experiences which of the following?

Correct Answer: D

Rationale: Increased dyspnea at rest can indicate worsening heart function.

Question 5 of 5

Which of the following actions should the nurse take when performing external cardiac massage on a neonate born at 28 weeks' gestation?

Correct Answer: A

Rationale: Alternating cardiac massage with ventilation follows neonatal resuscitation guidelines to restore circulation and oxygenation.

Similar Questions

A viable female neonate was delivered 10 minutes ago and is in stable condition under a radiant warmer. To prevent infant heat loss by convection, the nurse should:
A nurse is counseling a client about the use of spermicides. Which of the following client statements indicates a need for further teaching?
While changing the neonate's diaper, the client asks the nurse about some red-tinged drainage from the neonate's vagina. Which of the following responses would be most appropriate?
The nurse assesses a primiparous client in labor for 20 hours. The nurse identifies late decelerations on the monitor and initiates standard procedures for the labor client with this wave pattern. Which intravenous should the nurse perform? Select all that apply.
After reinforcing the danger signs to report with a gravida 2 client at 32 weeks' gestation with an elevated blood pressure, which client statements would demonstrate her understanding of when to call the physician's office? Select all that apply.

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