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NCLEX RN Maternity Questions Questions

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Question 1 of 5

A multigravid client is admitted at 16 weeks' gestation with a diagnosis of hyperemesis gravidarum. The nurse should explain to the client that hyperemesis gravidarum is thought to be related to high levels of which of the following hormones?

Correct Answer: B

Rationale: High estrogen levels are associated with hyperemesis gravidarum.

Question 2 of 5

Which of the following would be most important for the nurse to encourage in a primiparous client diagnosed with endometritis who is receiving intravenous antibiotic therapy?

Correct Answer: C

Rationale: Fowler's position promotes drainage of uterine secretions, aiding recovery from endometritis.

Question 3 of 5

After instructing a primigravid client at 38 weeks' gestation about how preeclampsia can affect the client and the growing fetus, the nurse realizes that the client needs additional instruction when she says that preeclampsia can lead to which of the following?

Correct Answer: A

Rationale: Preeclampsia does not typically cause hydrocephalus.

Question 4 of 5

A primigravid client at 39 weeks' gestation is admitted to the hospital in active labor. On admission, the client's cervix is 6 cm dilated. After 2 hours of active labor, the client's cervix is still dilated at 6 cm with 100% effacement at -1 station. Contractions are 3 to 5 minutes apart, lasting 45 seconds, and of moderate intensity. The nurse determines that the client is most likely experiencing which of the following?

Correct Answer: A

Rationale: Lack of cervical dilation (6 cm after 2 hours) despite adequate contractions suggests cephalopelvic disproportion, where the fetal head cannot pass through the pelvis. Prolonged latent phase occurs earlier, transition is at 8–10 cm, and hypotonic contractions are weaker.

Question 5 of 5

A multiparous client at 24 hours postpartum demonstrates a positive Homan's sign with discomfort. The nurse should:

Correct Answer: C

Rationale: A positive Homan's sign suggests possible deep vein thrombosis, requiring immediate physician notification.

Similar Questions

The nurse is managing care of a primigravida at full term who is in active labor. What should be included in developing the plan of care for this client?
A nurse is discussing the withdrawal method with a client. Which of the following client statements indicates a need for further teaching?
A 30-year-old woman, G 4, P 4, has delivered a healthy term female neonate by cesarean delivery due to a nonreassuring fetal heart rate tracing. At 2 hours postpartum, the nurse assesses the client's retention catheter and observes that the client's urine is slightly red tinged. Which of the following should the nurse do next?
The nurse is receiving over the telephone a laboratory results report of a neonate's blood glucose level. The nurse should:
A multiparous client delivers dizygotic twins at 37 weeks' gestation. The twin neonates require additional hospitalization after the client is discharged. In planning the family's care, an appropriate goal for the nurse to formulate is that, while the twins are hospitalized, the parents will do which of the following?

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