NCLEX-RN
NCLEX RN Maternity Questions Questions
Extract:
Question 1 of 5
A nurse is preparing a change-of-shift report and has been caring for a multigravid client with a normally progressing labor. Which of the following information should be part of this report? Select all that apply.
Correct Answer: A,B,D,E,F
Rationale: A comprehensive shift report includes fetal monitor interpretation, analgesia/anesthesia use, vaginal bleeding/discharge, support persons, and prior delivery history to ensure continuity of care. Anticipated birth control is not relevant during labor.
Question 2 of 5
The physician orders docusate sodium (Colace) 100 mg at bedtime for a primiparous client after vaginal delivery of a term neonate after a midline episiotomy. The nurse instructs the client to expect which of the following results from taking the medication?
Correct Answer: C
Rationale: Docusate sodium is a stool softener, which helps prevent straining during bowel movements, especially important after an episiotomy.
Question 3 of 5
A nurse is teaching a client about the use of the contraceptive injection. Which of the following client statements indicates a need for further teaching?
Correct Answer: D
Rationale: The contraceptive injection does not protect against STIs, indicating a need for further teaching. The other statements are correct regarding frequency, side effects, and reversibility.
Question 4 of 5
A viable male neonate delivered to a 28-year-old multiparous client by cesarean delivery because of placenta previa is diagnosed with respiratory distress syndrome. Which of the following would the nurse explain as the factor placing the neonate at the greatest risk for this syndrome?
Correct Answer: B
Rationale: Preterm delivery is the primary risk factor for RDS due to immature lung development and insufficient surfactant production.
Question 5 of 5
The physician orders an intramuscular injection of phytonadione (AquaMEPHYTON) for a term neonate. The nurse explains to the mother that this medication is used to prevent which of the following?
Correct Answer: C
Rationale: Phytonadione (vitamin K) is administered to newborns to prevent hemorrhagic disease due to low vitamin K levels, which are necessary for blood clotting.