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NCLEX RN Maternity Questions Questions

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Question 1 of 5

A multigravid client is receiving oxytocin (Pitocin) augmentation. When the client's cervix is dilated to 6 cm, her membranes rupture spontaneously with meconium-stained amniotic fluid. Which of the following actions should the nurse do first?

Correct Answer: D

Rationale: Meconium-stained fluid indicates potential fetal distress, requiring immediate continuous fetal heart rate monitoring to assess for complications like cord compression or hypoxia. Increasing oxytocin, repositioning, or reassessing dilation are secondary.

Question 2 of 5

The nurse is receiving over the telephone a laboratory results report of a neonate's blood glucose level. The nurse should:

Correct Answer: A

Rationale: Writing the results and confirming with the caller ensures accuracy and compliance with documentation protocols.

Question 3 of 5

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?

Correct Answer: C

Rationale: Red-tinged urine may indicate catheter trauma or misplacement, requiring assessment of catheter placement.

Question 4 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 5 of 5

Which of the following would be the priority when the form of primigravid client whose exercise is dilated at 6 cm when the fetus is at 1+ station and the client has had no analgesia or anesthesia?

Correct Answer: D

Rationale: At 6 cm dilation without analgesia, the client is likely experiencing significant pain and anxiety. Offering encouragement and support is the priority to help her cope emotionally and physically. Hydration, warmth, and perineal cleansing are secondary concerns.

Similar Questions

A primigravid client at 30 weeks' gestation has been admitted to the hospital with premature rupture of the membranes without contractions. Her cervix is 2 cm dilated and 50% effaced. The nurse should next assess the client's:
After suction and evacuation of a complete hydatidiform mole, the 28-year-old multigravid client asks the nurse when she can become pregnant again. The nurse would advise the client not to become pregnant again for at least which of the following time spans?
A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of the following responses?
After the physician explains the prognosis and medical management for atrial septal defect to a primiparous client whose 2-day-old female neonate was diagnosed with this condition, the nurse determines that the mother needs further instructions when she says which of the following?
The physician orders intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which of the following medications should the nurse have readily available at the client's bedside?

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