NCLEX-RN
Maternity NCLEX RN Questions Questions
Extract:
Question 1 of 5
A nurse is counseling a client about the use of emergency contraception. Which of the following client statements indicates understanding?
Correct Answer: A
Rationale: Emergency contraception is most effective when taken within 72 hours of unprotected intercourse. It is not for regular use, does not require surgery, and is not 100% effective.
Question 2 of 5
A neonate born at 29 weeks' gestation received nasal continuous positive airway pressure. The neonate is receiving oxygen at 1 L/minute via nasal cannula at a fraction of inspired oxygen (FiO₂) of 0.23. The pulse oximetry reading is 70% saturation. In which order of priority from first to last should the nurse take these actions?
Order the Items
Source Container
Correct Answer: B,C,D,A
Rationale: First, ensure the pulse oximeter is accurate (
B).
Then, assess clinical signs like color (
C) and respiratory effort (
D). Finally, adjust $\mathrm{FiO}_2$ (
A) if needed based on findings.
Question 3 of 5
A client is considering the lactational amenorrhea method (LAM) for contraception. Which of the following conditions must be met for LAM to be effective?
Correct Answer: A
Rationale: LAM is effective when the client is exclusively breastfeeding, amenorrheic, and less than 6 months postpartum, as these conditions suppress ovulation. The other options include factors that reduce its effectiveness, such as formula supplementation or regular periods.
Question 4 of 5
A client asks about the benefits of breastfeeding for contraception. Which of the following responses by the nurse is most accurate?
Correct Answer: B
Rationale: The lactational amenorrhea method (LAM) is effective for up to 6 months postpartum if the client is exclusively breastfeeding, amenorrheic, and the infant is under 6 months. It is not reliable for a year, does not permanently prevent ovulation, and is less effective with formula supplementation.
Question 5 of 5
Two weeks after a breast-feeding primiparous client is discharged, she calls the birthing center and says that she is afraid she is "losing my breast milk. The baby had been nursing every 4 hours, but now she's crying to be fed every 2 hours." The nurse interprets the neonate's behavior as most likely caused by which of the following?
Correct Answer: D
Rationale: Increased feeding frequency at 2 weeks is typical of a growth spurt, requiring more frequent nursing.