NCLEX-RN
RN NCLEX Maternal Neonatal Nursing Questions
Extract:
Question 1 of 5
A multigravid client in labor at 38 weeks' gestation has been diagnosed with Rh sensitization and probable fetal hydrops and anemia. When the nurse observes the fetal heart rate pattern on the monitor, which of the following patterns is most likely?
Correct Answer: B
Rationale: Rh sensitization with fetal hydrops and anemia often causes a sinusoidal fetal heart rate pattern due to severe fetal anemia and hypoxia. Early, variable, or late decelerations are less specific to this condition.
Question 2 of 5
The nurse is admitting a primigravid client at 37 weeks' gestation who has been diagnosed with pregnancy-induced hypertension to the labor and delivery area. Which of the following client care rooms is most appropriate for this client?
Correct Answer: D
Rationale: Pregnancy-induced hypertension requires close monitoring for seizures (eclampsia). A darkened private room near the nurses' station minimizes stimulation and ensures rapid access to care.
Question 3 of 5
The physician who elects to perform a cesarean delivery on a primigravid client for fetal distress has informed the client of possible risks during the procedure. When the nurse asks the client to sign the consent form, the client's husband says, 'I'll sign it for her. She's too upset by what is happening to make this decision.' The nurse should:
Correct Answer: C
Rationale: The client must provide informed consent unless incapacitated. The nurse should ask the client to sign, ensuring she understands despite her distress. The husband cannot sign unless legally authorized, and dual signatures or physician witnessing are unnecessary.
Question 4 of 5
The nurse is planning care for a multigravid client hospitalized at 36 weeks' gestation with confirmed rupture of membranes and no evidence of labor. Which of the following would the nurse expect the physician to order?
Correct Answer: C
Rationale: Vaginal cultures help identify infections after membrane rupture.
Question 5 of 5
Which of the following subjects should the nurse include when teaching the mother of a neonate diagnosed with retinopathy of prematurity (ROP) about possible treatment for complications?
Correct Answer: A
Rationale: Laser therapy is a common treatment for severe ROP to prevent retinal detachment.