Questions 81

NCLEX-RN

NCLEX-RN Test Bank

Maternity RN NCLEX Questions Questions

Extract:


Question 1 of 5

A nurse is discussing the contraceptive implant with a client. Which of the following client statements indicates understanding?

Correct Answer: A

Rationale: The contraceptive implant is effective for up to 3 years, providing long-term contraception. It does not require daily monitoring, protect against STIs, or involve oral administration.

Question 2 of 5

A laboring client at -2 station has a spontaneous rupture of the membranes and a cord immediately protrudes from the vagina. The nurse should first:

Correct Answer: A

Rationale: Gentle pressure prevents cord compression.

Question 3 of 5

During a scheduled cesarean delivery of a primigravid client with a fetus at 39 weeks' gestation in a breech presentation, a neonatologist is present in the operating room. The nurse explains to the client that the neonatologist is present because neonates born by cesarean delivery tend to have an increased incidence of which of the following?

Correct Answer: D

Rationale: Cesarean delivery, especially without labor, increases the risk of respiratory distress syndrome due to retained lung fluid. Breech presentation may exacerbate this. Congenital anomalies, pulmonary hypertension, and meconium aspiration are less directly related.

Question 4 of 5

A client is considering permanent contraception. Which of the following statements by the nurse is accurate?

Correct Answer: B

Rationale: Both tubal ligation and vasectomy require follow-up to confirm effectiveness (e.g., sperm count for vasectomy, imaging for tubal ligation). Reversal is not guaranteed, tubal ligation does not affect hormones, and vasectomy is not linked to prostate cancer.

Question 5 of 5

I.V. oxytocin.png

Correct Answer: D

Rationale: Oxytocin (Pitocin) stimulates uterine contractions. If it causes excessive uterine activity (e.g., more than 5 contractions in 10 minutes or contractions lasting longer than 90 seconds), it can reduce placental perfusion

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