NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
A multiparous client, 28 hours after cesarean delivery, who is breast-feeding complains of severe cramps or afterpains. The nurse explains that these are caused by which of the following?
Correct Answer: D
Rationale: Breastfeeding stimulates oxytocin release, causing uterine contractions (afterpains) as the uterus involutes.
Question 2 of 5
The nurse is caring for a term neonate who is diagnosed with patent ductus arteriosus. While performing a physical assessment of the neonate, the nurse anticipates that the neonate will exhibit which of the following?
Correct Answer: C
Rationale: Patent ductus arteriosus typically causes a loud, continuous cardiac murmur heard through systole and diastole.
Question 3 of 5
The labor and delivery unit is short-staffed, and the charge nurse must prioritize assignments. Which client should the registered nurse personally assess first?
Correct Answer: B
Rationale: A multigravida at 8 cm dilation with a history of rapid labors is at risk for precipitous delivery, requiring immediate RN assessment to prepare for birth. Other clients are less urgent, as they are earlier in labor or stable.
Question 4 of 5
A nurse is teaching a client about the use of the vaginal contraceptive ring. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The vaginal contraceptive ring is left in place for 3 weeks, then removed for 1 week to allow a withdrawal bleed. It is not inserted daily, applied to the vaginal wall (it sits in the vagina), or replaced every 6 months (it's monthly).
Question 5 of 5
A nurse is discussing the benefits of the copper IUD with a client. Which of the following statements by the nurse is accurate?
Correct Answer: B
Rationale: The copper IUD is effective for up to 10 years, providing long-term contraception. It may increase menstrual bleeding, does not require daily monitoring, and does not prevent ovulation, working primarily by affecting sperm motility.