Questions 81

NCLEX-RN

NCLEX-RN Test Bank

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

Increase the $\mathrm{FiO}_2$.
Make sure the pulse oximeter is correlating to the heart rate.
Assess the neonate for color.
Assess the neonate for respiratory effort.

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.

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