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NCLEX RN Maternity Questions Questions

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Question 1 of 5

A multigravid client is in active labor with twins at 38 weeks' gestation. The nurse should monitor the client closely for symptoms of which of the following?

Correct Answer: D

Rationale: Twin pregnancies increase the risk of precipitous delivery due to uterine overdistension, which can lead to rapid labor. Hypertension, infections, or chorioamnionitis are possible but less specific to twins.

Question 2 of 5

After instruction of a primigravid client at 8 weeks' gestation diagnosed with class I heart disease about self-care during pregnancy, which of the following client statements would indicate the need for additional teaching?

Correct Answer: C

Rationale: Reducing protein intake is not recommended for clients with heart disease.

Question 3 of 5

After a vaginal delivery, a preterm neonate is to receive oxygen via mask. While administering the oxygen, the nurse would place the neonate in which of the following positions?

Correct Answer: D

Rationale: Placing the neonate on their back with the neck slightly extended opens the airway, facilitating effective oxygen delivery.

Question 4 of 5

The nurse on a mother-baby unit who is working on the night shift is revising the planning worksheet for the remaining 2 hours of the shift. The nurse has the following tasks and orders to complete prior to the 7 a.m. change of shift. Using the work plan below, how should the nurse organize the following tasks so that everything is completed by 7 a.m.?

Order the Items

Source Container

Draw blood for the ordered laboratory tests (CBCs) on 3 postpartum clients with report on charts by shift change.
Start IV of D5 1/2 NS at keep vein open (KVO) rate on postpartum client just prior to change of shift.
Complete admission assessment of newborn turned over to nurse at 5 a.m.
Draw newborn bilirubin level at 6 a.m.

Correct Answer: A,C,D,B

Rationale: 5:00 - Complete admission assessment; 5:30 - Draw CBCs; 6:00 - Draw bilirubin; 6:30 - Start IV. This ensures timely completion.

Question 5 of 5

After administering hydralazine(Apresoline) 5 mg intravenously as ordered for a primigravid client with severe preeclampsia at 39 weeks' gestation, the nurse should assess the client for:

Correct Answer: A

Rationale: Tachycardia is a potential side effect of hydralazine.

Similar Questions

The nurse is caring for a multigravid client who speaks little English. As the nurse enters the client's room, the nurse observes the client panting on the bed and the fetal head crowning. After calling for assistance and helping the client lie down, which of the following actions should the nurse do next?
When developing the plan of care for a multiparous client in active labor who receives an epidural anesthetic, which of the following would the nurse anticipate that the physician will order if the client develops moderate hypotension?
A primigravid client is admitted as an outpatient for an external cephalic version. The nurse should assess the client for which of the following contraindications for the procedure?
In which of the following maternal locations would the nurse place the ultrasound transducer of the external electronic fetal heart rate monitor if a fetus at 34 weeks' gestation is in the left occipitoanterior(LOA) position?
A viable male neonate delivered to a 28-year-old multiparous client by cesarean delivery because of placenta previa is diagnosed with respiratory distress syndrome. Which of the following would the nurse explain as the factor placing the neonate at the greatest risk for this syndrome?

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