Questions 81

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Maternal Neonatal Nursing Questions

Extract:


Question 1 of 5

A nurse is teaching a client about the use of spermicides. Which of the following client statements indicates understanding?

Correct Answer: A

Rationale: Spermicide should be applied 10-30 minutes before intercourse for optimal effectiveness. It is effective for about 1 hour, does not protect against STIs, and is most effective with barrier methods.

Question 2 of 5

A client with pregnancy-induced hypertension is to receive magnesium sulfate to run at 3 grams per hour with normal saline to maintain the total I.V. rate at 125 mL/hour. The nurse giving end of shift report stated the client's blood pressures have been elevated during the night. The oncoming nurse checked the client and found magnesium sulfate running at 2 grams per hour. Identify the nursing actions to be taken from first to last.

Order the Items

Source Container

Correct the I.V. rates to magnesium sulfate running at 3 grams/hour and normal saline to complete total rate at 125 mL/hour.
Initiate an incident report.
Assess the client's current status.
Notify the physician of the incident.

Correct Answer: C,A,D,B

Rationale: Assess the client first, correct the error, notify the physician, and then document the incident.

Question 3 of 5

Assessment of a term neonate at 8 hours after birth reveals tachypnea, dyspnea, sternal retractions, diminished femoral pulses, poor lower body perfusion, and cyanosis of the lower body and extremities, with a pink upper body. The nurse notifies the pediatrician based on the interpretation that these symptoms are associated with which of the following:

Correct Answer: A

Rationale: These symptoms are characteristic of coarctation of the aorta, which causes reduced blood flow to the lower body.

Question 4 of 5

A primiparous client asks when to transition her bottle-fed neonate to a sippy cup. The nurse should recommend introducing a sippy cup around:

Correct Answer: D

Rationale: Introducing a sippy cup around 12 months aligns with developmental readiness for independent drinking.

Question 5 of 5

The nurse discovers a medication error where a postpartum client received 400 mg of ibuprofen instead of 800 mg. The nurse should:

Correct Answer: C

Rationale: Notifying the physician and filing an incident report ensures patient safety and proper follow-up.

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